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At least 127 records · Page 7Linked to original sources
PubMed1999

[Drainage of the abdominal cavity using a simple and reliable system].

Experience with drains is more than 2000 years old, but instructive. In abdominal surgery nowadays indications for prophylactic drainage are diminishing as peroperative antibiotic administration has a similar effect. Therapeutic drainage is however still important and drainage is also useful after extensive operations, surgery of the lesser pelvis and operations with major bacterial contamination. The authors present their practical experience with a simple system of wrapped drains (Medisillen-Rubena, Brno) and a cover with an adhesive plate (B-Braun-Biotrol) which they used in 660 abdominal drainages with a very good effect.

Abdomen↗
PubMed2001

[Results of laparoscopic implantation of peritoneal catheters]].

The advantages of miniinvasive surgical techniques were proved in a number of surgical operations. In the submitted article the authors evaluate five years' experience with laparoscopic implantation of Tenckhoff's catheter for peritoneal dialysis. The authors implanted in 1995-1999 catheters by the laparoscopic route in 34 patients. The most frequent complication was early leak of the dialysate along the catheter (41%). After modification of the surgical technique early leak was observed in 11% of the patients. Escape of the catheter from the lesser pelvis was observed in 14.8% patients. The authors did not observe early infection of the tunnel along the catheter. It may be concluded that the laparoscopic technique of implantation of a peritoneal catheter was not associated with a higher incidence of complications than the laparotomy. The advantage of laparoscopic operation is earlier mobilisation and shorter hospitalization of the patient. Another advantage of this technique, tested by the authors, is the possibility of exact diagnosis possibly with an immediate single-stage plastic operation of hernias in the abdominal region.

Adult↗
PubMed2001

[Role of complementary tests in the management of colo-vesical fistulae].

OBJECTIVE: Colo-vesical fistulas (CVF) are a complication of inflammatory or neoplastic diseases of the lesser pelvis. Although the clinical diagnosis is obvious in the presence of pneumaturia or faecaluria, a number of patients require complementary diagnostic and/or pretreatment investigations. The objective of this study was to analyse the management of these patients in order to define the place and cost-effectiveness of complementary investigations. MATERIAL AND METHODS: This retrospective study was based on 37 patients with a colo-vesical fistula, secondary to sigmoid diverticulitis in 60% of cases. RESULTS: Cystoscopy was the most cost-effective examination for the diagnosis of CVF with a sensitivity of 94%. The preoperative assessment of CVF and the underlying disease was optimally performed by a combination of cystoscopy, opaque enema and CT. CONCLUSIONS: Our study defined the place of the various examinations in the assessment of colo-vesical fistula, but the value of magnetic resonance imaging, not performed in this series, remains to be defined.

Adult↗
PubMed2002

[Uncommon clinical aspects of appendicitis].

During the period between 1980-2000 at the authors department 5114 children with acute appendicitis were operated (on average 245 per year). From this period the year 1999 was selected when 160 children were operated on account of acute appendicitis. Thirty-eight children had an advanced finding--gangrenous appendicitis or an abscess. Gangrenous appendicitis or empyema of the appendix without perforation were recorded in 16 patients (10%), gangrenous appendicitis with perforation in 9 patients (5.6%), a periappendicular abscess in 13 (8.1%), phlegmonous appendicitis was recorded in 108 patients (67.5%) and in 14 patients the histological examination revealed mesenterial lymphadenitis (8.7%). The authors demonstrate on selected case-histories the problem of appendicitis not recognized in time and appendicitis with an atypical course. They draw attention to the uncommon clinical course in 5 patients where at first a tumour of the upper mediastinum, tumour of the abdominal cavity, twice diarrhoeal disease and a tumour in the lesser pelvis was suspected. The authors emphasize that even at a time when special examinations are available (ultrasonography, computed tomgraphy) it is important to make repeated clinical examinations of the patients at least in the course of three days.

Acute Disease↗
PubMed1992

[The incidence of urolithiasis (based on autopsy data from the Donetsk Province Clinical Hospital)].

Autopsy data indicate that urolithiasis is found in 3.6% of 100 autopsies, most frequently in men (62 cases) over 40 years of age. In 2/3 of patients the length of the disease was under 8 years, rarer over 15 years. In most cases renal involvement was bilateral (72 patients). In more that 70% two or three operations were performed. A pathogenetic relationship was found between urolithiasis and malformations of the kidneys and ureters, urinary stasis in disorders of innervation of lesser pelvis organs, hyperplasia of the prostate and disorders of the mineral metabolism.

Age Factors↗
PubMed2003

[Surgical treatment of a femoral agenesis: a case report].

