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    4643 results match your criteria Annali italiani di chirurgia[Journal]

    1 OF 93

    Is ultrasound a reliable diagnostic tool for acute appendicitis? A single centre experience.
    Ann Ital Chir 2017 Nov 14;6. Epub 2017 Nov 14.
    Aim: Aim of the present study is to evaluate the utility of US as a diagnostic method for acute appendicitis (AA) in a district general hospital, by use of accurate quality indices.

    Material And Methods: The records of all patients who underwent an appendicectomy in a one year period in a single centre were reviewed. The patients who underwent a preoperative US scan were included in the study in accordance to specific criteria and the results were statistically compared to the final surgical histology. Read More

    Completion axillary lymph node dissection can be avoid in patients with invasive breast cancer and sentinel lymph node micrometastases.
    Ann Ital Chir 2017 Nov 14;6. Epub 2017 Nov 14.
    Background: The prognostic value of sentinel lymph node (SLN) micrometastases in invasive breast cancer patients is still widely debated. Even if, in the absence of unequivocal guidelines, the axillary lynphadenectomy is not still performed in the routine clinical care of these patients.

    Materials And Method: We have retrospectively analyzed 897 patients with operable invasive breast cancer and clinically negative axillary lymph nodes underwent conservative surgery or total mastectomy with SLN biopsy. Read More

    Incidental finding of upper lip Warthin tumor.
    Ann Ital Chir 2017 Nov 14;6. Epub 2017 Nov 14.
    Aim: This report shows an incidental finding of Warthin tumor in upper lip mucosa during hospitalization for a biting lesion of cheek mucosa MATERIALS AND METHODS: A 32-year-old male affected by a biting lesion of cheek mucosa was presented at Maxillo- Facial Unit of Federico II University. Clinical examination showed as an incidental finding a solid mass in the superficial layer of upper lip mucosa. We performed mini-invasive surgical treatment to obtain a radical excision of the cheek lesion at the same time as excision of Warthin tumor. Read More

    Epigastrium: unusual site of incisional hernia from a 5 mm trocar.
    Ann Ital Chir 2017 Jun 12;6. Epub 2017 Jun 12.
    The observation of an unusual case of incisional hernia, found in the epigastric zone at the site of a 5 mm trocar incision for a cholecystectomy, has caused us to describe it and to review the literature. C.A. Read More

    Spleen preserving distal pancreatectomy in isolated pancreatic trauma.
    Ann Ital Chir 2017 Sep 12;6. Epub 2017 Sep 12.
    Introduction: Isolated pancreatic trauma is a rare condition and commonly come up in children or young adults.The poor initial symptoms lead to delay diagnosis and treatment. The treatment of isolated distal pancreatic trauma including the Wirsung's duct is generally distal pancreatectomy. Read More

    Surgical outcomes in patients with hepatic synchronous and metachronous colorectal metastasis.
    Ann Ital Chir 2017 Oct 25;6. Epub 2017 Oct 25.
    Aim: To evaluate the impact of several clinical and pathological factors on the outcomes of surgery for hepatic colorectal cancer metastasis.

    Methods: Eighty-four liver metastasectomies in 77 consecutive patients with 90 colorectal cancer hepatic metastases were performed in our institution from 2009 to 2014. Surgery was carried out in 75 cases, as two patients were not eligible for surgery. Read More

    Risk factors for acute cholecystitis and for intraoperative complications.
    Ann Ital Chir 2017 ;88:318-325
    Background: Acute cholecystitis is still frequent in emergency surgical departments. As surgical technique, nowadays laparoscopy is widely used and with low complications and with low postoperative morbidity.

    Material And Methods: We perform an analytical study about the safety of laparoscopic surgery in patients with acute cholecystitis in a single Surgical Department with an experience of over 20 years in laparoscopic surgery. Read More

    Complications after parotid gland surgery Our experience.
    Ann Ital Chir 2017 ;88:295-301
    Aim: Complications after parotid surgery include deficit of the facial nerve, wound complications, as sialocele and salivary fistula, and Frey syndrome; the goal of this study was to evaluate the relationship between the type of parotid surgery performed and the incidence of each of these complications.

    Material Of Study: A total of 184 patients were evaluated and 158 were included in the study. Four different kinds of intervention were made: extracapsular dissection, partial superficial parotidectomy; superficial parotidectomy and total parotidectomy. Read More

    Axillary treatment of patients with breast cancer and micrometastatic disease in the sentinel lymph node Our experience.
    Ann Ital Chir 2017 ;88:360-364
    Aim: Since the introduction of the sentinel lymph node biopsy (SLNB) in patients with breast cancer, micrometastases are detected frequently in the sln.

