RESUMEN
Peptic perforation is a serious complication of peptic ulcer disease. The defect in the intestinal wall usually does not present a difficult technical problem of surgical management, in most cases perforation can be closed primarily. On rare occasions an extremely large defect (giant peptic perforation - defined as any perforation greater than 2.5 cm in size) cannot be closed by these simple techniques. Modalities of treatment advocated for such an ulcer over the years are: free omental plug in the form of a mushroom; serosal patch technique; jejunal pedicle graft, partial gastrectomy, and finally the possible addition of proximal gastrojejunostomy. The omental plug is a simple procedure which does not require expertise and can even be performed in a very short time by a trainee general surgeon in a seriously ill patient in emergency. We review 7 cases of giant peptic perforations closed by a free omental plug.
Asunto(s)
Epiplón/cirugía , Úlcera Péptica Perforada/cirugía , HumanosRESUMEN
Traumatic injuries to the rectum although uncommon can result in virulent complications and even death. Diverting colostomy, presacral drainage, distal wash out and rectal repair, when feasible, have become the standard treatment for rectal injuries. We report an unusual case of rectal injury resulting in anorectal avulsion from skin and surrounding tissues.
Asunto(s)
Canal Anal/lesiones , Colostomía/métodos , Recto/lesiones , Accidentes de Tránsito , Adulto , Canal Anal/cirugía , Humanos , Masculino , Recto/cirugía , Infección de la Herida Quirúrgica , Heridas no Penetrantes/cirugíaRESUMEN
Primary spinal melanoma is uncommon, with only 36 cases reported in the available literature. These lesions usually occur as diffuse melanomatosis. Solitary lesions are rare. Extradural locations is extremely rare, with only tow case reports in the literature. One such patient is reported and relevant literature reviewed.