The authors report their experience in haemorrhage after thyroid surgery. Haemorrhagic complications occurred in 5 cases in a series of 1803 sequential thyroidectomies (incidence: 0.27%).
View Article and Find Full Text PDFThis brief chapter, focusing essentially on a single topic, has been written in homage to Emile Theodor Kocker, a masterful exponent of the art of surgery and founder of the culture of terminal ballistics. For most of the literature we are indebted to Fackler and Dougherty, who, with the particular grasp, and fair of historians, act as guides on a trial which is only apparently retrograde, but which actually bears eloquent witness to the fact that even in the most physically tangible of arts, namely the art of surgery, inspired curiosity may help us to go well beyond the limits of our day and age. This chapter is also dedicated to the memory of another great surgeon, Vittorio Pettinari, who for one of the authors was an incomparable mentor and past-master of such curiosity.
View Article and Find Full Text PDFIt goes without saying that, at first glance, it is the velocity with which the fired bullet pierces the solid target and perhaps even penetrates it that bears witness to the efficiency of a firearm. Prior to the advent of ceramic and composite materials, iron and its clone, steel, provided the most satisfactory and most coveted evidence as a test material in both the positive and negative senses. It the biological field, wood and deal in particular were for decades the only witnesses, alongside tests in cadavers, which, despite obvious reservations, provided us with a wealth of data, much of which is still regarded today as among the mainstays of forensic didactics.
View Article and Find Full Text PDFWe have chosen to conceive of terminal ballistics as a violent and extremely rapid confrontation between two forms of resistance before the final state of rest is reached. This definition, which cannot help but don the admittedly loud and outlandish garb of physics, is the most promising for the purposes of biological interpretation. The main characters on this stage are two, but only one of these really plays the lead, namely the human target, which acts out the basic roles inherent in its physical make-up; the other, the bullet, remains a background figure, frozen in its walk-on part, and ready for the next performance.
View Article and Find Full Text PDFThe pathogenetic potentiality of firearms differs in relation to whether we are dealing with rifled long-barrelled weapons, handguns, or smooth-bore long-barrelled guns. Up until a few years ago, the tissue-damaging effect, at least in the modern warfare context, of short-barrelled or smooth-bore long-barrelled firearms, was thoroughly negligible; today, however, their impact, as causes of wounds and death, is steadily increasing, and for the first time small bullets designed for low-cost military training are also coming to play a primary role on the battlefield. At the same time short-gun bullets are appearing which, which in the name of "stopping power" seem to contradict the very definition of a handgun.
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