3篇
您的检索式：作者名="Giuseppe SCIUME"
|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Trocar-related abdominal wall bleeding in 200 patients after laparoscopic cholecistectomy: Personal experience显示文摘AIM: To determine the complications and incidence of the first and second access-related vascular injuries induced by videolaparoscopic cholecistectomy. METHODS: We retrospectively reviewed vascular injuries in 200 consecutive patients who underwent videolaparoscopic cholecistectomy from 2003 to 2005. One hundred and one patients with placement of radial expanding trocars were assigned into group A and 99 patients with placement of pyramidal tipped trocars into group B. All the patients were submitted to open access according to Hasson for the first trocar. RESULTS: Bleeding did not occur at the intraoperative cannula-site in group A. However, it occurred at the intraoperative cannula-site of 7 patients (7.1%) in group B, with a statistically significant difference (P < 0.01). No mortality was registered. More vascular lesions were found in group B. CONCLUSION: The advantage of Hasson technique is that peritoneal cavity access is gained under direct vision, preventing most severe injuries. The open technique with radial expanding trocars is recommended for secure access to the abdominal cavity in videolaparoscopy. Great care should be taken to avoid major complications and understanding the abdominal wall anatomy is important for reducing bleeding during or after s placement of trocars. | Girolamo Geraci Carmelo Sciumè Franco Pisello Francesco Li Volsi Tiziana Facella Giuseppe Modica | 2006 | World Journal of Gastroenterology2006，12，44： | 8 |
| 2 | Secondary aortoduodenal fistula显示文摘Aorto-duodenal fistulae (ADF) are the most frequent aorto-enteric fistulae (80%), presenting with upper gastrointestinal bleeding. We report the first case of a man with a secondary aorto-duodenal fistula presenting with a history of persistent occlusive syndrome. A 59-year old man who underwent an aortic-bi-femoral bypass 5 years ago, presented with dyspepsia and biliary vomiting. Computed tomography scan showed in the third duodenal segment the presence of inflammatory tissue with air bubbles between the duodenum and prosthesis, adherent to the duodenum. The patient was submitted to surgery, during which the prosthesis was detached from the duodenum, the intestine failed to close and a gastro-jejunal anastomosis was performed. The post-operative course was simple, secondary ADF was a complication (0.3%-2%) of aortic surgery. Mechanical erosion of the prosthetic material into the bowel was due to the lack of interposed retroperitoneal tissue or the excessive pulsation of redundantly placed grafts or septic procedures. The third or fourth duodenal segment was most frequently involved. Diagnosis of ADF was difficult. Surgical treatment is always recommended by explorative laparotomy. ADF must be suspected whenever a patient with aortic prosthesis has digestive bleeding or unexplained obstructive syndrome. Rarely the clinical picture of ADF is subtle presenting as an obstructive syndrome and in these cases the principal goal is to effectively relieve the mechanical bowel obstruction. | Girolamo Geraci Franco Pisello Francesco Li Volsi Tiziana Facella Lina Platia Giuseppe Modica Carmelo Sciumè | 2008 | World Journal of Gastroenterology2008，14，3： | 0 |
| 3 | A general framework for modeling long-term behavior of earth and concrete dams显示文摘Many problems are linked with the long-term behavior of both earthdams and concrete dams.They range from hydraulic fracturing to alkali-silica reaction(ASR)and to repair work in concrete dams,from seismic behavior to secondary consolidation in earthdams.A common framework for the simulation of such systems is shown,based on the mechanics of multiphase porous media.The general model is particularized to specific situations and several examples are shown. | Bernhard A.SCHREFLER Francesco PESAVENTO Lorenzo SANAVIA Giuseppe SCIUME Stefano SECCHI Luciano SIMONI | 2011 | Frontiers of Structural and Civil Engineering2011，5，1： | 0 |
您所在的机构暂未开通此部分的功能，请联系管理员