RESUMEN
The Authors report their personal experience on the employment of the dual-mesh in PTFE for the treatment of the umbilical hernias in postmenopausal women. The prosthetic repair versus the classic Mayo's technique finds justification for the biostructural deficits of the muscolofascial structures of the women in menopause, due to the reduction of the ovarian function and made worse from previous pregnancies. An evaluation of the trofism of the structures of the abdominal wall and the dimensions of the hernias is however indispensable in the choice of the prosthetic surgery. In our casuistry the reported morbidity due to immediate complications is absolutely negligible. Up to the present, although the follow-up is still short, we have not found recurrences.
Asunto(s)
Hernia Umbilical/cirugía , Posmenopausia , Mallas Quirúrgicas , Femenino , Humanos , Persona de Mediana Edad , Politetrafluoroetileno , Resultado del TratamientoRESUMEN
Cecal adenocarcinoma within an inguinal hernial sac is an uncommon clinical condition. A primary adenocarcinoma of the cecum in a right sided inguinal hernia is presented and discussed. This case represents one of the unexpected findings in a hernia sac and also very rare septic evolution. This particular condition is a main dignostic and therapeutic challenge.
Asunto(s)
Pared Abdominal , Absceso , Adenocarcinoma , Neoplasias del Ciego , Hernia Inguinal/complicaciones , Absceso/complicaciones , Absceso/diagnóstico , Absceso/cirugía , Adenocarcinoma/complicaciones , Adenocarcinoma/diagnóstico , Adenocarcinoma/diagnóstico por imagen , Adenocarcinoma/patología , Adenocarcinoma/cirugía , Anciano , Neoplasias del Ciego/complicaciones , Neoplasias del Ciego/diagnóstico , Neoplasias del Ciego/diagnóstico por imagen , Neoplasias del Ciego/patología , Neoplasias del Ciego/cirugía , Ciego/patología , Hernia Inguinal/diagnóstico , Hernia Inguinal/diagnóstico por imagen , Hernia Inguinal/cirugía , Humanos , Masculino , Radiografía Abdominal , Tomografía Computarizada por Rayos XRESUMEN
This retrospective study shows that endoscopic polypectomy is the technique of choice to remove the majority of polyps; follow-up and pathologic examinations shed light on the carcinogenesis of colorectal lesions. From January 1990 to December 2001, 1302 adenomatous polyps were removed, 1175 endoscopically, 127 with surgical procedures. The anatomical and morphologic conditions of the colon and some characteristics of the polyps represent limits to the feasibility and to the efficacy of polypectomy, and the most important variables for the correct management of the patients affected by colorectal adenomatous polyps.
