scholarly journals Storosios žarnos polipo pašalinimas atliekant laparoskopu asistuojamą polipektomiją – klinikinio atvejo pristatymas

2009 ◽  
Vol 7 (1-2) ◽  
pp. 0-0
Author(s):  
Artūras Mečkovski ◽  
Narimantas Evaldas Samalavičius ◽  
Vaidotas Grigas
Keyword(s):  
Case Report ◽  
Family Medicine ◽  
Abdominal Surgery ◽  
Key Words ◽  
Postoperative Period ◽  
University Faculty ◽  
Medicine Clinic ◽  
Descending Colon ◽  
Vilnius University ◽  
Laparoscopic Assisted

Artūras Mečkovski, Narimantas Evaldas Samalavičius, Vaidotas GrigasVilniaus universiteto ligoninės Santariškių klinikos II Pilvo chirurgijos skyrius,Santariškių g. 2, LT-08406 VilniusVilniaus universiteto Onkologijos institutas, Chirurgijos klinika, Santariškių g. 1, LT-08660 VilniusVilniaus universiteto Medicinos fakulteto Vidaus ligų, šeimos medicinos ir onkologijos klinika,Santariškių g. 2, LT-08661 VilniusEl paštas: [email protected] Gerybiniai storosios žarnos polipai yra viena iš dažnesnių storojo žarnyno patologijų. Dauguma jų pašalinami endoskopiškai. Tačiau esant dideliems ir nepatogios lokalizacijos polipams reikia kitos metodikos. Viena iš tokių metodikų – laparoskopu asistuojama polipektomija. Operuotas vienas pacientas dėl nusileidžiančiojoje gaubtinės žarnos (colon descendens) dalyje esančio 6 cm polipo. Pooperacinis laikotarpis sklandus, komplikacijų nebuvo. Išvada – laparoskopu asistuojama polipektomija saugus ir patikimas operacijos būdas, kai polipo negalima pašalinti endoskopiškai. Reikšminiai žodžiai: laparoskopu asistuojama polipektomija, storosios žarnos polipas Laparoscopy assisted colonic polipectomy – case report Artūras Mečkovski, Narimantas Evaldas Samalavičius, Vaidotas GrigasDepartment of Abdominal Surgery-2, Santariškių str. 2, LT-08406 Vilnius, LithuaniaClinic of Surgery, Oncology Institute of Vilnius University, Santariškių str. 1,LT-08660 Vilnius, LithuaniaVilnius University, Faculty of Medicine, Clinic of Internal, Family Medicine and Oncology,Santariškių str. 2,LT-08661 Vilnius, LithuaniaE-mail: [email protected] The most common colonic pathology is the binning polyps. Most of them are treated by endoscopic polipectomy. In some cases when polyp is to large or awkwardly located need to choice another method of treatment. One of them – laparoscopy assisted colonic polipectomy.One patient underwent operation for large, 6 cm polyp of descending colon. Postoperative period was successful, without any complications. Conclusion. Laparoscopy assisted polipectomy was secure method of treatment. Key words: polipectomy, laparoscopic assisted, colonic polipe

scholarly journals Hyperglycaemia-induced diabetic amyotrophy: a case report from a family medicine clinic

BJGP Open ◽  
2020 ◽  
Vol 4 (1) ◽  
pp. bjgpopen20X101026
Author(s):  
Apichai Wattanapisit ◽  
Sanhapan Wattanapisit ◽  
Jaruporn Thongruch
Keyword(s):  
Case Report ◽  
Family Medicine ◽  
Medicine Clinic ◽  
Diabetic Amyotrophy

scholarly journals Potrauminė blužnies pseudocista: klinikinis atvejis ir literatūros apžvalga

2009 ◽  
Vol 7 (3-4) ◽  
pp. 0-0
Author(s):  
Ieva Martinaitytė ◽  
Jonas Pivoriūnas ◽  
Jonas Jurgaitis ◽  
Marius Paškonis ◽  
Anatolij Ostapenka ◽  
...  
Keyword(s):  
Case Report ◽  
Abdominal Surgery ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Rare Complication ◽  
University Hospital ◽  
Review Of The Literature ◽  
G 21 ◽  
Post Traumatic ◽  
Vilnius University

