Gastric volvulus after laparoscopic left adrenalectomy: case report.

In this era of modern technologies, laparoscopic adrenalectomy is a gold standard surgical treatment for benign adrenal lesions. However, being aware of its difficulties and their managements is a very important issue for the surgeons who are interested in minimal invasive surgery. In this article, we are presenting a case of a 57-year-old woman who has undergone laparoscopic left adrenalectomy and in the third postoperative month, had an acute gastric volvulus requiring surgical open treatment. To the best of our knowledge, this report is the first article about a gastric volvulus case after left laparoscopic adrenalectomy.

[Treatment of a large bowel neoplastic obstruction left-sided by self-expanding enteral stent. Personal experience]. / L'impiego di protesi autoespandibili nel trattamento delle occlusioni neoplastiche del colon sinistro: nostra esperienza.

The authors report on their experience in the treatment with self-expanding enteral stent for acute left-sided large bowel obstruction and believe that this procedure is effective as a "bridge to surgery". From January to November 2005 3 patients have been treated with colorectal stents in obstructing left-sided large bowel carcinoma: over the following 24 hours we observed canalization and consequent disocclusion of the colonrectum. Stented patients were treated with elective colonic resection with primary anastomosis avoiding decompressive stoma and Hartmann's procedure.

[Percutaneous US drainage for the treatment of the end abdominal abscesses]. / Il trattamento degli ascessi endoaddominali mediante drenaggio percutaneo eco-guidato.

From January 2000 to July 2005 in U.O. Emergency Surgery of Foggia Hospital 40 pz affects by abdominal abscess have been treated (39 post-operative, 1 in diverticulitis) by percutaneous drainage. This treatment has been made only in patients not affects by the serious septic shock, or by wide-spread peritonitis or in the locations to get by to reach by this method. The catheter permanently has been put in 14 pts and the drainage extempore of abdominal abscesses has been made in 26 pts in 28 cases the process cleared up by the one only treatment (6 catheter and 22 percutaneous drainage), in 12 cases has been necessary more drainage treatments (in 4 cases the extempore drainage and in 8 cases the drainage + catheter). One patient has been reoperated because the abscess was intractable by the percutaneous drainage. The serious complications not has been annotated. The persistent slight temperature only has been annoted after the drainage in 3 pts. The percutaneous drainage, consequently, represent a safe, manageable treatment with effectiveness comparable with surgery drainage with less morbility and mortality.