RESUMO
The authors report data related to 212 surgical patients at risk because immunocompromised. Patients were divided in two homogeneous groups, one treated with Thymostimulin and the other as a control group, all affected by severe pathologies. Patients presenting postoperative complications directly related to technical reasons were excluded. Morbidity, postoperative hospitalization and mortality were the parameters considered. Positive results were obtained in the treated group compared to controls. Therefore, it is Authors' opinion that the treatment with Thymostimulin in immunocompromised patients is important in order to avoid or reduce postoperative infection rates.
Assuntos
Adjuvantes Imunológicos/uso terapêutico , Infecções , Complicações Pós-Operatórias/prevenção & controle , Extratos do Timo/uso terapêutico , Idoso , Idoso de 80 Anos ou mais , Humanos , Complicações Pós-Operatórias/epidemiologia , Pré-Medicação , Fatores de Risco , Infecção da Ferida Cirúrgica/prevenção & controleRESUMO
The authors report a case of distal splenorenal shunt with splenopancreatic disconnection complicated by a huge pancreatic pseudocyst. This complication has not been described in the literature so far. The etiology and the opportunity of the splenopancreatic disconnection are discussed.
Assuntos
Pseudocisto Pancreático/etiologia , Complicações Pós-Operatórias/etiologia , Derivação Esplenorrenal Cirúrgica/efeitos adversos , Drenagem , Humanos , Masculino , Pessoa de Meia-Idade , Pâncreas/diagnóstico por imagem , Pseudocisto Pancreático/diagnóstico por imagem , Pseudocisto Pancreático/cirurgia , Complicações Pós-Operatórias/diagnóstico por imagem , Complicações Pós-Operatórias/cirurgia , Reoperação , Derivação Esplenorrenal Cirúrgica/métodos , UltrassonografiaRESUMO
After reporting the general features of renal angiomyolipoma (AML), either isolated or associated to other conditions (Bourneville sclerosis, Wunderlich's syndrome), the Authors discuss a case complicated by perirenal spontaneous hematoma, undergone emergency operation (simple nephrectomy). At a 3 year follow-up the patient is in good general and local conditions (negative TC, normal renal function, preexistent hypertension disappeared). Literature is reviewed and some considerations about diagnosis and surgical tactics are reported.