[Repair of umbilical hernia in postmenopausal women]. / La riparazione dell'ernia ombelicale nella donna in postmenopausa.

The Authors report their personal experience on the employment of the dual-mesh in PTFE for the treatment of the umbilical hernias in postmenopausal women. The prosthetic repair versus the classic Mayo's technique finds justification for the biostructural deficits of the muscolofascial structures of the women in menopause, due to the reduction of the ovarian function and made worse from previous pregnancies. An evaluation of the trofism of the structures of the abdominal wall and the dimensions of the hernias is however indispensable in the choice of the prosthetic surgery. In our casuistry the reported morbidity due to immediate complications is absolutely negligible. Up to the present, although the follow-up is still short, we have not found recurrences.

[Risk factors for fetal and neonatal brain injury]. / Fattori di rischio per il danno cerebrale fetale e neonatale.

Epidemiological studies have suggested a strong association of fetal and neonatal brain damage with fetal infections and free radical release. Intrauterine infection and hypoxia ischemia appear to share some characteristics, including high levels of cytokines and adhesion molecules. The relevance of the actions of cytokines to a variety of neurological disorders has opened a potentially fruitful area of research and therapeutic development.