    Patients And Methods: Between July 2005 and June 2016, 1244 patients were submitted to surgery for breast cancer. 431 patients cT1-2 N0 underwent to sentinel lymph node (SLN) and micrometastases were found in 68 of 431 screen-detected patients. Read More

    T-tube biliary drainage during reconstruction after pancreaticoduodenectomy. A single-center experience.
    Ann Ital Chir 2017 ;88:330-335
    Aim: The purpose of this study is to communicate our experience about the results and effectiveness in the use of the Ttube biliary drainage during pancreaticoduodenectomy.

    Material Of Study: In accordance whit Whipple we perform the gastric antrum resection during pancreaticoduodenectomy. We have treated 42 patients with pancreaticoduodenectomy, 25 males and 17 females with a mean age of 62 years (range: 53-79 years), and in each of them we have placed a biliary T-tube. Read More

    Symptomatic pile tailored procedure. A new perspective for hemorrhoidal disease treatment.
    Ann Ital Chir 2017 ;88:348-351
    Aim: Aim of the present paper was to evaluate the role of tailored different single pile treatment in the clinical outcome of hemorrhoids.

    Material Of Study: The surgical strategy considered to treat only pathological piles with different procedure according to each pathological Goligher's degree, presence of fibrous, inelastic redundant internal pile(F) and presence of external pathological pile (external pile congestion or subversion of dental line (E) and skin tag not tolerated from the patient (S)). We treated with Hemorrhoidopexy second and third degree pile without F or ES; with Hemorrhoidopexy and excision of external component every second and third degree pile with E or S and with complete semi-closed pile excision all third degree with F and IV degree piles. Read More

    How to eliminate bilateral cleft lip stigmata 30 year experience.
    Ann Ital Chir 2017 ;88:282-287
    Purpose: To report a surgical algorithm for the treatment of bilateral cleft lip stigmata.

    Methods: The investigators designs a retrospective study composed of patients with bilateral cleft lip stigmata. The surgical approach is on the basis of the severity of the deformity and of course the age of the patient. Read More

    The impact of gallbladder retrieval from an epigastric vs. umbilical port on trocar-site complications A prospective randomized study.
    Ann Ital Chir 2017 ;88:326-329
    Aim: Port-site infection and hernias are among the most of the complications following laparoscopic cholecystectomy (LC). Although surgical technique of LC is described to obtain critical view of safety, there is still no consensus on ideal portsite for gallbladder retrieval. In this comparative study, we aimed to investigate the effects of gallbladder retrieval site on postoperative port site complications following LC. Read More

    Relationship between postoperative complications and survival after gastrectomy for cancer.
    Ann Ital Chir 2017 ;88
    Background: Surgical resection remains the main curative treatment for gastric cancer but is still affected by high postoperative morbidity and mortality rates, especially in Western countries.

    Materials And Methods: We've analyzed patients treated for gastric cancer at our Operative Unit of ent, extent of lymphadenectomy and survival. General Surgery and Organ Transplantation of the University Hospital of Parma from January 2006 till December 2010, relating the occurrence of eventual complications to sex, age at diagnosis, definitive histological examination, type and duration of surgical treatment. Read More

    In situ preservation of the partathyroid glands in total thyroidectomy: a propensity score matched analysis.
    Ann Ital Chir 2017 ;88:288-294
    Aim: Severe hypocalcemia due to parathyroid gland damage may be a serious complication after thyroidectomy. In order to save parathyroid integrity we developed a no-touch parathyroid (NTP) thyroidectomy technique.

    Methods: We performed a total extracapsular thyroidectomy with NTP technique in consecutive 50 cases of benign goiter between July 2014 and June 2015. Read More

    Facial transplantation. An update of results and perspectives from tissue engineering.
    Ann Ital Chir 2017 ;88:352-359
    Background/aim: Facial transplantation is a revolutionary procedure developed recently, which is indicated if autologous transfers fail to restore human appearance. More than 30 patients have undergone facial transplantation in different centers worldwide. Here, we provide an update on its main anatomical, surgical, immunological, ethical, and follow- up aspects. Read More

    Role of computer tomography and endoscopic ultrasonography in assessing portal and superior mesenteric vessels invasion in cephalo-pancreatic adenocarcinoma.
    Ann Ital Chir 2017 ;88:336-341
    Aim: The aim of this study is to evaluate the information given by contrast-enhanced computer tomography (CECT) and ultrasound endoscopy (EUS) regarding vascular involvement of cephalo-pancreatic cancer, data compared with intraoperative findings.

