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F el Fares

Publications and source records attributed to F el Fares.

26 records · Page 2Linked to original sources

[Resection of the prominent dome of a hydatid cyst of the liver. Apropos of 360 cases].

We report here the results of a series of 360 patients operated on for hydatic cyst of the liver, all of them have undergone a conservative procedure which is the resection of the bulging dome. Diagnosis has not raised any problems in an endemic country. We stay conservative although we are aware of the fact root of morbidity (Sub phrenic abscess 4.1% cholerragy 5.5%). The resection of the bulging dome has a feeble mortality (1.3%) which is the advantage of this method in regard of the radical ones, involving operative risks which can compromise vital prognosis.

Adolescent↗

[Compressive goiters. Apropos of 80 cases].

Our retrospective study is based on 80 compressive goitres collected over a period of 7 years in the general surgical department of the Ibnou Rochd University Teaching Hospital, Casablanca. Dyspnea was the predominant clinical manifestation and was encountered in 82.5% of cases, followed by dysphonia (65%), dysphagia (46%) and finally venous compression (8.7%). Hyperthyroidism was encountered in 26.25% of cases, 57% of these being due to Grave's disease. The goitre extended mediastinally in 38% of cases but resection was possible on cervicotomy alone. Post-operative sequelae were minor in nature, though one death did occur. On histological examination 85% of these goitres were benign and only 15% were of a malignant nature. This is in agreement with the data in the literature which confirms that compression is not synonymous with malignancy.

Adolescent↗

[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↗

[Hemorrhagic hepatic lesions in toxemia of pregnancy].

One case of hepatic hemorrhage during toxemia of pregnancy is reported. This complication occurs in the last trimester of the pregnancy or immediately after labor. The diagnosis is usually made per-operatively. The anatomical lesions are subcapsular hematomes or spontaneous rupture of the liver. Surgery is only treatment and must be conservative. The very high mortality rate has generally been attributable not only to uncontrolled hemorrhage but also to disorders of hemostasis associated and to multiple organe failure.

Adult↗

[Hemorrhagic complication of a false cyst of the pancreas].

Diagnostic and therapeutic features are discussed with respect to a case of digestive hemorrhage from false pancreatic cyst, a rare, often unrecognized complication of this lesion. Typical forms are rarely observed, and recurrent or unexplained hemorrhage, particularly when associated with pancreatitis, should suggest the diagnosis. Arteriography is of both diagnostic and therapeutic value. Treatment has frequently to be directed both towards the disease as well as the complication and surgical excision is usually required.

Angiography↗

[Role of ileostomy in typhoid peritonitis].

Diffuse peritonitis secondary to ileal perforation due to typhoid fever are serious and frequent in our country. 42 cases are reported. In 85% the perforation is on the end of the ileum between 10 to 50 cm from the Bauhin's valve. In 32 cases there is only one perforation. 8 patients underwent 50 cm resection of the end of the ileum with terminal ileostomy: one died. One case underwent closure. The washing out of peritoneum is done in 15 cases. The covery of the continuity is usually executed 3 months later by an iliac surgical approach in preference.

Adolescent↗

[Caustic lesions of the upper digestive tract. Apropos of 191 cases].

The authors report 191 cases of caustic burns of the upper gastro intestinal tract. HCL is the most incriminated caustic. 6 of them are severe cases: 2 are dead immediately, 4 were operated in emergency and 3 died. The staging based on fibroendoscopy allow us to make a prognosis. 43% of the cases stage III and 14% stage II developed a stenosis. A nasogastric tube is performed at 135 cases. It's used for an enteral artificial feeding and for oesophageal stenting in burns liable to cause stenosis. Through the results of this study and a review of the literature we may establish a therapeutic schema adapted to our conditions.

Accidents↗