RESUMEN
Authors perform for the substitution of the thumb beside several other operations the transplantation of the second toe. The transplantation is carried out with the reconstruction of the arterial circulation, built on the I. metatarsal artery. Until now 18 substitutions of the thumb were carried out. The etiology of the lack of the toe is variable, in the great majority it is of traumatic origin however purulent process and attempt of suicide occur. With the observation of the rules of structural reconstruction good functional result may be reached. In more than a third of the cases both the sensitivity and the mobility are excellent. The use of this method is suggested first of all in cases where alternative substituting operations are out of question.
Asunto(s)
Pulgar/lesiones , Dedos del Pie/trasplante , Adulto , Amputación Traumática/rehabilitación , Amputación Traumática/cirugía , Femenino , Humanos , Masculino , Microcirugia , Movimiento , Pulgar/cirugíaRESUMEN
Reexamination of 19 reconstructive operations for common injuries of the median and ulnar nerves performed during 15 years was carried out. The localization of the injuries, the joined injuries, the method of nerve reconstruction and the treatment of the other injuries are given in details. 13 patients could be reached for the late follow-up, their clinical, EMG and ENG results are described.
Asunto(s)
Nervio Mediano/lesiones , Nervio Cubital/lesiones , Fascia/trasplante , Traumatismos de la Mano/cirugía , Humanos , Nervio Mediano/cirugía , Nervio Cubital/cirugía , Traumatismos de la Muñeca/cirugíaRESUMEN
Authors performed from 1979 to 1989 on 89 fingers of 65 patients replantation or revascularization operations after total or partial amputations. The procedure was unsuccessful in 16 cases. The operation was successful in 82 per cent and this corresponds to the literary data. It is stressed that the operative result depends not from the survival of the finger but from the functional end result.
Asunto(s)
Amputación Traumática/cirugía , Traumatismos de los Dedos/cirugía , Reimplantación , Adulto , Femenino , Dedos/irrigación sanguínea , Humanos , Masculino , Procedimientos Quirúrgicos Vasculares/métodosRESUMEN
Authors use since 1982 the mini fixateur externe in the treatment of the severe infected injuries of the hand. The stable, external fixation resulted in all the 31 patients, treated unsuccessfully with other methods, in healing.
Asunto(s)
Fijadores Externos , Traumatismos de los Dedos/cirugía , Traumatismos de la Mano/cirugía , Infección de Heridas/tratamiento farmacológico , Artritis Infecciosa/tratamiento farmacológico , Artritis Infecciosa/etiología , Cefalosporinas/uso terapéutico , Femenino , Traumatismos de los Dedos/diagnóstico por imagen , Fijación de Fractura/instrumentación , Fijación de Fractura/métodos , Traumatismos de la Mano/diagnóstico por imagen , Humanos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias , Radiografía , Pulgar/diagnóstico por imagen , Pulgar/lesiones , Pulgar/cirugíaAsunto(s)
Hepatopatías/diagnóstico , Sarcoidosis/diagnóstico , Biopsia con Aguja , Niño , Preescolar , Femenino , Humanos , Hígado/patología , Hepatopatías/tratamiento farmacológico , Hepatopatías/patología , Prednisolona/uso terapéutico , Sarcoidosis/tratamiento farmacológico , Sarcoidosis/patologíaRESUMEN
Clinical differential diagnosis of neonatal icteric diseases not infrequently appears to be difficult. Diagnostic means are limited. The needle biopsy of the liver has become an important aid in the diagnosis of neonatal liver diseases. Authors have analysed 21 biopsies obtained from children with congenital bile duct atresia and 8 biopsies from children with cholestatic hepatosis. Findings are compared with those revealed in neonatal hepatitis and other processes. The early changes (intracanalicular and intraductal cholestasis) are similar both in congenital bile duct atresia and in cholestatic hepatosis. In the later phase of the process in cholestatic hepatosis and in other diseases increasing cholestasis and a secondary damage to the parenchyma, but first of all portal changes came into being and gave a reliable basis for the differential diagnosis. Liver biopsy is indispensable for the diagnosis of mentioned diseases.
Asunto(s)
Conductos Biliares/anomalías , Enfermedades de las Vías Biliares/diagnóstico , Enfermedades del Recién Nacido/diagnóstico , Hígado/patología , Conductos Biliares/patología , Enfermedades de las Vías Biliares/patología , Biopsia con Aguja , Colestasis/diagnóstico , Colestasis/etiología , Diagnóstico Diferencial , Femenino , Humanos , Lactante , Recién Nacido , Ictericia Neonatal/diagnóstico , Ictericia Neonatal/patología , MasculinoAsunto(s)
Hepatitis/patología , Adolescente , Factores de Edad , Biopsia , Niño , Preescolar , Enfermedad Crónica , Femenino , Hepatitis/diagnóstico , Humanos , Lactante , Hígado/patología , Masculino , Células Plasmáticas , PronósticoRESUMEN
Clinical and pathological aspects of 9 cases of chronic persistent- and 14 cases of chronic aggressive hepatitis have been analyzed. Importance of the needle biopsy for diagnosis, control and treatment of the disease is emphasized. Differences in the histologic pattern of chronic hepatitis as compared to that of the adults are demonstrated (lack of plasma cells, moderate fibrosis, extreme variability of morphologic pattern in the same material, lack of the HBsAg positivity). Reported findings seem to evidence that early diagnosis and appropriate treatment of chronic aggressive hepatitis may provide satisfactory prognosis.