PubMed Health⌕ Search

Biomedical subjects

N Iordache

Publications and source records attributed to N Iordache.

14 recordsLinked to original sources
PubMed1991

[The clinical and therapeutic characteristics of a bulky gastrinoma].

The case of a 55-year-old woman with a duodenal ulcer developing since 6 months is reported, in whom the surgical indication was early established on the basis of increasing of suffering and inefficacy of the medical treatment. Intraoperatively an exophytic pancreatic tumour sited on the upper border of the isthmus, sized 5/6/4 cm, was found. In view of the suspicion of gastrinoma and considering that total gastrectomy or splenopancreatectomy would be excessive taking into account the patient's state, option was made for exeresis of the tumour. The ulcerous suffering disappeared and the histological examination of the specimen (weighting 70 g) confirmed a benign gastrinoma. The peculiarities of the case and data from the literature dealing with gastrinomas are discussed.

Duodenal Ulcer↗
PubMedDate not supplied

[Comparative study about alloplastic surgical procedures of incisional hernias].

This retrospective study analyzes a series of 604 patients with incisional hernias, operated on between 1994 and 1998. The hernias where divided according to their dimensions and their reccurrence. The postoperative outcome and follow up leaded to some conclusions: although the postoperative immediate complications were frequent after the alloplastic procedures, the long term results, judged by the rate of reccurrence and the rejection of the mesh, were better. With the alloplastic procedures the best results were obtained when the mesh was fixed in a retromuscular--properitoneal position.

Chi-Square Distribution↗
PubMedDate not supplied

[Burch procedure through laparoscopic surgery. Operatory technique].

The authors describe the technique of extraperitoneal laparoscopic Burch colposuspension equivalent to the classical open approach. Patients who undergo laparoscopic Burch procedure experience less postoperative discomfort, shorter hospital stay, quicker recovery and better cosmetic appearance. Based on our initial experience, laparoscopic colposuspension appears to be a viable alternative to abdominal colposuspension.

Colposcopy↗
PubMedDate not supplied

[Transperitoneal laparoscopic right sympathectomy].

Laparoscopic lumbar transperitoneal sympathectomy represents the miniinvasive approach of laterocolic procedure Adson-Diez. It is suitable to laparoscopic surgery, has a good reproducibility and it is more advantageous than total retroperitoneal approach because of a larger working space.

Humans↗
PubMedDate not supplied

[Laparoscopic adjustable gastric-banding treatment for morbid obesity our first year experience].

The authors present the results of a prospective study regarding their 1st year experience in laparoscopic adjustable gastric banding (LABG), which included 21 patients (5 males, 16 females), with an average age of 39 (between 20-53 years). The follow up was made at one and six months postoperative. The medium weight was 138 kg (between 95-172 kg), with a medium excess of body mass of 66.89 kg (extremes between 27.75 and 104 kg). The medium BMI (body mass index) was 48.9 (extremes: 34.5-66), 8 patients being superobese (BMI > 50). The average operating time was 120 min, all operations were finished laparosopically. Postoperative complications were: total disfagia (1 case), parietal suppuration (2 cases) and partial intragastric migration of the prosthesis (1 case). There were no deceased patients. The medium excess of body mass at 6 months after surgery was 46.57 (only 13 patients evaluated in this interval). After 6 months postoperative the comorbidities were healed at half of the patients. Although we do not benefit of a long time follow up, the favorable initial results permits us to state that LABG must find its place in the efforts of struggling against obesity and its consequences.

Adult↗
PubMedDate not supplied

[Bilio-pancreatic diversion with duodenal switch (DS) in morbid obesity--surgical technique].

Obesity is one of the biggest health problems nowadays with growing prevalence. Co morbidities and decreasing life-expectancy have imposed various treatments, of which surgery has the best efficiency. Bilio-pancreatic diversion modified with duodenal switch represents the procedure with both malabsorbtive and restrictive effects. This procedure has the best results in reducing excessive body mass and in maintaining this loss. Complexity of this procedure, early and late complications suggests that the main operative indication is for morbid obesity patients (body mass index BMI > 50 kg/mp). The procedure that we have done was a success in efficiency and in quality of life, but for conclusions is necessary more experience.

Biliopancreatic Diversion↗
PubMedDate not supplied

[Laparoscopic treatment of transhiatal gastric hernia].

The paper is referring to the laparoscopic cure of the gastric transhiatal hernia. The first part is a short comment on the way to establish the need for surgery and to choose the adequate procedure. Then the main tactical aspects of the laparoscopic Nissen fundoplication are discussed. Finally the technique of the operation is detailed. Six patients were operated on with good results.

Cholecystectomy↗
PubMedDate not supplied

[Right laparoscopic lumbar sympathectomy].

Laparoscopic lumbar sympathectomy was performed on a young man with thromboangiitis obliterans (Buerger's disease). The surgeons disposition, trocars placement and dissection technique are described in detail. The retroperitoneal approach was done in a manner similar to laparoscopic properitoneal hernia repair. The operation can be carried out with common laparoscopic equipment (for cholecystectomy) and offers the benefits of minimally invasive surgery.

Adult↗
PubMedDate not supplied

[Conversions and reinterventions in laparoscopic cholecystectomy].

From the introduction of the laparoscopy in our clinic, more and more of the cholecystectomies, reaching over 50% are done by this technique. Based upon the accumulation of an already important experience, the paper tries to analyze the situations in which, during or after laparoscopic cholecystectomy, intraoperative conversions (deliberate or of necessity) or reinterventions were necessary. We present a global view of the number of these cases and also (an in detail) analysis of the causes the imposed such decisions and of the solutions adopted. The percentages of 5.55 conversions and 1.49 reinterventions seem reasonable and acceptable in comparison with the initial results published by some experience surgeons in the field of laparoscopic surgery.

Adult↗