Small bowel obstruction caused by mesh migration. Case report

Introduction. Endoscopic hernia repair methods have become increasingly popular over the past 15 years. Nonetheless, there is no consensus regarding an optimal fixation method. Transabdominal sutures and titanium tacks or staples are the most traditional ones. Case report. We present a case of mechanic small bowel obstruction due to mesh migration occurring one year and a half after incisional hernia repair with polytetrafluoroethylene mesh fixed by spiral tacks. Discussion. Titanium spiral tacks are dangerous because of their sharp components, which can damage organs such as the small intestine, by causing microperforations. The type of prosthesis used has also contributed to the intraluminal migration, since polytetrafluoroethylene mesh is very flexible and poorly integrates in the abdominal wall. Conclusion. A prosthesis of a different material combined with a different fixation system such as absorbable tacks, biological glue, or mechanical tacks without sharp components, would have obviated mesh migration. .

The cultural policy in Italy and the innovations of the XXI century

The paper analyzes the development of the first experiences of the sixteenth century cultural policy in Italy until the beginning of the twenty-first century with the institutional reform initiated by the Minister Dario Franceschini. In the pre-unification State it has been many important contributions of several local rulers who imposed conservation policies to prevent the dispersal of works of art. After the unification of Italy (1861) the laws of protection of the national heritage have helped to initiate the first important initiatives that have developed in practice only at the end of the twentieth century. Great institutional innovations and regulatory activated in the twenty-first century and of which this paper provides some important insights and deepening.

Architecture of the Landscape and Landscape of the Architecture in Japan. A dialogue between water and earth

It's very difficult in traditional Japanese culture separate the landscape from the architecture. The Japanese architectural culture has its roots in China but soon this culture has developed its own culture and an aesthetic that was the result of a long isolation from the rest of the world. Zen Buddhism and the constant relationship with nature define the main characteristics of Japanese architecture: minimalism and simplicity. The architecture is a perfect balance of harmony, proportion and purity. This paper aims to analyze the cultural roots of the relationship between architecture and landscape in Japan and where the characteristics previously defined are very important for to know the significance of the Japanese architectural thinking.

Gli scavi archeologici presso la Canonica di San Salvatore a Barzanò (Lecco)

Nel periodo compreso tra la primavera del 2007 e l'estate del 2010, presso la Canonica di San Salvatore a Barzanò, unitamente ai lavori di ristrutturazione e restauro, sono stati effettuati diversi interventi di assistenza e di scavo archeologico, inizialmente nelle aree esterne limitrofe e in un secondo tempo all'interno dell'edificio, nell’ambito di un piano di riqualificazione e di restauro del monumento commissionato dal Comune di Barzanò . La cripta e la sagrestia sono state indagate completamente, mentre all'interno dell'aula e della torre campanaria è stato effettuato uno scavo parziale fino a una quota mediamente di m -0.50 dal piano pavimentale: ciononostante, è stato possibile delineare complessivamente nove fasi archeologiche, sette delle quali definiscono le principali sequenze dell'evoluzione strutturale dell'edificio della Canonica.

Studio geologico-geomorfologico per la soluzione di problematiche tecnico-applicative nelle località Terra Murata (borgo medievale e costone lato Marina Corricella) e Centane-Panoramica (Isola di Procida, Golfo di Napoli)

Nel presente rapporto tecnico viene illustrato uno studio del dissesto geomorfologico in due aree selezionate dell’Isola di Procida, rispettivamente ubicate nella zona storica di Procida (borgo medievale di Terra Murata lungo la Via Salita Castello-altezza Via S. Domenico) e nell’area costiera che raccorda Punta Pizzaco con Punta Solchiaro (comprensorio Centane-Panoramica). In generale le finalità del rapporto tecnico sono quelle di fornire un inquadramento di queste due zone da un punto di vista geologico, che si differenziano negli aspetti particolari. Infatti, nella zona di Terra Murata, sia nella zona alta del borgo medievale (piazzale oltre le mura) che lungo il costone tufaceo antistante la Marina Corricella (salita Castello all’altezza di Via S. Domenico) sono documentate copiose perdite d’acqua attraverso i terreni vulcanici di natura tufacea e pozzolanica che affiorano nell’area. Tali perdite d’acqua attraverso i terreni interessano anche numerose abitazioni, creando disagi che rendono necessario l’ulteriore accertamento tecnico al fine di individuare, anche tentativamente, le cause di tali dissesti e di proporre soluzioni tecnicamente soddisfacenti a tali problematiche attraverso uno studio approfondito.

Avvicinamento alla storia dell'architettura giapponese. Dal periodo Nara al periodo Meiji

The book analyzes the history of Japanese Architecture between Nara Period (710-784) and Meiji Period (1867-1912). The book is organized in two part: "The History" and "The Cultural Heritage" with a reflexion about the restoration of the Temples and Shrines. The book is the result of an international research work at the Kyoto University.

Comunicazione urbana nelle città storiche del Sol Levante: l'esperienza di Kyoto tra tradizione e innovazione

The book collects the Papers (from Europe, Asia and Latin America) presented at the Workshop organized by the ICOMOS International Committee in Historic Towns and Villages (CIVVIH) and by ICOMOS Italy in Palazzo Coppini (branch of Fondazione Romualdo del Bianco) in Florence (March 3-4, 2016) and focus on the comparison of different propositions of digital urban signage to realize a good quality of the “visit experience” in the historical towns, not only as urban marketing, but of a authenticity genuine culture. The urban culture founded on the identity and authenticity of every historical towns and their multilayered history must be the objective of an tourism of culture for the inhabitants and the visitors. The book focused its interest on the outstanding existing urban assets in Europe, Asia and Latin America, and heritage not sufficiently promoted.