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A Firilas

Publications and source records attributed to A Firilas.

4 recordsLinked to original sources
PubMed1996

Laparoscopic cholecystectomy in the elderly.

BACKGROUND: Few studies have examined the results of laparoscopic cholecystectomy (LC) in the elderly. We reviewed our experience with the procedure in 194 patients age 65 and older. METHODS: A chart review was performed on patients who underwent attempted LC over a 4-year period. Age, conversion rate to open cholecystectomy (OC), length of stay, and morbidity and mortality rates were compared between elective and inpatients as well as between patients age 65-75 and patients over age 75. RESULTS: Conversion rate to OC was 10.6%. Mean length of hospital stay was 2.7 days. Morbidity and mortality rates were 18% and 1%. Elective patients experienced significantly fewer medical complications. There were no differences in complication rates between patients age 65-75 and patients over 75 years, but younger patients had a significantly shorter mean length of hospitalization. CONCLUSIONS: Elderly patients experience more complications and longer lengths of stay than the general population. However, our results compare favorably with OC series in elderly patients.

Age Factors↗
PubMed1994

Abdominal incision endometriomas.

General surgeons frequently are asked to evaluate masses appearing in abdominal incisions. The differential diagnosis of these masses is extensive, including suture granulomas, hernias, abscesses, and malignant tumors. When evaluating masses in or near cesarean section scars, endometrioma should also be considered in the differential diagnosis. The presence of endometriomas in and around cesarean section scars clearly has been established in the obstetrics/gynecology literature, with the reported incidence ranging from 0.03 to 0.4 per cent. However, the presence of only two case reports in the general surgery literature suggests underappreciation of this pathologic entity by general surgeons. It also indicates that endometrioma commonly may not be considered in the differential diagnosis of masses detected in or near cesarean scars. Cesarean scar endometriomas are diagnosed by clinical history, with surgical excision as the primary mode of therapy.

Abdomen↗