RESUMO
The Thiersch technique for treatment of rectal prolapsus has been largely abandoned because the metallic or non-resorbable wire is poorly tolerated and non-extensible. Silastic can fulfil these requirements and was used in 11 patients, including two who underwent reoperations. Good results were obtained in 9. This technique is simple and can be proposed when the general status of the patient does not allow surgical cure of the prolapsus.
Assuntos
Canal Anal/cirurgia , Prolapso Retal/cirurgia , Procedimentos Cirúrgicos Operatórios/métodos , Idoso , Idoso de 80 Anos ou mais , Animais , Cricetinae , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Elastômeros de Silicone , Procedimentos Cirúrgicos Operatórios/efeitos adversosRESUMO
Spontaneous rupture of the oesophagus is uncommon and is difficult to diagnose in the early stage. Clinical signs are lacking or incomplete, causing a delay in diagnosis and therapy which requires both intensive medical care and surgery. The surgical procedure depends on the time lapse to diagnosis. We report a case diagnosed 16 days after rupture in which directed fistulization led to complete healing.
Assuntos
Doenças do Esôfago/diagnóstico por imagem , Idoso , Doenças do Esôfago/cirurgia , Feminino , Humanos , Radiografia , Ruptura Espontânea , Fatores de TempoRESUMO
Two cases of catamenial pneumothorax are reported, a rare condition characterized by its sudden occurrence in a female patient between the ages of 30 and 40 years, always at the onset of the menstrual cycle. Its exact origin is unknown, but the frequent co-existence of endometriosis and a defect in the diaphragm suggests that endometriosis may be important in the etiology both of the pneumothorax and the diaphragmatic lesion. Pelvic endometriosis was present in both our patients, one of whom also had diaphragmatic endometriosis. The treatment of the pneumothorax in both our cases consisted of pleural decortication with excellent results so far.