RESUMO

The PAMI's website creation (www.pami.org.ar) has had the purpose of spreading its activities, the standards of medical care and administrative management, offering--at the same time--a honest channel of interaction with the community.

Assuntos

RESUMO

Authors present their experience with first medical videoconferencing program developed in a public Argentinean hospital. Both modalities--room and desktop videoconferencing--were used. The program was exclusively used for educational purposes. A total of twelfth videoconferencing were successfully made using all resources. They included surgical procedures, magisterial lessons, grand rounds, etc. The project proved that videoconferencing is a cost-effective medical education tool, even in developing countries.

Assuntos

RESUMO

1) The results over 16 patients with duodenal trauma are presented. 2) Duodenal injuries are classified into the following categories: a) intramural hematoma; b) intraperitoneal rupture; c) retroperitoneal rupture and d) intra and retroperitoneal rupture. 3) The mortality rate was 31.2% and the morbidity rate was 56%. This gravity is due to the extent of the lesions, to the difficulties and complications of repair, to late-even erroneous-diagnosis and to associated lesions, especially pancreatic injury. 4) The diagnosis and operative treatment are discussed, especially operative diagnosis, surgical exploration and the problem of repair in function of the type, the location, the extent, the multiplicity and the association with other lesions.

Assuntos

RESUMO

1) The results over 19 patients with pancreatic trauma are presented. 2) Pancreatic injuries are classified into the following categories: a) contusion; b) hematoma; c) transection of the body or the head of the pancreas, with or without Wirsung injury; d) crackling and e) chief lesion. 3) The mortality rate was 26.3% and 80% in combined pancreatic (with ductal involvement) and duodenal injuries. The morbidity rate was 52.6%. 4) The diagnosis and operative treatment are discussed.

Assuntos

RESUMO

1) The results over 19 patients with pancreatic trauma are presented. 2) Pancreatic injuries are classified into the following categories: a) contusion; b) hematoma; c) transection of the body or the head of the pancreas, with or without Wirsung injury; d) crackling and e) chief lesion. 3) The mortality rate was 26.3

and 80

in combined pancreatic (with ductal involvement) and duodenal injuries. The morbidity rate was 52.6

. 4) The diagnosis and operative treatment are discussed.

RESUMO

1) The results over 16 patients with duodenal trauma are presented. 2) Duodenal injuries are classified into the following categories: a) intramural hematoma; b) intraperitoneal rupture; c) retroperitoneal rupture and d) intra and retroperitoneal rupture. 3) The mortality rate was 31.2

and the morbidity rate was 56

. This gravity is due to the extent of the lesions, to the difficulties and complications of repair, to late-even erroneous-diagnosis and to associated lesions, especially pancreatic injury. 4) The diagnosis and operative treatment are discussed, especially operative diagnosis, surgical exploration and the problem of repair in function of the type, the location, the extent, the multiplicity and the association with other lesions.

RESUMO

The experience obtained over 226 cases of endoscopically diagnosticated acute, bleeding, gastroduodenal lesions (A. B. G. D. L.), is submitted. The close relation among authors concerning diagnosis, treatment, and follow-up of patients, may allow them to offer the following results: 1) To elaborate an anatomopathological-endoscopic classification of the A. B. G. D. L., this being composed of five groups: a) microerosive or petechial form; b) macroerosive; c) acute ulcerous and d) fissurate form. The macroscopic, endoscopic and microscopic features of each of the forms, have being designated. 2) To present an entity: the Hemorrhagic Gastroenteropathy (HGP) pointing on the alarming possibility that, the denominated Hemorrhagic Gastroduodenitis (HDG), do not be such, but a simply high lesional constituent of a picture extending also to other digestive area (politopic disease) (HGP). This proposal is supported by clinic, endoscopic and experimental findings. 3) To propose the treatment now we consider the suitable one, based on the clinical prospective research fulfilled over 186 cases. This therapeutic consists on the psiquic disconnection achieved by the use of a lithic mixture combined with H2 and H1 blockers. Since the results are invariably effectives, we think that this disease is a medical entity and most exceptionally surgical.

Assuntos

RESUMO

The experience obtained over 226 cases of endoscopically diagnosticated acute, bleeding, gastroduodenal lesions (A. B. G. D. L.), is submitted. The close relation among authors concerning diagnosis, treatment, and follow-up of patients, may allow them to offer the following results: 1) To elaborate an anatomopathological-endoscopic classification of the A. B. G. D. L., this being composed of five groups: a) microerosive or petechial form; b) macroerosive; c) acute ulcerous and d) fissurate form. The macroscopic, endoscopic and microscopic features of each of the forms, have being designated. 2) To present an entity: the Hemorrhagic Gastroenteropathy (HGP) pointing on the alarming possibility that, the denominated Hemorrhagic Gastroduodenitis (HDG), do not be such, but a simply high lesional constituent of a picture extending also to other digestive area (politopic disease) (HGP). This proposal is supported by clinic, endoscopic and experimental findings. 3) To propose the treatment now we consider the suitable one, based on the clinical prospective research fulfilled over 186 cases. This therapeutic consists on the psiquic disconnection achieved by the use of a lithic mixture combined with H2 and H1 blockers. Since the results are invariably effectives, we think that this disease is a medical entity and most exceptionally surgical.