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Biomedical subjects

H Hurtado Andrade

Publications and source records attributed to H Hurtado Andrade.

At least 19 recordsLinked to original sources
PubMedDate not supplied

[Necrosectomy and retroperitoneal lavage in necrotic pancreatitis].

Necrotic pancreatitis is the most severe of all acute pancreatitis and treatment with various surgical procedures has had a high mortality. A retrospective study of 37 patients treated by necrosectomy and postoperative lavage-drainage from January 1987 to December 1990 was made. The most frequent etiologies were alcoholic (21 patients) and biliary (15 patients). Eight patients had moderate pancreatitis according to Ranson's classification when they entered the hospital (one died) and in 28 it was severe (eight died). The mean time between entrance to the hospital and surgery was 15.1 days. Twenty five were reoperated, twelve for residual abscesses and eight of these died. The mean hospitalization time was 56.7 (+/- 32.8) days and overall mortality was 24.3%, smaller than that observed in our hospital with other various procedures. It is concluded that necrosectomy and lavage-drainage is a good surgical alternative for patients with necrotic pancreatitis.

Acute Disease↗
PubMedDate not supplied

[Surgical treatment of gallbladder lithiasis].

An extensive review of indications, contraindications, surgical technique, morbidity and mortality of cholecistectomy is done. A comparison with other types of treatment, use in asymptomatic patients and the necessity of cholangiography during surgery is discussed. Emphasis is done in the surgical access as well as acute cholecistitis is diagnosed.

Cholecystectomy↗
PubMedDate not supplied

[Surgery of portal hypertension. 12 years' experience].

A retrospective study of 43 patients who were operated on for portal hypertension was performed (29 distal splenorenal shunts, 7 total portosystemic shunts, five Sugiura's operations and 2 splenectomies with gastric devascularization). Eighteen patients had recurrence of hemorrhage, 10 had ascitis and six encephalopathy. Thirteen of the 43 patients (seven Warren's operations, five Sugiura's and one mesocaval shunt) received postoperative sclerotherapy. The overall operative mortality was 34.8%. In the period 1977-1982, six of 20 patients (30%) died, and in 1983-1988 nine of 23 died (39.1%) (p greater than 0.05); so, we concluded that we must improve the perioperative care and that this kind of operations must be performed only by experienced surgeons.

Adolescent↗