ABSTRACT
No disponible
Subject(s)
Humans , Male , Aged , Intercostal Muscles/injuries , Wounds and Injuries/diagnostic imaging , Thoracic Injuries/complications , Thoracic Injuries/diagnostic imaging , Intercostal Muscles/pathology , Thoracic Injuries/physiopathology , Thoracic Injuries/surgery , Pain Management , Weight Loss , Physical Therapy SpecialtyABSTRACT
No disponible
Subject(s)
Adult , Humans , Male , Dyspnea/complications , Dyspnea/etiology , Dyspnea , Emergency Medical Services , Esophageal Perforation/complications , Esophageal Perforation/surgery , Esophageal Perforation , Mediastinitis/complications , Mediastinitis/surgery , Mediastinitis , Emergency Medicine/trends , Magnetic Resonance Imaging/methods , Tomography, Emission-Computed/methods , Vocal Cords/pathology , Vocal Cords , Tracheostomy/methods , Tracheostomy/trends , Paresis/complications , Paresis/surgery , ParesisABSTRACT
BACKGROUND: Splenic involvement secondary to blunt abdominal trauma is often treated by performing a splenectomy. The severity of the post-splenectomy syndrome is currently well known (blood loss, sepsis), so there is an increasing tendency to preserve the spleen. The case is presented of splenic preservation after blunt abdominal trauma with hilum involvement, emphasising the role of Floseal as a haemostatic agent, as well as the use of resorbable meshes to preserve the spleen. CLINICAL CASE: A 22-year-old woman presenting with a grade IV splenic lesion secondary to a blunt abdominal trauma after a traffic accident. Partial splenic resection was performed and bleeding was controlled with Floseal and use of a reinforcing polyglycolic acid mesh. No postoperative complications occurred, being discharged on day 5. The long-term follow-up has been uneventful. CONCLUSION: The use of haemostatic agents such as thrombin and the gelatine gel (FloSeal) and the use of polyglycolic acid meshes enable spleen-preserving surgery, making it a feasible and reproducible procedure and an alternative to classical splenectomy.
Subject(s)
Abdominal Injuries/surgery , Organ Sparing Treatments/methods , Spleen/surgery , Splenectomy/methods , Wounds, Nonpenetrating/surgery , Accidents, Traffic , Electrocoagulation , Emergencies , Female , Gelatin Sponge, Absorbable , Hemorrhage/etiology , Hemorrhage/surgery , Hemostasis, Surgical , Hemostatic Techniques , Humans , Lacerations/surgery , Polyglycolic Acid , Spleen/injuries , Surgical Mesh , Young AdultSubject(s)
Anal Canal/pathology , Constipation/etiology , Muscular Diseases/complications , Pain/etiology , Proctitis/etiology , Rectal Diseases/etiology , Anus Diseases , Constipation/pathology , Female , Humans , Middle Aged , Muscular Diseases/drug therapy , Muscular Diseases/pathology , Neuromuscular Agents/therapeutic use , Pain/drug therapy , Pain/pathology , Proctitis/drug therapy , Proctitis/pathology , Rectal Diseases/drug therapy , Rectal Diseases/pathologyABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Constipation/complications , Constipation/diagnosis , Anal Canal/pathology , Anal Canal , Perianal Glands/pathology , Perianal Glands , Manometry/methods , Manometry , Anus Diseases/pathology , Anus DiseasesABSTRACT
No disponible
Subject(s)
Humans , Female , Adult , Carcinoma, Neuroendocrine/complications , Carcinoma, Neuroendocrine/surgery , Carcinoma, Neuroendocrine , Immunohistochemistry , Pancreatectomy/methods , Bile Ducts/pathology , Bile Ducts/surgery , Bile Ducts , Magnetic Resonance Imaging/methodsABSTRACT
No disponible
