Advances in Abdominal Surgery

ISBN-13: 9780792359883 / Angielski / Twarda / 1999 / 249 str.

Everardo Zanella; E. Zanella

Opis

General surgery consists ofa main corpus of propaedeutic elements and clinical problems, which has been modified over the years by the separate development of numerous sub-specialistic branches. Although a common basis on the physiopathology of surgical trauma and post operative complications persists, as a result of general knowledge of surgical diseases, there is no doubt that in the spheres of doctrine and application, both research and clinical medicine have distinguished themselves autonomously in many surgical fields (orthopedics, neurosurgery, cardiovascular surgery, thoracic surgery, urology, etc.). It is therefore difficult to define the present configuration ofgeneral surgery, but without question abdominal surgery occupies a position of pre-eminent importance within the general framework. We are dealing, in fact, with pathological pictures which occur in a section ofthe body ofvast proportions, in which structures, organs, and morphologically complex spaces are arranged to carry out important functions. They are, therefore, subject to considerably complex pathological alterations, such as to establish an interesting field of diagnostic discussion and an exciting training-ground for surgical activity. It can be affirmed that the diagnosis and cures ofabdominal surgical diseases constitute a test ofthe surgeon's experience. Diagnosis is often entrusted to a differential process, the results ofwhich may be confirmed today by complementary diagnostics. This, however, must be guided by predominating clinical considerations, the exaggerated use of diagnostic techniques, detached from clinical examination, being the cause of very serious errors, which can mislead decision making and human contact, which is the basis ofcorrect medical practice."

Spis treści

Foreword. Section I: Surgical Infections. 1. Infected pancreatic necrosis complicated by multiple organ failure; L. Dominioni, et al. 2. Correlation between peri-operative blood transfusion and post-operative infective complication; L. Dominioni, et al. 3. In vitro antimicrobial activities of beta-lactams, Aminoglycosides, Quinolones, Glycopeptides and Trimethoprim-sulfamethoxazole against Gram-negative and Gram-positive Bacteria isolated from patients with intra-abdominal infections; G. Branca, et al. 4. Acute acalculous cholecystitis. Clinical and experimental remarks; F. Rulli, et al. Section II: Hepato-Biliary and Pancreatic Surgery. 5. Small diameter porto-caval shunt with ringed PTFE prosthesis for the treatment of portal hypertension; F. Tonelli, et al. 6. Renal failure complicating obstructive jaundice. An updating; A.M. Farinon, et al. 7. Hepatolithiasis, cystic dilatation of bile ducts and the variable risk of cholangiocarcinoma. Re-evaluation of an old problem; F. Cetta, et al. 8. Biliary stent occlusion: a microbiological and scanning electron microscopy (SEM) investigation; A. Basoli, et al. 9. Cystic tumors of the pancreas: serous cystadenoma and mucinous cystic neoplasm; A.M. Farinon, et al. Section III: Colo-Rectal Surgery. 10. A critical review of classification systems for colorectal cancer; A. Peracchia, et al. 11. Standard surgery and adjuvant therapy for colorectal cancer; D. Nitti, et al. 12. The follow-up in colorectal cancer; A. Peracchia, et al. 13. Effect of peri-operative transfusion of whole blood Vs leucocyte-depleted blood on survival after curative surgery for colorectal cancer; M. Rubino, et al. 14. Radioimmunoguided surgery in colorectal carcinoma patients; M. Roselli, et al. 15. Immunobiological approach to colorectal cancer staging: biological markers, cellular `in situ' immunological response and intranuclear DNA imaging analysis. Old and new parameters. Retrospective evaluation and prospective trials after a fifteen year experience; G. Midiri, et al. Section IV: Minimally Invasive Surgery. 16. Minimally invasive surgery for esophageal diseases; A. Peracchia, R. Rosati. 17. Comparison between rectopexy by Laparoscopy and laparotomy for complete rectal prolapse: clinical and functional results; P. Boccasanta, A. Peracchia. Section V: Transplantation. 18. Renal function in patients with orthotopic liver transplantation; G. Splendiani, et al. 19. National survey of primary sclerosing cholangitis; an emergent indication for new therapeutic strategies; M. Bacosi, et al. 20. Pancreatic islet cell transplantation; D. Marrano, et al. Author Index. Subject Index.