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Biomedical subjects

D Khaiz

Publications and source records attributed to D Khaiz.

12 recordsLinked to original sources
PubMed2005

[Pseudocontinent perineal colostomy].

AIM: This prospective study was designed to evaluate functional results of a pseudocontinent perineal colostomy (PCPC) using Schmidt's technique. METHODS: Functional results in eight patients whose rectum were resected due to cancer or anal epidermoid carcinoma and reconstructed by PCPC between January 1995 and July 2002 in our institution were evaluated. Surgical technique and post-operative care were described. Morbidity, functional results and degree of patient satisfaction were reported. Median follow-up was 40 months (18-70 months) and was completed in 100% of patients. RESULTS: There were no operative deaths. Four patients had post-operative complications, whose two patients had partial disunion of sutures, and two patients had urinary infection that was treated by adequate antibiotherapy. No conversion to a definitive abdominal colostomy was performed. On a functional level, one patient has normal continence, six had gas incontinence, and one has occasional minimal soiling. Seventy-five percent of patients were either highly satisfied with their continence. DISCUSSION: PCPC is a reliable technique, which can be proposed as an alternative to a left iliac colostomy following amputation of the rectum due to cancer, provided that certain requirements are met: careful selection of patients, informed consent, flawless surgical technique and lifetime daily colic irrigation.

Carcinoma↗
PubMed2001

[Non-functional retroperitoneal paraganglioma].

Non functional retroperitoneal paragangliomas are rare tumors: less than 50 cases are reported in the literature. They are usually asymptomatic and can attain big dimensions. The authors report a case diagnosed by histological examination of the operative specimen. Malignant tumors more frequent than the benign tumors present with a regional extension and delayed metastases. The treatment is completed by surgical excision. Radiotherapy and chemotherapy can be used for palliation of symptoms.

Adult↗
PubMed1995

[Cancer of the breast in men. Apropos of 50 cases].

Breast cancer, rarely encountered in men, accounts for 0.2 to 1.5% of the cancer morbidity in men and 1 to 5.7% of all breast cancers. The aim of this work is to analyse the different epidemiological, therapeutic and outcome features of this disease in men using a retrospective multicentric approach to 50 cases reported in Casablanca from 1980 to 1992. The mean age of the patients was 60.6 years. No significant risk factor was found. The mean delay to consultation was 22.5 months. Diagnosis was made at an advanced stage as, the tumour was located behind the nipple in 98% of the cases and ulcerated in 52%. Laterality was almost identical. Invasive galactophoric adenocarcinoma was found in 86% of the cases. Treatment was usually Patey mastectomy with positive nodes in 84%. Complementary treatment included radiotherapy in 60%, chemotherapy in 36% and hormonotherapy in 1 case. Recurrence was observed in 71% of the patients who has achieved complete remission. Surviceal in evaluable cases was 59 and 25% at 2 and 5 years respectively. The results in this series was less satisfactory that it is generally reported in the literature which suggests the need for better codification and management.

Adenocarcinoma↗
PubMed1992

[Primary leiomyosarcoma of the left renal vein].

The authors report a case of leiomyosarcoma of the left renal vein. Because of its retroperitoneal position, this exceptional tumour was responsible for few symptoms. Complementary investigations (CT scan, ultrasonography, arteriography) often do not confirm the diagnosis. Complete surgical excision combined with complementary treatment can ensure long-term survival.

Angiography↗
PubMed1992

[Therapeutic approach in a case of papillary cancer of the thyroid gland. Apropos of 22 cases].

The authors report about a series of 22 papillary carcinomas of the thyroid gland. Among the operated patients, 6 underwent loboisthmectomy, 9 total thyroidectomy. For papillary carcinoma, a frequent cancer (1.3% of all cancers) dominating in women, the survival rate is virtually the same if the lesion is treated with maximal or conservative surgery. The results obtained with minimalist conservative procedures (decrease in morbidity, no recurrence) reinforces the authors' attitude, even more so as it corresponds to the data found in the literature.

Adult↗
PubMed1989

[Unusual localizations of hydatid cysts. Apropos of 40 cases].

The authors report 40 hydatid cysts of rare localization selected during a period of 11 years and represent 10.75% on the whole of the hydatid cysts operated during the same period all localizations dumbfounded. The splenic localization is the more frequent with 15 cases, so 4.9%, it occupies the third place after the classic localizations (liver, lung). The soft tissue and the peritoneum come in fourth position with 9 cases so 2.42% in relation to the whole of the hydatid cysts. A last group constituted by very rare localizations of which the frequency varies from 0.27 to 1.34%. This group includes the renal, pancreatic and mammary localizations. In general the diagnosis set no problem. Clinically, it is the discovery of a cystic mass, of progressive evolution with conservation of the general status, which has evoked the diagnosis. Before the arrival of the echotomography, the confirmation of the diagnosis is particularly operative. Actually this investigation allows an easy pre-operative diagnosis. The treatment is only surgical and adapted to each case. The post-operative results are satisfying. They deplore one death for a second recurrent intra-peritoneal hydatidosis.

Adult↗
PubMed1986

[Hydatid cysts of the spleen. Apropos of 25 cases].

Based on a series of 25 cases of hydatid cyst of spleen, the frequency of this localization, the clinical latency and the often serious complications of these lesions are emphasized. Ultrasound was found to be an excellent diagnostic examination. Treatment in all cases was radical excision and therapy to associated lesions, with a simple postoperative course in all cases.

Adult↗
PubMedDate not supplied

[Surgical timing in acute lithiasic cholecystitis].

Acute cholecystitis is a surgical disease. However, if the operative indication is strict and univocal, the timing of operation still debatable. The purpose of this study of 343 calculous acute cholecystitis is to point out the marked tendency of the early surgical therapy. Such attitude may be encouraged by the observed change on roentgenographic studies' strategy (gallbladder opacification supplemented by echography) and the obtained good results.

Acute Disease↗