RESUMEN
Retroperitoneal liposarcomas are very infrequent retroperitoneal malignant tumours. Most patients complain of palpable abdominal mass and only half present with abdominal pain. With haematogenous spread they can reach, mainly, lungs and liver, but only in 10% of cases. Here we report the presentation and surgical treatment of a giant massive retroperitoneal liposarcoma in a 53-year-old man.
Asunto(s)
Liposarcoma/patología , Neoplasias Retroperitoneales/patología , Humanos , Liposarcoma/diagnóstico por imagen , Liposarcoma/cirugía , Masculino , Persona de Mediana Edad , Neoplasias Retroperitoneales/diagnóstico por imagen , Neoplasias Retroperitoneales/cirugía , Tomografía Computarizada por Rayos XRESUMEN
Retroperitoneal liposarcomas are very infrequent retroperitoneal malignant tumours. Most patients complain of palpable abdominal mass and only half present with abdominal pain. With haematogenous spread they can reach, mainly, lungs and liver, but only in 10% of cases. Here we report the presentation and surgical treatment of a giant massive retroperitoneal liposarcoma in a 53-year-old man.
Asunto(s)
Liposarcoma , Neoplasias Retroperitoneales , Dolor Abdominal , Humanos , Liposarcoma/diagnóstico por imagen , Liposarcoma/cirugía , Masculino , Persona de Mediana Edad , Neoplasias Retroperitoneales/diagnóstico por imagen , Neoplasias Retroperitoneales/patología , Neoplasias Retroperitoneales/cirugíaRESUMEN
The current global COVID-19 pandemic is caused by the novel coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Currently, acquired tracheoesophageal fistulas are mainly iatrogenic lesions produced by prolonged tracheal intubation. We present a case of tracheoesophageal fistula with severe tracheal stenosis following tracheal intubation in a patient with SARS-CoV-2 infection.
Asunto(s)
COVID-19/terapia , Intubación Intratraqueal/efectos adversos , Procedimientos Quirúrgicos Otorrinolaringológicos/métodos , Síndrome de Dificultad Respiratoria/terapia , Estenosis Traqueal/cirugía , Fístula Traqueoesofágica/cirugía , Adulto , Anastomosis Quirúrgica/métodos , Broncoscopía/métodos , COVID-19/complicaciones , Humanos , Masculino , Quirófanos , Aisladores de Pacientes , Respiración Artificial , Síndrome de Dificultad Respiratoria/etiología , SARS-CoV-2 , Tomografía Computarizada por Rayos X , Estenosis Traqueal/etiología , Fístula Traqueoesofágica/etiologíaRESUMEN
INTRODUCTION: Internal hernias (IH) are late complications of bariatric surgery, specifically gastric bypass and manifest with diffuse abdominal pain and/or intestinal obstruction. They have a low incidence, however, are increasingly common in patients undergoing laparoscopic gastric bypass (LGBP). Petersen's internal hernia is one of the most frequent internal hernias following Bariatric surgery. METHODS: We describe our experience at a third-level surgical center using a prophylactic Petersen's space herniorrhaphy immediately following LGBP as a preventative strategy for post-bariatric internal hernias. In addition, we perform a retrospective descriptive study with 667 patients undergoing LGBP under which we divided into two groups. In the first group, the Petersen's space was not closed, and in the second group, the Petersen´s space closure was performed using non-absorbable polypropylene non-interrupted sutures. RESULTS AND CONCLUSIONS: 667 patients were taken to LGBP, and of which 5 presented internal hernias. From the 346 patients who had Petersen´s herniorrhaphy performed, one developed signs of an internal hernia at 22 months follow-up and was subsequently confirmed later with laparoscopy (0.02%). Of the 321 patients not having had Petersen's space closure, 4 developed Petersen's internal hernia at an average of 22-month post-op, incidence of 0.1%. We analyzed and compared our results with those reported in the literature. Petersen's space closure immediately after a LGBP with an alimentary loop in the anterior colic position (prophylactic herniorrhaphy) with non-interrupted non-absorbable suture is a useful, safe, and effective technique to prevent the development of Petersen's IH during the post-operative period following LGBP.
Asunto(s)
Derivación Gástrica/efectos adversos , Derivación Gástrica/métodos , Hernia Abdominal/prevención & control , Herniorrafia/métodos , Cirugía Bariátrica/efectos adversos , Cirugía Bariátrica/métodos , Hernia Abdominal/etiología , Humanos , Incidencia , Laparoscopía/efectos adversos , Mesenterio/cirugía , Estudios Retrospectivos , Técnicas de SuturaRESUMEN
The US Environmental Protection Agency has promulgated a Worker Protection Standard which requires that farmworkers receive pesticide safety training. The implementation of these regulations has not been evaluated. Using data collected through personal interviews with 270 Hispanic farmworkers recruited from 35 labor sites in an eight-county area, the authors analyzed the extent to which farmworkers received pesticide safety training, characteristics of the training, and variations in knowledge and safety behavior. Approximately a third of the farmworkers reported having ever received information or training on pesticide safety, and 25.6% reported having received training in the year in which they were interviewed. Workers with H2A visas were significantly more likely to have received training than workers without these visas. The training received varied in location, duration, and language. Most included the use of a video, as well as verbal presentation, and most included printed materials. However, few workers knew the ways in which they could be exposed to pesticides or reported using any method to protect themselves from pesticide exposure.