RESUMEN
Nonmodifiable factors including pre-operative renal function and amount of healthy renal tissue preserved are the most important predictive factors that determine renal function after partial nephrectomy. Ischaemia time is an important modifiable risk factor and cold ischaemia time should be used if longer ischaemia time is anticipated. New techniques may have a role in maximising postoperative kidney function, but more robust studies are required to understand their potential benefits and risks.
Asunto(s)
Neoplasias Renales/cirugía , Nefrectomía/métodos , Humanos , Nefronas , Tratamientos Conservadores del Órgano , Cuidados PreoperatoriosRESUMEN
Anaphylaxis following intraperitoneal rupture of a cysticercosal cyst mimicking pelvic peritonitis secondary to appendicular perforation is reported. Human cysticercosis occurs following ingestion of Taenia solium eggs, usually from faecally contaminated food. A case of pelvic cysicercosis presenting with signs and symptoms of anaphylaxis and peritonitis is reported, with plausible explanations for this unusual presentation.
Asunto(s)
Anafilaxia/diagnóstico , Apendicitis/diagnóstico , Cisticercosis/diagnóstico , Diagnóstico Diferencial , Peritonitis/diagnóstico , Rotura Espontánea/diagnóstico , Adulto , Cisticercosis/parasitología , Humanos , Masculino , Peritonitis/parasitología , Taenia soliumRESUMEN
An unusual case of taenia-induced ileal perforation is reported and the management is discussed.
Asunto(s)
Enfermedades del Íleon/etiología , Íleon/lesiones , Perforación Intestinal/etiología , Taenia , Teniasis/complicaciones , Adulto , Animales , Humanos , Enfermedades del Íleon/parasitología , Íleon/parasitología , MasculinoRESUMEN
OBJECTIVE: To retrospectively analyse the results of pilonidal sinus managed using wide excision with primary eccentric closure with various adipo-fascio-cutaneous flaps. METHODS: Data from 50 consecutive patients who had elective surgery for chronic pilonidal sinus with wide excision of all the sinuses and primary eccentric closure with various adipo-fascio-cutaneous flaps (40 lateral advancements, 4 Z-plasties, four rotations, 1 rhomboid and 1 V-Y advancement) were retrospectively analysed. Special emphasis was placed on partial obliteration of the natal cleft, duration of wound healing, postoperative morbidity and hospital stay, loss of work days, cosmetic outcome and recurrence. RESULTS: In all patients, partial obliteration of the natal cleft was achieved by eccentric primary wound closure, with good cosmesis. Superficial necrosis of the flaps occurred in five patients (3 Z-plasties, 2 rotation flaps). None had collection, haematoma, infection or recurrence. CONCLUSION: Complete eccentric excision and partial obliteration of the natal cleft using various adipo-fascio-cutaneous flaps ensured reliable wound healing with fewer dressings and morbidity, shortened hospital stay and early resumption of work, good cosmesis and prevention of early and late recurrence. The lateral advancement flap is a viable option in the treatment of chronic pilonidal sinus.
Asunto(s)
Seno Pilonidal/cirugía , Procedimientos de Cirugía Plástica/métodos , Colgajos Quirúrgicos , Procedimientos Quirúrgicos Electivos , Estética , Femenino , Estudios de Seguimiento , Humanos , India , Tiempo de Internación , Masculino , Dolor Postoperatorio/fisiopatología , Seno Pilonidal/diagnóstico , Complicaciones Posoperatorias/epidemiología , Recurrencia , Estudios Retrospectivos , Medición de Riesgo , Trasplante de Piel/métodos , Resultado del TratamientoAsunto(s)
Aborto Habitual/etiología , Aborto Espontáneo/etiología , Fístula Intestinal/complicaciones , Enfermedades del Yeyuno/complicaciones , Enfermedades Uterinas/complicaciones , Adulto , Femenino , Fístula/complicaciones , Fístula/diagnóstico , Fístula/cirugía , Estudios de Seguimiento , Edad Gestacional , Humanos , Fístula Intestinal/diagnóstico , Fístula Intestinal/cirugía , Enfermedades del Yeyuno/diagnóstico , Enfermedades del Yeyuno/cirugía , Laparotomía/métodos , Paridad , Embarazo , Medición de Riesgo , Resultado del Tratamiento , Enfermedades Uterinas/diagnóstico , Enfermedades Uterinas/cirugíaRESUMEN
A simple, quick, painless, and versatile dressing that fulfills most of the criteria of an ideal hypospadias dressing is described.
Asunto(s)
Vendajes , Hipospadias/cirugía , Adolescente , Niño , Preescolar , Elasticidad , Humanos , MasculinoRESUMEN
Supra cath is an effective alternative to trocar for drainage of deep-seated liver abscess especially in obese or muscular patients with a thick parietal wall.
Asunto(s)
Drenaje , Absceso Hepático Amebiano/diagnóstico , Absceso Hepático Amebiano/terapia , Adulto , Amebicidas/uso terapéutico , Cateterismo/instrumentación , Cateterismo/métodos , Cloroquina/uso terapéutico , Diagnóstico Diferencial , Humanos , Absceso Hepático Amebiano/diagnóstico por imagen , Masculino , UltrasonografíaRESUMEN
A technique is described to fashion a partially de-epithelialized preputial flap, also called triangular soft tissue flap (TSTF), to cover the neourethra in the region of glans, corona and subcorona. This highly vascular TSTF acted as a mechanical barrier against coronal fistula formation in 16 subcoronal hypospadiacs aged 3-12 years who underwent Snodgrass tubularized incised plate urethroplasty. None had complications at 1-year of follow-up.
Asunto(s)
Hipospadias/cirugía , Colgajos Quirúrgicos , Niño , Preescolar , Fístula/prevención & control , Humanos , Masculino , Resultado del Tratamiento , Uretra/cirugíaRESUMEN
The technique of purse-string closure of a mucous fistula to prevent faecal contamination during loop colostomy is described in six patients who underwent the procedure. Complete faecal diversion was achieved in all six patients without complications.