Giorgio Vasquez

11 Questions 98 Answers 0 Followers

Questions related from Giorgio Vasquez

Enterocutaneous fistulas following adhesiolysis in hostile abdomen with small bowel obstruction.

What are your opinions and suggestion about treatment? VAC therapy? Total Parenteral Nutrition? Wait and watch? Planned delayed new laparotomy?

02 January 2014 7,807 19 View

What are your experiences and opinions about the cholecystostomy vs cholecystectomy in ill patients?

Nowadays the best practice for grade I and more or less for grade II acute cholecystitis is early laparoscopic surgery, suggested in Tokyo Guidelines. For Grade III cholecystitis of Tokyo...

14 November 2013 3,411 12 View

When I was a young medical student, gastric or duodenal perforated ulcers were very frequent, effective antiulcer drugs were not available.

The initial age of therapy/prophylaxis with cimetidine made possible a dramatic reduction of the issue. Nowadays, starting from two or three years although we have last generation antiulcer drugs...

13 June 2013 5,757 4 View

In lower gastrointestinal bleeding, the need to do an endoscopy in an emergency setting is about 1% of cases and results are effective in about 10% of cases.

In those cases, a contrast CT scan seems to be more effective to locate and diagnose the nature of the bleeding. What do you think?

12 April 2013 8,545 2 View

What is the best way for umbilical hernia repair?

Pure tissue repair? Prosthetic repair? Modern specific device like Ventralex and PVP devices?

08 March 2013 1,263 4 View

Safety and efficacy of antibiotics compared with appendicectomy for treatment of uncomplicated acute appendicitis

BMJ 2012; 344 doi: http://dx.doi.org/10.1136/bmj.e2156 (Published 5 April 2012) Cite this as: BMJ 2012;344:e2156 What do you think about non surgical therapy of acute appendicitis and what's the...

06 January 2013 8,157 8 View

Laparoscopic peritoneal lavage for perforated sigmoid diverticulitis

Laparoscopic peritoneal lavage for perforated sigmoid diverticulitis appears to be a potentially effective and more conservative alternative to a Hartmann’s procedure. Although randomized control...

04 January 2013 4,467 21 View

Nowadays, a relevant percentage of patients undergoing surgery procedures presents a history of anti-platelet/anticoagulant therapy administration.

This can to be the reason itself for a surgical procedure in an emergency setting due to gastroenteral bleeding, rectus abdominis hematoma, psoas muscle hematoma, or can complicate the recovery...

29 December 2012 7,976 1 View

Acute cholecystitis in elderly patients. Is It really a simple condition? Always surgery? Alternative procedures?

Acute cholecystitis in elderly patient is almost always a septic condition that can be life threatening. Patients are generally in poor physical status graded in IV ASA score. What is your...

21 December 2012 8,772 5 View

Self expanding metallic stents are now available like palliative devices or bridge to surgery in left large bowel neoplastic occlusion

Placing the device like a "bridge to surgery" has lowered the incidence of colic stomas and eventually improved the results with respect to patients operated on in emergency settings without...

17 December 2012 8,499 4 View

Are fistulas secondary to suction devices like the VAC system by KCL or will they develop without suctions related to the viscera exposition?

Open abdomen is an effective procedure mandatory in ACS with organ failure. Sometimes during this period, the small bowel develops one or more fistulas. The question is: are fistulas secondary to...

14 December 2012 6,782 18 View