RESUMO
OBJECTIVE: The principal objective of our study was to assess women's quality of life (QoL) after surgery for Deep Endometriosis (DE), according to the surgical technique used. MATERIAL AND METHODS: Qualitative single-center survey in the department of obstetrics and gynecology, Angers University Hospital Center, France. All women who underwent surgery for DE from January 2011 to December 2015 were contacted by phone. The Endometriosis Health Profile-5 score was used to assess QoL before and after the surgery. Fifty-two women (response rate=86%) were included and classified into 3 groups according to the surgical technique used: simple shaving, shaving exclusively or in part by plasma vaporization (plasma), and resection. RESULTS: The 3 groups were comparable for surgical history, preoperative QoL score, and characteristics of endometriotic lesions (size and site). All DE symptoms and QoL scores improved significantly after the surgery, all techniques combined (P<0.01). QoL scores for women who had plasma shaving or complete resection were significantly higher than those for women with simple shaving (respectively, 375 [225-800] and 450 [-50 to 725] vs 275 [-100 to 600]; P=0.04). Self-image significantly improved only in the plasma group (P=0.03). The complete resection group had longer hospitals stays than the other groups (P=0.001), as well as a higher surgical revision rate (23% vs 0%; P=0.02). CONCLUSION: Plasma and complete resection improved QoL similarly for women with DE, both more than shaving alone. The advantage of plasma vaporization lies in the lesser morbidity and better self-image, both better than in women with resection.
Assuntos
Endometriose/cirurgia , Procedimentos Cirúrgicos em Ginecologia/métodos , Avaliação de Resultados em Cuidados de Saúde , Qualidade de Vida , Adulto , Feminino , Humanos , Pessoa de Meia-IdadeAssuntos
Apendicectomia , Apendicite/complicações , Intestinos/anormalidades , Intestinos/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Doença Aguda , Adulto , Apendicite/diagnóstico por imagem , Apendicite/cirurgia , Apêndice/anormalidades , Apêndice/diagnóstico por imagem , Ceco/anormalidades , Ceco/diagnóstico por imagem , Colo/anormalidades , Colo/diagnóstico por imagem , Emergências , Humanos , Laparoscopia , Laparotomia , Masculino , Resultado do TratamentoRESUMO
The authors report a case of a patient with splenic metastasis with previous history of colorectal cancer. A 69-year-old woman underwent a left hemicolectomy for sigmoid colon cancer. The tumor was staged T3N0M0. Two years after the operation, there was an elevation of CEA and computed tomography (CT) scan revealed a mass in the spleen, considered as an isolated metastasis. The patient underwent splenectomy. Histological diagnosis confirmed a metastatic adenocarcinoma from colorectal carcinoma. Patient was alive without neoplasic recurrence 5 years after splenectomy. Generally, splenic metastasis is uncommon. However, with the case of colorectal cancers, metastasis to the spleen is particularly rare. As with splenic metastasis of all primary tumors, the literature recommends that the treatment, where possible, is surgical.
Assuntos
Adenocarcinoma/secundário , Neoplasias do Colo Sigmoide/patologia , Neoplasias Esplênicas/secundário , Adenocarcinoma/diagnóstico , Adenocarcinoma/cirurgia , Idoso , Feminino , Humanos , Neoplasias do Colo Sigmoide/cirurgia , Neoplasias Esplênicas/cirurgiaRESUMO
We report two cases of hepatocellular carcinoma revealed by jaundice and the presence of free-floating tumoural fragments within the biliary system. Two men (one of 64 and one of 73) presented with isolated jaundice. The results from ultrasound, CT and MRI were suggestive of a cholangiocarcinoma. Surgical intervention demonstrated bile duct thrombi from the primary tumour causing obstructive jaundice.
Assuntos
Ductos Biliares/cirurgia , Sistema Biliar/diagnóstico por imagem , Iminoácidos , Intestino Delgado/cirurgia , Fígado/diagnóstico por imagem , Tecnécio , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pâncreas/cirurgia , Ductos Pancreáticos/diagnóstico por imagem , Complicações Pós-Operatórias/diagnóstico por imagem , Cintilografia , Lidofenina Tecnécio Tc 99mRESUMO
Se presentan dos casos de estenosis alta del hepatico comun, iatrogenicas, tratadas con una hepaticoyeyunostomia con reseccion hepatica a lo Champeau. La evolucion alejada ha sido excelente
Assuntos
Adulto , Pessoa de Meia-Idade , Humanos , Masculino , Feminino , Ducto Hepático Comum , Doença Iatrogênica , Jejuno , Procedimentos Cirúrgicos OperatóriosRESUMO
Se presentan dos casos de estenosis alta del hepatico comun, iatrogenicas, tratadas con una hepaticoyeyunostomia con reseccion hepatica a lo Champeau. La evolucion alejada ha sido excelente
Assuntos
Adulto , Pessoa de Meia-Idade , Humanos , Masculino , Feminino , Doença Iatrogênica , Ducto Hepático Comum , Jejuno , Procedimentos Cirúrgicos OperatóriosAssuntos
Hiperlipoproteinemias/complicações , Pancreatite/complicações , Doença Aguda , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
En el presente trabajo se analizan cinco pacientes con diagnostico clinico de pancreatitis aguda y severa dislipoproteinemia que evolucionaron favorablemente con el tratamiento medico
Assuntos
Adulto , Pessoa de Meia-Idade , Humanos , Masculino , Feminino , Lipídeos , PancreatiteRESUMO
En el presente trabajo se analizan cinco pacientes con diagnostico clinico de pancreatitis aguda y severa dislipoproteinemia que evolucionaron favorablemente con el tratamiento medico
