Assuntos
Derivação Arteriovenosa Cirúrgica/métodos , Prótese Vascular , Diálise Renal/métodos , Animais , Veia Axilar/cirurgia , Bioprótese , Artéria Braquial/cirurgia , Bovinos , Rejeição de Enxerto , Sobrevivência de Enxerto , Humanos , Falência Renal Crônica/cirurgia , Masculino , Pessoa de Meia-Idade , Polietilenotereftalatos , Complicações Pós-Operatórias , Transplante HeterólogoRESUMO
A case of giant recurrent intra-abdominal desmoid tumor is presented. A history of childbirth, antecedent surgery, multiple episodes of recurrence, resistance to excisional and radiation therapy, represent common features of desmoid tumors. The size of the recurrence (15.4 kg), the intra-abdominal presentation of the tumor, involvement of the chest wall and focal infiltration of the small bowel are unusual features of this case.
Assuntos
Neoplasias Abdominais/cirurgia , Fibroma/cirurgia , Recidiva Local de Neoplasia/cirurgia , Neoplasias Torácicas/cirurgia , Neoplasias Abdominais/radioterapia , Adulto , Feminino , Fibroma/radioterapia , Humanos , Recidiva Local de Neoplasia/radioterapia , Gravidez , Complicações na Gravidez , Neoplasias Torácicas/radioterapiaRESUMO
The use of the bovine heterograft in the severely ill patient is reviewed. From personal experience and a review of the literature we believe the preferred site of placement is between the brachial artery and brachial vein in the arm.
Assuntos
Derivação Arteriovenosa Cirúrgica/métodos , Artérias Carótidas/transplante , Diálise Renal , Transplante Heterólogo , Injúria Renal Aguda/terapia , Animais , Braço/irrigação sanguínea , Derivação Arteriovenosa Cirúrgica/efeitos adversos , Artéria Braquial/cirurgia , Bovinos , Humanos , Veias/cirurgiaRESUMO
One hundred consecutive subclavian catheter insertions were performed by the surgical house staff of Martland Hospital, Newark, New Jersey, over a ten month period. The only complications were three punctures of the subclavian artery and one systemic infection. The following conclusions were drawn from these data. Maintaining a closed intravenous system with minimal manipulation of the catheter is the most important factor in avoiding infectious complication. Neither the routine use of irrigation of the catheter with amphotericin B nor insertion of the catheter under strict aseptic conditions is necessary to minimize infectious complications. The morbidity related to insertion of the catheter can be kept to a minimum if the catheters are inserted by experienced personnel.
