[Cutaneous manifestations of oxalosis caused by primary hyperoxaliuria].
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Biomedical subjects
Publications and source records attributed to J Wechsler.
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The authors have summed up their 10-years experiences (1978-1987) with the therapy of acute necrotizing pancreatitis and of some serious surgical complications. While in 252 patients operated early for biliary pancreatitis mortality rate did not exceed 8.7% in 65 patients operated for necrotizing abscessing pancreatitis and its complication it was as many as 63%. The stress has been laid both on early operations of biliary tract diseases and the prevention of developing severe forms of pancreatitis. Even in the cases of advanced necrotizing pancreatitis, priority has been given to radical necrectomy as early as in the second week of the disease duration supplemented with lavage and profuse drainage. The maintenance of therapeutical laparostomy is suitable.
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Authors report about 3 cases of primary sclerosing cholangitis type I of the total 3,043 patients operated for benign disease of biliary ducts in the course of 10 year's period (1978-1987). Diagnosis was determined not only on the base of clinical symptoms but mainly on the base of ERCP, PTC and histological examination. Two cases of obstructive icterus were treated by hepato-jejuno-anastomosis after Rouxe and one patient by high-hilar anastomosis with jejunum and diahepatal drainage left for 3 months. During the postoperative period patients were treated with hepatoprotectives and corticosteroids.
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On the collection of 35 people with ureterosigmoidostomy analyse the authors advantages and disadvantages of these operation. Suitable indicated operation can give to the patients good hygienical amenities, continention of stool and urinae give him full sociability. Nondesirable consequences of connection between urinary and intestinal tract can be influated by optimal medication. The authors detaily described operation technique with their modification and indication.
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