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Biomedical subjects

M Hashmonai

Publications and source records attributed to M Hashmonai.

At least 73 records · Page 4Linked to original sources
PubMed1993

Management of the leaking rectal stump after Hartmann's procedure.

Hartmann's procedure is often selected in situations in which the construction of a colorectal anastomosis is considered unsafe. Paradoxically, the creation of the rectal stump involves placement of an intestinal suture line that is prone to leakage. We report our experience with 11 patients with a clinically significant leakage from the rectal stump after Hartmann's procedure, which was manifested as persistent postoperative intra-abdominal infection. A method for the treatment and prevention of this potentially lethal complication is presented.

Adult↗
PubMed1993

Infected peri-pancreatic necrosis causing gallbladder necrosis by direct extension.

Acute acalculous cholecystitis may develop in patients suffering from necrotizing pancreatitis. Conversely, acute pancreatitis may complicate acute gallbladder disease. We present a case that lends support to the existence of another possibility: gallbladder necrosis caused by direct extension of the necrotizing pancreatitic process.

Alcoholism↗
PubMed1993

Problems in the surgical management of sclerosing encapsulating peritonitis.

Sclerosing encapsulating peritonitis (SEP) is a rare complication of chronic ambulatory peritoneal dialysis. Although commonly involving the small bowel and associated with severe surgical complications, this entity has almost never been mentioned in the surgical literature. We report here another case of severe SEP and briefly discuss its surgical implications.

Acute Disease↗
PubMed1992

[Rectus sheath hematoma].

Rupture of the epigastric artery with hematoma formation in the rectus sheath is an uncommon condition which can mimic serious intraabdominal disorders. Treatment is primarily conservative, but misdiagnosis can lead to unnecessary surgery. However, the correct clinical diagnosis should be suggested by the presence of paroxysmal cough, anticoagulant therapy, or trauma, the precipitating factors found in most cases. Ultrasonography and CT scan are excellent diagnostic modalities in this condition. 3 unoperated cases in which the correct diagnosis was made are presented. Despite its benign nature this condition may be fatal. Awareness and vigorous supportive therapy are therefore recommended to reduce morbidity and mortality.

Aged↗
PubMed1992

Upper thoracic sympathectomy for primary palmar hyperhidrosis: long-term follow-up.

Primary palmar hyperhidrosis is a functionally and socially disabling condition. Upper thoracic sympathectomy is the best curative treatment. Several surgical approaches have been suggested and, recently, less invasive techniques have been communicated. To evaluate which method is the best, the short- and particularly the long-term results must be compared. A series is presented of 170 upper thoracic sympathectomies by the supraclavicular approach performed on 85 patients with palmar hyperhidrosis. Follow-up for a mean of 8.3 years was obtained on 124 operated limbs. The immediate failure rate for relief from hyperhidrosis was 2.4 per cent and hyperhidrosis recurred in another 4.1 per cent of limbs after a period of between 2 and 18 months. Thirteen per cent of patients were dissatisfied with the results of operation, one because of persisting vasomotor rhinitis, two because of Horner's syndrome and five because of persisting or recurrent hyperhidrosis. Satisfactory results in approximately 87 per cent of cases make the operation rewarding. This outcome should be compared with the long-term results of other methods, such as percutaneous phenol injection and the transthoracoscopic approach, when such data are compiled and published.

Adolescent↗
PubMed1992

Linear stapling device in partial resection of abdominal parenchymatous organs.

The use of the linear stapling device (LSD) is well-established in hollow-organ gastro-intestinal surgery. Its use in operations performed on parenchymatous viscera is less common. We present our experiences with the LSD in partial resection of the spleen (2 cases), pancreas (5 cases), liver (2 cases) and kidney (2 cases). To the best of our knowledge the use of the LSD for partial nephrectomy and resectional debridement of the liver has not been previously described. We suggest that LSDs are useful aids in the resection of parenchymatous organs, and allow rapid resection if applied to healthy tissues and in regions with an intact capsule.

Kidney↗