By Lorenzo Dominioni, Angelo Benevento, Giulio Carcano, Giuseppe Peloni, Renzo Dionigi (auth.), Everardo Zanella (eds.)
General surgical procedure is composed ofa major corpus of propaedeutic components and scientific difficulties, which has been changed through the years through the separate improvement of diverse sub-specialistic branches. even if a typical foundation at the physiopathology of surgical trauma and put up operative issues persists, due to normal wisdom of surgical ailments, there isn't any doubt that during the spheres of doctrine and alertness, either learn and medical medication have distinctive themselves autonomously in lots of surgical fields (orthopedics, neurosurgery, cardiovascular surgical procedure, thoracic surgical procedure, urology, etc.). it really is hence tricky to outline the current configuration ofgeneral surgical procedure, yet with out query belly surgical procedure occupies a place of pre-eminent value in the normal framework. we're dealing, in truth, with pathological photos which happen in a bit ofthe physique ofvast proportions, during which buildings, organs, and morphologically advanced areas are prepared to hold out very important services. they're, for that reason, topic to significantly advanced pathological adjustments, reminiscent of to set up an enticing box of diagnostic dialogue and a thrilling training-ground for surgical task. it may be affirmed that the prognosis and therapies ofabdominal surgical illnesses represent a attempt ofthe surgeon's event. prognosis is frequently entrusted to a differential method, the consequences ofwhich will be proven this present day via complementary diagnostics. This, despite the fact that, needs to be guided via predominating medical issues, the exaggerated use of diagnostic options, indifferent from medical exam, being the reason for very critical blunders, which may deceive determination making and human touch, that is the foundation ofcorrect clinical practice.
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During the last ten years, several papers concerning the high incidence of post-operative infection related to blood transfusion have been published In this study we considered patients who underwent major abdominal surgery for cancer: 47,6% of our patients suffered from at least one post-operative infective complication. We must underline that this was a very select group of patients affected with cancer, that is considered a major risk in the development of postoperative complications. Moreover in these patients endogenous contamination PERI-OPERATIVE BLOOD TRANSFUSION, POST-OPERATIVE INFECTIVE COMPLICATION 17 during surgery was related to the fact that 50% of the surgical procedures were classified as contaminated or highly contaminated.
I. ~ _" Conclusions Several findings reported in the present review are of clinical interest. The wellknown association of AAC with multiple clinical conditions might be explained by the multiple etiological factors that could be involved. The fact that AAC might be induced by several factors, in varying degrees of severity, is important in understanding its variable clinical course. In fact, AAC is considered by some authors [33,34] as being a mild disease, while others perceive it as a fulminant one.
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