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Metastatic involvement of the gallbladder in melanoma is rare, but constitutes the most common metastatic lesion involving this organ. The surgical management seems to be indicated for patients with isolated and resectable gallbladder metastases to avoid symptoms or tumor complications. We report on a case of a young woman with an isolated metastatic(More)
The aim of this study was to investigate the ultrasonographic venous anatomy at the popliteal fossa in relation to tibial nerve course in normal and varicose limbs in order to detect anatomical abnormalities suggesting the potential risk of tibial nerve damage during surgery. Ninety-seven consecutive patients (194 limbs) were investigated by duplex(More)
BACKGROUND The aim of this study was to determine the feasibility and efficacy of repairing large abdominal incisional hernias by reconstructing the midline using bilateral abdominis rectus muscle sheath (ARS) relaxing incisions and a biological material onlay. METHODS Between January 2002 and December 2008, 71 patients underwent repair of large(More)
BACKGROUND Traditional laparoscopic cholecystectomy (LC) includes the use of 4 trocars. The aim of this study is to show that LC can be performed safely with the 3-trocar technique, thus simplifying a very well-known technique. METHODS We performed a retrospective analysis of 1878 patients (male-to-female ratio was 1:3; median age of 44 y) that underwent(More)
INTRODUCTION The aim of this study was to assess retrospectively the results of laparoscopic cholecystectomy (LC) performed in obese patients at our institution with the traditional technique and with the fundus-first (FF) technique. PATIENTS AND METHODS We performed a retrospective analysis of 194 obese patients that underwent LC between 1994 and(More)
BACKGROUND Fundus-first cholecystectomy is well recognized as a safe technique during open cholecystectomy (OC) because it minimizes the risk of injuries to the biliary structures at the Calot's triangle. Fundus-first laparoscopic cholecystectomy (FFLC), like the OC, has been proposed as a safe method to approach the cystic duct in cases of difficult(More)
We retrospectively analysed 236 consecutive patients with primary and recurrent inguinal hernia treated with the dynamic self-regulating prosthesis (PAD system). Parameters such as hernia type, operation time, type of anaesthesia, complications, hospital stay and recurrence were evaluated. Recurrence rates were determined by clinical examination. 254 PAD(More)