PubMed Health⌕ Search

Biomedical subjects

L Beluşică

Publications and source records attributed to L Beluşică.

11 recordsLinked to original sources
PubMed1994

[The clinical and therapeutic characteristics of a neoplasm of the left superior colon].

As "CSS" the authors name the left segment (1/3) of the transverse colon with the splenic angle and fixed segment of the left colon. The author's conclusion of a retrospective analysis upon 34 neoplasms situated in this colonic area is the fact that there are enough arguments to treat them as a unitary group. From the anatomic point of view these arguments are the common vessels and lymphatics reports, and from the clinical point of view these neoplasms have in common the symptomatology (generally the diagnostic is established later on) and a great tendency of a loco-regional invasion which generate severe complications. The surgical treatment with oncologic radical intervention is the same for any primary neoplasm localization (within the there segments of "CSS"). Multi-visceral resections are frequently necessary too.

Adult↗
PubMedDate not supplied

[Abdominal hemangiopericytomas].

We present two cases of hemangiopericytoma, which are analyzed according to medical literature, although only few cases have been reported. Clinical, imagistic and histological findings of these rare vascular tumors are discussed.

Female↗
PubMedDate not supplied

[Diabetic gangrene].

The large variety of the lesions in diabetic gangrene which require different therapeutical decisions explains our attempt to determine an useful way for the approach of the surgical treatment. Our aim was to avoid both an underestimation of the lesion, which may lead to an insufficient procedure, followed by reinterventions, as well as an overestimation--generating avoidable amputations. We have elaborated a scale of indices of therapeutical prognosis (ITP), using a computer programme, with the main risk factors. The result was a scale between 1 and 10; the value is proportional to the severity of each lesion. We have also analyzed the fiability of ITP on a prospective study including 72 patients with diabetic gangrene. The result was 93%, which has encouraged us to consider ITP useful in establishing a therapeutical attitude.

Adult↗
PubMedDate not supplied

[Small bowel tumors -- peculiarities of diagnosis and evolution].

The authors analyze 13 cases of small bowel tumors. There are emphasized the difficulties of diagnosis, which is rarely established before the laparotomy. In the same time, clinical features are few and operations are often performed too late, in emergency, due to tumors complications (perforation, bleeding, occlusion). There are also presented new etiopathogenic hypothesis, recently mentioned in literature. Surgical treatment is followed by many post-operative complications. Five-years survival is low, under 40% of patients.

Adenocarcinoma↗
PubMedDate not supplied

["Tactic and technique" for keeping medical information on compact disk].

Based on experience accumulated in time of realization and publication the Atlas of Surgical Pathology, the work present the main methodologies elements used for keeping of some elements so called by "tactics" (cases, following in time) it's insist on photographic technology in medical practice with special reference to digital technology, later on being also described the elements of processing and keeping the medical information on compact disk. Finally are enunciated a series of virtual programs with surgical specific proposed for be created and maintained on-line, with the support of all interested surgeons.

Atlases as Topic↗
PubMedDate not supplied

[Abscesses of psoas in diabetic patients: anatomo-clinical and therapeutical peculiarities].

Difficulties of diagnosis and of an adequate treatment of psoas muscle abscesses are increased by the evolution of the suppurative process in diabetic patients. We review 3 cases of poses muscle abscesses, characterized by a long-term evolution until revealing the initial source of the abscess and by particular clinical features, due to the exteriorization of suppuration far away from its source (retrosacral, hip, thigh). Computerized tomography is essential for diagnosis and for an accurate therapeutical approach, consisting in incision and drainage of primary abscess in psoas muscle and of its expansions as well in the same time, with an adequate antibiotherapy.

Adult↗
PubMedDate not supplied

[Organic hypoglycemia of pancreatic cause].

Insulinomas represent the most common cause of organic hypoglycemia. They are rare tumors: a review of the world literature reported a total number of 2000-3000 cases. The clinical diagnosis is based on the Whipple triad, which consists of: a) symptoms of hypoglycemia, b) blood glucose level: 40-50 mg/dl during the crisis, c) relief of symptoms after oral or intravenous administration of glucose. The most ticklish problem is the settlement of the accurate location of the tumor. Nowadays, there are many diagnostic methods; one of the best appears to be intra-operative ultrasonography. The authors analyse a series of 16 patients, operated between 1985 and 2002 in "I. Juvara" Surgical Clinic and present their opinions concerning tactic and technical aspects of different surgical procedures, with their advantages and limits. The results of the surgical treatment are detailed. There are also mentioned new imagery techniques and laparoscopic procedures, from recent medical issues.

Adult↗
PubMedDate not supplied

[Cystic lesions of the pancreas].

The lesions of the pancreas represent a very interesting chapter of its pathology. Although they seem very much alike, the different anatomo- pathological forms have well defined individual features, which impose the therapeutical attitude. The authors have analyzed a group of 62 patients, admitted in our clinic between 1974 and 2003. Most of them had pancreatic pseudocysts (54-86%); 6 (10%) had cystadenomas; 1 (2%)--cystadenocarcinoma and 1 (2%)--solid and papillary cystic tumour. The diagnostic methods are largely presented and compared to the literature; it is emphasized the importance of imaging procedures and of the histo-pathological examination. The different therapeutical procedures, their advantages and limits are also analyzed--the necessity of a conservative attitude, with the total or partial preservation of the pancreas, is almost unanimously recognized.

Adult↗