Donna Tesi - Academia.edu (original) (raw)
Uploads
Papers by Donna Tesi
Epidermolysis Bullosa, 1992
Page 277. 21 Nutritional Management of the Epidermolysis Bullosa Patient Donna Tesi and Andrew N.... more Page 277. 21 Nutritional Management of the Epidermolysis Bullosa Patient Donna Tesi and Andrew N. Lin Some degree of nutritional compromise is present in virtually all patients with epidermolysis bullosa (EB). As with all ...
The American Journal of Surgery, 2002
Background: Despite the well-accepted success of laparoscopic cholecystectomy in elective treatme... more Background: Despite the well-accepted success of laparoscopic cholecystectomy in elective treatment of symptomatic cholelithiasis, the efficacy and timing of this technique has been subject to some debate in the setting of acute cholecystitis. This study was undertaken to evaluate our institution's experience with early cholecystectomy as a safe, effective treatment of acute cholecystitis. Methods: Charts of all patients who had undergone laparoscopic cholecystectomy for the diagnosis of acute cholecystitis were reviewed. Patients were divided into two groups based on the length of time from onset of symptoms to surgical intervention: less than 48 hours in the early group (n ϭ 14) and more than 48 hours in the late group (n ϭ 31). Results: Comparing the two groups, the conversion rate to an open procedure was significantly less (0 versus 29%, P Ͻ0.04) in the early treated patients. Furthermore, the operative time (73 versus 96 minutes, P Ͻ0.004), postoperative hospitalization (1.2 versus 3.9 days, P Ͻ0.001), and total hospital stay (2.1 versus 5.4 days, P Ͻ0.004) were significantly reduced in patients undergoing early laparoscopic cholecystectomy. Conclusions: Laparoscopic cholecystectomy performed by experienced surgeons is a safe, effective technique for treatment of acute cholecystitis. Patients treated within 48 hours of onset of symptoms experience a lower conversion rate to an open procedure, shorter operative time and reduced hospitalization.
Epidermolysis Bullosa, 1992
Page 277. 21 Nutritional Management of the Epidermolysis Bullosa Patient Donna Tesi and Andrew N.... more Page 277. 21 Nutritional Management of the Epidermolysis Bullosa Patient Donna Tesi and Andrew N. Lin Some degree of nutritional compromise is present in virtually all patients with epidermolysis bullosa (EB). As with all ...
The American Journal of Surgery, 2002
Background: Despite the well-accepted success of laparoscopic cholecystectomy in elective treatme... more Background: Despite the well-accepted success of laparoscopic cholecystectomy in elective treatment of symptomatic cholelithiasis, the efficacy and timing of this technique has been subject to some debate in the setting of acute cholecystitis. This study was undertaken to evaluate our institution's experience with early cholecystectomy as a safe, effective treatment of acute cholecystitis. Methods: Charts of all patients who had undergone laparoscopic cholecystectomy for the diagnosis of acute cholecystitis were reviewed. Patients were divided into two groups based on the length of time from onset of symptoms to surgical intervention: less than 48 hours in the early group (n ϭ 14) and more than 48 hours in the late group (n ϭ 31). Results: Comparing the two groups, the conversion rate to an open procedure was significantly less (0 versus 29%, P Ͻ0.04) in the early treated patients. Furthermore, the operative time (73 versus 96 minutes, P Ͻ0.004), postoperative hospitalization (1.2 versus 3.9 days, P Ͻ0.001), and total hospital stay (2.1 versus 5.4 days, P Ͻ0.004) were significantly reduced in patients undergoing early laparoscopic cholecystectomy. Conclusions: Laparoscopic cholecystectomy performed by experienced surgeons is a safe, effective technique for treatment of acute cholecystitis. Patients treated within 48 hours of onset of symptoms experience a lower conversion rate to an open procedure, shorter operative time and reduced hospitalization.