RESUMO
Although elbow dislocations are common orthopaedic lesions, vascular complications remain rare. We report the cases of three patients who presented with a rupture of the brachial artery after closed posterior dislocation, which is even more uncommon. Arteriograms were performed in all cases because of the persistent absence of pulses at the wrist after emergency reduction. In each patient, the treatment consisted of the insertion of reversed end-to-end saphenous bridges. None of them presented mid-term vascular complications (mean follow-up, 17 months). Brachial artery disruption can result from closed posterior elbow dislocation and responds well to vascular repair.
Assuntos
Implante de Prótese Vascular/métodos , Artéria Braquial/lesões , Lesões no Cotovelo , Luxações Articulares/complicações , Adulto , Anastomose Cirúrgica , Angiografia , Artéria Braquial/diagnóstico por imagem , Feminino , Seguimentos , Humanos , Luxações Articulares/diagnóstico por imagem , Pessoa de Meia-Idade , Ruptura , Veia Safena/transplanteRESUMO
On the basis of our experience with more than 71 cases of totally laparoscopic aortic surgery by the retrocolic approach, we have developed a new technique by a simple transperitoneal approach. The purpose of this report is to describe that technique and the novel laparoscopic bowel retractor used to ensure stable exposure of the aorta.
Assuntos
Aneurisma da Aorta Abdominal/cirurgia , Implante de Prótese Vascular/instrumentação , Peritônio/cirurgia , Aorta Abdominal/patologia , Aorta Abdominal/cirurgia , Cadáver , Constrição Patológica/cirurgia , Desenho de Equipamento , HumanosRESUMO
This retrospective study aims to clarify the mechanisms, frequency, symptoms, treatment, and outcome of post-traumatic thoracic outlet syndromes. A total of 13 patients (7 men and 6 women) with a mean age of 41 +/- 16 years were studied. Underlying injuries resulted from sports, road, and household accidents. Bone lesions were pseudarthrosis, hypertrophic callus, and luxations. Congenital anomalies were observed in five patients (38%). Vascular lesions included aneurysm of the subclavian artery or vein, acute ischemia, and subclavian vein thrombosis. Operative treatment involving orthopedic and/or vascular surgery was indicated in all patients. Post-traumatic thoracic outlet syndrome occurs in young subjects after violent trauma. Vascular complications are frequent and severe. Treatment achieves good results but benefits may be diminished by bone or nerve involvement.
Assuntos
Traumatismos Torácicos/complicações , Síndrome do Desfiladeiro Torácico/etiologia , Acidentes de Trânsito , Adulto , Idoso , Aneurisma/etiologia , Traumatismos em Atletas/complicações , Calo Ósseo/patologia , Clavícula/lesões , Feminino , Seguimentos , Fraturas Ósseas/complicações , Humanos , Hipertrofia , Isquemia/etiologia , Luxações Articulares/complicações , Masculino , Pessoa de Meia-Idade , Pseudoartrose/complicações , Estudos Retrospectivos , Artéria Subclávia/lesões , Veia Subclávia/lesões , Síndrome do Desfiladeiro Torácico/cirurgia , Trombose/etiologia , Resultado do TratamentoRESUMO
Splenic artery aneurysm is a rare but serious vascular disease. The mortality risk is 36% when one is ruptured. Surgical therapy has traditionally consisted in resection through a laparotomy. The authors' experience of a case of laparoscopic exclusion of a splenic artery aneurysm is reported. This surgical approach is simple, safe, and minimally invasive. This procedure should increase the indication for surgical treatment of a splenic artery aneurysm.
