RESUMO
Endoscopic symphathicotomy is an effective treatment for hyperhidrosis. Chylothorax is a rare but life-threatening complication. We recently encountered a case of chylothorax after endoscopic symphathicotomy at T2-T4 symphathetic nerve. We successfully treated chylothorax by electric cauterization with thoracic endoscopy.
Assuntos
Cauterização , Quilotórax , Endoscopia , HiperidroseRESUMO
Aortoesophageal fistula is an uncommon and fatal complication after surgery of aortic aneurysm. A case of aortoesophageal fistula as a complication of synthetis patch aortoplasty for mycotic aneurysm of descending thoracic aorta is described. After 3 months since patch aortoplasty for mycotic aneurysm of descending thoracic aorta this patient visited the emergency room due to melena and hematemesis. After gastrofiberoscopy and computed tomography the patient was taken ot the operating room. The surgical intervention was performed in two steps. Median sternotomy and midline laparotomy were made. Hemashield's Dacron(16mm) bypass between ascending thoracic aorta and infra-renal abdominal aorta was established first. Through the posterolateral thoracotomy false aneurysm and previous Hemashield's Dacron patch of descending aorta were resected. The two ends of the aorta were sutured and esophageal fistula was repaired. The esophageal suture line and the stumps were covered with omental graft. Thirty months later the patient has had no difficulty referable to the aortic surgery.
Assuntos
Humanos , Falso Aneurisma , Aneurisma Infectado , Aorta , Aorta Abdominal , Aorta Torácica , Aneurisma Aórtico , Serviço Hospitalar de Emergência , Fístula Esofágica , Fístula , Hematemese , Laparotomia , Melena , Salas Cirúrgicas , Polietilenotereftalatos , Esternotomia , Suturas , Toracotomia , TransplantesRESUMO
BACKGROUND: Because the development of medicine, the survival of ESRD(end stage renal disease) patients were improved and the chance of secondary arteriovenous fistula formation was increased. The purpose of this study is to evaluate the patency rate of one of the secondary arteriovenous fistula formation. MATERIAL AND METHOD: From January 1995 to September 1998, arteriovenous fistulae were made in 365 patients with ESRD. Among them, 62 patients underwent revisional arteriovenous fistula. RESULT: The patency rate for revisional arteriovenous fistula was 78.8% at 6 months, 72% at 12 months, 63% at 24 months, 56.9% at 36 months. CONCLUSION: Revision is a reliable procedure for salvaging a failed and inadequate fistula, which yields an acceptable patency rate.