[Laparoscopic colostomy, indications and technical notes]. / Colostomia laparoscopica: indicazioni e note di tecnica chirurgica.

The aim of this article was to review the main indications of laparoscopic colostomy. A series of 9 patients is reported, stressing the technical steps of laparoscopic colostomy. The laparoscopic approach in patients with unresectable colorectal cancer permit to avoidance mayor laparotomy. In conclusion this technique appears safe, feasible and effective.

[A new technic for modified radical mastectomy with immediate reconstruction using a myocutaneous thoracodorsal flap]. / Una nuova tecnica di mastectomia radicale modificata e ricostruzione immediata con lembo mio-cutaneo toraco-dorsale.

A new mastectomy technique, offering partial preservation of the greater pectoral muscle at the axilla, and immediate reconstruction with a greater dorsal myocutaneous flap is proposed.

[Lymphangioma of the spleen. Apropos of 2 cases]. / Il linfangioma della milza. A proposito di due osservazioni.

On the basis of two observed cases and a review of the literature, the extreme rarity of cystic lymphangioma of the spleen is pointed out. The presumed pathogenesis of the condition is described as are its greater frequency among the young, the possibility of dangerous complications and its non-malignity. The superiority of non-invasive instrumental diagnosis (echotomography and CAT) over traditional techniques is reported. Finally splenectomy is identified as the therapy of choice.

[Primary lymphoma of the breast]. / Il linfoma primitivo della mammella.

Analysis of 5 cases of primary breast lymphoma highlights the marked rarity of the lesion and the extreme difficulty of pre-operative diagnosis. It is also shown that the disease generally runs a rapid course and that prognosis is usually unfavourable. The most effective treatment appears to be a combination of surgery and radiation therapy, while chemotherapy--although widely used--still requires further confirmation.

[Cystic ureteritis]. / La ureterite cistica

A case of cystic ureteritis associated with pyelo-ureteral calculosis is presented. A survey is made of the subject and nephroureterectomy is recommended in unilateral forms.

[Duodenal diverticulosis]. / La diverticolosi duodenale.

The problem of duodenal diverticuli is discussed. The best therapy is reviewed and a personal series compared with those of other workers. In most cases, the medical approach appears preferable, surgery being reserved exclusively for variously complicated cases.

[Treatment of leg ulcers with fibrin glue]. / Trattamento delle ulcere degli arti inferiori con colla di fibrina.

The work is based on two years studied cases. It consists of 80 patients between 35 and 80 years old with leg ulcers (73.8% women and 26.2% men). In 80% of patients this affection is due to a venous disease. In 10% of cases the cause was an arterial insufficiency of the lower extremity. Lymphatic and extravascular diseases are rarely involved. A group of 54 patients was treated with a traditional method. In the remaining 26 patients we used fibrin glue. Leg ulcers are an evolutive chronic pathology characterized by slow recovery. This means expensive social and therapeutic costs. From this point of view the treatment with fibrin glue, weekly applied, besides reducing pain, has a favourable impact on the outcome, times of re-epithelialization are shortened.

[Inguinal hernioplasty by a modified Shouldice technic. Our experience with 350 treated cases]. / Ernioplastica inguinale secondo la tecnica di Shouldice modificata. La nostra esperienza su 350 casi trattati.

A statistical analysis of 340 patients operated between 1986 and 1991 for inguinal hernia using the Shouldice procedure are reported by the authors. The majority of patients (60%) treated was between 45 and 65 years old. Two-hundred-eighty-one (82%) were controlled with a mean follow-up of 30 months (range 1-6 years) and was executed with physical examination and a medical questionnaire looking for recurring factors of risk. Hundred-twenty-eight patients (45% of controls) were at the high risk, nevertheless hernia recurrences were not noticed. Postoperative course was uncomplicated in 93% of patients. Early or late loco-regional complications had an incidence of 7%. Local infections and edema were reported in 10 of 22 patients. Acute urinary retention, cephalalgia and hypotension correlated with an anesthesiologic method had an incidence of 5% (17 cases). There were no deaths was pulmonary embolisms. A review of literature was performed and compared with our work. From experience in our Division, Shouldice's hospital technique had a high reliability compared to methods utilized in the previous ten years (Bassini, McNealy, Postemskj, Mugnai-Ferrari), in terms of recurrences.