ABSTRACT
RESUMEN Se presenta el caso del paciente de 36 años de edad, con antecedentes de acondroplasia que desde hace 7 meses sufrió una lesión traumática no de gravedad en la rodilla derecha. La cual comienza a aumentar de volumen con contenido líquido fluctuante. Fue puncionado en dos ocasiones obteniéndose líquido serohemático; al no resolver y continuar aumentando de tamaño, se le plantea que es portador de un hematoma seroso de Morel Lavallée, que se produce por la fricción entre el tejido celular subcutáneo y la fascia. Su localización es infrecuente en la rodilla por lo que se decide presentar el caso ya que en la literatura revisada; no aparece ningún caso descrito. Por lo que constituye el objetivo principal de este trabajo, describir su proceder y la eficacia del tratamiento quirúrgico, con el que se obtuvo resultado satisfactorio (AU).
ABSTRACT We present the case of a patient aged 36 years, with antecedents of achondroplasia who 7 months ago suffered a non serious traumatic lesion in the right knee. The volume of the lesion began to increase with a fluctuant fluid contain. It was punctured twice draining serohematic fluid; it did not solve and the size increased more and more, so the patient was said that he had a serous Morel Lavallée hematoma, produced by the friction between the subcutaneous cell tissue and fascia. Its location in the knee is infrequent and it was not found any case like this in the reviewed literature; therefore we decided to present the case. The main objective of our work was describing it, showing the procedure and efficacy of the surgical that gave a satisfactory result (AU).
Subject(s)
Humans , Male , Adult , Hematoma/epidemiology , Knee/abnormalities , Achondroplasia/diagnosis , Achondroplasia/pathology , Wounds and Injuries/diagnosis , Friction/physiology , Fascia/abnormalitiesABSTRACT
Introdução: Muitos estudos já foram feitos para buscar uma abdominoplastia mais atrativa, segura e com menos riscos. Enquanto as táticas e técnicas variam, pouco se fala sobre a preservação e suspensão da fáscia de Scarpa. Método: Os autores realizaram um estudo retrospectivo, demonstrando sua experiência com a lipoabdominoplastia clássica com a preservação e suspensão da fáscia de Scarpa, em 235 pacientes, nos últimos 5 anos. A maioria dos pacientes teve grande perda de peso e foi submetida a vários procedimentos de contorno corporal. Resultados: A incidência de complicações relacionada à abdominoplastia com suspensão da fáscia de Scarpa foi baixa (5,9%) e a técnica promoveu bons resultados estéticos. Complicações e contorno corporal favorável pós-cirúrgico são detalhados neste estudo. Conclusões: Procedimentos de contorno corporal com suspensão da fáscia de Scarpa promovem boa silhueta, adequado acomodamento do retalho abdominal e relaxam a tensão da área próxima da virilha.
Background: Many studies have been done in the quest for a safer, lower risk and more attractive abdominoplasty. Techniques and tactical approach may vary and few are said about preservation and suspension of Scarpas fascia. Methods: This retrospective report presents our experience with lipoabdominoplasty along with preservation and suspension of Scarpas fascia in 235 cases, over the past five years. Most patients had massive weight loss and were submitted to multiple operations. Results: Complication rate related directly to abdominoplasty with suspension of Scarpas fascia was low (5.9%) and the technique resulted in nice and smooth contour. Complications and favorable contour out come are detailed in this study. Conclusion: Abdominal contour procedures with Scarpas suspension promotes a nice silhouette, promotes better accommodation for the abdominal flap and takes up tension of the groin region.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Abdomen/surgery , Fascia/abnormalities , Obesity , Plastic Surgery Procedures , Surgery, Plastic , Surgical Flaps , Weight Loss , Methods , Suture Techniques , Methods , Diagnostic Techniques and ProceduresABSTRACT
El sulcus vocalis es una lesión en la cual el epitelio del pliegue vocal tiende a invaginarse y adherirse al ligamento y/o músculo resultando en disfonía. Existen múltiples tratamientos descritos ninguno con resultados ideales. Este es un estudio descriptivo-prospectivo en el Hospital Militar Central en pacientes operados por sulcus vocalis tipos II y III e implantados con fascia autóloga entre junio de 2006 y diciembre de 2008. De 17 pacientes operados cumplieron los criterios de inclusión 11. Edad promedio 32 años. 9 presentaron mejoría del análisis acústico de la voz con una tendencia a la mejoría en todas las variables, particularmente en el Shimmer y la frecuencia fundamental. En la estroboscopia, 10 pacientes presentaron recuperación de la onda mucosa y en 5 del cierre glótico. Ningún paciente presentó reacciones adversas al procedimiento. Del presente estudio se puede considerar que el manejo del sulcus vocalis con injerto autólogo de fascia temporal es un procedimiento seguro que en la mayoría de los casos representa una mejoría subjetiva y objetiva de la calidad de voz. Es necesario aumentar el tamaño de la muestra para obtener resultados de mayor poder estadístico y definir los criterios de éxito.
