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C Pop

Publications and source records attributed to C Pop.

34 records · Page 2Linked to original sources

[Difficulties in diagnostic of biliary ileus].

UNLABELLED: Gallstone ileus is a rare disease which can be life-threatening because of misdiagnosis preoperatively. The authors analyze the clinical observations about two women where, because of associated diseases, delayed in presentation to the hospital, volume depleted electrolyte abnormalities and, not in the last place, because of lack in accuracy of paraclinical investigations, the diagnosis was mad only intraoperatively. CONCLUSIONS: The appearance of clinical setting of high intestinal obstruction in associating with extra-kidney azotemy in female patients with gallstone in their history and no previous abdominal operations must we make to thinking about gallstone ileus.

Adult↗

[Therapeutic attitude in acute necrotizing pancreatitis].

The necrosectomy, celiostomy and pancreatic drainage represent the surgical treatment of choice in necrotizing pancreatitis. We present the clinical observation of a patient 59 years old operated in surgical service of Baia Mare for acute necrotizing pancreatitis, discussing the moment of operation, tips of operations, postoperative complications as well as our experience in acute grave pancreatitis treatment.

Drainage↗

[Response of the body to smallpox vaccination in persons with repeated negative vaccinal antecedents].

A study was carried out on the humoral response and vaccinal reaction after repeated administration of the smallpox vaccine (1 to 3 times), at ten days interval, to 97 subjects with a past history of repeated vaccination failures. Revaccination ended in 52.6% failures. After revaccination the antibody titer increased in 97.8% of the cases of successful vaccination and in 43.5% of the negative cases. In 29.5% of the latter cases a decrease in the antibody titer by 1--3 binary dilutions was found. The results suggest that the repeated application at short intervals of an antigenic stimulus perturbs the immune response.

Adult↗

[Reinterventions in classic and laparoscopic surgery of biliary ducts].

The study suggests to make a comparative analysis between the complications happened after classic and laparoscopic surgery require a surgical reintervention. The study was realised in the Surgical Department of the Districtual Hospital Baia Mare between 27.04.1997-27.04.1999, which means the precursory year of beginning laparoscopic surgery and the first year with experience in laparoscopic surgery. The conclusions of this study prove that the number of reinterventions after laparoscopic surgery is less than after classic surgery of biliary ducts.

Adult↗

[Total gastrectomy with mechanical sutures].

Between 1994-1996, nine consecutive patients underwent total gastrectomy with stapled sutures for II, III or IV TNM stage carcinoma (8 patients) or lymphoma (1 patient) of the middle or upper stomach. Digestive continuity was established by stapled end-to-side "ended", end-to-side and end-to-end Roux-en-Y (7 patients) and omega loop (2 patients) esophagojejunal anastomoses using circular staplers (EEA or ILS). The duodenal stump and the end of the Roux loop were closed with TA 55 or TA 30 linear stapler. Interjejunal anastomoses were hand sewn. Nasojejunal feeding catheter was placed for ten days in all patients. No postoperative mortality non anastomotic fistula occurred. One patient had duodenal stump leakage which closed spontaneously. In three patients postoperative chemotherapy with 5-FU and Leucovorian was associated. At late follow-up, there were two patients with reflux esophagitis cured by medical treatment and one patient with peritoneal and hepatic metastases at relaparotomy. In conclusion, the use of stapled sutures in total gastrectomy facilitates esophagojejunal anastomosis and improves suture reliability.

Adenocarcinoma↗