RESUMO
The authors report an analysis of 419 cases of operated peptic ulcer. 68.78% of patients had a mean follow-up of 4 years. After clinical and endoscopic examination, the results of the survey were assessed on the basis of various parameters, which demonstrated that the results of surgery were related to socio-occupational problems, smoking, the site of the ulcer, the stage, the history of the ulcer prior to the operation, the conditions of the operation and obviously the surgical technique used.
Assuntos
Úlcera Péptica/cirurgia , Adolescente , Adulto , Idoso , Endoscopia Gastrointestinal , Feminino , Tecnologia de Fibra Óptica , Seguimentos , Gastrectomia/métodos , Hemostasia Cirúrgica , Humanos , Masculino , Pessoa de Meia-Idade , Úlcera Péptica/diagnóstico por imagem , Úlcera Péptica/mortalidade , Cuidados Pós-Operatórios , Complicações Pós-Operatórias , Radiografia , Recidiva , VagotomiaRESUMO
The authors report their experience of 1,126 cases of posterior vertical lumbar incision. The essential indication for this approach is stones in the renal pelvis or lumbar ureter (788 cases). The authors subsequently extended the indications for this incision to all plastic operations on the pyeloureteric junction (56 cases) and the extraction of certain staghorn calculi (114 cases). The posterior approach is anatomically simple and direct. It has the advantage of causing less muscular mutilation with a simpler postoperative course.
Assuntos
Nefropatias/cirurgia , Região Lombossacral/cirurgia , Doenças Ureterais/cirurgia , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Procedimentos Cirúrgicos Operatórios/métodos , Cálculos Urinários/cirurgiaRESUMO
The authors report the case of a 20 year old patient in whom the clinical findings combined with the radiological signs, suggested the diagnosis of renal cancer. The histological findings after nephrectomy established the diagnosis of xanthogranulomatous pyelonephritis. This disease may rarely give the appearance of a renal tumor. This points out the importance of identifying this lesion in preoperative staging to avoid carcinologic surgery and all of its difficulties.
Assuntos
Neoplasias Renais , Pielonefrite Xantogranulomatosa , Adulto , Diagnóstico Diferencial , Humanos , Neoplasias Renais/patologia , Masculino , Pielonefrite Xantogranulomatosa/patologiaAssuntos
Pâncreas/lesões , Cisto Pancreático/etiologia , Pseudocisto Pancreático/etiologia , Pancreatite/complicações , Doença Aguda , Adulto , Feminino , Humanos , Masculino , Pseudocisto Pancreático/diagnóstico , Pseudocisto Pancreático/cirurgia , Pancreatite/cirurgia , Tomografia Computadorizada por Raios XRESUMO
A case of esophageal duplication discovered in the neonatal period is reported and discussed. This infrequent malformation (9% of all childhood mediastinal tumors) is an entoblastic duplication of the digestive tract and is often accompanied with spinal malformations. The duplication may be either cystic or tubular; the latter form usually opens into the normal esophagus. The most common clinical manifestations are respiratory symptoms caused by compression. The diagnosis, suggested by the findings on the plain chest film and osephageal opacification, is confirmed by the ultrasound examination and, above all, the CT scan. The treatment of this malformation is surgical. Reconstruction may be difficult but overall results and prognosis are excellent.