RESUMEN
UNLABELLED: PURPOSE/MATERIAL AND METHOD: Cyanoacrylate tissue adhesive is indicated when a small corneal perforation is present. We report the case of a 23 year-old man who was attacked being thrown cyanoacrylate to both of his eyes. RESULTS/CONCLUSION: Wound healing has been laborious, however performed with low morbidity. This case is reported for being a bilateral injury and after finding no precedented cases in the literature.
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Quemaduras Químicas/etiología , Cianoacrilatos/efectos adversos , Quemaduras Oculares/inducido químicamente , Adulto , Agresión , Quemaduras Químicas/cirugía , Desbridamiento/métodos , Quemaduras Oculares/cirugía , Humanos , MasculinoRESUMEN
Objetivo/Método: El cianocrilato se utiliza en oftalmología para el tratamiento de pequeñas perforaciones corneales. Presentamos el caso de un varón de 23 años que fue agredido con el lanzamiento sobre ambos ojos de un pegamento cuyo componente fundamental es el cianocrilato. Resultados/Conclusiones: A pesar de la aparatosidad de la situación y la laboriosidad de la extracción de las placas, la morbilidad fue baja. Sin embargo, ya que las referencias bibliográficas en oftalmología sólo se refieren a las instilaciones accidentales y a la rareza de bilateralidad del caso, aportamos este caso clínico junto con una revisión de la bibliografía (AU)
Asunto(s)
Adulto , Masculino , Humanos , Quemaduras Químicas , Cianoacrilatos , Desbridamiento , Agresión , Quemaduras OcularesRESUMEN
INTRODUCTION: The most common complication in the treatment of thyroglossal duct cysts (TDC) is the high index of relapses. An analysis of this index and the influence of previous inflammatory episodes are presented. PATIENTS AND METHODS: A retrospective study of 120 consecutive TDC cases operated on during a period of 23 years, from 1972 to 1994, is presented. The statistical study was done using the Chi square test and the contrast of hypothesis for two proportions. RESULTS: The mean age of the patients was 4.9 years, with 93 cases (77%) being operated before 7 years of age. An inflammatory episode before surgery occurred in 57 cases (47%). Treatment was the Sistrunk technique in 112 cases (93%) and a simple excision of the cyst in 8 cases, with a relapse occurring in 4 of the latter cases (50%). Those cases where the Sistrunk technique was performed were divided into two groups: Group I (56 cases) those patients which had suffered an inflammatory episode before surgery and group II (56 cases) those that had not. Five relapses (8.9%) were found in group I and 2 (3.5%) in group II. CONCLUSIONS: TDC are fore frequent during early childhood, occurring most frequently before 7 years of age. The number of relapses are dramatically reduced when the Sistrunk technique is used, but no significant differences were found in those that had suffered previously an inflammatory episode.
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Quiste Tirogloso/epidemiología , Adolescente , Distribución por Edad , Niño , Preescolar , Femenino , Humanos , Incidencia , Lactante , Inflamación/epidemiología , Inflamación/cirugía , Masculino , Recurrencia , Reoperación , Estudios Retrospectivos , Distribución por Sexo , España/epidemiología , Quiste Tirogloso/cirugíaRESUMEN
OBJECTIVES: The present study analyzed the indications for laparoscopic surgery in cryptorchidism. METHODS: The clinical, surgical and anatomopathological data of 2000 cryptorchid testes submitted to surgery from 1972 to 1993 were reviewed. RESULTS: 17.75% (355 testes) were not palpable at physical examination; of these, 3.45% (69 cases) were anorchid and only 5.4% (108 testes) of the remaining 14.3% were true intra-abdominal testes. The other 8.9% were localized elsewhere. Scrotal descent was achieved only by funiculolysis in 68% of the cases. The remaining 28% (30 testes, since the technique used was not reported in 5) were brought to the scrotum using two-stage procedures, Stephen-Fowler and autotransplantation (one case), which could have been replaced or preceded by laparoscopy. Of the 30 testes, 10 were removed. CONCLUSIONS: Since only 5% (20 testes) can benefit from laparoscopic techniques and, moreover, 68% have a very low tubular fertility index and there is an increased possibility of progressing to malignancy, if other than standard surgical techniques are warranted in cases with unilateral cryptorchidism, testis removal is preferable, which further reduces the application of laparoscopy in cryptorchidism.
Asunto(s)
Criptorquidismo/cirugía , Laparoscopía , Adolescente , Niño , Preescolar , Humanos , Lactante , Masculino , Estudios ProspectivosRESUMEN
662 children (800 cryptorchid testes) has been studied in order to check if the age and location were important factors in the degree of the lesion found in the biopsy. We have related in this survey the tubular fertility index (IFT) and tubular diameter (DT) to the age and location of the testes and we have not proved statistically their relationship, for which reason we do not advise to plan the age of surgery in terms of possible anatomopathologic damage.