RESUMO
Oesophageal dilatation were performed 24 times in 10 patients aged 12 months to 78 years presenting with acquired strictures of non-neoplastic origin. Tre conjunction of EDER PUESTOW'S metallic olives system with systematic use of fiberendoscopy enhances considerably the safety of the procedure and permits better functional results.
Assuntos
Estenose Esofágica/cirurgia , Esofagoscopia/métodos , Idoso , Dilatação/instrumentação , Dilatação/métodos , Esofagoscópios , Tecnologia de Fibra Óptica/instrumentação , Humanos , Lactente , Pessoa de Meia-IdadeRESUMO
Perforation of the colon carries a high mortality and morbidity. Perforations caused by foreign bodies are relatively rare and appear to be less often associated with postoperative complications than perforations due to organ disease. Depending upon the extent of the perforation and its anatomical site, as well as on the basis of the presence of diffuse or circumscribed peritonitis, the treatment of foreign-body perforation will vary from simple suturing, with or without a protective colostomy, to exteriorization in the form of a colostomy, and the Hartmann operation.
Assuntos
Doenças do Colo/etiologia , Corpos Estranhos/complicações , Perfuração Intestinal/etiologia , Doenças do Colo/cirurgia , Colostomia , Feminino , Seguimentos , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/cirurgia , Humanos , Perfuração Intestinal/cirurgia , Masculino , Pessoa de Meia-Idade , Doenças do Colo Sigmoide/etiologia , Doenças do Colo Sigmoide/cirurgia , Suturas , UltrassonografiaRESUMO
A new case of Meckel's leiomyosarcoma is described. The rarity of the disease, the problems of differential diagnosis and the difficulty of establishing the malignant nature of the condition and thus the prognosis justify the report together with a review of the most recent literature.
Assuntos
Neoplasias do Íleo/cirurgia , Leiomiossarcoma/cirurgia , Divertículo Ileal , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Neoplasias do Íleo/patologia , Leiomiossarcoma/patologia , PrognósticoRESUMO
The authors report on 16 cases of recent traumatic diaphragmatic lesions in polytraumatized patients referred to them over the period 1979-86. After examining the diagnostic problems relating to this type of lesion, the authors describe the anatomico-topographical, clinical and therapeutic aspects. They conclude by stressing the need to explore the diaphragmatic cupulae systematically in the course of surgery for blunt abdominal trauma.