RESUMEN
BACKGROUND: Oral cancer is a public health problem. Its world incidence in 2012, was 4.0 new cases per 100,000 inhabitants. AIM: To review the published literature on oral cancer in Chile. MATERIAL AND METHODS: Narrative review of the literature using databases such as Pubmed, Scielo and Google Scholar. The Key words oral cancer in Chile, Oral Cancer, Oral Cancer AND Chile were used. A critical appraisal the articles was carried out. RESULTS: Of 27 eligible studies, 11 studies were included and data from population registries were used. Oral and Oropharyngeal cancer mortality is 1% and morbidity corresponds to 1.6% of all cancers in Chile. By 2010 according to different authors, the male: female ratio ranges from 1.3: 1 to 1.4: 1 and the five years survival, from 46% to 56.9%. The main risk factors are smoking and alcohol use. CONCLUSIONS: The number of articles published in Chile about oral cancer is low.
Asunto(s)
Neoplasias de la Boca/mortalidad , Chile/epidemiología , Supervivencia sin Enfermedad , Femenino , Humanos , Incidencia , Masculino , Factores de RiesgoRESUMEN
Background: Oral cancer is a public health problem. Its world incidence in 2012, was 4.0 new cases per 100,000 inhabitants. Aim: To review the published literature on oral cancer in Chile. Material and Methods: Narrative review of the literature using databases such as Pubmed, Scielo and Google Scholar. The Key words oral cancer in Chile, Oral Cancer, Oral Cancer AND Chile were used. A critical appraisal the articles was carried out. Results: Of 27 eligible studies, 11 studies were included and data from population registries were used. Oral and Oropharyngeal cancer mortality is 1% and morbidity corresponds to 1.6% of all cancers in Chile. By 2010 according to different authors, the male: female ratio ranges from 1.3: 1 to 1.4: 1 and the five years survival, from 46% to 56.9%. The main risk factors are smoking and alcohol use. Conclusions: The number of articles published in Chile about oral cancer is low.
Asunto(s)
Humanos , Masculino , Femenino , Neoplasias de la Boca/mortalidad , Chile/epidemiología , Incidencia , Factores de Riesgo , Supervivencia sin EnfermedadRESUMEN
OBJECTIVE: To present our experience of progressive preoperative pneumoperitoneum in the preparation of patients for repair of large hernias of the abdominal wall. DESIGN: Prospective selected series. SETTING: A university hospital and a district hospital. SUBJECTS: 36 Patients of the 252 who presented for abdominal hernia repair between January 1977 and April 1992. INTERVENTIONS: Air was insufflated into the peritoneal cavity through a 19 gauge spinal needle, and between 500 and 2000 ml was usually injected at the first session. Amounts were gradually increased daily or every other day for a period of 6-15 days; the total amount insufflated ranged from 4500-18,500 (mean 7700) ml. MAIN OUTCOME MEASURES: Whether the hernia could be repaired directly without recourse to polypropylene mesh, complications of pneumoperitoneum, and recurrence rate. RESULTS: In one patient air was insufflated into the colon, one developed temporary but severe respiratory distress, and 4 developed moderate subcutaneous emphysema. 30 hernias were repaired directly, and 6 required polypropylene mesh. There were three wound infections (two after direct repair), and two recurrences (both after direct repair). Mean length of follow up was 10 months (range 1-48). CONCLUSION: Progressive preoperative pneumoperitoneum allows direct repair of some large abdominal hernias with a low recurrence rate, and few complications.
Asunto(s)
Hernia Ventral/cirugía , Neumoperitoneo Artificial , Cuidados Preoperatorios , Adulto , Anciano , Femenino , Estudios de Seguimiento , Hernia Ventral/diagnóstico , Humanos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias , Estudios Prospectivos , RecurrenciaRESUMEN
A remocao dos calculos coledocianos permanece um problema importante na cirurgia biliar. A alta incidencia de calculos residuais ressalta a importancia da remocao cuidadosa dos calculos coledocianos durante a primeira operacao biliar. Hoje existem disponiveis varios metodos cirurgicos e nao-cirurgicos de tratar tais pacientes. O objetivo do presente estudo e rever nossa experiencia com esses metodos. Foram revisados os prontuarios de 85 pacientes, tratados pelo mesmo cirurgiao, por litiase da via biliar principal, num periodo de 26 anos. Apenas 9,4 por cento dos pacientes nao tinham historia previa de ictericia e 69 por cento estavam ictericos no momento da cirurgia. Colecistectomia havia sido realizada previamente em 16 pacientes, e em dois desses o coledoco havia sido explorado. Oito pacientes foram operados durante um episodio de colangite aguda supurativa. Em tres casos havia calculos coledocianos sem a presenca concomitante de colelitiase. Colecistectomia, exploracao do coledoco, remocao dos calculos e drenagem a Kehr foi realizada em 48 pacientes. Foi associado um procedimento de drenagem em 21 pacientes: em 18 casos anastomose coledocoduodenal latero-lateral, hepaticojejunostomia em um caso e esfincteroplastia em dois. Os 16 pacientes restantes haviam sido submetidos previamente a colecistectomia...