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Biomedical subjects

D Setlacec

Publications and source records attributed to D Setlacec.

At least 37 records · Page 2Linked to original sources
PubMedDate not supplied

[Re-operations for biliary disorders in cholecystectomized patients].

A total of 125 cholecystectomized patients are analized, that underwent new surgery for major biliary disturbances. From this study were excluded patients in whom re-interventions were performed for immediate postoperative complications, for surgical accidents, those in whom the primary intervention involved the major biliary pathway, as well as those in whom reintervention was necessary because of other disturbances. 72,8% of the patients in whom reinterventions had to be performed presented one or more obstacles in the major biliary pathway in the authors' opinion coexisted with the initial cholelithiasis. The authors consider that reinterventions should be performed as early as possible, interpretation of the disturbances sequellae of cholecystectomy representing a futile temporization and making more severe the evolution of the patient's condition.

Bile Duct Neoplasms↗
PubMedDate not supplied

[Therapeutic attitude in some clinical forms of hepatic trauma].

Six cases of hepatic trauma are presented, that have raised particular problems of therapeutical attitude. The severity of the complications is discussed in this type of trauma, especially aspects related to hemobilia and hepatic suppurations which are accompanied by toxico-septic syndromes. The authors stress the role of sutures of deep hepatic wounds in the development of suppurations, as well as the opportunity of early re-interventions in such cases. Also some particular, more rare, clinical forms are discussed, that made necessary a differentiated therapeutical attitude.

Adult↗
PubMedDate not supplied

[Postoperative intestinal infarction].

A total of 39 cases are analized, of post-operative intestinal infarction, that occured exclusively in patients with cardiovascular diseases. The clinical signs appeared early in most of the cases (85,4% in the first 72 hours; 48,4% in the first 24 hours) and the manifestations were typical in 42,4% and non-significant in 35% of the cases. Since none of the cases benefited from a successful therapy the authors suggest that stress should be laid on prophylactic measures (correct re-equillibration).

Cardiovascular Diseases↗
PubMedDate not supplied

[Surgical attitude in cancer of the ovary].

The authors start from the observation that some of the clinical forms of ovarian cancers determine hospitalization and resolution of the cases in surgical departments. They have also based their study on their personal experience acquired over a period of 20 years, during which they have operated on 180 patients. They noted that the best surgical attitude was not adopted in all of the cases and make an analysis of various methods applied, such as the radical ones, the conservative procedures, and those aimed at a reduction of the tumoral mass. The value of associated therapies is presented, consisting in surgery, chemotherapy and irradiation.

Adenocarcinoma↗
PubMedDate not supplied

[The dumping syndrome. Surgical treatment].

Data are presented, from the specialized literature, in connection with the frequency of the dumping syndrome, and the methods for its correction. An analysis is made of indications and of surgical methods used for the correction of this syndrome in a total of 74 patients of which 32 were operated. Preference was given to sub-diaphragmatic troncular vagotomy and to re-positioning of the duodenum with efferent loop, or by gastro-duodenal interpositioning of a segment of jejunal loop in an-iso-peristaltic position. The results of these interventions are, as a rule, favourable, but some disturbances may occur, dependent on the development of peri-visceritis, loop dysfunction, or duodenal dysfunction, as well as gastro-oestrophageal reflux.

Adult↗
PubMedDate not supplied

[Radical colectomy in cancer of the transverse colon].

The authors discuss the optimal surgical attitude in the cases of 44 patients with cancers of the transverse colon (excluding the angular localizations), representing 5.4% of the total number of colic cancers operated in the Clinic over the last 20 years. All the patients were in stages C and D (according to the Turnbull and Dukes classification), and the general index of resectibility of 79%. Segmental transverse colectomy should be reserved for patients of advanced age, as well as for those with organic disturbances, altered general condition, of when there is extensive loco-regional involvement, or metastases at distance. Fifteen patients were included in these categories. Extended transverse colectomy, with radical intent from the oncological standpoint, appears to be the optimal attitude in the cases of patients which do not have any of the contraindications mentioned above. Twenty patients were in this group. The postoperative death rate was 11.4% for the entire group of patients in whom resections were performed. Five patients (25%) have survived according to our data between 5 and 11 years after extensive radical colectomy.

Adenocarcinoma↗
PubMedDate not supplied

[Duodenal tumors].

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Adult↗