    Material And Methods: We choose to analyze the most often interested vessels by tumor development, such as superior mesenteric artery (SMA), superior mesenteric vein (SMV) and portal vein (PV). The patients included in the study (n=425) had a cephalo-pancreatic tumor diagnosed in our Institute and a positive histology for pancreatic adenocarcinoma. Read More

    Risk factors for acute cholecystitis and for intraoperative complications.
    Ann Ital Chir 2017 Aug 30;6. Epub 2017 Aug 30.
    laparoscopy is widely used and with low complications and with low postoperative morbidity.

    Material And Methods: We perform an analytical study about the safety of laparoscopic surgery in patients with acute cholecystitis in a single Surgical Department with an experience of over 20 years in laparoscopic surgery. We included 193 patient admitted in our department during 2014 and 2015. Read More

    Perineural infiltration as a prognostic factor in surgically treated gallbladder cancer: a single center experience and literature review.
    Ann Ital Chir 2017 Oct 4;6. Epub 2017 Oct 4.
    Introduction: Gallbladder cancer (GBC) is the most incident cancer of the biliary tract with only 5-13% of the sufferers surviving for five years. The aim of this study was to evaluate the prognostic role of perineural invasion (PNI) and its association with several clinicopathological variables in a cohort of surgically treated patients, and through a comprehensive review of the scientific literature.

    Materials And Methods: Twenty-five consecutive patients submitted to curative surgery for GBC from 2008 through 2016 were enrolled. Read More

    Association between neuroendocrine tumor of the ileum and two colonic primary malignancies. A case report and review of literature.
    Ann Ital Chir 2017 Oct 4;6. Epub 2017 Oct 4.
    Background: A high rate of association between neuroendocrine tumors (NETs) and secondary primary malignancy (SPM) has been described in literature and this association can occur either in a synchronous or a metachronous presentation. A wide range of hypothesis has been postulated to explain the high rate of association between NETs and SPM, without definitive conclusions.

    Case Presentation: We report a case of an ileal neuroendocrine tumor found incidentally at the histologic examination of the surgical specimen in a 72 years old male underwent to right hemi colectomy for two colic adenomatous polips with high grade dysplasia. Read More

    Rosuvastatin administered intraperitoneally reduces the formation of postoperative adhesions in rats.
    Ann Ital Chir 2017 Sep 26;6. Epub 2017 Sep 26.
    Objectives: The purpose of the present experimental research was to assess the efficacy of intraperitoneal administration of rosuvastatin in preventing the formation of postoperative peritoneal adhesions.

    Material And Method: Peritoneal adhesions were induced in 120 male rats of the Wistar-Bratislava breed, divided into 4 groups (n=30), using a parietal and visceral abrasion model. Group I was designated as the control group; in the case of group II, a saline solution was administered intraperitoneally, while in the case of groups III and IV, rosuvastatin solution with a concentration of 10 mg/kg and 5 mg/kg, respectively, was administered in a single dose, during laparotomy. Read More

    A large metastatic intramammary lesion of an occult melanoma.
    Ann Ital Chir 2017 Sep 4;6. Epub 2017 Sep 4.
    Objective: Malignant melanomas presenting with unknown primaries are uncommon. In the majority of cases metastases of occult melanoma were detected in skin or in lymph nodes. Melanoma can rarely occur as a primary or metastatic intramammary tumor. Read More

    Questions from and answers to a patient with groin hernia.
    Ann Ital Chir 2017 Sep 4;6. Epub 2017 Sep 4.
    Inguinal hernia surgical treatment are the most commonly performed operations in general surgery practice. There is a need for detailed anatomical knowledge and surgical skills to satisfactorily treat this disease. In this review, we aimed to present up-to-date information and approaches on basic diagnosis, treatment, complications and management of inguinal hernias in our institution. Read More

    Gallstone ileus in an ederly patient Case report.
    Ann Ital Chir 2017 Sep 4;6. Epub 2017 Sep 4.
    Aim: To report an another case of gallstone ileus in ederly patient that was treated with simple enterolithotomy.

