scholarly journals Stapled hemorrhoidopexy – Initial experience from a general surgery center

2013 ◽  
Vol 69 (2) ◽  
pp. 119-123 ◽  
Author(s):  
S.S. Jaiswal ◽  
Darpan Gupta ◽  
Saket Davera
Keyword(s):  
General Surgery ◽  
Stapled Hemorrhoidopexy ◽  
Initial Experience ◽  
Surgery Center

scholarly journals Diafragminių išvaržų diagnostikos ypatybės

2010 ◽  
Vol 8 (1) ◽  
pp. 0-0
Author(s):  
Irena Bičkutė ◽  
Mindaugas Avižonis
Keyword(s):  
Computed Tomography ◽  
Diaphragmatic Hernia ◽  
General Surgery ◽  
Clinical Case ◽  
Surgical Care ◽  
Emergency Hospital ◽  
Vilnius University ◽  
Surgery Center

Irena Bičkutė1, Mindaugas Avižonis21Švenčionių rajono ligoninė,Partizanų g. 4, LT-18126 Švenčionys2Mykolo Marcinkevičiaus ligoninė,Kauno g. 7/2, LT-03215 VilniusEl paštas: [email protected] Nepaisant diagnostikos ir chirurgijos pažangos, kartais sunku diagnozuoti diafragminę išvaržą, pasitaiko ir mirties atvejų. Pateikiame klinikinį atvejį, kai stemplės žiočių išvarža buvo diagnozuota tik atlikus kompiuterinę tomografiją su peroraliniu kontrastavimu. Aptariame kitų autorių aprašytas klinikines situacijas. Specific features of diaphragmatic hernia diagnostics Irena Bičkutė1, Mindaugas Avižonis2Vilnius University, General Surgery Center of Clinic of Gastroenterology, Nephrourology and Surgery, Vilnius University Emergency Hospital,Šiltnamių str. 29, LT-04130 Vilnius, LithuaniaE-mail: [email protected] Despite the progres in medical and surgical care, sometimes it is difficult to diagnose diaphragmatic hernia, even death is possible. We present a clinical case when visualisation with computed tomography with per os contrasting helped to diagnose hiatal diaphragmatic hernia. Discussed are also the clinical situations presented by other authors.

scholarly journals Initial experience with stapled hemorrhoidopexy for treatment of hemorrhoids

2006 ◽  
Vol 43 (3) ◽  
pp. 238-242 ◽  
Author(s):  
Carlos Walter Sobrado ◽  
Guilherme Cutait de Castro Cotti ◽  
Fabricio Ferreira Coelho ◽  
Júlio Rafael Mariano da Rocha
Keyword(s):  
Pain Control ◽  
Radical Change ◽  
Stapled Hemorrhoidopexy ◽  
Anal Stenosis ◽  
Initial Experience ◽  
Safe Alternative ◽  
Rescue Analgesia ◽  
Fourth Degree ◽  
Conventional Hemorrhoidectomy ◽  
Anal Bleeding

BACKGROUND: Introduction of stapled hemorrhoidopexy by Longo in 1998 represented a radical change in the treatment of hemorrhoids. By avoiding multiple excisions and suture lines in the perianal region, stapled hemorrhoidopexy is intended to offer less postoperative pain than with conventional techniques. OBJECTIVE: To report and analyze the intra and postoperative results gained during initial experience with stapled hemorrhoidopexy. METHODS: One hundred and fifty five patients (67 males) with average age of 39.5 years (21-67 years) underwent stapled hemorrhoidopexy between June 2000 and December 2003 with symptomatic third-degree (n = 74) and fourth-degree (n = 81) hemorrhoids. Mean follow-up period was 20 months (14-60 months). RESULTS: Preoperative symptoms were prolapse (96.7%) and anal bleeding (96.1%). Overall mean operative time was 23 minutes (16-48 minutes). We observed one case of stapler failure and one case of failure to introduce the stapler occurred in a patient with previous anal surgery. Additional sutures for hemostasis were required in 103 patients (66.5%). Resection of skin tags was performed in 45 cases (29%). Postoperatively scheduled analgesia with oral dipyrone and celecoxib was enough for pain control in 131 patients (84.5%). Rescue analgesia was necessary in 24 cases (15.5%). Five patients needed opiates for pain control. Hospital discharge took place on the first postoperative day in 140 patients (90.3%). First defecation without pain was reported by 118 patients (76.1%). Postoperative complications were anal bleeding (10.3%), severe pain (3.2%), urinary retention (3.9%), fever without any signs of perianal infection (1.9%), incontinence for flatus (1.9%), hemorrhoidal thrombosis (1.3%). Two patients presented symptoms of recurrent hemorrhoidal disease and were successfully treated by conventional hemorrhoidectomy. They were no cases of anal stenosis, permanent incontinence, chronic pain or deaths in this series. CONCLUSIONS: Hemorrhoidopexy can be considered a feasible and safe alternative technique to conventional hemorroidectomy for select patients.

LB012-MON INITIAL EXPERIENCE WITH INTESTINAL REHABILITATION IN GENERAL SURGERY WARDS

2013 ◽  
Vol 32 ◽  
pp. S236-S237
Author(s):  
J.F. Correia ◽  
F. Ferreira ◽  
E. Barbosa ◽  
E. Guerreiro ◽  
A.R. Silva ◽  
...  
Keyword(s):  
General Surgery ◽  
Initial Experience ◽  
Intestinal Rehabilitation

scholarly journals Blužnies pseudocista: trimačiai kompiuteriniai vaizdai

2006 ◽  
Vol 4 (4) ◽  
pp. 0-0
Author(s):  
Raimundas Lunevičius ◽  
Raminta Šydeikienė
Keyword(s):  
General Surgery ◽  
Three Dimensional ◽  
Emergency Hospital ◽  
Vilnius University ◽  
Surgery Center

Raimundas Lunevičius, Raminta ŠydeikienėVilniaus universiteto Bendrosios chirurgijos centras,Vilniaus greitosios pagalbos universitetinė ligoninė, Šiltnamių g. 29, LT-04130 VilniusEl paštas: [email protected] Pateikiami blužnies potrauminės pseudocistos trimačiai kompiuteriniai vaizdai. Splenic pseudocyst: three-dimensional computer imaging Raimundas Lunevičius, Raminta Šydeikienė.Vilnius University, General Surgery Center, Vilnius University Emergency Hospital,Šiltnamių 29, Vilnius, LT-04130 Vilnius, LithuaniaE-mail: [email protected] Three-dimentional computer imagings of splenic posttraumatic pseudocyst are demonstrated.

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