RESUMO
The data of 100 case histories of primary-multiple synchronous malignancies of the head and neck have been analyzed. A second tumor was not detected during examination of the first one in every third case. The presence of tumor and pain were reported mostly by patients with neoplasms of the tongue, oral mucosa and, less frequently, laryngopharynx. In more than half the cases (48%), head and neck tumors were detected by physical examination. The most frequent were laryngeal tumors (30%), followed by those of the thyroid gland (26%). Second tumor incidence in the lung was (31%), breast (19%) and gastrointestinal tract (18%).
Assuntos
Neoplasias de Cabeça e Pescoço/diagnóstico , Neoplasias Primárias Múltiplas/diagnóstico , Neoplasias da Mama/secundário , Feminino , Neoplasias Gastrointestinais/secundário , Neoplasias de Cabeça e Pescoço/complicações , Neoplasias de Cabeça e Pescoço/patologia , Humanos , Incidência , Neoplasias Laríngeas/diagnóstico , Neoplasias Pulmonares/secundário , Neoplasias Primárias Múltiplas/complicações , Neoplasias Primárias Múltiplas/patologia , Dor/etiologia , Exame Físico , Neoplasias da Glândula Tireoide/diagnósticoRESUMO
Suturing devices of the firm "Auto Suture" have been widely used for two last years in Saratov Medical University clinic of surgery at pediatric faculty. 131 patients with gastrointestinal diseases (54 had cancer of the stomach, 35--ulcer of the stomach and the duodenum and 42--oncoproctologic diseases) were operated on with their help. Application of the suturing devices results in improved quality of the operations as the devices warrant excellent functional qualities of the anastomoses and their reliability. The duration of the operation decreases considerably. It works well in rectal surgery to increase significantly the number of organ-saving operations.
Assuntos
Gastroenteropatias/cirurgia , Técnicas de Sutura/instrumentação , Adulto , Idoso , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Resultado do TratamentoAssuntos
Obstrução Intestinal/diagnóstico , Transtornos Puerperais/diagnóstico , Doenças Retais/diagnóstico , Doença Aguda , Adulto , Feminino , Humanos , Obstrução Intestinal/etiologia , Obstrução Intestinal/cirurgia , Complicações Intraoperatórias/diagnóstico , Complicações Intraoperatórias/etiologia , Complicações Intraoperatórias/cirurgia , Transtornos Puerperais/etiologia , Transtornos Puerperais/cirurgia , Doenças Retais/etiologia , Doenças Retais/cirurgia , Reto/lesões , Reto/cirurgiaRESUMO
Operations were performed on 865 patients for pararectal fistulas. The fistulas occurred after injury in 18 patients, histological examination revealed fistulous form of Crohn's disease in 14 patients, 12 patients had tuberculous paraproctitis. The late-term results of surgical treatment of chronic paraproctitis were studied in 560 patients according to the presence of concomitant hemorrhoids. One-stage excision of the fistula and hemorrhoidectomy was conducted in 329 patients. The fistula recurred in 1.3% of cases. Hemorrhoidectomy was not undertaken in 231 patients; a recurrence of fistula occurred in 6.1%. Therefore, to prevent recurrences of pararectal fistulas existing hemorrhoids must also be removed.