We report a case of severe femoral agenesia in an adult and propose a new surgical approach facilitating prosthesis fitting. The procedure involves insertion of a total hip arthroplasty, arthrodesis of the knee and amputation of the foot. The final prosthesis fits on the crural area with weight bearing on the ischiatic region, the lesser pelvis, and the articulated knee. Outcome was satisfactory at one year in our patient. Other surgical alternatives are presented.

Adult↗
PubMedDate not supplied

[Urodynamic changes of the lower urinary tracts and their correction in combined and complex treatment of neoplasms in organs of the small pelvic].

The authors believe that systematization and standardization of prophylaxis and treatment of urinary complications after radiotherapy for cancer of the lesser pelvis organs are necessary. We studied urinary bladder function, applied a complex of diagnostic procedures including combined urodynamic investigation in the course of radiotherapy. This promoted more effective therapy and higher life quality in the studied patients.

Aged↗
PubMed1990

[The sex life of men after radical cystoprostatectomy].

Radical cystoprostectomy during treatment of infiltrating tumours of the urinary bladder interfere with the haemodynamics of the lesser pelvis and innervation of the sexual organs and leads to loss of erectility. Intravenous administration of vasoactive substances such as papaverine and phentolamine improved the erectile mechanism in six of seven patients and enabled three patients to resume an active sexual life. Intracavernous administration of vasoactive substances is effective in the treatment of erectile dysfunction after radical cystoprostatectomy. In indicated cases it can replace the use endoprostheses of the penis and enables the patient to resume sexual life.

Adult↗
PubMed1989

Experimental devascularization (devitalization) of the rectum and sigmoideum.

In 6 laboratory pigs, devascularization (devitalization) of the rectum and the adjacent part of the sigmoideum was carried out by the vasa rectalia cranialia et media ligatures with simultaneous aboral closure of the rectum at the base of the lesser pelvis and oral closure at the borderline between the rectum and the sigmoideum. The devascularized rectum was not removed but left in situ. Terminal colostomy was established. Laparotomic revision was carried out after 12 weeks, colostomy was removed and continuity of the intestine was reestablished by insertion anastomosis, by suture of the end of the colon to the anal mucosa and skin. In further two pigs, devascularization of the rectosigmoideum was carried out with colostomy and reconstruction was carried out after 12 weeks by procto-sigmoideo-anastomosis. In another 2 animals, devascularization was carried out on the lower part of the sigmoideum and continuity was immediately renewed by end-to-side sigmoideo-sigmo-ideoanastomosis. All revisions indicated that the devascularized necrotic segment shrank to form a minute fibrous tissue residue, anastomosis was patent and continence was retained for colo-proctoanastomosis. The described techniques are technically simple and could be employed as palliative surgical methods for inoperable tumours in the region of the rectum and lower part of the sigmoideum.

Anal Canal↗
PubMed1977

[Neurinoma of the small intestine].

A neurinoma of the terminal ileum was discussed. It was as large as an infants head and had descended to the lesser pelvis where it became lodged. An intestinal loop became clamped by this mass causing ileus. The mass also compressed theurinary bladder producing dysuria. Even though the neurinoma is quite a rare phenomenon in clinical practice, it deserves attention because of the difficulty with which it can be diagnosed, and because of the complications it can cause; Among them ileus, and hemorrhaging are the most common. Acute peritonitis due to perforation of the infected pseudocysts in the center of the tumor is a significantly rarer phenomenon, and malignant alterations are the rarest complications. As only a few cases of neurinomas of the small intestine have been described in world literature, the authors hope to contribute to a better understanding of this problem.

Animals↗
PubMed1978

[The role scalene node biopsy in the treatment in carcinoma of the cervix (author's transl)].

Of 75 scalene node biopsies 18 (24%) were positive. In 56 metastasizing carcinomas of the cervix 11 (20%) scalene node biopsies were positive. In primary inoperable cases (57%) or in recurrent spreading cases (54%) of carcinoma of the cervix the scalene node biopsy is valuable for the treatment plan. Irrespective of treatment the patients with metastases to the scalene node survived a mean of 10--11 months. The scalene node biopsy has few complications (6.7%). In the less than 3% carcinomas of the cervix confined to metastases in the lesser pelvis, the scalene node biopsy is not necessary. 2/3 of the prescalene lymph node metastases can be palpated by an experienced examinar.

Female↗
PubMed1994

[Aggressive angiomyxoma--a new clinico-pathologic entity].

