Subject(s)
Echinococcosis, Hepatic/complications , Echinococcosis, Pulmonary/etiology , Thoracic Diseases/etiology , Adolescent , Adult , Aged , Child , Child, Preschool , Echinococcosis, Hepatic/diagnosis , Echinococcosis, Hepatic/surgery , Echinococcosis, Pulmonary/diagnosis , Female , Humans , Infant , Male , Middle Aged , Prognosis , Thoracic Diseases/surgeryABSTRACT
A new technique is reported for treatment of massive rectal prolapse, combining: mobilization of the rectum, colorectal fixation to the promontory and sacrum, "hammock-like" peritoneal autosuspension and obliteration of Douglas's pouch. The technique was successfully performed in six cases, with a follow-up ranging from one to six years; anal continence was satisfactory in four and fair in two.
Subject(s)
Rectal Prolapse/surgery , Aged , Female , Humans , Methods , Middle AgedABSTRACT
Reoperation after choledochoduodenostomy was performed in seven cases. Stenosis of the anastomosis, bile duct stones, cholangitis and stump syndrome were found in five cases. In the first two cases, disconnection of the choledochoduodenostomy and sphincteroplasty were performed: one patient died of duodenal leakage. In the third case, retrograde sphincteroplasty was performed with lethal failure. In the following four cases, a new approach which consisted of antropyloroduodenotomy, catheter guided sphincteroplasty, extraction of stones and debris, and reconstruction with a Finney gastroduodenostomy was used. Endoluminal suture of previous choledochoduodenostomy was also performed in three cases and vagotomy in two. This approach resulted in no mortality and the results were excellent in all cases. The patients were followed up for from nine months to three and a half years. The authors found this endoluminal approach an easier and safer surgical procedure.
