RESUMO
Incidence of gastrointestinal tuberculosis increases in the western world. Exact epidemiological data about this rare extrapulmonological disease are not available in Hungary. Three advanced cases with intestinal tuberculosis have been reported, all of them recognised during surgery due to complications. The clinicopathological correlations are briefly reviewed, and the importance of early diagnosis is emphasized.
Assuntos
Tuberculose Gastrointestinal , Tuberculose Pulmonar/diagnóstico , Adulto , Feminino , Humanos , Valva Ileocecal/microbiologia , Valva Ileocecal/patologia , Valva Ileocecal/cirurgia , Íleo/microbiologia , Íleo/patologia , Masculino , Pessoa de Meia-Idade , Teste Tuberculínico , Tuberculose Gastrointestinal/patologia , Tuberculose Gastrointestinal/cirurgia , Tuberculose Pulmonar/microbiologiaRESUMO
Chronic suppuration is a reverting problem in surgical practice. The concerned region either has insufficient circulation due to basic disease, or systemic antibiotics takes no effect due to inflammatory barrier developed meanwhile. For this reason Authors initiated systematic use of gentamicin sponge (Garamycin, Schering-Plough, USA) two years ago. During this period we implanted gentamicin sponge in 40 cases. After primary intervention in 85% of treated patients we observed complete recovery, or in case of ulcus cruris we reached proper condition for skin-transplantation. Three patients needed further incision and in two cases amputation of diabetic foot could not be avoided. Our results support the effectivity of gentamicin sponge in treating local inflammatory processes supplementing and increasing efficiency of surgical procedures.
Assuntos
Antibacterianos/uso terapêutico , Gentamicinas/uso terapêutico , Tampões de Gaze Cirúrgicos , Amputação Cirúrgica , Antibacterianos/administração & dosagem , Doença Crônica , Preparações de Ação Retardada , Pé Diabético/tratamento farmacológico , Pé Diabético/cirurgia , Implantes de Medicamento , Gentamicinas/administração & dosagem , Humanos , Úlcera da Perna/tratamento farmacológico , Úlcera da Perna/cirurgia , Complicações Pós-Operatórias/tratamento farmacológico , Transplante de Pele , Supuração/tratamento farmacológico , Infecção da Ferida Cirúrgica/tratamento farmacológicoRESUMO
Recently instead of the old fashioned, traditional explorative laparotomy the newer up-to-date procedure, the diagnostic-staging laparoscopy has been generally used in the everyday surgical practice of the Authors. Evaluating 32 diagnostic and staging laparoscopy Authors draw the attention to the importance of this procedure which has high diagnostic value, and reduces the complication rate. Biopsy, cytology, frozen section can be done. Authors carries out diagnostic and staging laparoscopy in cases of esophageal, liver, stomach and pancreas tumours just immediately before surgery.