Ieva Martinaitytė1, Jonas Pivoriūnas1, Jonas Jurgaitis2, 3, Marius Paškonis2, 3 Anatolij Ostapenka2, 3, Kęstutis Strupas21 Vilniaus universiteto Medicinos fakultetas, M. K. Čiurlionio g. 21, LT-03101 Vilnius2 Gastroenterologijos, urologijos ir abdominalinės chirurgijos klinika, Vilniaus universiteto ligoninė Santariškių klinikos, Santariškių g. 2, LT-08661 Vilnius3 Vilniaus universiteto Onkologijos institutas, Santariškių g. 1, LT-08660 VilniusEl paštas: [email protected] Potrauminė blužnies pseudocista – tai labai reta dėl uždaros pilvo traumos išsivystanti blužnies plyšimo komplikacija, pasireiškianti tik 1 % pacientų, patyrusių uždarą pilvo traumą. Ligos simptomatika pasireiškia praėjus ilgam laikotarpiui po traumos, todėl yra sunku nustatyti blužnies pseudocistos etiologiją. Šiame straipsnyje pristatomas klinikinis potrauminės blužnies pseudocistos atvejis ir aptariama chirurginio gydymo taktika. Reikšminiai žodžiai: potrauminis blužnies sužalojimas, blužnies pseudocista, blužnies pseudocistos gydymas. Post-traumatic splenic pseudocyst: case report and review of the literature Ieva Martinaitytė1, Jonas Pivoriūnas1, Jonas Jurgaitis2, 3, Marius Paškonis2, 3 Anatolij Ostapenka2, 3, Kęstutis Strupas21 Faculty of Medicine, Vilnius University, M. K. Čiurlionio str. 21, LT-03101 Vilnius, Lithuania2 Clinic of Gastroenterology, Urology and Abdominal Surgery, Vilnius University Hospital “Santariškių Klinikos”, Santariškių str. 2, LT-08661 Vilnius, Lithuania3 Institute of Oncology, Vilnius University, Santariškių str. 1, LT-08660 Vilnius, LithuaniaEl paštas: [email protected] The post-traumatic pseudocyst is a very rare complication of the spleen rupture after blunt abdominal trauma. It is known to occur only to 1% of patients who had undergone such blunt abdominal trauma. The symptoms of the disease are reported to develop after a long post-traumatic period, thus the etiology of the pseudocyst of the spleen is hard to reveal. The aim of this paper is to present a case of the post-traumatic pseudocyst of the spleen and to discuss the strategy of the surgical management. Keywords: post-traumatic spleen injury, splenic pseudocyst, management of splenic pseudocyst.

scholarly journals Ūminio pankreatito etiopatogenezė

2006 ◽  
Vol 4 (2) ◽  
pp. 0-0
Author(s):  
Audrius Šileikis
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Surgery ◽  
Key Words ◽  
The Other ◽  
University Hospital ◽  
Key Words Acute Pancreatitis ◽  
Scientific Investigations ◽  
Vilnius University

Audrius ŠileikisVilniaus universiteto ligoninės Santariškių klinikųPilvo chirurgijos centras,Santariškių g. 2, LT-08661 VilniusEl paštas: [email protected] Ūminis pankreatitas – tai liga, kurios metu pažeidžiama ne tik kasa, bet ir kiti organai, o sutrikus jų veiklai žmogus gali mirti. Todėl žinant ligos priežastis ir jos raidos mechanizmą galima išvengti mirtinų komplikacijų. Per pastaruosius du dešimtmečius atlikta nemažai mokslinių tyrinėjimų, leidusių geriau pažinti procesus, vykstančius sergant ūminiu pankreatitu. Jie ir pateikti šiame straipsnyje. Reikšminiai žodžiai: ūminis pankreatitas, citokinai Etiopathogenesis of acute pancreatitis Audrius ŠileikisCenter of Abdominal Surgery,Vilnius University Hospital "Santariškių klinikos",Vilnius, Santariškių str. 2, LT-08661 Vilnius, LithuaniaE-mail: [email protected] Acute pancreatitis is a disease which damages not only the pancreas, but also the other organs, through the functional derangement of which a person may die. Thus, the knowledge of the causes of the disease and the mechanism of the development of the illness itself may help to avoid the threatening inevitable complications. A number of scientific investigations, which contributed to understanding the processes going on in the course of acute pancreatitis have been carried out within the recent twenty years; they are discussed in the paper. Key words: acute pancreatitis, cytokine

Ectodermal Dysplasia in two siblings: A Case report.

2019 ◽  
Author(s):  
CHAITHRA KALKUR ◽  
NILOFER HALIM ◽  
ANUSHA RANGARE ◽  
Rumisha .
Keyword(s):  
Case Report ◽  
Key Words ◽  
Clinical Features ◽  
Ectodermal Dysplasia ◽  
Heterogeneous Group ◽  
Eccrine Glands ◽  
Key Words Ectodermal Dysplasia

Ectodermal dysplasia is a heterogeneous group of inherited disorder affecting two or more ectodermally derived tissues such as skin, hair, nails, eccrine glands and teeth. The disorder is of two types: Hypohydrotic ectodermal dysplasia/Christ seimens –Touraine syndrome and Hydrotic ectodermal dysplasia/clousten syndrome. Commonly associated signs include hypohidrosis, anomalous dentition, onychodysplasia, hypotrichosis. Multidisciplinary approaches are required for optimal treatment3. Here, we present two cases of 19 and 13 year old male siblings who were diagnosed with the disorder based upon their clinical features. Key Words: ectodermal dysplasia, hypodontia; anomalous dentition.

