RESUMO
This study was a retrospective analysis of seven patients with adrenal gland tumors. Patients with pheochromocytoma presented mainly with headache, persistent hypertension with paroxysmal severe attacks. Three patients with adrenal cortical adenoma presented mainly with trunkal obesity and mild hypertension, the remaining patient was a child with virilizing manifestations. Different methods of investigations were done that included estimation of catecholamines and cortisol levels in blood. Unilateral flank approach with resection of the last rib was done in all patients. The tumor was resected with the least possible manipulations after ligation of the adrenal vessels. Postoperative improvement was noticed in all patients where there was marked sustained reduction in blood pressure in cases of pheochromocytoma, and manifest reduction in body weight and blood pressure in patients with cortical adenoma showed marked amelioration of the virilizing features
Assuntos
Hiperfunção Adrenocortical , Hipertensão , Hiperfunção AdrenocorticalRESUMO
We have looked at 72 patients [117 extremities] with combined aortoiliac and superficial femoral occlusive disease to see if their clinical presentation and arteriographic findings can predict the outcome of proximal reconstruction. Nearly 80 percent of the patients achieved favorable out come with proximal reconstruction.We have found that patients who underwent surgery for limb salvage were more likely to have favorable outcome and extremities with proximal occlusion rather than diffuse stenosis are more likely to have favorable outcome with proximal reconstruction alone