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F Ticmeanu

Publications and source records attributed to F Ticmeanu.

8 recordsLinked to original sources
PubMedDate not supplied

[Late results after the Mark Belsey IV antireflux procedure in achalasia].

Cardial achalasia (cardiospasm, megaesophagus) represents the failure or lack of relaxation capacity of the inferior esophageal sphincter; it is the second esophageal disease and is considered a premalignant lesion. Treatment of achalasia is surgical but palliative, considering the lack of an etiopathogenic therapy for this moment. We present a retrospective study done on 19 patients (10 males and 9 females, with a mean age of 49 years) operated in "Colentina" Surgical Clinic in the period of 1996-1999 for achalasia (presenting symptoms-dysphagia, regurgitation, weight loss) by extramucosal esocardiomyotomy practiced on a length of 5-10 cm, by thoracic approach, followed by the Mark Belsey IV antireflux procedure. Results were good, without reflux pathology or dysphagia in the postoperative evolution.

Adult↗
PubMedDate not supplied

[Pancreatic insulinomas].

In the period of 1980-1999 (20 years) were operated 18 patients (8 males and 10 females) in "Colentina" Surgical Clinic, the average age being of 45 years, with hystopathologically confirmed insulinomas. The topography of these lesions was in the head of the pancreas (4), in the isthmus (5), in the body and tail (9). The classical clinical and biochemical signs were presented in 13 cases, the rest of the patients presenting atypical signs of disease. These patients had benefit from the surgical treatment. The approach was bi-subcostal in 11 cases and by upper and lower midline incision in the rest of cases. We practiced enucleation in 5 cases, corporeal-caudal pancreatico-splenectomy in 10 cases and cephalic pancreatico-duodenectomy in 3 cases. The malignancy of the tumour was hystopathologically confirmed in 30% of the situations. The postoperative mortality was in 3 cases, by acute pancreatitis, MSOF and myocardial infarction. We consider that in case of these generally benign tumours the most efficient therapy is the surgical one.

Adult↗
PubMedDate not supplied

[Surgical procedures in penis cancer].

In the period of 1980-1999 (20 years) in Colentina Surgical Clinic were admitted and operated 16 patients with the diagnosis of pennial cancer (histopathology--squamocellular carcinoma), 13 of whom being from Colentina Dermatological Clinic. The mean age was about 64 years old, 10 cases presenting phimosis. Surgical procedures undergone were represented by partial pennial amputation with bilateral superficial inguinal lymphadenectomy (10 cases), total pennial amputation with superficial inguinal lymphadenectomy (4 cases), respectively emasculation with bilateral inguinal-iliopelvic lymphadenectomy (2 cases). In the postoperative period 3 patients presented lymphedema and lymphorrhagia, solved by conservative management. All the patients benefited of favorable evolution on the period they have responded to the controlled postoperative follow up (1-3 years).

Adult↗
PubMedDate not supplied

[Klatskin unresectable tumour. Palliative treatment or no surgical operation?].

The Klatskin tumor is a neoplasy of the proximate main biliary duet whose initial manifestation, and most of the time, the single one, consist in the appliance of an obstructive nature jaundice. This usually coincides with the spreading of the tumor beyond the walls of the tumors that have reached this state with a usually intraoperating made diagnosis, certain palliative technical surgery solutions could still exist. The author submits to your attention a retrospective survey on 85 tumors out of which only 3 were removable. For the remaining 82 he performed only exploratory laparotomy. Of these biopsy was made for 11 cases and palliative surgery for the other 71 (biliodigestive derivations on one or both liver lobes, or Huguet, Terblanche or Kehr tube surgery prosthesis operations). If the patient's living conditions are very good, his survival chances might be extended from 2 to 18 months, with no appearance of jaundice or pruritus. There is no doubt that if the pre-operations imagery testing results in the diagnosis "inoperable medical condition", the retrograde endoscopic transtumoral surgery prosthesis operation or the transparietal liver one, is recommended.

Adult↗
PubMedDate not supplied

[Treatment of chronic anal fissure using closed internal and lateral sphincterotomy].

UNLABELLED: When the conservative treatment of the chronic anal fissure (nitrates, topical calcium channel blockers, topical nifedipine, lignocaine and cortisone compounds) proves to be inefficient, the surgery may be opted for. From among all surgical procedures (anal dilation, fissure excision, anal advancement flap) we have opted for closed internal and lateral sphincterotomy. During the period of 1990-2002, there have been performed by just one surgeon 47 sphincterotomies (15 men-32 women), average age 49 (23-76). RESULTS: There has not been any case of anal incontinence for gases or faeces, precocious or late; 1 para anal hematoma (2.12%) solved through puncture; 2 anal abscesses (4.25%), solved through incision and tegmen drainage. Control in 6 month's time and 1 year time: normal quality of life, without any subjective complaints; painless rectal touch, healing of the fissure, extensible anal sphincter, normal continence. The sphincterotomy was followed by the disappearance of the cleft syndrome with all patients. Although the literature contains citations of transitory and minimum incontinence in 2-4% of the cases, we have not noticed in any; no recurrences have been registered; morbidity is acceptable. The future will decide if, between sphincterotomy and the injection with the botulinum toxin, the latter one is to be preferred.

Adult↗
PubMedDate not supplied

[Appendicular carcinoid. The diagnostic and treatment problems].

The authors evaluated 2 cases of carcinoid of the appendix from 45 macroscopically appendiceal tumors from 360 appendectomies, performed in 3 years. They analyzed retrospectively the difficulty of diagnosis and the indications for the right treatment by means of of medical publications.

Acute Disease↗
PubMedDate not supplied

[Surgical prosthesis in Klatskin's tumor: the indications and results].

The unresectable Klatskin tumors can benefit from surgical polliction through intrahepatic biliodigestive anastomosis or surgical stenting (lost tube, "U" tube-Terblanche or "T" tube). 85 Klatskin tumors were operated in 20 years in the Surgery Clinic "Colentina" and in the Surgery Clinic "Interdepartamental". Surgical stenting was performed in 13 cases. The operation is very easy, from the technical point of view++, and the results are better composed to retrograde endoscopical prosthesis and transparietohepatic prosthesis. Stenting has a much lower morbidity and mortality than the intrahepatic biliodigestive derivations. If offers an acceptable life comfort for the surviving period.

Adult↗