Combined Extended High Spinal Anesthesia and Endotracheal Narcosis: a Clinical Case

2019 ◽  
Vol 4 (2) ◽  
pp. 152-154
Author(s):  
A. B. Yakushevsky ◽  
A. N. Plekhanov ◽  
A. B. Ayusheev
Keyword(s):  
Abdominal Surgery ◽  
Spinal Anesthesia ◽  
Postoperative Period ◽  
Initial Dose ◽  
Clinical Case ◽  
Central Hemodynamics ◽  
Narcotic Analgesics ◽  
Spinal Catheter ◽  
The Right ◽  
Endotracheal Anesthesia

Background. In recent years, various methods of combined anesthesia during abdominal surgery have been introduced into clinical practice.Aim. To demonstrate the possibilities of a combination of high prolonged spinal anesthesia and endotracheal anesthesia during abdominal surgery.Materials and methods. A clinical case of combined use of high prolonged spinal anesthesia and endotracheal anesthesia in a 48-year-old patient with a tumor in the right half of the ascending part of the right half of the colon is presented.Results. The patient received a puncture of the spinal space at a standard point and was installed a spinal catheter in the cranial direction for 3 cm. An isobaric solution of marcaine in the initial dose of 20 mg was injected into the catheter. The regulation of the development of the block was regulated by the inclination of the head end of the table by 60°. After that endotracheal anesthesia was performed on the basis of fentanyl and propofol. This combination allowed to expand the scope of surgical intervention, provided adequate pain relief intraoperatively and in the postoperative period, without the use of narcotic analgesics. With the appearance of signs of recovery of pain sensitivity, intraoperatively or in the postoperative period, re-introduction of the anesthetic into the spinal catheter was performed in half of the initial dose with liquor barbotage. In the early postoperative period, the patient was on strict bed rest with a head end of the bed raised at 30–45°. The method provides complete segmental blockade and muscle relaxation in the area of operation, stability of central hemodynamics during surgery and in the postoperative period.Conclusion. This type of anesthesia is more easily tolerated by patients, accompanied by early awakening and extubation, characterized by stability of central hemodynamics, reduced risk of complications, the possibility of prolonging anesthesia with lower doses of narcotic analgesics in the intraoperative period, providing high-quality anesthesia in the postoperative period without resorting to the use of narcotic analgesics.

OBTURATOR HERNIA: A CASE REPORT

2016 ◽  
pp. 106-109
Author(s):  
Hoang Minh Thi Nguyen ◽  
Huu Tri Nguyen ◽  
Thanh Thao Nguyen
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Intestinal Obstruction ◽  
Key Words ◽  
Clinical Manifestation ◽  
Elderly Women ◽  
Obturator Hernia ◽  
Abdominal Hernia ◽  
Mechanical Obstruction

Obturator hernia is a rare pelvic hernia which accounts for 1% of all abdominal hernia. Clinical manifestation is ussually unspecific. Obturator hernia is often diagnosed by computed tomography or ultrasound. We present a case of obturator hernia in an elderly women who was successfully diagnosed and treated at Hue Univeristy of Medicine and Pharmacy. Key words: obturator hernia, mechanical obstruction, intestinal obstruction, Richter obturator hernia, strangulation

RETROSPECTIVE ANALYSIS OF THE MEDICAL DOCUMENTATION OF PATIENTS WHO APPLIED TO THE AMBULATORY OF GENERAL PRACTICE - FAMILY MEDICINE

2019 ◽  
Vol 72 (5) ◽  
pp. 938-941
Author(s):  
Оlexander Ye. Kononov ◽  
Liliana V. Klymenko ◽  
Ganna V. Batsiura ◽  
Larysa F. Matiukha ◽  
Olha V. Protsiuk ◽  
...  
Keyword(s):  
Family Medicine ◽  
Middle Ages ◽  
Risk Groups ◽  
Medical Documentation ◽  
Aged Patients ◽  
Family Doctors ◽  
Functional Changes ◽  
Medicine Clinic ◽  
Leading Role ◽  
The Family

Introduction: In today’s realities of health care reform in Ukraine family doctors play a leading role. The aim of our work was to analyze the medical cards of patients who applied for medical care to the family medicine clinic. Materials and methods: It was analyzed outpatient medical cards of 87 patients who applied to the family medicine clinic in the Khotov village, Kyiv region. The study included people aged 18 to 60 years, which corresponded to the groups of young and middle ages according to the WHO classification. Review: Our findings indicate the prevalence of functional changes among young people: somatoform dysfunction of the autonomic nervous system - 9 (37,5%) and the development of organic manifestations at middle-aged patients: arterial hypertension - 32 (62,7%) and coronary artery disease - 17 (33,3%). Conclusions: This study is important for determining the risk groups, early diagnosis and prevention of diseases.

scholarly journals Diabetes Risk Factors and Testing in a Family Medicine Clinic

2006 ◽  
Vol 163 (suppl_11) ◽  
pp. S185-S185
Author(s):  
F.J Dallo ◽  
S.C Weller ◽  
A.R Cass
Keyword(s):  
Risk Factors ◽  
Family Medicine ◽  
Diabetes Risk ◽  
Diabetes Risk Factors ◽  
Medicine Clinic
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