Medicine consists first of all in taking care,also in those cases when it is impossible to cure the patients and to restore their good health.In fact,healthcare workers and doctors are increasingly faced with painful ...Medicine consists first of all in taking care,also in those cases when it is impossible to cure the patients and to restore their good health.In fact,healthcare workers and doctors are increasingly faced with painful diseases and end-of-life situations.In these difficult circumstances,it becomes necessary for the doctor to recover a more global vision of the person of the patient,and to understand that the present illness can be read as a metaphor of his/her own existence-since the experience of an entire life manifests and redefines itself in the disease.Empathy and compassion constitute a guide to authentic and effective caring that manifests itself in the language used and in attitudes that become externalized as appropriate behaviours.The doctor must do all he/she can in order to alleviate the patient’s physical and psychological pain,using the tools of caregiving and palliative care.展开更多
Dear Editor,Inguinal lymphadenectomy represents a crucial step in both staging and treatment of penile cancer and can be curative in some patients.Nevertheless,severe morbidity can be high in up to 50%of cases.The mos...Dear Editor,Inguinal lymphadenectomy represents a crucial step in both staging and treatment of penile cancer and can be curative in some patients.Nevertheless,severe morbidity can be high in up to 50%of cases.The most-reported complications are skin necrosis,wound infection,lymphoedema,and lymphocele[1].In this setting,artery blowout syndrome(ABS)is a complication rarely described,presenting with vessels exposure through wound dehiscence,leading to arterial wall rupture with potentially life-threatening bleeding(Type III ABS).Reports have been described following radiation treatment of the groins or the neck[2,3].We present the first case of femoral artery wall rupture with severe hemorrhage after iliac and inguinal lymphadenectomy for penile cancer in a patient without previous radiation treatment.Written consent for case publication was obtained.展开更多
文摘Medicine consists first of all in taking care,also in those cases when it is impossible to cure the patients and to restore their good health.In fact,healthcare workers and doctors are increasingly faced with painful diseases and end-of-life situations.In these difficult circumstances,it becomes necessary for the doctor to recover a more global vision of the person of the patient,and to understand that the present illness can be read as a metaphor of his/her own existence-since the experience of an entire life manifests and redefines itself in the disease.Empathy and compassion constitute a guide to authentic and effective caring that manifests itself in the language used and in attitudes that become externalized as appropriate behaviours.The doctor must do all he/she can in order to alleviate the patient’s physical and psychological pain,using the tools of caregiving and palliative care.
文摘Dear Editor,Inguinal lymphadenectomy represents a crucial step in both staging and treatment of penile cancer and can be curative in some patients.Nevertheless,severe morbidity can be high in up to 50%of cases.The most-reported complications are skin necrosis,wound infection,lymphoedema,and lymphocele[1].In this setting,artery blowout syndrome(ABS)is a complication rarely described,presenting with vessels exposure through wound dehiscence,leading to arterial wall rupture with potentially life-threatening bleeding(Type III ABS).Reports have been described following radiation treatment of the groins or the neck[2,3].We present the first case of femoral artery wall rupture with severe hemorrhage after iliac and inguinal lymphadenectomy for penile cancer in a patient without previous radiation treatment.Written consent for case publication was obtained.
