Subject(s)
Appendectomy/methods , Appendicitis/surgery , Adolescent , Adult , Aged , Aged, 80 and over , Child , Child, Preschool , Female , Humans , Male , Middle Aged , Suture Techniques/instrumentationABSTRACT
Retroperitoneal sarcomas are rare tumors representing 0.1% to 0.2% of all malignant tumors. They are usually revealed by an abdominal mass (33%), possibly associated with pain (41%). Edema of the lower limbs is reported in 10% of cases. Acute renal failure with anuria by bilateral ureteral compression, associated with invasion of the inferior vena cava has not been previously reported.
Subject(s)
Acute Kidney Injury/complications , Retroperitoneal Neoplasms/diagnosis , Rhabdomyosarcoma/diagnosis , Adolescent , Female , Humans , Retroperitoneal Neoplasms/complications , Retroperitoneal Neoplasms/surgery , Rhabdomyosarcoma/complications , Rhabdomyosarcoma/surgery , Syndrome , Tomography, X-Ray Computed , Vena Cava, Inferior/physiopathologyABSTRACT
Quality of care has been evaluated in this study by the criterion of mortality in a Digestive and Vascular Surgery unit. The analysis over a one-year period concerned 34 dead patients among 1298 entered and 1,108 operated patients who underwent 1,248 operations. The causes of death have been studied in the 3 groups: non operated (5 patients), digestive (20 patients), vascular (9 patients), with distinction of emergency surgery. Therapeutic habits have been systematically reexamined and considered either adapted or to be modified. Punctual conclusions of such a study are interesting for the medico-surgical team but also for the nursing team. Transparency of mortality for a whole team is a factor of progress by the periodical reappraisal of the therapeutic habits based upon accurate data, and by the better collaboration in the team.
Subject(s)
Hospital Departments , Surgery Department, Hospital , Surgical Procedures, Operative/mortality , Aged , Digestive System Diseases/surgery , Emergencies , Female , France , Hospitals, General , Humans , Male , Vascular Diseases/surgeryABSTRACT
The onset of subicterus in a patient revealed the presence of a congenital diverticulum of lower common bile duct of intraduodenal development. A part from the rarity of this lesion this case is of interest due to the complete range of ultrasound, endoscopic and CT scan imaging performed, the association of a common mesentery and the surgical technique employed. The latter comprised exeresis by transduodenal approach and a side-to-side choledocho-duodenal anastomosis through the intermediary of the diverticular sleeve. The nosology and differential diagnosis of diverticulum of lower common bile duct are discussed and data from a literature review used to describe diagnostic, etiopathogenic and histopathologic aspects as well as complications and treatment of this type of congenital dilatation of lower biliary tract.
Subject(s)
Common Bile Duct Diseases/congenital , Cysts/congenital , Diverticulum/congenital , Duodenal Diseases/congenital , Common Bile Duct Diseases/surgery , Cysts/surgery , Diverticulum/surgery , Humans , Male , Mesentery/abnormalities , Middle AgedABSTRACT
A recent wound of femoral vein with pronounced loss of substance was repaired using an autogenous internal jugular vein graft. The value of the use of this type of graft in wounds of large venous trunks with marked loss of substance in a potentially contaminated milieu is emphasized.
Subject(s)
Femoral Vein/injuries , Jugular Veins/transplantation , Wounds, Penetrating/surgery , Accidents, Occupational , Adult , Femoral Vein/surgery , Humans , Male , Transplantation, AutologousABSTRACT
A 12 year old child presented with a hemorrhagic Meckel's diverticulum, gastric heterotopia without identifiable ulceration and a totally aberrant pancreas. The diagnostic value of 99m-technetium abdominal scintigraphy in patients with Meckel's diverticula and gastric heterotopia, as well as the limits of this investigation, are discussed.
Subject(s)
Gastrointestinal Hemorrhage/complications , Meckel Diverticulum/complications , Pancreas/abnormalities , Stomach/abnormalities , Child , Female , Humans , Meckel Diverticulum/diagnostic imaging , Radionuclide Imaging , TechnetiumABSTRACT
Mechanical sutures can be used in some appendicectomies for closure of the caecum or of the caeco-appendicular junction. This technique is indicated in cases of necrosis of the appendix extending to the lower end of the caecum and in patients with very wide caeco-appendicular junction. In such cases, it provides a simple and safe solution, with reduced risk of sepsis, to the problem of appendicular ligature.
