RESUMO
Between 1981 and 1988 inclusive, 22 patients with full-thickness rectal prolapse presenting to two surgeons in this hospital were treated using the Délorme operation. There was no mortality and morbidity was minimal. Twenty-one patients (95.5%) were cured of prolapse and 19 patients (86.4%) had normal anal sphincter function after the operation.
Assuntos
Prolapso Retal/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Métodos , Pessoa de Meia-Idade , Complicações Pós-Operatórias/etiologia , ReoperaçãoRESUMO
We report on two cases of spontaneous intramural rupture and haematoma formation in the oesophagus. This is an unusual and often misdiagnosed condition. Its diagnosis relies on the history and a barium swallow. Instrumentation can result in further damage to the oesophagus and should be avoided. Treatment is conservative and results in resolution of the haematoma and a return to normal swallowing.
Assuntos
Doenças do Esôfago/diagnóstico , Hematoma/diagnóstico , Idoso , Sulfato de Bário , Enema , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ruptura EspontâneaRESUMO
A double-blind randomised trial was carried out among 46 patients undergoing elective colonic surgery; 27 patients received prophylactic metronidazole and 19 received placebo. Anaerobic infections did not develop in any of the metronidazole-treated patients, but did develop in 11 (58%) of 19 controls who were subsequently successfully treated with metronidazole.
Assuntos
Infecções por Bacteroides/prevenção & controle , Colo/cirurgia , Metronidazol/uso terapêutico , Complicações Pós-Operatórias/prevenção & controle , Infecções Bacterianas/epidemiologia , Ensaios Clínicos como Assunto , Bactérias Anaeróbias Gram-Negativas , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
The frequency of non-clostridial anaerobic infection was studied in 95 patients who had undergone acute appendicectomy: 49 received prophylactic metronidazole and 46 received placebo. Anaerobic infection did not develop in any of the metronidazole-treated patients, but infections did develop in nine (19%) of the 46 controls. Metronidazole is conveniently administered by suppository to patients who cannot take oral drugs. Five patients with intra-abdominal infections caused by non-clostridial anaerobes were successfully treated with metronidazole.
