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Abstract : Different complications after Pacemaker (PM) implantation, as skin erosion, cutaneous exposure or even extrusion of the generator device, require surgical decision, with different procedures. We describe our experience, with new pocket manufacturing beneath the pectoralis major muscle (PmM) associated to wrapping of th..

Abstract : The preperitoneal repair of an inguinal hernia (IH),performed by a classical anterior transinguinal approach is a simple and safe procedure, particularly indicated in case of evident weakness of the trasversalis fascia (TF)...

Abstract : In the emergency treatment of a perforated duodenal ulcer (DU), after surgical closure of the perforation and treatment of the secondary peritonitis, higly selective vagotomy(HSV) is a valid therapy to prevent recurrence of the underlying disease...

Abstract : The technique of left hemicolectomy (LHC) must be based on the vascular anatomy of the colon, in order to obtain an adequate lymphoadenectomy, and to assure a sufficient vascular supply to the colonic limbs, that have to be anastomosed. In particular cases this procedure can be extended to excise also the entire transv..

Abstract : To-day’s oncological rules suggest standardized procedures for colo-rectal neoplasms, preferring radical hemicolectomies to more limited segmental resection Usually this policy agrees with the general surgical principles...

Abstract : After a subtotal gastrectomy with a concomitant resection to the whole first part of the duodenum, an “ultralow” duodenal stump is difficult to close. A safe and effective technical solution is proposed, based on the use of a Roux-en-Y jejunal loop, which permits an end-to-end duodeno-jejunal anastomosis...

Abstract : The unequivocal diagnosis of unresectability of a tumour of the head of pancreas is often challenging, and demands a careful abdominal exploration. In this case a double palliative bypass, biliary and gastro-duodenal is advisable; it can be easily constructed on the same Roux-en-Y jejunal loop, with a sequential hepati..

Abstract : A simple surgical technique, which permits biliary reconstruction and repair of a duodenal injury with a single Roux-en-Y jejunal loop, is described. Its simplicity and effectiveness are encouraging...

Abstract : To-day’s oncological rules suggest standardized procedures for colo-rectal neoplasms, preferring radical hemicolectomies to more limited segmental resection Usually this policy agrees with the general surgical principles...

Abstract : The technique of left hemicolectomy (LHC) must be based on the vascular anatomy of the colon, in order to obtain an adequate lymphoadenectomy, and to assure a sufficient vascular supply to the colonic limbs, that have to be anastomosed. In particular cases this procedure can be extended to excise also the entire transv..