ABSTRACT
Hedrocele represents an unusual variant of the rare posterior perineal hernia and results from a defect in the rectogenital septum. We report two cases of obstructive defecation syndrome (ODS) related to presence of hedrocele successfully treated by laparoscopy-assisted transanal surgery.
Subject(s)
Anal Canal/surgery , Constipation , Defecation , Laparoscopy/methods , Rectal Prolapse/surgery , Aged , Anal Canal/diagnostic imaging , Anal Canal/physiopathology , Defecography , Digestive System Surgical Procedures/methods , Female , Humans , Middle Aged , Proctoscopy , Quality of Life , Recovery of Function , Rectal Prolapse/diagnosis , Rectal Prolapse/physiopathology , Risk Factors , Syndrome , Treatment OutcomeABSTRACT
Rectovaginal fistula (RVF) is an abnormal communication between vagina and anorectum. Most frequent causes are iatrogenic. Often surgery is the therapy of choice. The suggested treatments include trans-anal access or combined trans-anal and vaginal access. We present the case of a woman with complicated iatrogenic fistula treated by a combined trans-anal and vaginal access, interposition of buccal mucosa and opposition of PRP (platelet rich plasma).
Subject(s)
Platelet-Rich Plasma , Radiation Injuries/therapy , Rectovaginal Fistula/therapy , Aged , Brachytherapy/adverse effects , Carcinoma, Endometrioid/radiotherapy , Carcinoma, Endometrioid/surgery , Combined Modality Therapy , Endometrial Neoplasms/radiotherapy , Endometrial Neoplasms/surgery , Female , Gels , Humans , Hysterectomy , Iatrogenic Disease , Mouth Mucosa/transplantation , Radiation Injuries/etiology , Radiation Injuries/surgery , Rectovaginal Fistula/etiology , Rectovaginal Fistula/surgery , Suture Techniques , Transplantation, Heterotopic , Wound Healing/drug effectsABSTRACT
Rectourethral fistulas are an uncommon complication of urinary or rectal surgery, trauma, inflammatory disease, radiation therapy for prostate cancer; they represent an unique challenge for the surgeon. Although closure can occure spontaneously, most cases of acquired rectourethral fistula need surgical repair. Despite a century of surgical experience, no single approach has been universally accepted. We report a case of a rectourethral fistula occurred in a 73 year-old man after a radical retropubic prostatectomy and external beam irradiation for prostate cancer, successfully treated with perineal approach.
Subject(s)
Rectal Fistula/surgery , Urethral Diseases/surgery , Urinary Fistula/surgery , Adenocarcinoma/radiotherapy , Adenocarcinoma/surgery , Aged , Follow-Up Studies , Humans , Magnetic Resonance Imaging , Male , Prostatectomy , Prostatic Neoplasms/radiotherapy , Prostatic Neoplasms/surgery , Rectal Fistula/diagnosis , Rectal Fistula/etiology , Time Factors , Urethral Diseases/diagnosis , Urethral Diseases/etiology , Urinary Fistula/diagnosis , Urinary Fistula/etiologyABSTRACT
Gastric lipoma is a rare benign tumor. The symptoms are correlated with the size and the dimensions of neoplasm. It can be the cause of bleeding, gastroduodenal intussusception and intestinal obstruction, as in case reported and surgically treated. The Authors make a literature review to define the better diagnostic and surgical approach.
Subject(s)
Intestinal Obstruction/etiology , Lipoma/complications , Lipoma/diagnosis , Stomach Neoplasms/complications , Stomach Neoplasms/diagnosis , Diagnosis, Differential , Humans , Intestinal Obstruction/diagnosis , Intestinal Obstruction/surgery , Laparotomy , Lipoma/surgery , Male , Middle Aged , Stomach Neoplasms/surgery , Treatment OutcomeABSTRACT
Multinodular goitre is a very common pathology among people especially female adult and represents more than 90% of the thyroid surgery. We analyzed 37 patients, demonstrating that the whole gland is progressively affected by an incessant nodulogenesis and we confirm the necessity of total thyroidectomy in order to eliminate any persistent pathology.
Subject(s)
Goiter, Nodular/pathology , Adult , Aged , Aged, 80 and over , Disease Progression , Female , Goiter, Nodular/classification , Goiter, Nodular/surgery , Humans , Male , Middle Aged , Thyroid Gland/pathology , ThyroidectomyABSTRACT
Patients with homocystinuria have an increased risk for both venous and artherial thrombosis but it has been found that even moderate increase in homocysteine levels are associated with heightened risk of thromboembolism. The Authors report a case of juvenile vasculopathy in a patient with hyperomocysteinemia. In this case the patient presented both venous and artherial thromboembolism in the absence of the most important risk factors. The opportunity is stressed to perform clinical tests for the correct diagnosis of hyperhomocysteinemia because it is possible, with the use of folic acid and vitamin B12, to correct the elevated levels of homocysteine.