Sulcus vocalis is an injury in which the epithelium of the vocal fold tends to invaginate and attach to the ligament and / or muscle resulting in dysphonia. There are multiple treatments as described but none has ideal results. This is a descriptive prospective study carried out at the Hospital Militar Central in patients that had been operated on due to sulcus vocalis of the type II and III and who have been given implants with autologous fascia between June, 2006 and December, 2008. Out of 17 patients that were operated on, 11 complied with the inclusion criteria. The average age was 32 years old. 9 of them exhibited an improvement on the acoustic analysis of the voice with a tendency to improvement in all variables, especially in Shimmer and the basic frequency. 10 patients exhibited a recovery of the mucous wave in the stroboscope analysis and 5 in the glottal closure. Not one patient showed adverse reactions to the procedure. It can be considered from this study that managing sulcus vocalis with a temporalis fascia autologous graft is a safe procedure that represents a subjective and an objective improvement of the quality of the voice. It is necessary to increase the size of the simple in order to obtain results with a greater statistical power and be able to define the criteria for success.
Subject(s)
Fascia/anatomy & histology , Fascia/abnormalities , Fascia/physiologyABSTRACT
Se presenta un caso de abdomen agudo oclusivo en el adulto, en donde se diagnosticó como etiología a una hernia interna mesocólica derecha atascada por falta de coalescencia de la fascia de Toldt II que formaba el saco, con su anillo ubicado por detrás de los vasos mesentéricos. Se efectuó una búsqueda bibliográfica nacional e internacional.
The analyzed case regards an acute small bowel obstruction in an adult, which etiology was an internal mesocolic right hernia, complicating a lack of coalescense of Toldt´s fascia II that formed the sack, with its ring located behind the mesenteric artery. A research was performed in both national and international bibliography.
Subject(s)
Humans , Male , Female , Abdomen, Acute/surgery , Abdomen, Acute/diagnosis , Abdomen, Acute/etiology , Case Reports , Fascia/abnormalities , Hernia, Abdominal/surgery , Hernia, Abdominal/complications , Mesocolon/injuriesABSTRACT
Objetivos: Comparar la frecuencia de complicaciones de la herida operatoria post-cesárea en pacientes con y sin sutura de TCSC y establecer si los siguientes son factores de riesgo en la operación cesárea: presencia de trabajo de parto, número de tactos vaginales, duración de RPM, espesor del TCSC, índice de masa corporal, tiempo operatorio. Métodos: 42 pacientes sometidas a operación cesárea, intervenidas quirúrgicamente por el mismo gineco-obstetra fueron asignadas al azar en 2 grupos con y sin sutura de TCSC. Resultados: No hubo diferencia estadísticamente significativa en la frecuencia de complicaciones entre los grupos con y sin sutura de TCSC. Los factores de riesgo estudiados no influyeron en la presencia de complicaciones. Se encontró un riesgo relativo de complicación de 4 para las pacientes en las que se suturó el TCSC, 1.49 para valores no fueron estadísticamente significativos. Conclusiones: La frecuencia de complicaciones en las pacientes en las que se suturó el TCSC fue de 19.05 por ciento y en las pacientes en las que no se suturó el TCSC de 4.76 por ciento. No existiendo diferencia estadística significativa entre ambos grupos. El trabajo de parto, el tiempo operatorio total, el tiempo TCSC-piel, el espesor del TCSC y el IMC no representaron factores de riesgo.
Subject(s)
Humans , Female , Cesarean Section , Fascia/abnormalities , Sutures , ObstetricsABSTRACT
Sincipital [Fronto-ethmoidal] encephalomeningoceles are congenital anomalies that are most common in the area of south east Asia and thus more frequently encountered by the Egyptian neurosurgeons in the Gulf States. 2 cases were seen and operated upon by the authors. The defect through which the encephaloceles exit outside the skull starts at the foramen cecum [in front of the crista galli] and if left, these anomalies cause complex deformities of the naso-orbital skeleton and thus correction at an early age is recommended. The literature concerning this defect is reviewed, as well as a discussion of the relevant embryology, in attempting to define possible etiologies. The novel surgical approach for proper anatomical repair of this anomaly and reasons for preferring this approach were clarified. Potential complications were enumerated