Trattamento delle neoplasie del colon destro.Tecniche a confronto:chirurgia robotica versus laparoscopica. Nostra esperienza

CONFRONTO TRA TECNICA ROBOTICA E LAPAROSCOPICA NELL'EMICOLECTOMIA DX PER CANCRO SU 74 PAZIENTI TRATTATI DAL LUGLIO DEL 2009 ALL'AGOSTO DEL 2013, VALUTAZIONE DI TEMPI OPERATORI, DEGENZA MEDIA, RIPRESA DELLE FUNZIONI FISIOLOGICHE, ESAME ISTOLOGIC

“Trattamento delle neoplasie del colon destro.Tecniche a confronto:chirurgia robotica versus laparoscopica. Nostra esperienza”

CONFRONTO TRA TECNICA ROBOTICA E LAPAROSCOPICA NELL'EMICOLECTOMIA DX PER CANCRO SU 74 PAZIENTI TRATTATI DAL LUGLIO DEL 2009 ALL'AGOSTO DEL 2013, VALUTAZIONE DI TEMPI OPERATORI, DEGENZA MEDIA, RIPRESA DELLE FUNZIONI FISIOLOGICHE, ESAME ISTOLOGIC

Treatment of persistent chronic neuralgia after inguinal hernioplasty

Following an inguinal hernia repair with open or laparoscopic technique, 1-15% of patients show persistent neuralgia, a severe, potentially debilitating, complication. Several therapeutic procedures have been proposed, but consensus regarding choice of treatment has not yet been achieved. We performed a prospective study on 32 such cases. Patients underwent anaesthetic infiltration to identify, when possible, the involved nerve, and we then carried out a step-by-step therapeutic protocol. In the initial phase, patients were treated with oral analgesic and afterwards with repeated infiltrations of anaesthetic and cortisone. Surgery was reserved for patients not responding to the infiltrations, though with no good success. The authors believe that noninvasive methods are to be preferred, whereas neurectomy interventions should be reserved for selected cases

Outpatient treatment for liposarcoma of the spermatic cord

Outpatient treatment for liposarcoma of the spermatic cord Liposarcoma of the spermatic cord is a very rare neoplastic disease. In effect little more than two hundred cases are described in literature. Natural history of this tumour is characterized by high local recurrence rate although hematogenic and lymphatic spread is usually a late event and involves high-grade tumours. The clinical diagnosis of spermatic cord liposarcoma can be difficult particularly for non expert surgeons, and is often mistaken for different diagnoses. Radical orchiectomy with high cord ligation is the treatment of choice to prevent local recurrence. Otherwise than commonly advised, the treatment is suitable to be performed under local anaesthesia and the patient easily and safely discharged few hours after surgery