The authors present a report on a new clinical and pathological entity--aggressive angiomyxoma which was described in 1983. They draw attention to the genesis of this tumour and its macro- and microscopic picture. They emphasize that treatment of this tumour involves its complete surgical extirpation and frequent local relapses without secondaries. The authors describe in detail two of their observations of aggressive angiomyxoma in a 32- an 38-year-old woman where the tumour started in the lesser pelvis. In both instances, despite radical extirpation of the tumour, within a relatively short time a local relapse developed detected by USG and CT without clinical symptoms.

Adult↗
PubMed1976

[Primary suture of perineal wound after extirpation of the rectum in rectal cancer].

A comparative estimation of a hermetic suture of the perineal wound in 53 patients and its tight tamponade in 68 patients after extirpation of the rectum for cancer is given. Primary suture may and should be employed during this operative procedure in the absence of diffuse bleeding from the lesser pelvis walls and a damage of the intestine. Hermetic suture of the wound shows some outright advantages: the possibility for patients' rising from bed in earlier terms prevents the occurrence of complications and contributes to shortening of the postoperative period.

Adult↗
PubMed1995

[Results and conclusions from 328 radical operations of rectal carcinoma by one surgeon. Comparative anatomic studies with Brachydanio rerio and Latimeria chalumnae].

The continence preserving procedures, even with small margins, have better curative results than amputation of the rectum. Nevertheless marginal continent resections have to take a defective continence into account. In clinical practice this is tolerated. A reason for the reduction of continence is the loss of the corpus cavernosum recti. Comparative anatomical investigations in Brachydanio, a fish species that is transparent in its larva stage, lead to the conclusion, that the rectum remains an abdominal organ even though it is situated in the lesser pelvis. Thus it is strictly separated from the totally differently developed pelvic organ of the urogenital system. This is also proven by the separate anlages of the lymph nodes, lymph and blood vessels. Concerning the continence organ it is referred to the formal sex difference. The female closure mechanism is weaker and more primitive. We could follow this principle back to the Latimeria. For this reason, after deep continent resections, women always are more subject to incontinence, and have to wear nightly pads, at times. We have operated on 328 patients during 1-1-1978 to 2-22-1989. Their curative rates relate to these considerations.

Animals↗
PubMed1996

[Comparative prospective study of laparoscopic hysterectomy and abdominal hysterectomy].

Based on assembled findings, the authors assume that laparoscopically assisted vaginal hysterectomy is a real alternative of abdominal hysterectomy and extends the spectrum of indications to overcome contraindications of the vaginal approach in the treatment of benign diseases of organs of the lesser pelvis. In the investigated group of patients the advantages of the minimally invasive approach when evaluating convalescence parameters were confirmed. Introduction of LH had also a favourable impact on the interest in and extension of vaginal operations. It is essential to implement extensive prospective investigations which will evaluate objectively the contribution of endoscopic surgery and their effect on somatic, psychic, social and economic parameters.

Female↗
PubMed1977

[Value of needle biopsy in the diagnosis of gynecologic carcinoma recurrence].

There are many difficulties in the diagnosis of recurrent carcinoma in the lesser pelvis. A second course of radiation carries a high risk of morbidity and mortality. Therefore histological proof of recurrence must be obtained prior to subjecting a patient to radiotherapy. An attempt has been made to demonstrate malignant recurrence on the pelvic side wall by means of needle biopsy. The results of 181 needle biopsies are reviewed and the sources of error in this method are discussed.

Biopsy, Needle↗
PubMed1977

[Pathogenesis of abdominal actinomycosis].

According to the author's findings in 80 of 125 patients under observation the development of abdominal actinomycosis was related with inflammation in the appendicular process, in 65 patients the former starting after appendectomy. In examination of 100 patients with diagnosis of acute appendicitis actinomycosis of the ileocecal region was diagnosed in 5 patients. Actinomycosis was spreading from the ileocecal region by contact in retroperitoneal cellular tissue in 23 cases, in the left iliac region--in 12, in the lesser pelvis--in 8.

Abdomen↗
PubMed1997

[Vesicovaginal and urethrovaginal fistulae].

The authors discuss treatment of vesicovaginal fistulae (VVF) in 36 patients and in six patients urethrovaginal fistulae treated in 1989-1995. The most frequent cause of VVF were iatrogenic lesions after hysterectomy. Occlusion of the fistula was performed 12x by the transvesical approach, nine times by a combined transperitoneal and vaginal approach, four times by a transvesical and transperitoneal approach, eight times by the vaginal route only and three times the authors had to make a continent derivation of urine of the sigma-rectum "pouch" type. Continence by primary operation was achieved in 86%, in urethrovaginal fistulae one reoperation was necessary. With the development of radical operations in the lesser pelvis in women the incidence of iatrogenic lesions is rising slightly, however when the technique of minimal invasive reconstruction urology is used, the prognosis of occlusion of fistulae is favourable.

Adolescent↗