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1.
Medisan ; 21(8)ago. 2017. ilus
Artigo em Espanhol | LILACS | ID: biblio-894648

RESUMO

Se presenta el caso clínico de una paciente de 66 años de edad, blanca, con antecedentes de hipertensión arterial, diabetes mellitus de tipo II y sobrepeso, quien fue operada en el Hospital General Universitario Dr Juan Bruno Zayas Alfonso de Santiago de Cuba por presentar una eventración gigante en la pared abdominal anterior, que no le permitía deambular sin apoyo. Se realizó la reparación protésica que resultó eficaz y segura, con 13 años sin recurrencia


The case report of a 66 years white patient with a history of hypertension, type II diabetes mellitus and overweight is presented, who was operated on at Dr Juan Bruno Zayas Alfonso University General Hospital in Santiago de Cuba due to a considerable eventration in the front abdominal wall that didn't allow her wandering around without support. The prosthetic repair which was effective and safe, was carried out with no recurrence during 13 years


Assuntos
Humanos , Feminino , Idoso , Implantação de Prótese , Eventração Diafragmática , Hérnia Incisional/cirurgia , Hérnia Umbilical/cirurgia , Atenção Secundária à Saúde , Doença Catastrófica
2.
Medisan ; 21(7)jul. 2017. ilus
Artigo em Espanhol | LILACS | ID: biblio-894637

RESUMO

Se describe el caso clínico de un paciente de 45 años de edad, quien sufrió accidente laboral por objeto metálico romo, que le ocasionó trauma contuso en región lumbosacra derecha. A los 30 días de dicho trauma, notó aumento de volumen en la zona afectada y acudió a la consulta de cirugía herniaria del Hospital General Universitario Dr Juan Bruno Zayas Alfonso, donde clínicamente se le diagnosticó una hernia lumbar derecha postraumática. Fue operado de forma electiva con anestesia orotraqueal. Se realizó profilaxis antimicrobiana y antitrombótica; además, se implantó prótesis preperitoneal de polipropileno. No hubo complicaciones perioperatorias y el paciente tuvo seguimiento durante 3 años, sin recurrencias


The case report of a 45 years patient who had an industrial accident with a blunt metallic object that caused him bruised trauma in the right lumbosacral region is described. After 30 days of this trauma, he noticed increase of volume in the affected area and went to the hernia surgery service of Dr Juan Bruno Zayas Alfonso University General Hospital, where he was clinically diagnosed with a right post-traumatic lumbar hernia. He was operated in an elective way with orotracheal anesthesia. Antimicrobian and antithrombotic prophylaxis was carried out; also, a polypropylene preperitoneal prosthesis was implanted. There were not perioperative complications and the patient had follow up during 3 years, without recurrences


Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Região Sacrococcígea , Implantação de Prótese , Deslocamento do Disco Intervertebral/cirurgia , Região Lombossacral/lesões , Ferimentos Penetrantes/reabilitação , Atenção Secundária à Saúde , Acidentes de Trabalho
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