ABSTRACT
Ultrasound guided percutaneous cholecystostomy was performed in 11 patients. In 9 cases there was surgical jaundice due to obstruction of the common bile duct and in 2 cases it was done for empyema of the gall bladder. The placement of a catheter in the gall bladder was successful in all cases. In one case, due to obstruction of the cystic duct, biliary decompression was not achieved. Bile leak or haemorrhage did not occur in any patient. The technique and results are reported, the possible uses of this procedure are discussed and its potential use in providing access to the biliary tree is highlighted.
Subject(s)
Cholecystostomy/methods , Cholestasis/surgery , Common Bile Duct Diseases/surgery , Ultrasonography/methods , Adult , Cholestasis/diagnostic imaging , Common Bile Duct Diseases/diagnostic imaging , Drainage/methods , Female , Humans , Male , Middle AgedABSTRACT
Pedicled omentum, after lengthening, was transferred to the ischemic lower limbs of 12 patients with Buerger's disease to assess its capacity to improve the blood supply to these compromised extremities. The immediate (after one month) and long-term (9-12 months) results were encouraging. After one month, rest pain had diminished in 83% of cases, claudication was relieved in 75% of cases, temperature became normal in all cases (100%) and ischemic ulcers either healed or showed signs of healing in 83% of cases. During long-term follow up (after 9-12 months), the results deteriorated slightly, but they remained promising. Rest pain had disappeared in 80% of cases. Claudication was still relieved in 70% of cases, temperature was still improved in 60% and ulcers had healed completely in 67% of cases.
Subject(s)
Ischemia/surgery , Leg/blood supply , Omentum/transplantation , Thromboangiitis Obliterans/surgery , Adult , Amputation, Surgical , Follow-Up Studies , Gangrene , Humans , Intermittent Claudication/surgery , Male , Skin TemperatureABSTRACT
One hundred and seventy two cases requiring bowel resection for various intestinal conditions were randomly selected for use of the double or single layer technique, for the end-to-end anastomosis. It was observed that the return of bowel function was quicker in the single layer group than in the double layer group, and the incidence of anastomotic leakage was lower in the former group.
Subject(s)
Intestines/surgery , Adult , Colonic Diseases/etiology , Evaluation Studies as Topic , Female , Humans , Intestinal Diseases/surgery , Intestinal Fistula/etiology , Male , Postoperative ComplicationsABSTRACT
Two-hundred and sixty-four patients with typhoid perforation of the bowel, who were admitted to our department during a five-year period (1978 to 1982) were reviewed. Most of the patients presented with advanced peritonitis, severe dehydration, toxemia and gross malnutrition. History and clinical examinations were sufficient for the diagnosis of these patients. Operative management was found to be far better than conservative treatment which was associated with a very high mortality. The best morbidity and mortality levels were obtained in patients who received thorough peritoneal lavage, intravenous Metronidazole, hyperalimentation and blood transfusion. The single layer suture technique was found more effective in reducing the incidence of postoperative fecal fistula than the double layer technique.
