[Obstructive respiratory insufficiency].
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Biomedical subjects
Publications and source records attributed to A Iorgulescu.
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This retrospective study analyzes a series of 604 patients with incisional hernias, operated on between 1994 and 1998. The hernias where divided according to their dimensions and their reccurrence. The postoperative outcome and follow up leaded to some conclusions: although the postoperative immediate complications were frequent after the alloplastic procedures, the long term results, judged by the rate of reccurrence and the rejection of the mesh, were better. With the alloplastic procedures the best results were obtained when the mesh was fixed in a retromuscular--properitoneal position.
The authors present the results of a prospective study regarding their 1st year experience in laparoscopic adjustable gastric banding (LABG), which included 21 patients (5 males, 16 females), with an average age of 39 (between 20-53 years). The follow up was made at one and six months postoperative. The medium weight was 138 kg (between 95-172 kg), with a medium excess of body mass of 66.89 kg (extremes between 27.75 and 104 kg). The medium BMI (body mass index) was 48.9 (extremes: 34.5-66), 8 patients being superobese (BMI > 50). The average operating time was 120 min, all operations were finished laparosopically. Postoperative complications were: total disfagia (1 case), parietal suppuration (2 cases) and partial intragastric migration of the prosthesis (1 case). There were no deceased patients. The medium excess of body mass at 6 months after surgery was 46.57 (only 13 patients evaluated in this interval). After 6 months postoperative the comorbidities were healed at half of the patients. Although we do not benefit of a long time follow up, the favorable initial results permits us to state that LABG must find its place in the efforts of struggling against obesity and its consequences.