La colla di fibrina nelle ernioplastiche tension-free: nostra esperienza

Scopo di questo studio è dimostrare la possibilità, nell’ernioplastica secondo Lichtenstein, di fissare la mesh alle strutture muscolo-fasciali con colla di fibrina, evitando l’uso di punti di sutura. La fissazione della rete di prolene con Tissucol è stata effettuata in 28 pazienti, mentre nello stesso periodo la tecnica tradizionale di Lichtenstein è stata eseguita in altri 28 pazienti. I vantaggi dell’uso della colla di fibrina sono: nessun trauma chirurgico, perfetta fissazione della mesh, riduzione del dolore e della morbilità, abbassamento dei costi. La metodica è sicura e facilmente riproducibile. I risultati sono promettenti anche se la verifica va effettuata con casistiche più consistenti e follow-up più lungo

Thickening and Thinning of Antarctic Ice Shelves and Tongues and Mass Balance Estimates

Previous analysis of elevation changes for 1992 to 2002 obtained from measurements by radar altimeters on ERS-l and 2 showed that the shelves in the Antarctic Peninsula (AP) and along the coast of West Antarctica (WA), including the eastern part of the Ross Ice Shelf, were mostly thinning and losing mass whereas the Ronne Ice shelf also in WA was mostly thickening. The estimated total mass loss for the floating ice shelves and ice tongues from ice draining WA and the AP was 95 Gt/a. In contrast, the floating ice shelves and ice tongues from ice draining East Antarctica (EA), including the Filchner, Fimbul, Amery, and Western Ross, were mostly thickening with a total estimated mass gain of 142 Gt/a. Data from ICESat laser altimetry for 2003-2008 gives new surface elevation changes (dH/dt) with some similar values for the earlier and latter periods, including -27.6 and -26.9 cm a-Ion the West Getz ice shelf and -42.4 and - 27.2 cm/a on the East Getz ice shelf, and some values that indicate more thinning in the latter period, including -17.9 and -36.2 cm/a on the Larsen C ice shelf, -35.5 and -76.0 cm/a on the Pine Island Glacier floating, -60.5 and -125.7 .cm/a on the Smith Glacier floating, and -34.4 and -108.9 cm/a on the Thwaites Glacier floating. Maps of measured dH/dt and estimated thickness change are produced along with mass change estimates for 2003 - 2008

Abscess and cecum carcinoma in inguinal hernia: case report

Cecal adenocarcinoma within an inguinal hernial sac is an uncommon clinical condition. A primary adenocarcinoma of the cecum in a right sided inguinal hernia is presented and discussed. This case represents one of the unexpected findings in a hernia sac and also very rare septic evolution. This particular condition is a main dignostic and therapeutic challenge

Distribution of Diagenetic Snow Facies in Antarctica and in Greenland

Compares mostly the area and distribution of dry snow facies in the two regions. The relative area covered by this facies is three times larger in Antarctica where the dry snow line occurs at lower altitudes and at higher mean annual air temperatures. The ratio between the areas of soaked and of percolation facies is larger in the Greenland ice sheet

Greenland Ice Sheet Mass Balance: Distribution of Increased Mass Loss with Climate Warming; 2003-07 Versus 1992-2002

We derive mass changes of the Greenland ice sheet (GIS) for 2003-07 from ICESat laser altimetry and compare them with results for 1992-2002 from ERS radar and airborne laser altimetry. The GIS continued to grow inland and thin at the margins during 2003 07, but surface melting and accelerated flow significantly increased the marginal thinning compared with the 1990s. The net balance changed from a small loss of 7 plus or minus 3 Gt a 1(sup -1) in the 1990s to 171 plus or minus 4 Gt a (sup -1) for 2003-07, contributing 0.5 mm a(sup -1) to recent global sea-level rise. We divide the derived mass changes into two components: (1) from changes in melting and ice dynamics and (2) from changes in precipitation and accumulation rate. We use our firn compaction model to calculate the elevation changes driven by changes in both temperature and accumulation rate and to calculate the appropriate density to convert the accumulation-driven changes to mass changes. Increased losses from melting and ice dynamics (17-206 Gt a(sup-1) are over seven times larger than increased gains from precipitation (10 35 Gt a(sup-1) during a warming period of approximately 2 K (10 a)(sup -1) over the GIS. Above 2000m elevation, the rate of gain decreased from 44 to 28 Gt a(sup-1), while below 2000m the rate of loss increased from 51 to 198 Gt a(sup-1). Enhanced thinning below the equilibrium line on outlet glaciers indicates that increased melting has a significant impact on outlet glaciers, as well as accelerating ice flow. Increased thinning at higher elevations appears to be induced by dynamic coupling to thinning at the margins on decadal timescales

La riparazione dell’ernia ombelicale nella donna in postmenopausa

Gli Autori riportano la loro esperienza sull’impiego della protesi dual-mesh in PTFEe per il trattamento delle ernie ombelicali nelle donne in postmenopausa. La riparazione protesica vs l’intervento classico di Mayo trova giustificazione nella maggior parte dei casi per i deficit biostrutturali delle strutture muscolo-fasciali delle donne in menopausa, deficit legati alla riduzione della funzione ovarica e aggravati da pregresse gravidanze. Una corretta valutazione del trofismo delle strutture della parete addominale e delle dimensioni delle ernie è comunque indispensabile nel porre indicazione alla chirurgia protesica. Nella nostra casistica la morbilità riferita a complicanze precoci è assolutamente trascurabile. A tutt’oggi, sebbene il follow-up sia ancora piuttosto breve, non abbiamo riscontrato casi di recidiva

Mass Changes of the Greenland and Antarctic Ice Sheets and Shelves and Contributions to Sea-level Rise: 1992-2002

Changes in ice mass are estimated from elevation changes derived from 10.5 years (Greenland) and 9 years (Antarctica) of satellite radar altimetry data from the European Remote-sensing Satellites ERS-1 and -2. For the first time, the dH/dt values are adjusted for changes in surface elevation resulting from temperature-driven variations in the rate of fun compaction. The Greenland ice sheet is thinning at the margins (-42 plus or minus 2 Gta(sup -1) below the equilibrium line altitude (ELA)) and growing inland (+53 plus or minus 2 Gt a(sup -1)above the ELA) with a small overall mass gain (+11 plus or minus 3 Gt a(sup -1); -0.03 mm a(sup -1) SLE (sea level equivalent)). The ice sheet in West Antarctica (WA) is losing mass (-47 (dot) 4 GT a(sup -1) and the ice sheet in East Antarctica (EA) shows a small mass gain (+16 plus or minus 11 Gt a(sup -1) for a combined net change of -31 plus or minus 12 Gt a(sup -1) (+0.08 mm a(sup -1) SLE)). The contribution of the three ice sheets to sea level is +0.05 plus or minus 0.03 mm a(sup -1). The Antarctic ice shelves show corresponding mass changes of -95 (dot) 11 Gt a(sup -1) in WA and +142 plus or minus 10 Gt a(sup -1) in EA. Thinning at the margins of the Greenland ice sheet and growth at higher elevations is an expected response to increasing temperatures and precipitation in a warming climate. The marked thinnings in the Pine Island and Thwaites Glacier basins of WA and the Totten Glacier basin in EA are probably ice-dynamic responses to long-term climate change and perhaps past removal of their adjacent ice shelves. The ice growth in the southern Antarctic Peninsula and parts of EA may be due to increasing precipitation during the last century