    Material Of Study: We report a case of 84 years old female that was admitted with intestinal obstruction. A CT scan suggested small bowel obstruction secondary to gallstone ileus. Read More

    Tracheobronchopathia osteochondroplastica in recurrent retrosternal goiter. Surgical management.
    Ann Ital Chir 2017 Sep 4;6. Epub 2017 Sep 4.
    Tracheobronchopathia osteochondroplastica (TPO) is a rare pathology characterized by a progressive segmentary stenosis of the respiratory tract due to proliferation of osteocartilagineous nodules in the lumen of the distal part of the trachea and large bronchial trunks. Prognosis is usually benign, but some cases with an acute progression and a lethal outcome have been described. Clinical presentation is non specific, the chest x-ray is generally normal and there are not typical radiological signs of suspicion: diagnosis of TPO is usually incidental. Read More

    Solitary Fibrous Tumour A rare cause of acute abdomen.
    Ann Ital Chir 2017 Mar 29;6. Epub 2017 Mar 29.
    Solitary Fibrous Tumours(SFT), previously known as haemangiopericytoma, are rarely encountered in surgery. They arise from mesenchyme tissue and can occur at several sites in the body - head and neck, extremities, thorax, abdomen and retroperitoneal space. In the thorax, where they arise from the pleura, and abdomen they may attain a large size before giving rise to symptoms. Read More

    A new approach to umbilical hernia repair: the Circular suture technique for defects less than 2 cm.
    Ann Ital Chir 2017 May 18;6. Epub 2017 May 18.
    Background: Umbilical hernia, unlike other abdominal wall hernias, occurs when the umbilical ring opens and expands. Its' symptoms and complications show similarities with other hernias. Although there are various repair techniques, there is not a standard technique yet. Read More

    Malignant transformation of a tailgut cyst.
    Ann Ital Chir 2017 Jul 5;6. Epub 2017 Jul 5.
    Introduction: Tailgut cyst are congenital cystic lesion arising from remnant of the embryological postnatal gut. Tailgut cyst are multinodular, uncapsulated and usually well-circumscribed. Presacral cysts are rare in adult and most of the lesions are benign. Read More

    The prognostic role of microsatellite instability in colorectal cancer patients.
    Ann Ital Chir 2017 Jul 28;6. Epub 2017 Jul 28.
    Background: Data from the literature regarding the prognostic role of DNA mismatch repair system (MMR) in colorectal cancer are still controversial.

    Aim: The aim of the study was to identify the prognostic role of different phenotypic, clinical and pathological characteristics in microsatellite unstable vs. microsatellite stable colorectal cancer in terms of survival and disease free interval. Read More

    Decellularized human dermal matrix produced by a skin bank A new treatment for abdominal wall defects.
    Ann Ital Chir 2017 Jul 25;6. Epub 2017 Jul 25.
    Background: Interest is increasing for human decellularized scaffolds for their ability to favor healing and cell infiltration after transplantation, in the treatment of abdominal wall defects. The purpose of the present study is to show the clinical results obtained after the application of human decellularized dermal matrix (HDM) produced by RER Skin Bank, on patients suffering from different abdominal wall defects.

    Methods: Between 2012 and 2014, 64 patients, average age 64 years, received HDM, to replace and cover the damage area during abdominal wall surgery. Read More

    The effect of intraperitoneal n-acetylcysteine on postoperative adhesions in rat models.
    Ann Ital Chir 2017 ;88:258-262
    Aim: In this study, we researched the effect of local administration of N-acetylcysteine (NAC) on postoperative intraabdominal adhesion formation in the rat models.

    Methods: 20 female Wistar Albino rats which were 5-7 months old are used for the study. The rats were divided into two equal groups. Read More

    Ureterocele fenestration with holmium laser in neonates.
    Ann Ital Chir 2017 Jun 23;6. Epub 2017 Jun 23.
    Aim: To evaluate the effectiveness of holmium-laser fenestration of intravesical ureteroceles in neonatal period.

    Material And Method: We retrospectively analyzed the results of the holmium-laser puncture in ten neonates with intravesical ureterocele, between September 2013 and September 2016. Laser probe was placed through the cystoscope to the lowest and medial portion of the ureterocele, near the bladder floor. Read More

    IORT in breast cancer. Our experience of the first patients treated.
    Ann Ital Chir 2017 ;88:253-257
    Aim: The aim of this study was to assess the therapeutic effect of intraoperative radiotherapy, describe the method and examine the results of our experience.

