Epidemiological surveillance and control of trichinellosis in Buenos Aires province.

The Ministries of Health and Agrarian Concerns created in 1994 the "Zoonosis Commission", a working group of professionals of both institutions, for improving the epidemiological surveillance and control of trichinellosis in Buenos Aires Province. The main purpose was the early detection and control of swine trichinellosis, for reducing human outbreaks, the strategy of action was to decentralize epidemiological surveillance and control activities at municipal level, integrating 101 counties of the endemic area. Since 1996 a high number of infected pigs were detected previously to human consumption (years 1996-1999: 1,073 infected pigs), and since 1997 the occurrence of human outbreaks and swine foci have decreased.

[Radiologic assessment in lung volume reduction surgery in emphysema].

Aim of this work is to present and discuss the radiologic protocol we have developed for the preoperative assessment of patients with severe pulmonary emphysema candidate to lung volume reduction surgery (LVRS). The operation aims at improving respiratory mechanics and reducing small airway obstruction by removing variable amounts of emphysematous parenchyma. January to September, 1996, twelve patients were submitted to LVRS.

[Preoperative role of computerized tomography in videothoracoscopic lung surgery].

Video-assisted thoracic surgery (VATS) is used in a growing range of pulmonary and mediastinal conditions. By avoiding thoracotomy, VATS is minimally invasive and allows shorter postoperative hospitalization. The advantages of video-assisted thoracoscopic techniques are obvious in the patients with severe cardiorespiratory failure.

Fine-needle aspiration biopsy of bowel lesions under ultrasound guidance: indications and results.

Twenty-four patients with bowel lesions that could be imaged on a sonogram underwent ultrasound-guided fine-needle aspiration biopsy. Indications for biopsy included: poor condition of the patient precluding the use of barium studies and/or endoscopy (9 cases) or hindering technically adequate examinations (3); nonspecific radiographic images (6); inability to obtain an adequate biopsy sample during endoscopy (6). The results of biopsy were correct in the 18 cases proven by surgery or autopsy; in the remaining 6 patients, histologic results were considered conclusive, and were later confirmed by clinical, radiographic, and ultrasound follow-up.

Sonographically guided fine-needle aspiration biopsy of adrenal masses.

Percutaneous fine-needle aspiration biopsy of solid adrenal masses was performed under real-time sonographic guidance in 18 patients. Cellular material was aspirated in all cases. Cytologic examinations were correct in 11 metastatic deposits, three primary adrenal adenocarcinomas, and one pheochromocytoma.