Search PubMed⌕ Search

Biomedical subjects

T Gherli

Publications and source records attributed to T Gherli.

54 records · Page 3Linked to original sources
PubMed1981

[A new technic of venous thrombectomy of the lower limbs].

A personal venous thrombectomy technique employing a modified Fogarty catheter is described. The end of the catheter to which the syringe is normally applied is cut off to enable it to be used in a retrograde manner. In this way, thrombectomy is always performed in the direction of the current, irresapective of the site of the thrombosis in the venous axis of the lower limbs. This type of operation offers two advantages. It preserves the integrity of the valves and does away with the risk of intraoperative embolisms. It is described as "physiological thrombectomy". If the thrombosis involves the entire iliac-femoro-popliteal axis, the catheter is inserted retrogradely via the small saphenous at the, and removed via an iliac phlebotomy obtained by means of an extraperitoneal abdominal incision. When the thrombosis is femoropopliteal only, the catheter is inserted through the origin of the small sphenous and withdrawn via the venous incision. Lastly, in cases where the common iliacofemoral axis alone is involved, retrograde insertion takes place through the large saphenous vein in the inguinal region. Preliminary results obtained with the technique are described.

Femoral Vein↗
PubMed1981

[Study of the relations between recurrent nerve and inferior thyroid artery (author's transl)].

The importance of a knowledge of the relations between recurrent nerve and inferior thyroid artery, in order to minimise the incidence of injuries to the nerve during thyroidectomy, is stressed. These relations are analysed from the anatomo-surgical standpoint, with particular emphasis on the great variability to which they are subject. It is concluded by asserting the utility of prior location of the recurrent nerve, with an indication of some basic concepts that must always be borne in mind when performing thyroid surgery.

Arteries↗
PubMed1980

[The Peutz-Jeghers syndrome. Study of 2 familial cases].

Two new familial cases of Peutz-Jeghers syndrome are reported. The cases present a number of original aspects with regard to anomalous transmission of the defect, the common finding of a single ileal polyp and associated malformations in the first of the two cases. The clinical aspects of the disease are discussed together with the histology of the polyps in relation to their possibility or otherwise of degenerating. Finally, the various surgical techniques indicated for the treatment of this rare condition are examined.

Adolescent↗
PubMedDate not supplied

Three cases of cardiac hydatidosis: diagnosis, surgical treatment, and complications.

Three cases of cardiac hydatid disease from among the many cases of hydatidosis (>300) in various organs observed by the authors are reported. The sites of the cysts and the complications that arose are described. The first case developed hydatid pulmonary embolism caused by rupture into the right ventricular cavity, the second suffered peripheral hydatid embolism caused by rupture into the left ventricular cavity, and the third, whose diagnosis was fortuitous, had no complications. The first patient died shortly after admission. The other two underwent radical pericystectomy and partial pericystectomy with cardiopulmonary bypass. The best result was obtained in the third case where rupture had not occurred. The second patient recovered but developed hemiparesis. The various diagnostic tools available are discussed, as well as some technical aspects of pericystectomy, which has a high mortality rate. The importance of early diagnosis and treatment of this rare localization of Echinococcus granulosus is emphasized, and echocardiography is recommended even for nonspecific cardiac symptoms in areas where the parasite is endemic.

Adult↗
PubMedDate not supplied

[Our experience in the treatment of superior vena cava syndrome].

In clinical practice SVC syndrome is an important problem, given both the nature of the disease and its fast lethal evolution. Therapy must be instituted as soon as possible because the chances of a positive result are directly related to the staging of the primary illness. Surgery, chemotherapy and high energy therapy can be used. From the literature, although controversial, the superiority of surgical therapy is clear; particularly if up-to-date vascular reconstruction techniques are employed. From March 1980 to March 1988 8 cases of SVC syndrome were observed in which the aetiology was as follows: Hodgkin's disease (2 cases); secondary catheter thrombosis (1 cases); lung carcinoma (5 cases). The 2 cases of Hodgkin's disease were treated by chemotherapy; the secondary thrombosis by open thrombectomy. In the other 5 cases an innominate vein right appendage by-pass was used (3 PTFE, 2 pericardial grafts). The results were encouraging: complete, long-term remission was observed in the Hodgkin and thrombectomy patients. A PTFE graft thrombosis occurred in 2 cases but in the other cases the by-pass is functioning well at a mean 13 months follow-up.

Adult↗