ABSTRACT
The Thiersch technique for treatment of rectal prolapsus has been largely abandoned because the metallic or non-resorbable wire is poorly tolerated and non-extensible. Silastic can fulfil these requirements and was used in 11 patients, including two who underwent reoperations. Good results were obtained in 9. This technique is simple and can be proposed when the general status of the patient does not allow surgical cure of the prolapsus.
Subject(s)
Anal Canal/surgery , Rectal Prolapse/surgery , Surgical Procedures, Operative/methods , Aged , Aged, 80 and over , Animals , Cricetinae , Female , Follow-Up Studies , Humans , Male , Middle Aged , Silicone Elastomers , Surgical Procedures, Operative/adverse effectsABSTRACT
Two patients with signs of an obstructed main bile duct underwent surgery. Choleductectomy was performed followed by Mirizzi exploration. Extemporaneous pathology examination of the intra-ductal tissue revealed benign adenoma of the main bile duct. Resection of the main bile duct with hepato-duodenal anastomosis was performed in the first patient and resection with end-to-end anastomosis in the second.
Subject(s)
Adenoma , Common Bile Duct Neoplasms , Adenoma/complications , Adenoma/pathology , Adenoma/surgery , Aged , Anastomosis, Surgical , Cholestasis/etiology , Common Bile Duct Neoplasms/complications , Common Bile Duct Neoplasms/pathology , Common Bile Duct Neoplasms/surgery , Follow-Up Studies , Humans , Male , Middle AgedABSTRACT
We report a case of choledochoduodenal fistula in a patient with a duodenal ulcer and poor compliance to treatment. The fistula tract was demonstrated on a plain abdominal X-ray (presence of air in the biliary tract), and was confirmed by a fistulography from the site of the ulcer (opacification of the bile duct). A Finsterer type 2/3 gastrectomy was performed in this patient, leading to the treatment of the ulcer and disappearance of the fistula following a gastrojejunal shunt of the duodenum. Clinical outcome was excellent.
Subject(s)
Common Bile Duct Diseases/etiology , Duodenal Diseases/etiology , Duodenal Ulcer/complications , Intestinal Fistula/etiology , Cholecystectomy , Common Bile Duct Diseases/diagnostic imaging , Common Bile Duct Diseases/surgery , Duodenal Diseases/diagnostic imaging , Duodenal Diseases/surgery , Duodenal Ulcer/diagnostic imaging , Duodenal Ulcer/surgery , Gastrectomy , Humans , Intestinal Fistula/diagnostic imaging , Intestinal Fistula/surgery , Male , Middle Aged , RadiographyABSTRACT
Spontaneous rupture of the oesophagus is uncommon and is difficult to diagnose in the early stage. Clinical signs are lacking or incomplete, causing a delay in diagnosis and therapy which requires both intensive medical care and surgery. The surgical procedure depends on the time lapse to diagnosis. We report a case diagnosed 16 days after rupture in which directed fistulization led to complete healing.
