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Biomedical subjects

A Sheinfeld

Publications and source records attributed to A Sheinfeld.

7 recordsLinked to original sources
PubMed1992

[Repair of esophageal perforation with a diaphragmatic flap].

Perforation of the esophagus is life-threatening and requires prompt diagnosis. Immediate surgery with primary suture of the perforation is the treatment of choice. Any delay in diagnosis or treatment results in a sharp increase in mortality due to the combination of rapid development of necrotizing mediastinitis and inability to close the perforation surgically. To avoid leaks from the anastomosis the suture line can be buttressed with adjacent structures. The fundus of the stomach, parietal pleura and muscular flaps have been used to cover the perforation. We describe 2 patients with perforation of the lower esophagus. Both were operated on within 8 hours, the perforation was closed primarily and a diaphragmatic flap was formed to cover the suture line. There were no postoperative leaks and recovery was uneventful.

Aged↗
PubMed1987

Congenital absence of the anatomic common bile duct. Case report.

In congenital absence of the anatomic common bile duct, all bile from the liver drains into the gallbladder and thence to the duodenum via the cystic duct. A likely consequence of cholecystectomy then is discontinuity of hepatic drainage, since the gallbladder and cystic duct appear normal, and the anomaly is so rare that it is not considered.

Cholangiography↗
PubMed1982

Prepyloric diaphragm, an unusual case of gastric outlet syndrome.

The prepyloric diaphragm is a rare entity, with well-established anatomicopathological features but of unknown etiology. Approximately half of the 180 cases described occurred in children. The clinical presentation may be a chronic partial obstruction as in pyloric stenosis, or a complete gastric outlet obstruction when the orifice of the diaphragm is very small or nonexistent. Despite the variable clinical picture, radiological and endoscopic examinations may reveal typical pathognomonic features. With cases being reported more frequently, the treatment had changed from a wholly surgical approach to the introduction of endoscopic web incision and conservative treatment. We report a case diagnosis during surgery, and review the pertinent literature.

Adult↗
PubMedDate not supplied

Chest wall reconstruction following resection of chondrosarcoma of the sternum.

Resection of large portions of the thoracic wall, during the treatment of neoplasms of that area, results in defects which are difficult to reconstruct. Synthetic nets have been used with different results, mainly because of problems of rejection and infection. We successfully used a silicone implant for the treatment of a case of chondrosarcoma of the sternum and ribs.

Aged↗