By Lorenzo Dominioni, Angelo Benevento, Giulio Carcano, Giuseppe Peloni, Renzo Dionigi (auth.), Everardo Zanella (eds.)
General surgical procedure is composed ofa major corpus of propaedeutic components and scientific difficulties, which has been converted through the years by way of the separate improvement of various sub-specialistic branches. even if a standard foundation at the physiopathology of surgical trauma and put up operative issues persists, due to normal wisdom of surgical ailments, there is not any doubt that during the spheres of doctrine and alertness, either examine and scientific medication have exclusive themselves autonomously in lots of surgical fields (orthopedics, neurosurgery, cardiovascular surgical procedure, thoracic surgical procedure, urology, etc.). it's as a result tough to outline the current configuration ofgeneral surgical procedure, yet with no query belly surgical procedure occupies a place of pre-eminent significance in the basic framework. we're dealing, actually, with pathological photos which take place in a piece ofthe physique ofvast proportions, within which buildings, organs, and morphologically complicated areas are prepared to hold out very important capabilities. they're, as a result, topic to significantly advanced pathological changes, akin to to set up an attractive box of diagnostic dialogue and a thrilling training-ground for surgical task. it may be affirmed that the prognosis and remedies ofabdominal surgical ailments represent a try ofthe surgeon's adventure. prognosis is frequently entrusted to a differential approach, the consequences ofwhich could be proven this present day through complementary diagnostics. This, although, needs to be guided by way of predominating scientific concerns, the exaggerated use of diagnostic thoughts, indifferent from scientific exam, being the reason for very critical blunders, that can misinform selection making and human touch, that's the root ofcorrect clinical practice.
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2%) heavily contaminated. Variables recorded for every patient were: haemoglobin and haematocrit values, lymphocyte number, plasma albumin, pre and post-operative stay, and total time of surgery. 1%) intra-abdominal abscess and anastomotic leakage. 3% (11 patients) in surgery for oesophageal cancer. Tables 1 and 2 show biochemical data related to the development of surgical infections. Wound infections were significatively correlated to AItmeier's classification of surgical procedures, post-operative stay and presence of risk factors.
EXPERIMENTAL REMARKS. CLINICAL AND FRANCESCO RULLI, *MARIO SIANESI, and EVERARDO ZANELLA Department of Surgery, University of Rome "Tor Vergata", Rome, and *Chair ofSurgical Pathology, University ofParma, Parma, Italy Summary Acute acalculous cholecystitis is an entity on the increase. The disease causes high rates of morbidity such as those normally observed in critically ill patients. Acute acalculous cholecystitis should be promptly suspected and diagnosed, for timely surgical treatment. This chapter will deal with the experimental and clinical work out that has led to better knowledge ofthis topic.
In 2 patients the indication was refractory ascites. 4 endoscopic sclerotherapies. 9%). In order to obtain an improvement of the haemodynamic state and the haematic crasys we used the following haemoderivates: blood in 3 patients, plasma in 6 patients, platelets in 3 patients and fibrinogen in 1 patient. Twelve patients were operated as an emergency, and in this situation we used a 10 mm graft in 6 patients and an 8 mm in the others. 8%) the operation was performed because of an unresponsiveness to drug therapy.