Asunto(s)
Enfermedades del Conducto Colédoco/cirugía , Hemorragia Gastrointestinal/etiología , Hipertensión Portal/etiología , Cirrosis Hepática Biliar/etiología , Complicaciones Posoperatorias/etiología , Adulto , Colecistectomía/efectos adversos , Constricción Patológica/complicaciones , Femenino , Humanos , Cirrosis Hepática Biliar/cirugía , Derivación Portocava Quirúrgica , ReoperaciónRESUMEN
About 19 observations, authors analyse a method for treating post-operative sub-phrenic abscesses: transpleurodiaphragmatic drainage. This study is showing the efficiency of the technic which is a real flattening of the abscess. It is showing as well its inocuosness as mortality and morbidity are none in spite of the field this treatment is used on. On the other hand this method prescribes very definite conditions: the real sub-phrenic abscess must be single and quite localized in postero-lateral position.
Asunto(s)
Drenaje/métodos , Absceso Subfrénico/terapia , Adulto , Anciano , Diafragma , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pleura , Complicaciones Posoperatorias , Absceso Subfrénico/etiologíaRESUMEN
The authors studied 333 acute cholecystitis out of 2,200 operated on for lithiasis of the gall-bladder, 186 bacteriological tests were carried out on the vesicular liquid and wall. They insist on the main anatomo-pathological characteristic: early, partial or total destruction of the mucous together with acute inflammatory lesions of the wall and even sometimes necrosis. This irreversible lesion is due to the acute obstruction of the gall-bladder by blockage of a calculus. Acute cholecystitis are practically always aseptic at the beginning. Sepsis is a secondary complication. These anatomo-pathological and bacteriological elements have two therapeutic corollaries: 1. The patient has to be operated very early at the aseptic stage. 2. Preliminary antibiotherapy becomes useless. Under these conditions there is practically no death before the age of 65. Mortality concern old people, operated late and suffering from other disease.
Asunto(s)
Colecistitis/etiología , Colelitiasis/complicaciones , Enfermedad Aguda , Anciano , Antibacterianos/uso terapéutico , Colecistectomía , Colecistitis/mortalidad , Colecistitis/cirugía , Colelitiasis/mortalidad , Colelitiasis/cirugía , Femenino , Estudios de Seguimiento , Humanos , MasculinoRESUMEN
The authors analyse a series of 100 highly selective vagotomies for duodenal ulcer; 92 operated patients were followed up for 6 months to 5 years. The mortality was nil, the digestive sequelae were rare or mild. The recurrence rate was 4.4 p. cent and the proportion of good or very good results according to Visick's classification was 87 p. cent. The authors emphasise the necessity for broad dissection of the cardia for complete vagotomy.
Asunto(s)
Úlcera Duodenal/cirugía , Vagotomía , Adulto , Anciano , Diarrea/etiología , Síndrome de Vaciamiento Rápido/etiología , Femenino , Estudios de Seguimiento , Determinación de la Acidez Gástrica , Jugo Gástrico/metabolismo , Gastrinas/sangre , Gastrinas/metabolismo , Humanos , Masculino , Persona de Mediana Edad , Recurrencia , Vagotomía/efectos adversosRESUMEN
The authors report the case of 60 year old man with multiple jeuno-ileal metastases from a malignant melanoma of the skin revealed by jejuno-jejunal intussusceptions. In the light of this case, the authors emphasize the frequency and preferential localisation of these metastases at the level of the jejunum and ileum, the usual mildness of their symptoms until the day where acute obstruction requires laparotomy. The multiple lesions, their diversity and their very rapid course.