RESUMO
The Authors describe a their own observation of 25 cases of acute colonic pseudo obstruction, better known as "Ogilvie Syndrome" with the objective to demonstrate that an early recognition and prompt appropriate therapy, better if conservative, can reduce the morbidity and the mortality of the Syndrome. The surgical therapy is reserved only to that cases in which the risk of perforation of the cecum represent an absolute indication to intervention.
Assuntos
Pseudo-Obstrução do Colo/terapia , Adulto , Idoso , Idoso de 80 Anos ou mais , Doenças do Ceco/etiologia , Doenças do Ceco/terapia , Pseudo-Obstrução do Colo/complicações , Pseudo-Obstrução do Colo/mortalidade , Pseudo-Obstrução do Colo/cirurgia , Enema , Feminino , Humanos , Perfuração Intestinal/etiologia , Perfuração Intestinal/terapia , Itália , Masculino , Pessoa de Meia-Idade , Neostigmina/uso terapêutico , Parassimpatomiméticos/uso terapêutico , Estudos Retrospectivos , SucçãoRESUMO
BACKGROUND: We have done a prospective, controlled, randomized study to investigate the role of the "zipper", a new device for skin closure. We have also analysed morbility and advantages with the use of the "zipper" compared with sutures. METHODS: 610 consecutive patients underwent surgery for abdominal thoracic endocrinologic and post traumatic pathologies. In 203 cases we used the zipper a new device for skin closure. RESULTS: 6/203 Morbility: in six cases it was necessary to substitute the zipper with sutures or leave the wound healing by second intention. The patients were operated for inguinal hernioplasty, axillary lymphadenectomy, appendicectomy and cholecystectomy. These patients developed complications after surgery as hematoma, lymphorrhea, wound infection and a reintervention. The correction has been done removing the zipper and positioning sutures or leaving the wound healing by second intention. CONCLUSIONS: The use of the zipper permits to achieve an efficient seal, a simple application, an aesthetic comfort; it can be applied in local anaesthesia and for its painless, application it is indicated in pediatric surgery.
Assuntos
Procedimentos Cirúrgicos Dermatológicos , Instrumentos Cirúrgicos , Fatores Etários , Criança , Feminino , Humanos , Masculino , Estudos Prospectivos , Grampeadores Cirúrgicos , Técnicas de Sutura , SuturasRESUMO
The occurrence of cutaneous metastasis from colorectal cancer is rare, with a reported frequency of less than 4 to 5 percent. Typically signifies widespread disease and a poor prognosis. Metastases from adenocarcinoma of the colon-rectum usually occur within two years of resection of the primary tumour, and the average survival of a patient with cutaneous metastasis has been reported as ranging from 3 to 18 months. The case reported here concerns a patient who developed a skin metastasis without evidence of visceral involvement after treatment of rectal carcinoma. It is advisable to implement cutaneous biopsy in patients with a history of carcinoma; this may establish the diagnosis of metastatic disease and change the methods of therapeutic intervention and prognosis.
