ABSTRACT
The clinical features of the toxic shock syndrome are well established. It is rapidly developing disease and may be lethal if not recognized and treated in time. Once the syndrome was associated with the use of tampon by menstruating women. Recently this syndrome has been reported as due to Staphylococcus aureus infection. A severe case of toxic shock syndrome in a 18-years-old patient after reduction mammoplasty is reported, and the importance of an early diagnosis is emphasized.
Subject(s)
Mammaplasty , Postoperative Complications/etiology , Shock, Septic/etiology , Staphylococcal Infections/etiology , Acute Disease , Adolescent , Combined Modality Therapy , Female , Humans , Mastectomy, Radical , Postoperative Complications/diagnosis , Postoperative Complications/therapy , Reoperation , Shock, Septic/diagnosis , Shock, Septic/therapy , Staphylococcal Infections/diagnosis , Staphylococcal Infections/therapy , Time FactorsABSTRACT
The authors have performed in 150 cases the surgical reconstruction of the vagina using the McIndoe's technique. Since 1986 they are using the non-surgical technique devised by Frank in 1940. As a modification of the method, cylindric molds of acrilic with diameters varying between 1.5 and 3.0 cm have been used. Ten cases of congenital absence of the vagina and 12 intersex cases identified as belonging to the female sex, were treated by this progressive dilatation method. The results, were good and no complications occurred. The long-term follow-up has shown a stable and functional vagina. The main advantagens of the method are the simplicity and the low morbidity.
Subject(s)
Dilatation/methods , Disorders of Sex Development/therapy , Vagina/abnormalities , Dilatation/instrumentation , Female , HumansSubject(s)
Surgical Flaps , Vagina/surgery , Disorders of Sex Development/surgery , Female , Follow-Up Studies , Humans , Vagina/abnormalitiesSubject(s)
Lymphedema/surgery , Vascular Surgical Procedures/methods , Female , Humans , Leg/blood supply , Leg/surgery , MaleABSTRACT
Os autores fazem, inicialmente, uma revisao da literatura sobre a sindrome dos 1o.e 2o. arcos branquiais, levando em conta a nomenclatura adotada para estas deformidades, a embriologia, a patogenia, a anatomia-patologica e as condutas no tratamento de vinte casos em idade adulta. Depois apresentam tres casos, ilustrando as condutas adotadas, que variam de acordo com a intensidade das deformidades encontradas em cada caso
Subject(s)
Adolescent , Adult , Humans , Male , Female , Craniofacial Dysostosis , Ear, External , MandibleABSTRACT
Os autores descrevem uma tecnica de ritidoplastia baseada na disseccao, em conjunto, de lamina conjuntiva da regiao pre-auricular e do musculo platisma. Essa unidade e seccionada obliquamente ao nivel do lobulo auricular, formando dois retalhos, sendo o anterior tracionado superiormente e o posterior fixado na regiao mastoidea.Salientam a seguranca do metodo, por evitar disseccao das regioes anatomicas ocupadas pelo nervo facial. Finalmente referem como vantagens do metodo a pequena disseccao cutanea, menor tempo cirurgico e cura mais rapida. Em 60 casos nao tiveram nenhuma lesao do nervo facial ou outras complicacoes mais serias
Subject(s)
Humans , Face , Surgery, Plastic , Surgical FlapsABSTRACT
Os autores estudaram 17 doencas submetidas a cirurgia preconizada por Thompson para tratamento de linfedema. Em um doente foram realizadas tres operacoes; em seis, duas cirurgias e nos restantes apenas uma.Treze doentes se beneficiaram com a cirurgia atraves da regressao do fibredema de 50 a 90% e da reducao substancial dos surtos de celulite e erisipela. Descrevem os outros metodos de cirurgia do linfedema analisando vantagens e desvantagens