Subject(s)
Bile , Cholecystectomy , Gallbladder/injuries , Genital Diseases, Male/etiology , Intraoperative Complications/etiology , Scrotum , Humans , Male , Middle AgedABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Bile , Cholecystectomy/adverse effects , Gallbladder/injuries , Genital Diseases, Male/etiology , Intraoperative Complications/etiology , ScrotumABSTRACT
No disponible
Subject(s)
Male , Aged , Humans , Intestinal Fistula/diagnosis , Aorta/physiopathology , Duodenum/physiopathology , Hematemesis/etiology , Hypovolemia/etiologySubject(s)
Adenomyoma/complications , Ampulla of Vater , Common Bile Duct Neoplasms/complications , Jaundice, Obstructive/etiology , Adenomyoma/diagnostic imaging , Adenomyoma/surgery , Adult , Ampulla of Vater/diagnostic imaging , Cholangiopancreatography, Endoscopic Retrograde , Common Bile Duct Neoplasms/diagnostic imaging , Common Bile Duct Neoplasms/surgery , Humans , MaleABSTRACT
No disponible
Subject(s)
Male , Adult , Humans , Adenomyoma/complications , Ampulla of Vater , Cholangiopancreatography, Endoscopic Retrograde , Jaundice, Obstructive/etiology , Common Bile Duct Neoplasms/complications , Adenomyoma , Adenomyoma/surgery , Common Bile Duct Neoplasms , Common Bile Duct Neoplasms/surgeryABSTRACT
OBJECTIVE: Analysis of clinical and surgical factors in a series of patients subjected to laparoscopic cholecystectomy in an outpatient unit and their relationship with time of discharge and patient acceptance. PATIENTS AND METHOD: Eighty one consecutive patients underwent to elective laparoscopic cholecystectomy during year 2002 within S.A.S. (Andalusian Health Service) from a surgical waiting list. Retrospective and comparative study between two groups: group A includes patients discharged between 24 and 48 hours after intervention; group B includes patients discharged in less than 24 hours. We analyse the clinical and surgical characteristics and post-operative outcome of both groups of patients. RESULTS: Group A was composed of 53 patients and group B of 28 patients. Factors of clinical significance which determined discharge after 24 hours included: early post-surgical incidences or complications (p = 0.017), inability to tolerate oral diet (p = 0.002), and doubts and feelings insecurity of patients regarding discharge by traditional means 62.3% (p = 0.0003). CONCLUSIONS: Outpatient laparoscopic cholecystectomy is a safe and reliable procedure with a high acceptance rate and few complications. Perhaps traditional culture has to be changed to obtain better results.
Subject(s)
Ambulatory Surgical Procedures/methods , Cholecystectomy, Laparoscopic/methods , Cholelithiasis/surgery , Patient Discharge/statistics & numerical data , Cholecystectomy, Laparoscopic/adverse effects , Female , Humans , Length of Stay , Male , Middle Aged , Outpatient Clinics, Hospital/statistics & numerical data , Postoperative Care , Postoperative Complications , Retrospective Studies , Safety , Surgicenters/statistics & numerical data , Treatment OutcomeABSTRACT
Eosinophilic enteritis is an uncommon disease that rarely develops as a surgical emergency. Although it may be associated with infestation by Ancylostoma caninum, its etiology is unknown and often related to a personal or family history of atopy. A transmural involvement may cause intestinal obstruction--more frequently in the jejunum--or even acute abdomen, which may or may not be accompanied by intestinal perforation. The latter two conditions tend to be more commonly associated with ileum disease, causing pain in the lower right quadrant of the abdomen. Patient history, eosinophil count--which may be paradoxically reduced when the disease appears in this way--, ultrasonography, and/or CT lead to the suspicion of this condition before a surgical procedure is considered. A definitive diagnosis, however, must be reached by means of an anatomopathological study. Macroscopically, intestinal loops exhibit a thickened appearance with an elastic consistency. Laparoscopic intestinal biopsy may play a major role in the diagnosis of disease.
Subject(s)
Enteritis/complications , Eosinophilia/complications , Intestinal Obstruction/etiology , Female , Humans , Jejunal Diseases/complications , Middle AgedABSTRACT
La enteritis eosinofílica es una enfermedad poco frecuente que debuta de forma extraordinaria como urgencia quirúrgica. Su etiopatogenia, aunque pudiera estar asociada a la infestación por Ancylostoma caninum, se desconoce, y en muchas ocasiones se relaciona con antecedentes personales o familiares de atopia.La afectación transmural puede ocasionar síndrome obstructivo intestinal, más frecuente a nivel yeyunal, o incluso un abdomen agudo acompañado o no de perforación entérica. Estas dos últi- mas entidades suelen estar asociadas más usualmente con el asentamiento de la enfermedad en íleon, provocando dolor en la fosa iliaca derecha. Los antecedentes del enfermo, el recuento de eosinófilos en sangre, que paradójicamente puede estar disminuido cuando la enfermedad debuta de esta forma, la ecografía y/o la TAC, pueden hacernos sospechar de esta patología antes de plantearse la intervención quirúrgica, aunque el diagnóstico definitivo se realiza mediante el estudio anatomopatológico. Macroscópicamente, el asa intestinal presenta un aspecto engrosado y de consistencia elástica. La biopsia intestinal mediante laparoscopia puede jugar un importante papel en su diagnóstico (AU)
