Evisceración intestinal tardía a través de la vagina tras histerectomía / Late intestinal evisceration through the vagina after hysterectomy

La evisceración intestinal a través de la vagina es una complicación poco frecuente, pero que representa una urgencia. Tanto su patogenia como su prevención están discutidas. El tiempo medio de aparición es de 128 días. Presentamos el caso de una paciente, en la que la aparición fue a los 390 días.El tratamiento quirúrgico se realizó mediante laparotomía, con resección intestinal y cierre de cúpula vaginal (AU)

Intestinal evisceration through the vagina is a rare complication of hysterectomy but constitutes an emergency. Both the pathogenesis and prevention of this event are controversial. The average time of onset is 128 days. We report the case of a patient, with onset at 390 days. Surgical treatment was performed by laparotomy with bowel resection and closure of the vaginal vault (AU)

The sentinel node biopsy under local anesthesia in breast cancer: advantages and problems, how the technique influenced the activity of a breast surgery department; update from the European Institute of Oncology with more than 1000 cases.

Sentinel lymph node biopsy (SLNB) is a staging technique with a significant impact on patients' quality of life: the oncological effectiveness in a large number of patients affected by breast carcinoma has been already demonstrated, and the clinical research is now focusing on new indication for the biopsy and widespread adoption of the technique. At the European Institute of Oncology we are applying SLNB under local anesthesia: our aim is to improve the management of the disease with low costs for the structure and patients, and to improve patients' acceptance of breast cancer treatments. We are now discussing the impact of the SLNB under local anesthesia on the activity of a breast surgery department. We also present an update of our experience.