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Biomedical subjects

I Vereanu

Publications and source records attributed to I Vereanu.

At least 37 records · Page 2Linked to original sources
PubMedDate not supplied

[Cystic lesions of the pancreas].

The lesions of the pancreas represent a very interesting chapter of its pathology. Although they seem very much alike, the different anatomo- pathological forms have well defined individual features, which impose the therapeutical attitude. The authors have analyzed a group of 62 patients, admitted in our clinic between 1974 and 2003. Most of them had pancreatic pseudocysts (54-86%); 6 (10%) had cystadenomas; 1 (2%)--cystadenocarcinoma and 1 (2%)--solid and papillary cystic tumour. The diagnostic methods are largely presented and compared to the literature; it is emphasized the importance of imaging procedures and of the histo-pathological examination. The different therapeutical procedures, their advantages and limits are also analyzed--the necessity of a conservative attitude, with the total or partial preservation of the pancreas, is almost unanimously recognized.

Adult↗
PubMedDate not supplied

[Injuries of the extrahepatic bile ducts in laparoscopic cholecystectomy].

Laparoscopic cholecystectomy has become the "gold standard" for cholelithiasis. In laparoscopic technique, the incidence and the severity of injuries of the extrahepatic bile ducts are significantly higher (0-2,7%) than in open surgery (0,2-0,5%). The authors present a series of 18 patients with such lesions, operated between 1996 and 2005 in the surgical departments of 2 Clinical Hospitals: "Dr.I.Cantacuzino" and Coltea, from Bucharest. The injuries were: 2--of type A, 10--of type D and 6--of type E, according to Soper-Strasberg classification. There are analysed the causes and the circumstances in which these injuries have occurred, the clinical signs and imagistic findings and, most of all, their treatment. In complete transections of the common bile duct, a hepatico-jejuno-anastomosis using a Roux en Y-loop appears to be the best solution. It is emphasized the fact that an accurate diagnosis and surgical technique are essential for a favourable evolution. That's why these operations must be accomplished by experimented surgeons, from highly specialized departments.

Anastomosis, Roux-en-Y↗
PubMedDate not supplied

[An acute pseudo-obstruction of the colon with a background of chronic lead poisoning].

The authors present the case of a male patient aged 51 years who, on the background of a chronic intoxication with lead, developed an acute, pseudo-obstructive dilatation of the colon. The diagnosis was established during surgery, and the therapeutic solution consisted in cecostomy with a favourable result. A synopsis is also presented, of the literature concerning this rarely encountered syndrome.

Cecostomy↗
PubMedDate not supplied

[The direction and motivation for an evolution in methods of antiulcer surgery].

A 23-year retroactive analysis of a heterogeneous series of observations with unfavourable tardy results after antiulcer surgeries showed that the most failures requiring a second surgery appear after large resections with gastrojejunal or gastroduodenal anastomosis and after vagotomies associated with gastric drainage. The most favourable tardy results followed the vagotomy associated with limited gastric resection (hemigastrectomy). This kind of intervention prevents the appearance of the ulcerous relapses and lowers significantly the incidence of the other type of post-surgical iatrogenic complications. The optimal protection against the ulcerous relapse given by vagotomy associated with hemigastrectomy permits a tactical adaptation of the intervention to the lesional and physiopathological characteristics of each case.

Anastomosis, Surgical↗
PubMedDate not supplied

[Metastatic chorionepithelioma--a rare cause of digestive hemorrhage].

The authors present the case of a female patient aged 19 years with chorionepithelioma, multiple pulmonary metastases, and an unique intestinal metastasis, complicated by severe digestive haemorrhage and haemoperitoneum. Surgery was carried out in risky conditions and consisted in segmental enterectomy and subtotal hysterectomy, and bilateral adnexectomy. The postoperative evolution was unsatisfactory, and the patient died following continued digestive bleeding, probably due to coagulation disturbances induced by prolonged loss of blood. Although the disease is encountered and treated in ob-gyn departments, the general surgeon can be confronted by such complications of this affection which may take on extremely severe aspects, and where surgery, provided that is performed sufficiently early, can save the patient's life.

Adult↗
PubMedDate not supplied

[Pancreatic fistulas].

Based on 17 observations the authors review the major etiopathogenic, evolutive, clinical and therapeutic aspects of pancreatic fistulae. In 14 cases the cure was achieved by medical treatment while surgery was resorted to in only three cases. The medical measures are discussed, as well as the indications for surgical treatment.

Adult↗
PubMedDate not supplied

[Neoplasms of the principal biliary passages].

The authors make an analysis of factors which led to a late diagnosis, and to the choice of various surgical procedures used in the treatment of neoplasms of the main biliary pathway. The classical picture of "nodose jaundice" was encountered in only 24% of the cases, and this explains the wrong interpretation of the jaundice etiology in the early stages. A series of diagnostic difficulties are stressed, especially during the surgical intervention, related to some macroscopic forms of the neoplasm, the localization in ares which are difficulty accessible, and the bioptic sampling which is only rarely possible. The advanced stage of the lesions explains the fact that therapeutic attempts were limited in 52% of all patients to laparotomy performed for exploratory purposes, while exeresis of the neoplastic formation was possible in only 3% of the cases. Palliative interventions were used in 45% of the cases. Trans-tumoral intubation was used for draining purposes in the internal derivations. This was applied in 9 cases since it is simple and easy to perform, providing results which are similar to those obtained with other types of derivations. When no such possibilities existed external draining of the bile was achieved, a minimal procedure which assured the solution for the jaundice problem.

Bile Duct Neoplasms↗