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7.
Arch Esp Urol ; 63(6): 471-6, 2010.
Article in English, Spanish | MEDLINE | ID: mdl-20820087

ABSTRACT

OBJECTIVE: To describe two cases of urothelial tumors in inguinoscrotal bladder hernias and comment on the low incidence of this condition. METHODS: Two patients were diagnosed and treated by partial cystectomy and hernia repair. RESULTS: The clinical outcome of both patients was good at two and three years, respectively, and neither patient experienced hernia or tumor recurrence. CONCLUSIONS: Inguinal bladder hernias are relatively common. However, few reports of tumor in the herniated bladder have been published. Treatment consists of tumor removal, hernia repair and treatment of any associated urethroprostatic condition.


Subject(s)
Carcinoma/complications , Hernia/complications , Inguinal Canal , Scrotum , Urinary Bladder Diseases/complications , Urinary Bladder Neoplasms/complications , Aged , Aged, 80 and over , Humans , Male
8.
Arch. esp. urol. (Ed. impr.) ; 63(6): 471-476, jul.-ago. 2010. ilus
Article in Spanish | IBECS | ID: ibc-87813

ABSTRACT

OBJETIVO: Mostramos dos casos de neoplasia urotelial en hernias vesicales inguinoescrotales y referimos su escasa incidencia.METODOS: Se describe el diagnóstico y tratamiento efectuado con cistectomía parcial y herniorrafia.RESULTADOS: Ambos pacientes al cabo de dos y tres años respectivamente han tenido buena evolución clínica, sin recidiva herniaria ni del tumor.CONCLUSIONES: Las hernias vesicales inguinales son relativamente frecuentes, pero los casos de tumor en la vejiga herniada son escasos en la literatura. El tratamiento persigue eliminar el tumor, reparar la hernia y tratar si existe la patología uretroprostática (AU)


OBJECTIVE: To describe two cases of urothelial tumors in inguinoscrotal bladder hernias and comment on the low incidence of this condition.METHODS: Two patients were diagnosed and treated by partial cystectomy and hernia repair.RESULTS: The clinical outcome of both patients was good at two and three years, respectively, and neither patient experienced hernia or tumor recurrence.CONCLUSIONS: Inguinal bladder hernias are relatively common. However, few reports of tumor in the herniated bladder have been published. Treatment consists of tumor removal, hernia repair and treatment of any associated urethroprostatic condition (AU)


Subject(s)
Humans , Male , Aged , Aged, 80 and over , Cystocele/diagnosis , Cystocele/surgery , Cystectomy/methods , Cystectomy , Ultrasonography/instrumentation , Ultrasonography/methods , Ultrasonography , Tomography/methods , Tomography
9.
Obes Surg ; 19(9): 1203-10, 2009 Sep.
Article in English | MEDLINE | ID: mdl-19572113

ABSTRACT

BACKGROUND: Reports on laparoscopic sleeve gastrectomy (LSG) communicate very good short-term results on very high-risk morbid obese patients. However, mid- and long-term results are still unknown. A National Registry has been created in Spain to achieve information on the outcomes of this bariatric procedure. METHODS: Data were obtained from 17 centers and collected in a database. Technical issues, preoperative comorbid conditions, hospital stay, early and late complications, and short- and mid-term weight loss were analyzed. RESULTS: Five hundred forty patients were included; 76% were women. Mean BMI was 48.1 +/- 10. Mean age was 44.1 +/- 11.8. Morbidity rate was 5.2% and mortality rate 0.36%. Complications presented more frequently in superobese patients (OR, 2.8 (1.18-6.65)), male (OR, 2.98 (1.26-7.0)), and patients >55 years old (OR, 2.8 (1.14-6.8)). Staple-line reinforcement was related to a lower complication rate (3.7 vs 8.8%; p = 0.039). Mean hospital stay was 4.8 +/- 8.2 days. Mean follow-up was 16.5 +/- 10.6 months (1-73). Mean percent excess BMI loss (EBL) at 3 months was 38.8 +/- 22, 55.6 +/- 8 at 6 months, 68.1 +/- 28 at 12 months, and 72.4 +/- 31 at 24 months. %EBL was superior in patients with lower initial BMI and lower age. Bougie caliber was an inverse predictive factor of %EBL at 12 and 24 months (RR, 23.3 (11.4-35.2)). DM is remitted in 81% of the patients and HTA improved in 63.2% of them. A second-stage surgery was performed in 18 patients (3.2%). CONCLUSIONS: LSG provides good short- and mid-term results with a low morbid-mortality rate. Better results are obtained in younger patients with lowest BMI. Staple-line reinforcement and a thinner bougie are recommended to improve outcome.


Subject(s)
Gastrectomy/statistics & numerical data , Laparoscopy , Obesity, Morbid/surgery , Registries , Adult , Body Mass Index , Female , Gastrectomy/adverse effects , Humans , Male , Middle Aged , Obesity, Morbid/complications , Obesity, Morbid/epidemiology , Spain/epidemiology , Suture Techniques , Treatment Outcome , Weight Loss
10.
Cir Esp ; 82(3): 180-1, 2007 Sep.
Article in Spanish | MEDLINE | ID: mdl-17916291

ABSTRACT

Retained gastric antrum arises when there is incomplete excision of the gastric antrum during Billroth II gastrectomy for peptic ulcer disease. We report the case of a patient with gallstones in a retained gastric antrum, without biliodigestive fistula. This finding is extremely rare and we have found no previously reported cases in the literature.


Subject(s)
Cholelithiasis/diagnostic imaging , Cholelithiasis/surgery , Pyloric Antrum/diagnostic imaging , Pyloric Antrum/surgery , Biliary Fistula/diagnostic imaging , Gastrectomy , Humans , Male , Middle Aged , Tomography, X-Ray Computed
11.
Cir. Esp. (Ed. impr.) ; 82(3): 180-181, sept. 2007. ilus
Article in Es | IBECS | ID: ibc-056782

ABSTRACT

El antro gástrico retenido tiene lugar cuando se realiza una exéresis incompleta del antro gástrico durante una gastrectomía tipo Billroth II por enfermedad ulcerosa péptica. Se presenta el caso de un paciente con antro gástrico retenido con una concreción litiásica en su interior, sin fístula biliodigestiva, como un hallazgo extraordinariamente raro que no hemos encontrado descrito previamente en la literatura (AU)


Retained gastric antrum arises when there is incomplete excision of the gastric antrum during Billroth II gastrectomy for peptic ulcer disease. We report the case of a patient with gallstones in a retained gastric antrum, without biliodigestive fistula. This finding is extremely rare and we have found no previously reported cases in the literature (AU)


Subject(s)
Male , Middle Aged , Humans , Gallstones/diagnosis , Gallstones/surgery , Pyloric Antrum/surgery , Gastrectomy
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