By Lorenzo Dominioni, Angelo Benevento, Giulio Carcano, Giuseppe Peloni, Renzo Dionigi (auth.), Everardo Zanella (eds.)
General surgical procedure is composed ofa major corpus of propaedeutic parts and medical difficulties, which has been changed through the years by means of the separate improvement of various sub-specialistic branches. even though a standard foundation at the physiopathology of surgical trauma and put up operative problems persists, due to normal wisdom of surgical ailments, there isn't any doubt that during the spheres of doctrine and alertness, either examine and scientific drugs have distinct themselves autonomously in lots of surgical fields (orthopedics, neurosurgery, cardiovascular surgical procedure, thoracic surgical procedure, urology, etc.). it really is for this reason tricky to outline the current configuration ofgeneral surgical procedure, yet with out query stomach surgical procedure occupies a place of pre-eminent significance in the common framework. we're dealing, in truth, with pathological photos which take place in a piece ofthe physique ofvast proportions, within which buildings, organs, and morphologically advanced areas are prepared to hold out very important features. they're, as a result, topic to significantly complicated pathological changes, akin to to set up an engaging box of diagnostic dialogue and an exhilarating training-ground for surgical job. it may be affirmed that the analysis and remedies ofabdominal surgical illnesses represent a attempt ofthe surgeon's adventure. analysis is usually entrusted to a differential method, the implications ofwhich can be proven this day via complementary diagnostics. This, in spite of the fact that, has to be guided by way of predominating medical issues, the exaggerated use of diagnostic strategies, indifferent from medical exam, being the reason for very critical error, that can deceive determination making and human touch, that's the foundation ofcorrect clinical practice.
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Eleven patients had pre-operative porto-systemic encephalopathy (PSE), classified as light in 8 and moderate in 3 patients. It was due to massive variceal haemorrhage (6 patients), to chronic alcohol abuse (2 patients), and to a careless diet (3 patients). Twenty-three patients had documented previous variceal haemorrhage and 16 patients had portal hypertensive gastropathy. In 2 patients the indication was refractory ascites. 4 endoscopic sclerotherapies. 9%). In order to obtain an improvement of the haemodynamic state and the haematic crasys we used the following haemoderivates: blood in 3 patients, plasma in 6 patients, platelets in 3 patients and fibrinogen in 1 patient.
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Advances in Abdominal Surgery by Lorenzo Dominioni, Angelo Benevento, Giulio Carcano, Giuseppe Peloni, Renzo Dionigi (auth.), Everardo Zanella (eds.)