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Biomedical subjects

D Dinu

Publications and source records attributed to D Dinu.

7 recordsLinked to original sources
PubMed1997

[Functional recovery in strabismus].

The paper enumerates the objectives of functional recovery in strabismus and the approaches to the achievement of these objectives. The goal in the treatment of the strabismus is obtaining a binocular sight with the remake of the divergence-convergence synergism. A three stage scheme for the treatment is made: 1st stage--the treatment of the amblyopia; 2nd stage--the correction of the strabismus deviation; 3rd stage--the recovery of the binocular sight. The conclusion is that the healing of the strabismus with "restitutio ad integrum" is a distant desire.

Amblyopia↗
PubMedDate not supplied

[Roux-en-Y gastrojejunostomy: indications, technique, results].

61 gastrojejunostomies were constructed between 1981-1999 in 58 cases (43 cases were operated between 1991-1999). 30 cases have previously suffered various gastric operations; in 28 cases the Roux-en-Y was the first gastric operation (27 operated on between 1991-1999). Radiologic and endobioptic studies were routine for diagnostic and follow-up evaluation, but various scintigraphic studies were performed in selected cases. The surgical technique was tailored for each case, according to the preoperative strategy. The indications for surgery were the following: 19-reflux disease; 14-severe peptic disease (9-reccurence, 3-postbulbar lesion, 2-juxtacardial ulcer); 8-peptic disease associated to reflux disease; 8-gastric cancer; 8-various early or late complications after gastrectomy; 1-lymphocytic gastritis. There were 4 early reoperations and 3 deceased. In 3 cases late reintervention was mandatory (for Zollinger-Ellison syndrome, peptic ulcer secondary to gastrectomy for cancer, Roux-stasis syndrome) and the Roux pattern was preserved; in 2 cases the antireflux effect of the operation was lost after the reoperation.

Adult↗
PubMedDate not supplied

[Long-term evolution of a T-tube in the common bile duct].

We present the case of an elderly and frail woman, admitted for obstructive jaundice 9 years after cholecystectomy, lithotomy and T-tube drainage. The presence of a T-tube remnant in the common bile duct was suggested by imaging techniques, along with a megacholedocus. Because of the risks associated with advanced biliary cirrhosis, the endoscopic retrieval and lithotripsy was the first therapeutical attempt but failed. Lithotomy and cholangio-jejunostomy by open surgery were followed by a surprising favourable course.

Aged↗
PubMedDate not supplied

[Motility deficits in Roux-loop gastrojejunal reconstruction after the surgical treatment of reflux diseases (the Roux stasis syndrome)].

Motor disorders due to Roux-en-Y gastrojejunostomy are not uncommon, although not yet fully explained. Facing Roux stasis syndrome in patients who underwent Roux-en-Y diversion for secondary reflux pathology, we decided to study the motoric outcome of all 28 cases operated on for benign conditions in 1981-1996. We were interested only in motility disturbance related to our surgical act, so other therapeutic results were neglected. Since we could not perform manometric research and scintigraphic clearance was performed only in selected cases, our study was mainly clinical and based on radiology. There was no late stasis symptomatology in 19 patients operated for non-reflux pathology, but one third of refluxers developed Roux stasis syndrome, occasionally revisional surgery was performed.

Anastomosis, Roux-en-Y↗
PubMedDate not supplied

[Clinical and therapeutic considerations in pseudomyxoma peritonei].

Pseudomyxoma peritonei (PMP) is an uncommon clinical entity, lacking a precisely defined etiopathogenesis. Its clinical features are not specific and diagnosis is difficult. We analysed 10 patients, all of them women, whom we had treated surgically in combination with intraperitoneal chemotherapy. Postoperative complications had been minimal and no death had occurred. 5 patients were followed up in time, 4 of them presenting a favourable evolution (2 required reintervention), and 1 patient decreased. We analysed up-to-date therapeutic approaches and the benefit of their combinations in order to identify the optimal therapeutic strategy. We consider that the combinations surgery + intraperitoneal chemotherapy or surgery + intracavitary radiotherapy are the most effective up to date.

Adult↗
PubMedDate not supplied

[Total duodenal diversion in hiatal hernia with pathological duodenoesophageal reflux (preliminary results)].

For some patients, reflux disease means also duodenogastric, as well as gastroesophageal reflux; they may suffer because of duodenoesophageal reflux. For these patients, a simple surgical restoration of the cardial competence may prove to be insufficient; on the contrary, an indirect approach, using vagotomy and duodenal diversion may be a good therapeutical option in selected cases. In our hands, total duodenal diversion has already proven to be a good technical solution for the surgical treatment of the postoperative reflux disease, so we decided to expand its first choice indications to hiatal hernia cases, in the presence of duodenoesophageal reflux. Therefore, our study presents the results of the first 7 cases, operated on since 1995. No case had been gastric operated before, but 4/7 had already suffered a cholecystectomy. Duodenoesophageal reflux is discussed: etiopathogenesis related to surgical approach, using standard antireflux surgery (failures of the hiatal techniques and their causes) or total duodenal diversion (technical aspects, antireflux efficiency, secondary functional effects, pros and cons, therapeutical indications).

Adult↗