ABSTRACT
A case of femoral hernia following repair of an inguinal hernia with the Shouldice method is presented. The authors discuss the pathogenesis, suggest the use of ultrasound for a precise preoperative diagnosis, and propose the "plug" technique of Lichtenstein as the method of choice for the repair. This method offers a minimally invasive approach, without disturbing the previous inguinal repair and it is very simple to perform.
Subject(s)
Hernia, Femoral/etiology , Hernia, Inguinal/surgery , Adult , Hernia, Femoral/diagnostic imaging , Hernia, Femoral/surgery , Humans , Male , Polypropylenes , Prostheses and Implants , UltrasonographyABSTRACT
The authors report on a case of hepatic vein thrombosis or Budd-Chiari syndrome (BCS) successfully treated with recombinant Tissue Plasminogen Activator (rTPA). They briefly outline the etiology and symptomatology of this disease as well as the various surgical procedures used for treatment. Medical therapy has been so far poorly effective in treatment BCS, but recently various reports seem to indicate that rTPA may have a role. The authors suggest that rTPA may be used as the only therapy in selected cases, or in treating patients that are not candidates for surgical intervention, or as a temporizing measure to improve symptoms in patients awaiting surgery.
Subject(s)
Budd-Chiari Syndrome/drug therapy , Tissue Plasminogen Activator/therapeutic use , Acute Disease , Humans , Male , Middle Aged , Recombinant Proteins/therapeutic useABSTRACT
The authors report their experience in thirteen cases of mesenteric infarction. They emphasize the difficulty in diagnosing and treating this entity, considering also the impossibility in most centers of performing emergency selective angiography of the superior mesenteric artery (SMA) When feasible, mesenteric rivascularization should always be attempted, followed 24 hours later by a "second look" procedure.