    Background: Breast conserving therapy has recently become a standard treatment modality in patients with early invasive cancer. Radiotherapy, along with surgery, is an integral part of such treatment. Read More

    Anatomical variations of cervical vein drainage in candidates for neck surgery.
    Ann Ital Chir 2017 ;88:190-192
    The knowledge of both normal and abnormal anatomy of the veins of the neck may be important for surgeons performing neck surgery, to avoid inadvertent injury to vascular structures. In a 75-year-old man candidated to carotid endarterectomy preoperative CT-scan showed a rare anomaly of the venous drainage in the area of the anterior jugular vein (AJV), that usually begins in the suprahyoid region via the confluence of several superficial veins, to open into the ipsilateral external jugular vein. A large left sided venous trunk, originating from an anomalous proximal confluence with the internal jugular vein, descended in the AJV anatomical position, to cross over the sternum draining into the right subclavian vein. Read More

    A rare case of squamous cell carcinoma of a proliferating trichilemmal tumour.
    Ann Ital Chir 2017 ;88:263-267
    Introduction: Squamous Cell Carcinoma (SCC) includes several subtypes and these can be classified according to their clinical behaviours from the least invasive to the most aggressive. Moreover, it is appropriate to analyse their clinicalpathological patterns 1. In light of its wide histopathological variability, we encountered a rare malignant cutaneous lesion: a SCC of a proliferating trichilemmal tumour (PTT) nature. Read More

    Feasibility of lymphoscintigraphy for sentinel node identification after neo-adjuvant therapy.
    Ann Ital Chir 2017 ;88:201-205
    Aim: To assess the sentinel-node identification rate at lymphoscintigraphy and its technical feasibility after neo-adjuvant treatments.

    Material Of Study: Between 2000 and 2013, 444 consecutive patients affected by primary locally advanced breast cancer were enrolled in this study. All individuals were candidate for neo-adjuvant treatments and for lymphoscintigraphy before surgery. Read More

    Factors affecting the conversion to open surgery during laparoscopic cholecystectomy in patients with cholelithiasis undergoing ERCP due to choledocholithiasis.
    Ann Ital Chir 2017 ;88:229-236
    Background: The rate of conversion to open surgery is high in laparoscopic cholecystectomy (LC) after Endoscopic Retrograde Cholangiopancreotocography (ERCP). The present study aimed to evaluate the risk factors associated with the conversion to open cholecystectomy and minimize the rate of conversion to open surgery.

    Methods: A total of 157 patients admitted to the Ondokuz Mayıs University Medical Faculty Hospital due to cholelithiasis and choledocholithiasis between January 2002 and December 2012, and they receiving laparoscopic cholecystectomy were included in the study. Read More

    Predictors of central lymph node metastasis in papillary thyroid cancer.
    Ann Ital Chir 2017 ;88:193-197
    Introduction: Papillary thyroid carcinoma (PTC) is the most common malignancy of the thyroid gland and although PTC has excellent prognosis, central lymph node (CLN) metastases are not uncommon. Studies have shown that CLN metastases are associated with an increased recurrence rate. The necessity for prophylactic CLN dissection (pCCND) in clinical lymph node negative (cN0) patients remains controversial. Read More

    Complications of laparoscopic gastric banding: detection and treatment.
    Ann Ital Chir 2017 ;88:206-214
    Introduction: Laparoscopic adjustable gastric banding (LAGB) is acknownledged as a popular and effective surgical option in the management of obesity and related metabolic diseases. This procedure is a remarkably safe operation from both a general surgical and bariatric perspective. It facilitates brief hospitalization and can be performed by single incision. Read More

    Surgical management of primary and recurrent carcinoma showing thymous-like elements (CASTLE).
    Ann Ital Chir 2017 ;88:247-252
    Introduction: Carcinoma showing thymous-like elements (CASTLE) is a rare tumor with only a few cases described in the scientific literature. The aim of the present review is to analyze the data available on the therapeutic options employed in CASTLE tumors and to outline the best surgical management to adopt.

    Materials And Methods: English-language articles published from 1985 through November 2016, and related to CASTLE cases were retrieved using the Pubmed database and specific key-words. Read More

    Cholecystectomy in Emilia-Romagna region (Italy): A retrospective cohort study based on a large administrative database.
    Ann Ital Chir 2017 ;88:215-221
    Background: The aim of this study was to ascertain the variability and to identify a trend for the outcome of cholecystectomy surgery when used to treat cholelithiasis and acute cholecystitis.

