Subject(s)
Colon/transplantation , Esophageal Atresia/surgery , Esophagoplasty/methods , Stomach/surgery , Transplantation, Heterotopic/methods , Anastomosis, Surgical , Esophageal Atresia/classification , Esophageal Fistula/etiology , Esophageal Fistula/surgery , Esophagostomy , Female , Gastric Fistula/etiology , Gastric Fistula/surgery , Gastrostomy , Graft Rejection , Humans , Infant, Newborn , Necrosis , Postoperative Complications/etiology , Postoperative Complications/surgery , Reoperation , Sutures/adverse effectsABSTRACT
BACKGROUND: amebic liver abscess is frequently seen in endemic regions, and has a poor prognosis when diagnosis and treatment are inappropriate. AIM: to evaluate and compare our own results; to propose a new classification and therapeutic algorithm. DESIGN: an observational and retrospective study. METHOD: medical records were reviewed for sex, age, signs and symptoms, images, laboratory tests, size, location, treatment, hospital stay, and morbidity-mortality. RESULTS: sixteen patients with amebic liver abscess had been treated -9 were males, mean age was 30.56 years, all abscesses were solitary, 14 were in the right hepatic lobe, average size was 63.25, and 10 were of the collected type according to N Gbesso s classification. Seven patients had a good response to medical treatment, 6 needed percutaneous drainage, and 3 required surgery. Morbidity was 12.5% and mortality 0%. Average hospital stay was 7.68 days. CONCLUSION: our results are similar to those in other published series. The addition of two new groups to N Gbesso s classification provides better therapeutic orientation. We believe that early percutaneous drainage for collected abscesses bigger than 5 cm may improve symptoms and shorten hospital stay.
Subject(s)
Liver Abscess, Amebic/therapy , Adolescent , Adult , Algorithms , Child , Child, Preschool , Humans , Middle Aged , Retrospective Studies , Time FactorsSubject(s)
Colonic Diseases/diagnosis , Intestinal Obstruction/etiology , Tuberculosis, Gastrointestinal/diagnosis , Adult , Aged , Female , Humans , MaleABSTRACT
Diaphragmatic traumatic chronic hernias are infrequent. Diagnostic can be difficult if don't exist suspicion and treatment is always by surgery. The aim of this paper is to present three cases and makes an actualisation in basis to our experience and the literature.
Subject(s)
Hernia, Diaphragmatic, Traumatic/surgery , Aged , Aged, 80 and over , Chronic Disease , Fatal Outcome , Female , Hernia, Diaphragmatic, Traumatic/diagnostic imaging , Hernia, Diaphragmatic, Traumatic/etiology , Humans , Male , Middle Aged , Radiography , Wounds, Nonpenetrating/complicationsABSTRACT
Diaphragmatic traumatic chronic hernias are infrequent. Diagnostic can be difficult if don't exist suspicion and treatment is always by surgery. The aim of this paper is to present three cases and makes an actualisation in basis to our experience and the literature.
Subject(s)
Humans , Male , Female , Middle Aged , Hernia, Diaphragmatic, Traumatic/surgery , Chronic Disease , Fatal Outcome , Hernia, Diaphragmatic, Traumatic/diagnosis , Hernia, Diaphragmatic, Traumatic/etiology , Wounds, Nonpenetrating/complicationsABSTRACT
Diaphragmatic traumatic chronic hernias are infrequent. Diagnostic can be difficult if dont exist suspicion and treatment is always by surgery. The aim of this paper is to present three cases and makes an actualisation in basis to our experience and the literature.
ABSTRACT
Diaphragmatic traumatic chronic hernias are infrequent. Diagnostic can be difficult if dont exist suspicion and treatment is always by surgery. The aim of this paper is to present three cases and makes an actualisation in basis to our experience and the literature.(AU)
Subject(s)
Humans , Male , Female , Middle Aged , Aged , Hernia, Diaphragmatic, Traumatic/surgery , Hernia, Diaphragmatic, Traumatic/diagnosis , Hernia, Diaphragmatic, Traumatic/etiology , Aged, 80 and over , Chronic Disease , Fatal Outcome , Wounds, Nonpenetrating/complicationsABSTRACT
No disponible
No disponible
Subject(s)
Adult , Female , Humans , Fatal Outcome , Aortic Diseases , Esophageal Fistula , Foreign BodiesSubject(s)
Aortic Diseases/etiology , Esophageal Fistula/etiology , Foreign Bodies/complications , Adult , Fatal Outcome , Female , HumansSubject(s)
Intestine, Small , Rectal Prolapse/etiology , Aged , Female , Humans , Rectal Diseases/complications , Rupture, SpontaneousSubject(s)
Cholestasis/etiology , Lymphoma, B-Cell/complications , Pancreatitis/etiology , Acute Disease , Adult , Humans , MaleABSTRACT
Cancer of the cystic duct is very infrequent, the diagnosis must be made during surgery for biliary pathology, generally lithiasis. The present tendency as regards treatment, is surgery associated with lymphadenectomy.
