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Results for “Intestinal Fistula”

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At least 1,495 records · Page 83Linked to original sources
PubMed1984

[Single or double layer? A controlled prospective study on the comparison of 2 suture technics in gastrointestinal anastomoses].

In a controlled clinical trial in 165 patients single layer anastomoses (n = 103) were compared to two layer anastomoses (n = 62). All anastomoses were controlled radiologically. The rate of dehiscence was 7.7% (n = 8) for the single layer group, 6.5% (n = 4) for the two layer group. Six patients died, 3 of both groups (2.9%:4.8%). There was no significant difference. However, for gastrectomies and anastomoses of small and large bowel single layer anastomoses seem to be preferable, for partial gastric resection two layer anastomoses. Factors predisposing for anastomotic breakdown are: age beyond 50, colo-rectal anastomoses, protein levels beyond 6 mg%, carcinosis peritonei.

Adult↗
PubMed1976

Treatment of cancer of the ovary.

This chapter has stressed the importance of early diagnosis in the treatment of cancer of the ovary with suggestions as to achieving this goal by a more aggressive approach to the accurate diagnosis of pelvic tumours. The combined use of surgery with radiation therapy and/or chemotherapy has also been discussed with the definition of the functions of the surgeon, radiotherapist and chemotherapist. The place of surgery in the staging and initial treatment of this disease is outlined and the indications for surgery for advanced and recurrent disease are demonstrated. The use of the various modalities of ionising radiation has been outlined and the place of chemotherapy and selection of appropriate drugs are also discussed.

Alkylating Agents↗
PubMedDate not supplied

Double layer versus single layer intestinal anastomosis: a clinical trial.

One hundred and seventy two cases requiring bowel resection for various intestinal conditions were randomly selected for use of the double or single layer technique, for the end-to-end anastomosis. It was observed that the return of bowel function was quicker in the single layer group than in the double layer group, and the incidence of anastomotic leakage was lower in the former group.

Adult↗
PubMed1983

[Complications of acute destructive pancreatitis and their treatment].

On the basis of an analysis of the treatment of 51 patients with complications of acute destructive pancreatitis (parapancreatic infiltrations with or without suppurations, intestinal fistulas, arrosive bleedings) the authors find it necessary to fulfil an adequate drainage of the pathological focus, permanent continuous washing with antiseptic solutions and active aspiration of the content.

Abscess↗
PubMed1983

Treatment of defects of the anterior abdominal wall in newborns.

Primary closure of an omphalocele or gastroschisis may cause respiratory compromise in the neonate. Some authors recommend primary closure of the defect with prolonged respiratory support because of dissatisfaction with staged visceral reduction and use of a Silastic pouch. Our experience with use of a Silastic pouch from 1975 to 1982 was reviewed. Twenty-three newborns with major defects of the abdominal wall (14 omphaloceles and 9 gastroschisis anomalies) were surgically treated, and only one death occurred. The mean birth weight of the infants was 2,927 g; nine of them were premature. Seven infants had major associated anomalies. The goal of the surgical procedure was closure of the abdominal wall without compromise of the cardiorespiratory status. During the operation, muscle relaxants were avoided and the infants breathed spontaneously. If progressive visceral reduction caused tachypnea (rate of more than 70/min) or hemodynamic instability, a Silastic pouch was constructed. Ten patients were treated with primary fascial closure, and 13 were treated with a Silastic prosthesis. The neonates with the prostheses required three to eight reductions, and the prostheses were in place for 4 to 22 days. No patient had wound dehiscence, wound infection, or an intestinal fistula. The one death occurred in an infant with trisomy 18 syndrome and multiple anomalies. Thus, the Silastic pouch was effective when the defect could not be closed primarily without respiratory compromise.

Critical Care↗
PubMed1982

[Comparative aspects of Crohn disease and ulcerative hemorrhagic rectocolitis].

The Authors report the comparative study on 42 patients with ulcerative haemorrhagic colitis and 33 patients with Crohn's disease observed in surgical pathology department of the University of Siena from 1970 to 1978. They have compared aetiology, pathogenesis, laboratory dates, pathologic and endoscopic findings, to conclude the absence of any correlation between them.

Colitis, Ulcerative↗
PubMedDate not supplied

[Indications for total parenteral nutrition in surgery (author's transl)].

The indications for total parenteral nutrition are compared with those for enteral alimentation. The indications for parenteral nutrition (nutrition support and hyperalimentation) in gastro-intestinal surgery, traumatology and burn care are discussed. Prophylactic TPN, supplemental TPN and therapeutic TPN are covered as well as their merit in the treatment of surgical complications.

Acute Kidney Injury↗
PubMedDate not supplied

[Experience and complications in the management of parenteral nutrition].

We inform the experience of the Parenteral Alimentation Service of the Hospital de Especialidades of the Instituto Mexicano del Serguro Social in Puebla, México, between February lst., 1980 and Marc, 31, 1981 is summarized. There were 124 patients in whom parenteral nutrition treatments were performed, 73 were males and 53 females. The majority was in the decade of the sixties. A catheter was placed in a central vein through a cut dawn of the cefalic vein in the shoulder in 104 and the rest had an internal jugular or subclavian veins punctured. The most frequent indication for parenteral nutrition was the presence of an external intestinal fistula. The most frequent complication was hyperglycemia (15.3%) and catheter sepsis (6%). Mortality was 33.3%, but of this only in one (0.75%) was the death caused directly by the procedure of parenteral Nutrition. The authors insist that the procedure is very usefull and with an acceptable risk if it is done with strict rules and protocols.

Adolescent↗