[Clinical study on the pharmacological treatment of hemorrhoids with 0.25% oxethacaine chlorhydrate]

In this clinical study, the authors refer to a thirty-six month treatment of Grades I and II haemorrhoids (pharmacological treatment) with a group of 75 patients (45 females and 30 males) and treatment for Grades III and IV haemorrhoids (Pharmacological and surgical treatment) on a second group of 23 patients for a total of 98 patients treated and observed. For the pharmacological treatment, a rectal cream containing 0.25% Oxethacaine chlorhydrate (Emoren, produced by Novasorel, srl) was used on all patients. The cream was applied intra-anally and on the external orifice twice a day, morning and evening, for ten days. In order to evaluate the therapeuctic effect, the following symptoms were monitored: pruritus, ematochezia, burning, tenesmus, and pain. The following results were demonstrated: a) in all patients: A reduction in pruritus, pain, blood and mucous loss, Elimination of tenesmus, Absence of peri-anal eczema, b) in 15 patients, haemorrhoids were reduced for 11 months. Therefore the results obtained reconfirm that local treatment with EMOREN demonstrated to be clinically efficient in the treatment of Grades I and II haemorrhoids as well as in post surgical treatment both for the attenuation and elimination of pain and the clinical objectives of the pathology in question.

[Spigelian hernia. Clinical and anatomo-surgical considerations]

The authors describe a case of Spigelian hernia observed and treated. This hernia is uncommon, although the true incidence is probably greater than the small number of patients reported in literature. The signs and symptoms of the hernia are not always characteristic and then a correct diagnosis can be difficult. Sometime instrumental examination is essential for diagnosis, when clinical examination is not clear. Surgical repair as mandatory for a correct reconstruction of the abdominal wall and a prevention of recurrences.

[Usefulness of esophageal ECG as a study method for the differential diagnosis of perforated ulcers and myocardial infarct]

The Authors have examined 100 patients with suspected perforated ulcer and have executed besides the usual examination also an oesophageal ECG with modified method and a polygraphic examination. In 9 patients it is possible to identify to the oesophageal ECG and infarct of the myocardium, which interested the upper part of left ventricle's posterior wall, from the Authors indicated as "underconnectional", is not explorable by traditional ECG. Oesophageal ECG examination is important for to settle the doubtful chances of the perforated ulcer from the myocardium infarct.

[Plasma renin activity in hypertensive subjects after posture changes and beta receptor blocking]

The Authors have esecuted a study about the manners of the PRA in 20 subjects, 10 hypertensive and 10 sound. The dosages have effected with indirect radioimmunology method and the patterns have proportioned in the mg/ml/h. The results obtained indicate that the situation changes, produce, in hypertensive subjects, increment of the PRA without variations of the pressure and that the block of the Beta receivers produces significant changes of the PRA.