[Post-mastectomy breast reconstruction by tissue expanders: technical note]. / Ricostruzione mammaria con espansore tissutale post-mastectomia: note di tecnica.

The aim of post-mastectomy breast reconstruction by tissue expanders is the mammary symmetry. The Authors report a personal experience in immediate (55 pts) and delayed (12 pts) breast reconstruction with implants. The technique is simple and safe with good aesthetical and functional results.

[Rare pathology of the breast: adenoma of the nipple]. / In tema di patologie rare della mammella: adenoma del capezzolo.

Adenoma of the nipple is a benign pathology which histologically interests the epithelium of the galactophorous ducts. This pathology looks like Paget's disease both macroscopically and microscopically, therefore an exact differential histologic diagnosis is needed with the breast's carcinoma to undertake the most timely surgical therapy.

[Fournier syndrome: report of a clinical case]. / La sindrome di Fournier: descrizione di un caso clinico.

The case of a Fournier's syndrome in a 58 years old patient is reported from the Authors that describe the ethiopathogenetic and therapeutic aspects. They analyse the importance of an early surgical treatment associated with antibiotic therapy and later a riparation of the lesions with a myocutaneous skin flap of TLF.

[Non-parasitic splenic cysts]. / Le cisti spleniche non parassitarie.

The Authors report their experience matured during the last decade in the Institute of III Surgical Clinic of the University "La Sapienza" in Rome, relatively to 174 patients operated of splenectomy of which 8 for not parassitair benign cystic pathology. After the nosologic organization of the varied types of cystics splenopaty is examined the different symptomatology and is discussed the different treatment.

[Treatment of pilonidal sinus with the Limberg's technique]. / Trattamento del sinus pilonidalis con tecnica di Limberg.

The Authors describe sinus pilonidalis disease and report their experience of two principal surgical techniques: the closed method and the Limberg cutaneous skin flap. They conclude that both the methods are recommended for a good clinical result.

[Mesothelial cyst of the diaphragm. Report of a case and review of the literature]. / Le cisti mesoteliali del diaframma. Osservazione di un caso e revisione della letteratura.

A case of mesothelial cyst of the right hemidiaphragm in a 44 year old man is reported. Origin (most likely due to a recess of the primary coelomiatic cavity), topographical, histological and therapeutic features are discussed, stressing that it is now more frequently recognised thanks to progress in diagnostic imaging techniques. Complete surgical excision is mandatory to definitely differentiate such lesion from primary diaphragmatic neoplasm, not infrequently malignant.

[Gastric leiomyoma. Diagnostic and surgical problems]. / Il leiomioma gastrico. Problemi diagnostici e terapeutici.

The Authors report their three year experience with five patients suffering from gastric leiomyoma, each with different anatomical and clinical characteristics. The Authors have performed a research of the different diagnostics, clinical and therapeutic problems of these rare tumors that sometimes are asymptomatic in spite of the large size they reach, but more frequently they present with haemorrhagic symptoms which tend to point to other more frequent pathological conditions. Diagnosis can only be suspected, but cannot be reached without a histological examination, also if the classifications of these tumors have been argument of many changes, particularly by the light of the recent diagnostics possibilities offered by ultrastructural and immunohistochemical examination.

[Criteria of choice in prosthetic surgery of laparocele]. / Criteri di scelta nella chirurgia protesica dei laparoceli.

The employment of prosthesis in abdominal plastic surgery for incisional hernia has contributed to a remarkable improvement in the results of this surgery. The current use of PTFEe, according to the Authors experience, proves to be effective. Both satisfactory functional results and evident aesthetic advantages are obtained. The Authors report their experience in the treatment of the median incisional hernia also by means of a polypropylene mesh. The latter was shaped in a very original way thanks to a technique borrowed from plastic surgery. The complete mobilization of the ombilicus, by a circular incision, allowed the Authors to insert this prosthesis symmetrically under the rectus abdominis muscles for the entire extension of the incisional hernia.