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Publications (6)1.83 Total impact

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    ABSTRACT: Simultaneous pancreas and kidney transplantation (SPK) is considered an extremely effective and well-established therapeutic option for selected patients with end-stage renal disease (ESRD), secondary to type 1 diabetes. Vascular complications in pancreas transplantation are more common than in any other solid organ transplant. Thrombosis is the most frequently observed surgical complication of pancreatic transplantation. We report a case of a successful management regarding the thrombosed distal pancreatic segment during SPK transplantation.
    International surgery 01/2008; 93(4):189-91. · 0.31 Impact Factor
  • Cinzia Labruzzo, Adil R El Tayar, Nadey S Hakim
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    ABSTRACT: Graft pancreatitis is an inflammatory disease leading to autodigestion of the gland. The failure of the pancreatic graft can be attributed to immunological or nonimmunological causes. It consists of a premature activation of pancreatic proenzymes. When complications such as bleeding or leaks have already occurred, surgical correction should be considered. The aim of this review is to draw the attention of surgeons to the complications that can easily be avoided.
    International surgery 01/2006; 91(2):107-11. · 0.31 Impact Factor
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    ABSTRACT: The incidence of renal artery aneurysm is unknown, its natural history is unclear and unpredictable, and the clinical symptoms are of little or no value in diagnosis. The risk of rupture is high in pregnant women, as in splenic artery aneurysms and in aneurysms greater than 2 cm in size. Digital subtraction angiography is the best diagnostic test. When an aneurysm is identified, surgery is the best treatment option to avoid hypertension or rupture of the aneurysm. Because of advances in organ preservation, nephrectomy, ex vivo repair, and autotransplantation is a safe and successful procedure. We report the case of a 2-cm-wide neck aneurysm that was treated by nephrectomy, ex vivo repair, and auto-transplantation.
    International surgery 01/2003; 88(2):61-3. · 0.31 Impact Factor
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    ABSTRACT: Splenitis can complicate blood-borne sepsis in hemodialysis patients. Symptoms include left upper quadrant pain and tenderness in addition to generalized systemic manifestation of infection. Clinical diagnosis is difficult and there is no specific investigation to confirm it. Computed tomography scan of the spleen can help in identifying a splenic abscess, rupture, or infarction. A splenectomy is the treatment of choice in splenic abscess, in splenitis to avoid spontaneous rupture, and in recurrent perisplenitis.
    International surgery 01/2002; 87(4):205-7. · 0.31 Impact Factor
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    ABSTRACT: The Mirizzi syndrome is a rare benign cause of obstructive jaundice. The syndrome is a result of the impaction of a large stone, or several smaller ones, in either the Hartmann's pouch or the cystic duct, causing obstruction to the common hepatic duct. It is particularly interesting to surgeons because the surgery has to be carefully planned to avoid unnecessary damage to the common bile duct. Furthermore, it poses a differential diagnosis dilemma for surgeons as well as radiologists because there are no diagnostic procedures or clinical features that have a 100% specificity and sensitivity. As a result, the Mirizzi syndrome often has been mistaken for carcinoma of the gallbladder. We report one case of Mirizzi syndrome to draw attention to the importance of this syndrome and to describe the clinical, diagnostic, and therapeutic aspects of the disease.
    International surgery 87(2):65-8. · 0.31 Impact Factor
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    ABSTRACT: Splenic cysts are rare lesions. They are mainly divided into primary or genuine cysts and secondary or false cysts according to their etiology and pathophysiology. Primary cysts have a cellular lining that can be caused by either congenital events or parasitic infestations (Echinococcus). Secondary cysts have no cellular lining and may be of hemorrhagic, serous, inflammatory, or degenerative origin. It is important for surgeons to assess each individual case and decide on the most suitable treatment, taking into account the features of the cyst, the time of onset, and the age of the patient, to avoid possible complications. We report a case of posttraumatic pseudocyst treated successfully by splenectomy and we review the literature.
    International surgery 87(3):152-6. · 0.31 Impact Factor