RESUMEN
The authors report their experience, from 1983 to 1992, in the treatment of portal vein thrombosis and discuss various aetiological factor of obstruction also underlining the frequent and important association with portal hypertension. The authors emphasize the crucial role of the modern diagnostic techniques such as endoscopy and imaging radiology (U.S., C.T., angiography). Although these techniques not always allow a conclusive evidence in relation to aetiology, however, it is possible to have a rationale for the treatment, i.e. medical, sclerotherapeutic or surgical. As related to the surgical procedures, the authors--based on their personal experience--believe the best are the non-derivative ones.
Asunto(s)
Vena Porta , Trombosis/diagnóstico , Antibacterianos/uso terapéutico , Fibrinolíticos/uso terapéutico , Estudios de Seguimiento , Heparina/uso terapéutico , Humanos , Cuidados Paliativos , Vena Porta/diagnóstico por imagen , Vena Porta/cirugía , Terapia Trombolítica , Trombosis/etiología , Trombosis/terapia , Tomografía Computarizada por Rayos X , Ultrasonografía , Activador de Plasminógeno de Tipo Uroquinasa/uso terapéuticoRESUMEN
The authors report their experience with hiatus hernia surgery (9 cases of large hernia with severe gastroesophageal reflux). The fundamental role of instrumental diagnostics in establishing both a clear indication for surgical correction and the quality of the results obtained is emphasized. Technical details of the surgical treatment are report as well. On the basis of their experience and in accordance with other authors the Nissen fundoplication is considered a valid antireflux procedure. Furthermore, the abdominal approach used for this procedure allows to treat other abdominal pathologies often associated with hiatal hernia.
Asunto(s)
Hernia Hiatal/cirugía , Femenino , Estudios de Seguimiento , Fundoplicación/métodos , Reflujo Gastroesofágico/diagnóstico , Reflujo Gastroesofágico/cirugía , Gastroscopía , Hernia Hiatal/diagnóstico , Humanos , Masculino , Radiografía , Estómago/diagnóstico por imagenRESUMEN
Based on their personal experience in hepatic resective surgery the authors dwell upon details of surgical technique which, well combined and sustained by advanced technological supports (ultrasonic dissector, laser-argon clotter, intraoperative echography), allow to perform wide parenchymal resections sheltered from dangerous complications. The safety achieved in such a surgery--now routinely performed--derives not only from improved diagnostic techniques (US, CT, MNR, angiography) and advances in anaesthesia-reanimation but, above all, from precise knowledge of organon segmental anatomy and close vascular correlations between the two hepatic hemisystems.