RESUMO
Retroperitoneal and mediastinal emphysema as a complication of colonoscopy, though infrequent, may occur. It is important to realize that this can be a benign clinical condition that will resolve with conservative management. A case of retroperitoneal emphysema after routine colonoscopy is reported with a review of literature and a brief discussion.
Assuntos
Colonoscopia/efeitos adversos , Enfisema/etiologia , Enfisema Mediastínico/etiologia , Espaço Retroperitoneal , Adulto , Enfisema/cirurgia , Humanos , Masculino , Enfisema Mediastínico/cirurgiaRESUMO
The term "rectal procidentia" implies circumferential full-thickness descent of the rectum through the anal sphincter. This condition occurs because of several structural and anatomic changes and offers a challenge in its management. There are over 50 different surgical procedures described to correct this condition. Unfortunately, when it occurs in the elderly and infirm, there is very little that can be done. Such poor-risk patients should be managed with a perineal repair as described by Altemeier. The purpose of this article is to review our results and experiences with Altemeier's procedure in managing rectal procidentia in elderly and debilitated patients.
Assuntos
Canal Anal/cirurgia , Prolapso Retal/cirurgia , Fatores Etários , Idoso , Transfusão de Sangue , Colo Sigmoide/cirurgia , Escavação Retouterina/cirurgia , Seguimentos , Hematócrito , Hemoglobinas/análise , Humanos , Tempo de Internação , Mesentério/cirurgia , Métodos , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Período Pós-Operatório , Prolapso Retal/mortalidade , Técnicas de SuturaRESUMO
Pregnancy in a woman with ostomy poses significant concern in its management. A search for literature addressing this problem revealed minimal information. Questionnaires on this subject were sent to all of the members of the American Society of Colon and Rectal Surgeons, and the replies received from them were analyzed by the computer. Attempts were made to answer questions regarding stoma complications, recurrence of disease during pregnancy, type of childbirth (vaginal or cesarean), special needs during pregnancy, and any recurring problems with subsequent pregnancies.