Subject(s)
Adenocarcinoma/pathology , Bile Duct Neoplasms/pathology , Cystic Duct , Acute Disease , Adenocarcinoma/surgery , Aged , Bile Duct Neoplasms/surgery , Cholecystitis/pathology , Cholecystitis/surgery , Humans , MaleABSTRACT
Cancer of the cystic duct is very infrequent, the diagnosis must be made during surgery for biliary pathology, generally lithiasis. The present tendency as regards treatment, is surgery associated with lymphadenectomy.
Subject(s)
Humans , Male , Aged , Adenocarcinoma , Bile Duct Neoplasms , Cystic Duct , Acute Disease , Adenocarcinoma , Bile Duct Neoplasms , CholecystitisABSTRACT
Cancer of the cystic duct is very infrequent, the diagnosis must be made during surgery for biliary pathology, generally lithiasis. The present tendency as regards treatment, is surgery associated with lymphadenectomy.
ABSTRACT
Cancer of the cystic duct is very infrequent, the diagnosis must be made during surgery for biliary pathology, generally lithiasis. The present tendency as regards treatment, is surgery associated with lymphadenectomy. (Au)
Subject(s)
Humans , Male , Aged , Bile Duct Neoplasms/pathology , Adenocarcinoma/pathology , Cystic Duct , Bile Duct Neoplasms/surgery , Adenocarcinoma/surgery , Cholecystitis/pathology , Cholecystitis/surgery , Acute DiseaseABSTRACT
One hundred and fifty laparoscopic cholecystectomies without pneumoperitoneum (LCWP) cases were reviewed. Age, sex, duration of surgical procedures, postoperative pain, complications and length of hospital stay data were also analyzed. We concluded that LCWP avoids complication related to its use and has become a sound option particularly for those patients with a history of cardiorespiratory failure where pneumoperitoneum approach is hindered. Hence, laparoscopic cholecystectomy prescription is widened.
Subject(s)
Cholecystectomy, Laparoscopic/methods , Pneumoperitoneum, Artificial , Adult , Aged , Aged, 80 and over , Cholecystectomy, Laparoscopic/adverse effects , Female , Humans , Male , Middle Aged , Pain, PostoperativeABSTRACT
Introducción. La cirugía laparoscópica conlleva la realización de un neumoperitoneo con CO2 que puede ser causa de complicaciones. Objetivo. Valorar los resultados de un sistema de tracción parietal que evita la necesidad del neumoperitoneo. Material y métodos. Análisis prospectivo de 150 colecistectomías laparoscópicas en las que no se utilizó neumoperitoneo con CO2. Resultados. Los resultados no difieren de la colecistectomía laparoscópica convencional en los parámetros analizados, salvo un mayor dolor en cirugías prolongadas y las que requirieron mayor tracción. Conclusiones. Se trata de una alternativa válida y que podría ampliar las indicaciones de esta cirugía en determinados pacientes con trastornos cardiorrespiratorios (AU)
Subject(s)
Adult , Aged , Female , Male , Middle Aged , Humans , Pneumoperitoneum/surgery , Pneumoperitoneum/complications , Pneumoperitoneum/diagnosis , Pneumoperitoneum/etiology , Carbon Dioxide/classification , Carbon Dioxide/pharmacokinetics , Carbon Dioxide/standards , Pain, Postoperative/complications , Pain, Postoperative/diagnosis , Pain, Postoperative/etiology , Cholecystectomy, Laparoscopic/classification , Cholecystectomy, Laparoscopic/methods , Cholecystectomy, Laparoscopic/instrumentation , Prospective Studies , Cholecystitis/surgery , Cholecystitis/complications , Cholecystitis/diagnosis , Cholecystitis/etiology , Analgesia/methods , Analgesia , Risk Factors , Abdominal Muscles/surgery , Cholelithiasis/surgery , Surgical InstrumentsABSTRACT
One hundred and fifty laparoscopic cholecystectomies without pneumoperitoneum (LCWP) cases were reviewed. Age, sex, duration of surgical procedures, postoperative pain, complications and length of hospital stay data were also analyzed. We concluded that LCWP avoids complication related to its use and has become a sound option particulary for those patients with a history of cardiorespiratory failure where pneumoperitoneum approach is hindered. Hence, laparoscopic cholecystectomy prescription is widened.
