Single-shot (short-term) prophylaxis with ceftriaxone in biliary surgery.

A short-term prophylaxis based on a one-shot injection 30 min before operation of 2 g ceftriaxone has been used in 20 cases, in patients undergoing elective cholecystectomy or biliary tract surgery for gall-stones. The prophylaxis with ceftriaxone proved to be successful in all patients.

[Campylobacter pylori infection. Results of an investigation of 130 patients]. / Infezione da Campylobacter pylori. Risultati di un'indagine su 130 pazienti.

After recalling the main data on diagnosis, pathogenesis and treatment of CP infection, the results of a study on 130 patients are presented.

[Topical use of antibiotics for preventing wound infection in general surgery]. / Uso topico degli antibiotici per la profilassi della infezione della ferita in chirurgia generale.

A group of 463 general surgery patients received topical applications of lincomycin and gentamycin, which significantly reduced the incidence of infected wounds compared to the untreated control group. This confirmed the prophylactic efficacy of topical antibiotic treatment which is also less dangerous than parenteral administration.

[Use of the rendez-vous technique in endoscopic insertion of biliary prosthesis in malignant obstructive jaundice]. / Impiego del rendez-vous per l'inserimento endoscopico di protesi biliari nell'ittero ostruttivo maligno.

The paper describes the Authors' personal experience of the use of the rendez-vous technique (using a combined endoscopic-transhepatic route) for the endoscopic insertion of biliary prosthesis in cases of malignant obstructive jaundice. Having illustrated the series of cases, the paper proposes the use of this technique in the event of endoscopic failure due to the smaller incidence of complications compared the use of a wholly transhepatic route.

[Biliary ileus. Considerations on 7 cases]. / L'ileo biliare. Considerazioni su sette casi.

A review of the recent literature is accompanied by the presentation of 7 cases of biliary ileus. Enterolithectomy, repair of the fistula, and cholecystectomy were carried out during the same operation in 2 cases, and it is felt that this form of management should be used more often in selected and suitably prepared patients.

[Emergencies in the surgery of colonic neoplasms. A review of the literature and the authors' cases]. / Le urgenze nella chirurgia delle neoplasie del colon. Revisione della letteratura e contributo casistico.

The paper reports the personal experience of the 2nd Division of General Surgery of the Martini Hospital in Turin and compares it to the results of the most recently published studies. Of 123 patients who underwent emergency surgery, 101 were suffering from tumors of the colon complicated by intestinal occlusion and 22 by perforation. Only right hemicolectomy was performed in cases of perforation or resection with ileostomy and colic mucous fistula was used for neoplasms located in the right colon; Hartmann's operation or dual ostomy was performed in the event of neoplasms in the left colon. Surgical treatment of occlusive tumors of the left colon is still the subject of continued debate. The elective surgical technique is an amblée resection using colo-colic anastomosis with a protective ostomy. This is followed by Hartmann's operation, whereas decompressive colostomy should only be used in patients who are admitted to hospital in generally precarious conditions.