[Paraneoplastic polyarthritis revealing gastric cancer].
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Adenocarcinoma↗
Biomedical subjects
S Constantinoiu
Publications and source records attributed to S Constantinoiu.
[Madelung's cervicodorsal adipose hypertrophy (the Launois-Bensaude syndrome)].
Based on an experience (that we believe may be very low in any Clinic) of three cases of cervicodorsal fatty hypertrophy (Launois-Bensaude syndrome) in one case with relapse of the disease, we performed complex anterior dissection of the region, with access of both vascular bundles of the neck and with subsequent surgical removal of the left hypertrophic maxillary salivary gland, followed in a second step (3 months after the primary operation) by the dissection of the dorsal fatty tumours. The aesthetic and functional results were excellent. In the postoperative step, the patient follows a radiation therapy at a dose for anti-inflammatory purpose and steroid therapy.
Adult↗
[Motility deficits in Roux-loop gastrojejunal reconstruction after the surgical treatment of reflux diseases (the Roux stasis syndrome)].
Motor disorders due to Roux-en-Y gastrojejunostomy are not uncommon, although not yet fully explained. Facing Roux stasis syndrome in patients who underwent Roux-en-Y diversion for secondary reflux pathology, we decided to study the motoric outcome of all 28 cases operated on for benign conditions in 1981-1996. We were interested only in motility disturbance related to our surgical act, so other therapeutic results were neglected. Since we could not perform manometric research and scintigraphic clearance was performed only in selected cases, our study was mainly clinical and based on radiology. There was no late stasis symptomatology in 19 patients operated for non-reflux pathology, but one third of refluxers developed Roux stasis syndrome, occasionally revisional surgery was performed.
Anastomosis, Roux-en-Y↗
[Postbulbar ulcer. An eclectic surgical approach].
The only possible explanation for the large variability in therapeutic results following surgery for postbulbar ulcer (PBU) may be the main attitude towards the postbulbar lesion. It is always desirable to remove the ulcer, but occasionally this may submit the patient to high risks, unacceptable for a benign condition. Pathogenic operation may be performed, regardless the handling of the ulcer, so only the main ulcer complication may decide the need for ulcer removal. The aim of our retrospective study upon 78 cases operated between 1984-1994 was consistency between actual clinical reality of PBU and surgical attitude. Ulcer penetration was so usual (58/78 cases) that the main indication for surgery was: bleeding (19 patients), total obstruction (18 cases) or blocked perforation (5 cases). Only 11/78 PBU were located on suprapapillary D2. Almost all patients (95%) were submitted to gastric resection +/- vagotomy, but only 27% of them removed the ulcer. The early unsatisfactory results were due to 7.7% fistulous morbidity and 2.6% mortality. Till now there here was no late ulcer recurrence or unsatisfactory results related to ulcer remanence.
Adult↗
[Primary abdominal parietorrhaphy and the cure of eventrations with the relon monofilament suture (N.I. 2402/76)].
Primary repair of the abdominal wall and the cure of incisional hernias using the relon mono-filamentous fibres (N.I. 2402/76) Confronted with long lasting parietal suppurations which are entertained by the classic nylon poly-filamentous fibres, suppurations that cannot be avoided unless the above fibres are removed on one hand assuming the risk of a possible subsequent incisional hernias and on the other hand because of the relative elevated price of the mono-filamentous fibres brought from abroad, within the last years (from 1982) we have utilised the relon mono-filamentous fibre (N.I. 2402/76) in abdominal wall reconstruction (initially for the surgical cure of the incisional hernias and there after in primary abdominal wall reconstruction when there were factors predisposing to a possible subsequent parietal for septic contamination, in overweight patients, immune-compromised patients, in patients following steroid therapy, chemotherapy, etc. Our present experience extends over more than 1000 patients who have undertook a surgical procedure.
Abdominal Muscles↗
[Clinical and therapeutic considerations in pseudomyxoma peritonei].
Pseudomyxoma peritonei (PMP) is an uncommon clinical entity, lacking a precisely defined etiopathogenesis. Its clinical features are not specific and diagnosis is difficult. We analysed 10 patients, all of them women, whom we had treated surgically in combination with intraperitoneal chemotherapy. Postoperative complications had been minimal and no death had occurred. 5 patients were followed up in time, 4 of them presenting a favourable evolution (2 required reintervention), and 1 patient decreased. We analysed up-to-date therapeutic approaches and the benefit of their combinations in order to identify the optimal therapeutic strategy. We consider that the combinations surgery + intraperitoneal chemotherapy or surgery + intracavitary radiotherapy are the most effective up to date.
Adult↗
[Total duodenal diversion in hiatal hernia with pathological duodenoesophageal reflux (preliminary results)].
For some patients, reflux disease means also duodenogastric, as well as gastroesophageal reflux; they may suffer because of duodenoesophageal reflux. For these patients, a simple surgical restoration of the cardial competence may prove to be insufficient; on the contrary, an indirect approach, using vagotomy and duodenal diversion may be a good therapeutical option in selected cases. In our hands, total duodenal diversion has already proven to be a good technical solution for the surgical treatment of the postoperative reflux disease, so we decided to expand its first choice indications to hiatal hernia cases, in the presence of duodenoesophageal reflux. Therefore, our study presents the results of the first 7 cases, operated on since 1995. No case had been gastric operated before, but 4/7 had already suffered a cholecystectomy. Duodenoesophageal reflux is discussed: etiopathogenesis related to surgical approach, using standard antireflux surgery (failures of the hiatal techniques and their causes) or total duodenal diversion (technical aspects, antireflux efficiency, secondary functional effects, pros and cons, therapeutical indications).
Adult↗