RESUMEN
El dolor postoperatorio es una complicación frecuente de la cirugía de la hernia inguinal, que muchas veces no es reportada en las distintas publicaciones sobre el tema. Se realiza una revisión sobre esta complicación abarcando los aspectos anatómicos involucrados, las clasificaciones utilizadas, así como las causas más frecuentes de dolor postquirúrgico y las medidas que se pueden implementar tendientes a evitar esta complicación
Asunto(s)
Humanos , Hernia Inguinal , Dolor Postoperatorio , Abdomen , Dolor Postoperatorio , Complicaciones Posoperatorias , Procedimientos Quirúrgicos del Sistema Digestivo/métodosRESUMEN
Although most causes of hematuria are benign, urinary tract bleeding may signal the existence of a life-threatening disease. Gross and microscopic hematuria share a common differential diagnosis, including urinary tract infection, urolithiasis and bladder cancer. Clinical evaluation may be guided by the patient's age, sex, medical history and physical examination. Intravenous pyelography or sonography is usually the first procedure performed, although cystoscopy is indicated in the face of active bleeding. Those patients who remain undiagnosed after a complete evaluation should be followed with routine urinalysis and cytology to allow early detection of malignancy.
Asunto(s)
Hematuria/etiología , Adulto , Cistoscopía , Femenino , Hematuria/diagnóstico , Hematuria/diagnóstico por imagen , Humanos , Masculino , Anamnesis , Examen Físico , RadiografíaRESUMEN
A prospective study of 2191 Negro infants in Jamaica showed that approximately 7% of them had detectable levels of Hb Bart's (gamma 4) in the neonatal period. The red cell indices, globin chain biosynthesis and restriction endonuclease mapping of DNA from these infants were used to determine the significance of Hb Bart's at birth. The results indicate that the genotypes alpha alpha/alpha alpha, -- alpha/alpha alpha and -- alpha/ -- alpha are associated with 0%, 0.1-2%, and greater than 2% Hb Bart's respectively. Although trace amounts of Hb Bart's may be associated with the genotype -- alpha/alpha alpha this is not always the case and therefore haemoglobin analysis in the neonatal period cannot be used to diagnose this genotype with any certainty.
Asunto(s)
Población Negra , Talasemia/diagnóstico , ADN , Índices de Eritrocitos , Genotipo , Globinas/biosíntesis , Hemoglobinas Anormales/análisis , Humanos , Lactante , Recién Nacido , Jamaica , Estudios Prospectivos , Talasemia/sangre , Talasemia/genéticaRESUMEN
A prospective study of 2191 Negro infants in Jamaica showed that approximately 7 percent of them had detectable levels of Hb Bart's (Y4) in the neonatal period. The red cell indices, globin chain biosynthesis and restriction endonuclease mapping of DNA from these infants were used to determine the significance of Hb Bart's at birth. The results indicate that the genotypes OO/OO, - O/OO and - O/-O are associated with 0 percent, 0.1-2 percent, and greater than 2 percent Hb Bart's respectively. Although trace amounts of Hb Bart's may be associated with the genotype - O/OO this is not always the case and therefore haemoglobin analysis in the neonatal period cannot be used to diagnose this genotype with any certainty (AU)