RESUMO
BACKGROUND: The incidence of trocar site hernia (TSH) after laparoscopic ventral hernia repair (LVHR) is reported to be low. The present study investigates the associated risk factors, with a view to preventing this complication. METHODS: A retrospective study was made of the incidence of TSH in a personal series of LVHR, recording anthropometric and clinical data on the patients. Risk factors were assessed by bivariate and multivariate analyses. The patients were subjected to clinical and telephone follow-up. RESULTS: In a series of 27 LVHR, the incidence of TSH was 22% (6 patients). The use of meshes larger than 10 x 15 cm for LVHR was the only TSH risk factor to reach statistical significance. Female gender and diabetes showed a higher incidence in the TSH group. CONCLUSIONS: The use of large meshes may be a risk factor for TSH. We believe this to be due to dilatation of the trocar orifice during introduction of the mesh, and also to postoperative retraction of the mesh.
Assuntos
Hérnia Ventral/cirurgia , Hérnia/etiologia , Laparoscopia/efeitos adversos , Instrumentos Cirúrgicos/efeitos adversos , Adulto , Idoso , Idoso de 80 Anos ou mais , Complicações do Diabetes , Feminino , Hérnia/diagnóstico por imagem , Hérnia/epidemiologia , Hérnia Ventral/complicações , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Radiografia Abdominal , Estudos Retrospectivos , Fatores de Risco , Distribuição por Sexo , Telas Cirúrgicas/efeitos adversos , Tomografia Computadorizada por Raios XRESUMO
Hepatic adenoma is a benign neoplasm found in women on oral contraceptives over long periods of time. Its incidence in men is lower, associated with androgen on anabolic steroid treatment, diabetes, storage diseases (glycogenosis type I and VI), barbiturates and clomiphene. We report a case of a man with a large hepatic adenoma without previous history of predisposing factors. The treatment was surgical because of the uncertain behaviour of this lesion.
Assuntos
Adenoma , Neoplasias Hepáticas , Adenoma/diagnóstico , Adenoma/cirurgia , Adulto , Angiografia , Feminino , Hepatectomia , Humanos , Neoplasias Hepáticas/diagnóstico , Neoplasias Hepáticas/cirurgia , Masculino , Fatores Sexuais , Tomografia Computadorizada por Raios XAssuntos
Abdome Agudo/etiologia , Gastrostomia/efeitos adversos , Jejunostomia/efeitos adversos , Complicações Pós-Operatórias/etiologia , Abdome Agudo/patologia , Evolução Fatal , Humanos , Masculino , Pessoa de Meia-Idade , Cuidados Paliativos/efeitos adversos , Complicações Pós-Operatórias/patologiaRESUMO
Neuroblastoma is the most common malignant solid tumor in infants less than 1 year old. A case of adrenal cystic neuroblastoma detected by ultrasound in the 37 th week of pregnancy, is reported. The sonographic features of fetal neuroblastoma range from solid to cystic or complex lesions. Early detection of the tumor by prenatal ultrasound permits prompt neonatal treatment and a better outcome.
