RESUMO
Breast hamartoma is a benign and rare tumour consisting of glandular fat and fibrous tissue. A 36-year old woman was admitted to our clinic, complaining of a mass in her right breast since two months. Ultrasonographic and mammographic examinations revealed a 10 cm mass diagnosed as fibroadenolipoma. Total excision of the mass was performed without any complication. Histopathological examination revealed fibroadenomatous hamartoma.
Assuntos
Doenças Mamárias/patologia , Fibroadenoma/patologia , Hamartoma/patologia , Adulto , Doenças Mamárias/cirurgia , Feminino , Fibroadenoma/cirurgia , Hamartoma/cirurgia , HumanosRESUMO
BACKGROUND: Because of limited experience worldwide, controversies about the laparoscopic treatment of liver hydatid cysts have not been resolved. The aim of this study was to describe the technical details of a laparoscopic method we developed in 1992 and report the initial results from an endemic area. METHODS: Of the 30 consecutive patients with 33 liver hydatid cysts considered for laparoscopic treatment during a 6-year period at a university hospital in Turkey, conversion to an open procedure was required in 7 patients (23%) while 23 patients with 25 cysts were able to be treated laparoscopically. RESULTS: By using a special trocar to suspend the cyst against the abdominal wall, laparoscopic simple drainage was performed in 16 patients (70%) and unroofing and drainage in 6 patients (26%). Pericystectomy was performed in 1 patient (4%). Complications were observed in 1 patient (4%) perioperatively and 4 patients (17%) postoperatively. Eleven patients (48%) were followed-up for a mean of 17 months (range, 3-72 months) and 1 recurrence (9%) was detected. CONCLUSIONS: This report is a very large experience with the laparoscopic treatment of liver hydatid cysts in the literature. We have established a technique yielding a comparable morbidity and recurrence rate to open series in early follow-up. We advocate that it is a safe and simple technique with potentially a decreased risk of intra-abdominal spillage compared with the other laparoscopic methods described.
Assuntos
Equinococose Hepática/cirurgia , Laparoscopia/métodos , Adulto , Drenagem , Feminino , Humanos , Tempo de Internação , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Recidiva , Instrumentos CirúrgicosAssuntos
Adenoma/patologia , Neoplasias das Glândulas Suprarrenais/patologia , Adenoma/complicações , Adenoma/cirurgia , Neoplasias das Glândulas Suprarrenais/complicações , Neoplasias das Glândulas Suprarrenais/cirurgia , Adulto , Síndrome de Cushing/etiologia , Síndrome de Cushing/patologia , Feminino , Humanos , Pigmentação , Remissão EspontâneaRESUMO
Pancreatic ascites occurs in cases of pancreatic ducts being damaged or discontinued due to pancreatitis or pancreatic trauma. Serum amylase, amylase and protein levels in ascites fluid are found to be elevated in cases of pancreatic ascites and a pancreatogram made during the operation confirms it. Various operations and sometimes a simple abdominal drainage are performed for treating pancreatic ascites.
Assuntos
Ascite/etiologia , Pâncreas/lesões , Adolescente , Amilases/análise , Ascite/diagnóstico , Ascite/cirurgia , Líquido Ascítico/análise , Drenagem , Humanos , Masculino , Pancreatite/complicações , Proteínas/análiseRESUMO
The pretibial and calf skin blood pressure was measured in 34 legs, of which 20 suffered from ilio-femoral arterial stenosis and 14 from popliteal arterial stenosis. The constantly higher calf than pretibial pressure in both groups of patients studied strengthens the place of the long posterior flaps in below knee amputation.
