Advances in Abdominal Surgery 2002 by Giovanna Branca, Teresa Spanu, Fiammetta Leone, Patrizia

By Giovanna Branca, Teresa Spanu, Fiammetta Leone, Patrizia Mazzella, Giovanni Fadda (auth.), Attilio Maria Farinon (eds.)

Advances in belly surgical procedure 2002 includes papers from a gaggle of Italian educational surgeons who give a contribution to a countrywide examine software entitled `Progress in stomach Surgery'. The examine is supported by way of the Italian Ministry of the college. the first goal of the gang is to mix experimental and scientific techniques within the research of a number of surgical stomach ailments. The authors of the person chapters have been asked to give an replace of their personal fields of analysis. This quantity summarizes numerous vital updates in stomach surgical procedure and pathophysiology. The contributions are grouped into six sections, particularly Surgical an infection, Hepatobiliary and Pancreatic and Splenic surgical procedure, Colorectal surgical procedure, Fecal Incontinence, Minimally-Invasive surgical procedure, and Transplantation.

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The possible relationship between transfusion and infective complication in surgery was also investigated. Adequate animal models clearly demonstrated a relationship between transfusion and risk of infective complications. The mechanisms that may explain this immunosuppressive effect are not fully understood. However, in transfused animals several immunological alterations were observed. In A. NESPOLI ET AL. 41 particular, interesting changes were found in the recipient's mononuclear cells function, such as decreased NK cell activity, decreased macrophages migration in the peritoneal cavity, and antigen presentation, decreased helper/suppressor T-cell ratio, impaired response to skin test for delayed-type hypersensitivity.

This method entails high risk of bleeding complications (30%), due to the possible erosion of the inferior mesenteric vein and/or its branches caused by drains pressure [84]. Revision surgery is more frequently performed than the open technique, due to the occurrence of secondary sepsis (23-27% according to Beger) [76-78]. In our opinion, the most complex problems caused by IN treatments are not due to the surgical procedure performed (closed vs open treatment), but to incorrect surgical timing.

Ann Surg 1985; 202(4): 408-17. 72. MithOfer K, Mueller PR, Warshaw AL. Interventional and surgical treatment of pancreatic abscess. WorldJSurg 1997;21: 162-8. 73. Steiner E, MuellerPR, Hahn PF, Saini S, Simeone JF, Wittenberg J, Warshaw AL, Ferrucci JT. Complicated pancreatic abscesses: problems in interventional management. Radiology 1988; 167: 443-6. 74. Ranson JHC. The role of surgery in the management of acute pancreatitis. Ann Surg 1990; 211(4): 382-93. 75. D'Egidio A, Schein M. Surgical strategies in the treatment of pancreatic necrosis and infection.

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