A Prospective study of local recurrence after resection and low stapled anastomosis in 183 patients with rectal cancer

Local recurrence in 183 consecutive patients is analyze

The role of Vitamin C in cancer.

Relationship between presence of vitamin C a nd cancer development in ntissue

Errori e complicanze in chirurgia colorettale oncologica.Analisi retrospettiva di 590 casi

Gli Autori analizzano restropettivamente la propria esperienza focalizzando l'attenzione sulle complicanze e cercando di stabilire se la complicanza deve essere valutata autonomamente o se ad ogni complicanza corrisponde un errore in sede chirurgic

Studio comparativo tra anastomosi meccaniche ed a pressione. Risultati preliminari

Vengono valutate le caratteristiche delle suture eseguite manualmente o con l'ausilio di suturatrice meccanica. Gli autori espongono la loro esperienza

Varicose vein stripping vs. haemodynamic correction (c.h.i.v.a.): a long term randomised trial.

OBJECTIVES: To compare the long-term results of stripping vs. haemodynamic correction (Ambulatory Conservative Haemodynamic Management of Varicose Veins, CHIVA) in the treatment of superficial venous incompetence resulting in chronic venous disease (CVD). DESIGN: Randomised comparative trial. PATIENTS: 150 patients affected by CVD, CEAP clinical class 2-6, were randomised to saphenous stripping or to CHIVA. METHODS: The clinical outcome was assessed by an independent observer who recorded the Hobbs clinical score for treated limbs. A subjective report of the outcome was provided by the patients. Recurrence of varices was assessed by both clinical examination and duplex ultrasonography. RESULTS: The mean follow-up was 10 years, 26 patients were lost to follow-up. The Hobbs score similar in the stripping and CHIVA groups. However recurrence of varicose veins was significantly higher in the stripping group (CHIVA 18%; stripping 35%, P<0.04 Fisher's exact test), without significant differences in the rate of recurrences from the sapheno-femoral junction. The associated risk of recurrence at ten years was doubled in the stripping group (OR 2.2, 95% CI 1-5, P=0.04). CONCLUSIONS: Recurrent varices occurred more frequently following saphenous stripping than after CHIVA treatment. The deliberate preservation of the saphenous trunk as a route of venous drainage in the CHIVA group may have been a factor reducing the recurrence rate