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J P Carabalona

Publications and source records attributed to J P Carabalona.

17 recordsLinked to original sources
PubMed2000

[Elective laparoscopic colectomy for sigmoid diverticulitis. Prospective study of 56 cases].

OBJECTIVE: The aim of this prospective study was to assess the feasibility and postoperative advantages of the laparoscopic-assisted elective colectomy for diverticular disease. PATIENTS AND METHODS: From january 1989 to december 1997, among the 114 patients electively operated on for diverticulitis, 56 patients were treated by laparoscopic approach. Evaluated parameters included: gender, age, weight, size, ASA score, operating time, duration of hospital stay, of analgesic treatment, and of postoperative ileus, morbidity and mortality rate. RESULTS: The study group consisted of 35 women and 21 men. Mean age was 59 years (34-81 years); 29 patients were ASA 1 and 27 ASA 2. Overall postoperative mortality rate was 0% and morbidity rate 16% (n = 9). There were no complications directly related to laparoscopic technique. The conversion rate was 14% (n = 8). Mean operating time was 300 min (200-600 min). Mean duration of postoperative ileus was 2.4 days. Mean duration of hospital stay was 9.4 days. CONCLUSION: This study demonstrates the feasibility of elective laparoscopic-assisted colonic resection for diverticular disease in more than 80% of cases with a postoperative morbidity and mortality rate comparable to those of conventional surgery.

Adult↗
PubMed1996

[Painful rib syndrome (or Cyriax syndrome). Study of 100 patients].

OBJECTIVE: To analyse clinical expression and outcome of painful rib syndrome in a large series of 100 cases. METHODS: From 1978 to 1993, 100 consecutive patients with chronic anterior chest pain or supramesocolic abdominal pain of unknown origin underwent complete physical examination, laboratory tests and complementary explorations as required. RESULTS: Among the first 100 patients the sex ratio was 3.34 and mean age 50.6 years (21-80). Chronic pain had persisted for an average 41.2 months (15 days-30 years), predominantly on the right (81%) and exceptionally bilaterally (1%). No evidence of a cause could be identified from laboratory tests or complementary explorations. A past history of direct trauma was found in 71 patients and indirect trauma in 21. Seventy-three patients were given 1% lidocaine infiltrations (20 to 40 ml) including 14 who received 2 or 3 infiltrations. Six patients underwent surgical resection of a luxated cartilage with curative effect in 5. CONCLUSION: The diagnosis of painful rib syndrome is based solely on the presence of pain upon applying pressure to the anteroinferior border of the rib cage and is related to often neglected or forgotten trauma.

Adult↗
PubMed1986

[Isolated traumatic perforations of the gallbladder. 2 case reports].

The first case is a classic perforation, the second case is a sub-serosal rupture with dissection of the gall bladder wall. Cured by cholecystectomy. The heavy ethanol impregnation of both injured patients is emphasized as a contributing factor. Sonogram, peritoneal tap-lavage and eventually a retrograde cholangiogram are recommended for the diagnosis.

Accidents, Traffic↗
PubMedDate not supplied

[Hemorrhage in angioterebrant duodenal ulcers].

Over half the 42 patients seen with severe hemorrhage from antioterebrant posterior duodenal ulcers were 60 years or more. Mortality is still high but has been lowered by the use of routine emergency fibroscopy and subsequent earlier operation. The preferred surgical solution is by weinberg's technique (hemostasis, vagotomy, pyloroplasty).

Adult↗
PubMedDate not supplied

[Calculous stenosis of the duodenum. Five observations (author's transl)].

Five observations of calculous stenosis of the duodenum after cholecysto-duodenal fistulization are reported. Four times, the pre-operative diagnosis has been made out by an opaque gastro-duodenal transit. The treatment is usually surgical, and its modalities are discussed about, but it is pointed out that the endoscopic duodenal desobstruction on patients running high operative risks presents a real interest.

Aged↗