surgery

Main stem bronchus surgery with pulmonary preservation

Main stem bronchial sleeve resection is defined as the
circumferential resection of the main stem bronchus. Resection
of a main stem bronchus with pulmonary preservation
is a therapeutic option when disease is limited to the main
stem bronchus. Such resection of a main stem bronchus is
often performed with sleeve lobectomy. Generally, for excision
of lesions involving a single lobar bronchial orifice
with extension into the main stem bronchus but sparing
the other lobar bronchial orifices, a pulmonary lobectomy

I.S.Mu.L.T. First-time patellar dislocation guidelines

Primary traumatic patellar dislocation is common, particularly in young active individuals. A consensus on its management is still lacking. The present work provides easily accessible guidelines to be considered as recommendations for a good clinical practice developed through a process of systematic review of the literature and expert opinion, to improve the quality of care and rationalize the use of resources. Level of evidence: Ia.

Functional treatment in rotator cuff tears: Is it safe and effective? a retrospective comparison with surgical treatment

Background: The aim of this study was to compare rehabilitation protocol and operative treatment in a population of patients with a diagnosis of small to medium rotator cuff tears (?3 cm), the null hypothesis being that there would been no difference in terms of clinical outcomes and patient’s satisfaction between the rehabilitation protocol and the surgical treatment. Methods: Patients with small to medium supraspinatus tears were retrospectively enrolled in this study and divided in 2 groups: arthroscopic repair (group A, 20 patients) and reinstated (group B, 18 patients).

Anterior cruciate ligament reconstruction is associated with greater tibial tunnel widening when using a bioabsorbable screw compared to an all-inside technique with suspensory fixation

Purpose: To compare clinical outcomes and tunnel widening following anterior cruciate ligament reconstruction (ACLR) performed with an all-inside technique (Group A) or with a bioabsorbable tibial screw and suspensory femoral fixation (Group B). Methods: Tunnel widening was assessed using computed tomography (CT) and a previously validated analytical best fit cylinder technique at approximately 1-year following ACLR. Clinical follow-up comprised evaluation with IKDC, KSS, Tegner, Lysholm scores, and knee laxity assessment.

Ischemic colitis: non-gangrenous, stricturing evolution following haemorrhagic shock, analysis of a case with review of the literature.

Introduction: Ischemic colitis (IC) accounts for more of the half of total diagnosis of gastrointestinal ischemia. It is a challenging condition due to non-specificity of the symptoms at onset, inconstant behaviour and a wide range of clinical gravity with a different therapeutic approach. A classification of IC into gangrenous, stricturing and transient forms can be considered.

Endoscopic placement of a covered stent to arrest bleeding from obstructing colorectal cancer

Covered self-expandable metal stents might represent a valid adjunctive to arrest hemorrhage in patients with obstructing, bleeding colorectal cancer, in whom the usual techniques have failed.
In our center, in the last 16 years more than 160 patients were treated with self-expandable metal stents to relieve malignant colorectal obstruction.
Eight patients with malignant colorectal obstruction had placement of a covered self-expandable metal stent to arrest a residual hemorrhage, after treatment with Argon laser.

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