    Methods: This was a large retrospective cohort study following patients up to 11 years post surgery, based on administrative data collected from 2002 to 2012 in the Emilia-Romagna Region (Northern Italy) and comparing the effectiveness and efficiency of surgical activity (laparoscopic (LC) and open cholecystectomy (OC)). Analyses included patient characteristics, length of hospital stay, type of admission and mortality risk. Read More

    Morphological and functional consequences and quality of life following severe acute pancreatitis.
    Ann Ital Chir 2017 Jun 23;6. Epub 2017 Jun 23.
    In this study, we evaluated pancreatic morphology and function as well as nutritional status and quality of life among patients who experienced severe acute pancreatitis (SAP).

    Materials And Methods: We enrolled 99 patients with SAP and 51 with mild acute pancreatitis (MAP). Computed tomography was performed one year following the disease. Read More

    Surgical approach to piles at risk of severe postoperative pain: tricks and tips.
    Ann Ital Chir 2017 Jul 24;6. Epub 2017 Jul 24.
    Aim: Aim of the present study is to propose a clinic-therapeutic course for the treatment of hemorrhoidal disease able to combine radical anatomic surgery with a painless postoperative path.

    Material Of Study: The present study is based on the evaluation of 20 selected patients who underwent radical hemorrhoidectomy for very high grade hemorrhoidal disease. The clinical course was characterized by careful bowel cleansing, hemorrhoidectomy according to Milligan-Morgan using LigaSure, intraoperative perianal infiltration of Ropivacaine and postoperative use of analgesic drugs. Read More

    Acute appendicitis complicating De Garengeot's hernia treated with combined laparoscopic-open technique: a case series and literature review.
    Ann Ital Chir 2017 Jun 23;6. Epub 2017 Jun 23.
    An acute appendicitis in the context of a De Garengeot's hernia is a very rare event and represents a hard challenge for surgeons. As only few cases have been reported in literature, there is no consensus about its optimal surgical strategy of treatment. Here we present two consecutive cases of female patients presenting an uncommon acute appendicitis in a femoral hernia treated with a combined laparoscopic/open technique. Read More

    Laparoscopic treatment of colo-colic intussusception secondary to a lipomatous polyp.
    Ann Ital Chir 2017 Jun 12;6. Epub 2017 Jun 12.
    Introduction: Colo-colic intussusception is extremely rare in adults and few cases have been described secondary to a lypomatous polyp.

    Case Report: We present the case of a 50-year old man with chronic abdominal pain who was diagnosed a colo-colic intussusception secondary to a lipoma of the left colon. The patient underwent laparoscopic resection of the splenic flexure without reduction, which occurred spontaneously after induction of the pneumoperitoneum, and final histology confirmed a submucosal lipoma with no evidence of malignancy. Read More

    Common hepatic artery quadrifurcation associated with right hepatic artery from superior mesenteric artery during laparoscopic total splenopancreasectomy.
    Ann Ital Chir 2017 ;88:365-367
    Hepatobiliopancreatic surgery is challenging becouse of the complexity of resections and reconstructions and variability of vascular anatomy. The arterial vascularization of the liver is susteined by the common hepatic artery (CHA) that originates from the celiac trunk (CT). The CHA bifurcates into the gastroduodenal artery (GDA) and proper hepatic artery (PHA) 0. Read More

    Claw foot A case report.
    Ann Ital Chir 2017 ;88:368-370
    A cutaneous horn could be defined as a conical projection on the surface of skin made of cornified material and resembling an animal horn. These lesions most commonly affect light-skinned men aged between 50 to 89 years and usually appear in sun exposed areas. Radiation, chronic irritation and even human papilloma virus-2 infection may be precipitating factors. Read More

    Crossover iliofemoral bypass graft through tension-free abdominal wall-repair mesh.
    Ann Ital Chir 2017 Jun 8;6. Epub 2017 Jun 8.
    Introduction: In vascular surgery the crossover iliofemoral bypass grafting is a well-known surgical technique. In general surgery the repair of an abdominal defect using a Polypropylene mesh is also a standard procedure. A particular technique is defined by the performance of these 2 separate procedures inside a single operation in which the crossover arterial graft is directed from the retroperitoneal space toward the contra-lateral femoral bifurcation through a Polypropylene mesh which closes the musculoaponeurotic layers of the abdominal wall. Read More

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