Assuntos
Humanos , Masculino , Feminino , Abscesso , Drenagem , Resultado do Tratamento , Seguimentos , Estudos Prospectivos , Doenças do Ânus/cirurgiaRESUMO
This study aimed to assess and compare the hospital course of 77 diabetic and 69 non-diabetic patients who had incision, drainage and exploration of infected puncture wounds of the foot. Diabetics were five times more likely to have multiple operations and 46 times more likely to have a lower extremity amputation than the non-diabetics. The interval from injury to surgery was significantly longer in diabetics than non-diabetics. Total lymphocyte count, hemoglobin, hematocrit and albumin values were significantly lower in diabetics than in non-diabetics. Diabetic amputees had higher prevalence of non-palpable pulses, neuropathy, osteomyelitis and nephropathy as compared with the diabetic non- amputees. The neuropathic diabetic foot is not protected by pain. When combined with other comorbid factors, this may increase the morbidity associated with puncture wound of the foot
Assuntos
Humanos , Masculino , Ferimentos e Lesões , Ferimentos Penetrantes/cirurgia , Infecção dos Ferimentos/cirurgia , Amputação Cirúrgica , Pé Diabético , Complicações Pós-Operatórias , Morbidade , Diabetes MellitusRESUMO
The aim of this work is to determine the efficacy and safety of laparoscopic ligation of the internal spermatic vein [s] cephalad to the internal inguinal ring for symptomatic varicocele. 10 men with unilateral varicocele in 8 cases and bilateral in 2 cases. Diagnosis was based on the history, physical examination and scrotal ultrasound. Laparoscopic ligation was done for sub fertility in 6 patients, testicular pain in 2 patients and testicular atrophy in 2 cases. The spermatic artery was preserved in all cases. The procedure was done on a day surgery basis. The procedure was completed successfully with preservation of the testicular artery in all cases. The average operative time was 50 minutes. No mortality. The morbidity was low and minor; pneumoscrotum in a case. Follow up for 3-6 months showed improvement of the varicoceles with disappearance of pain. Seminal analysis was improved in density by more than 17 millions per ml and motility by more than 33%. No secondary hydroceles were observed. We conclude that, laparoscopic varicocele ablation is simple, safe, and effective with brief convalescence