RESUMEN
The association between chemotherapy and hypertermia produces a synergic effect. In this study the Authors present their experience, by the analysis of the results. From 1993 to 2000, 17 patients have been treated with surgery associated with hypertermic chemotherapy for peritoneal carcinomatosis. For the management of these patients a constant cooperation among surgeon, cardiologist and anaesthetist is very important.
Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/efectos adversos , Carcinoma/secundario , Enfermedades Cardiovasculares/etiología , Hipertermia Inducida/efectos adversos , Neoplasias Peritoneales/secundario , Adulto , Anciano , Anciano de 80 o más Años , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Neoplasias del Apéndice/patología , Neoplasias de la Mama/cirugía , Tumor Carcinoide/secundario , Carcinoma/tratamiento farmacológico , Carcinoma/cirugía , Carcinoma/terapia , Carcinoma Ductal de Mama/cirugía , Enfermedades Cardiovasculares/fisiopatología , Cisplatino/administración & dosificación , Cisplatino/efectos adversos , Neoplasias del Colon/patología , Terapia Combinada , Femenino , Humanos , Masculino , Persona de Mediana Edad , Siembra Neoplásica , Neoplasias Primarias Secundarias , Neoplasias Ováricas/patología , Neoplasias Peritoneales/tratamiento farmacológico , Neoplasias Peritoneales/cirugía , Neoplasias Peritoneales/terapia , Estudios Retrospectivos , Neoplasias Gástricas/patología , Resultado del TratamientoRESUMEN
Bile duct carcinomas are known to be difficult to cure, due to frequent locoregional recurrence even after radical resection. The Authors analyze their experience in a study about 53 patients treated between October 1991-January 2002.
Asunto(s)
Adenocarcinoma/cirugía , Neoplasias del Conducto Colédoco/cirugía , Adenocarcinoma/complicaciones , Adenocarcinoma/diagnóstico , Adenocarcinoma/epidemiología , Anciano , Anciano de 80 o más Años , Anastomosis en-Y de Roux , Colangiopancreatografia Retrógrada Endoscópica , Colecistitis/complicaciones , Neoplasias del Conducto Colédoco/complicaciones , Neoplasias del Conducto Colédoco/diagnóstico , Neoplasias del Conducto Colédoco/epidemiología , Drenaje , Duodenostomía , Femenino , Humanos , Italia/epidemiología , Yeyuno/cirugía , Laparotomía , Hígado/cirugía , Masculino , Persona de Mediana Edad , Cuidados Paliativos , Pancreaticoduodenectomía , Estudios Retrospectivos , Estómago/cirugía , Resultado del TratamientoRESUMEN
A 3-year-old girl with 52% TBSA scalds, mostly partial thickness, was treated topically with 5% mafenide acetate solution and 1% silver sulfadiazine cream. All blood cultures and wound swabs were negative for the first 5 days. On day 6 gram-negative bacteria and yeast forms were isolated from her wounds. High fever and leukocytosis were present and the child was treated with intravenous ampicillin and gentamicin according to sensitivity bacteriogram. The bacteria were identified as Pseudomonas aeruginosa and the yeast was Candida tropicalis. On day 7, Escherichia coli was identified in blood cultures and intravenous cefixime was added. Amphotericin B was added on day 9 when blood cultures grew Candida tropicalis and Burkholderia cepacia. On day 13 dark pigmentation foci developed on some areas of partial-thickness burns in the back, resembling invasive wound infection. White blood cell count was 14,300 cells/mm3, and her body temperature reached 39.7 degrees C. Cultures from the pigmented areas were negative, and biopsies revealed deposits of silver. Most of the areas healed uneventfully, and only about 8% TBSA needed grafting, including some of the pigmented areas. No residual pigmentation remained on discharge.
Asunto(s)
Antiinfecciosos Locales/efectos adversos , Quemaduras/tratamiento farmacológico , Cicatriz/etiología , Trastornos de la Pigmentación/inducido químicamente , Trastornos de la Pigmentación/diagnóstico , Sulfadiazina de Plata/efectos adversos , Antiinfecciosos Locales/administración & dosificación , Burkholderia cepacia/aislamiento & purificación , Quemaduras/microbiología , Candida tropicalis/aislamiento & purificación , Candidiasis/tratamiento farmacológico , Candidiasis/prevención & control , Preescolar , Cicatriz/patología , Diagnóstico Diferencial , Escherichia coli/aislamiento & purificación , Femenino , Infecciones por Bacterias Gramnegativas/tratamiento farmacológico , Infecciones por Bacterias Gramnegativas/prevención & control , Humanos , Trastornos de la Pigmentación/patología , Pseudomonas aeruginosa/aislamiento & purificación , Sulfadiazina de Plata/administración & dosificación , Factores de Tiempo , Resultado del Tratamiento , Infección de Heridas/diagnóstico , Infección de Heridas/microbiologíaRESUMEN
Cystic lymphangioma is a benign tumor of uncertain etiology characterized by a slow growth; in 2-8% of cases it is localized in the mesentery. Symptomatology is aspecific and preoperative diagnosis is often difficult. The Authors report the case of a mesenteric cystic lymphangioma in a patient who had undergone subtotal colectomy eight years earlier for an adenocarcinoma occluding the sigmoid colon. The patient was hospitalized for intestinal occlusion.