PubMed Health⌕ Search

Biomedical subjects

P Simici

Publications and source records attributed to P Simici.

At least 19 recordsLinked to original sources
PubMedDate not supplied

[Post-caustic gastric stenosis].

Two cases of postcaustic antropyloric stenosis are reported. The lesions developed 3 and respectively 5 weeks after ingestion of the caustic substance and surgery for complete stenosis was performed 35 and 56 days after the initial accident. In both cases antropylorectomy with gastroduodenoanastomosis of the Péan-Billroth type I, in two layers, was performed. Integrity of the esophagus and good function of the anastomotic mouth, appraised by the clinical symptomatology and evolution of the radiologic aspect, showed that at least in some cases it is possible to apply the curative intervention 5-6 weeks after the accident, without a previous shunt being necessary.

Adult↗
PubMedDate not supplied

[Spontaneous sigmoido-vesical fistula].

The colo-vesical fistula, most frequently of diverticular origin, usually occurs at a later age, when the diverticular disease is complicated by local and peri-sigmoidal processes. A characteristic of this disturbance is the fact that, although the causal affection is colical, the manifestation, at least initially, is mostly at the level of the urinary bladder, under the form of repeated bouts of cystitis of an apparently undetermined origin. Such manifestations should prompt, besides exploration of the urinary apparatus, also an exploration of the colon. The exclusively surgical treatment should be applied as early as possible after the identification of the fistular lesion, in view of preventing more severe local complications and ascendent urinary infections.

Aged↗
PubMedDate not supplied

Immediate and delayed results in complicated cancer of the colon.

In 34 patients operated on in emergency for complications of cancer of the colon (CC) it was found that complications prevailed in stage III of disease and were mainly represented by occlusions which were more frequent in left colon cancer. Radical surgery proved preferable to the palliative one. The mean survival time in months after emergency surgery for complications of CC was longer for right colon localizations and after radical surgery. The survival after 5 years was of 13%.

Colectomy↗
PubMedDate not supplied

Immediate and late results in the surgical treatment of gastric cancer.

The study of 248 patients mostly males, aged over 50 years, operated on for gastric cancer (GC) has shown that the majority were in stages III and IV of disease. The antral localization of the tumor was the most frequent. In 6.45% of the cases acute complications occurred during the evolution of gastric cancer. Association with other diseases was found in proportion of 5.64%. The surgical treatment was differentiated according to the site and evolutive stage of the tumor but the most frequent was radical subtotal gastrectomy. The postoperative complications were either general or local. Postoperative mortality was higher in cancers situated in the upper third of the stomach, after total gastrectomy, and in stage IV of disease. The 5-year survival was 66.66% for stage II and 10.18% for stage III and the 10-year survival decreased to 40 and respectively 1.85%.

Adenocarcinoma↗
PubMedDate not supplied

Immediate and late results in the surgical treatment of gastric ulcer.

The study of 205 patients showed that complicated gastric ulcer (GU) (55.57%) is followed by a high postoperative morbidity (8.78%) and mortality (1.95%). The good and very good results obtained by gastric resection (89.84%) confirm the value of this treatment in GU. The satisfactory (8.40%) and unsatisfactory (1.69%) results arise from errors of indications or deviation from the operative approach and technique. To obtain the best results the surgical act must be performed irreproachably and the patient must comply with protection prescriptions.

Adult↗
PubMedDate not supplied

The prevention of postoperative thromboembolic complications with small heparin doses.

For the prevention of postoperative thromboembolic complications (TEC) in patients with thromboembolic risk, heparin was administered subcutaneously in small doses, adapted to each patient. The efficiency of each method was confirmed clinically by the absence of TEC, verified by the administration of labelled fibrinogen and by the anatomopathologic examination. In contrast, in the control group there were 3.93% cases of TEC with 0.97% fatal pulmonary embolism. The local complications of heparin treatment depend upon the type of product administered. The method has advantages but also certain drawbacks that require the taking of all pre-, intra- and postoperative measures for prevention of TEC.

Female↗
PubMedDate not supplied

[Possibilities of early detection of postoperative venous thromboses].

The use of labelled fibrinogen in 106 patients with thromboembolic risk led to the detection of thrombosis of deep veins of lower limbs in 25 patients (23,58%) as compared with a single patient (0,94%) who showed all the clinical signs. The thromboses were identified more frequently (in 60% of the cases) in patients whose age was above 60 years. In 80% of the cases the thromboses were detected in the first 24 h after surgery. Most frequently involved were the veins of the leg (64%), and especially in the IV-th area, corresponding to the upper third of the leg (23,80%). Surgery performed in the pelvic area gave a high percentage of thromboses. Advanced age, the existence of varicose veins, the presence of diabetes, of obesity, as well as previous surgical interventions, increase the risk of thrombosis and of embolies. Due to existing possibilities for an early diagnosis of thromboses in deep veins following surgery, for detecting latent clinical thrombosis, as well as for assessing the evolution of an already formed thrombus, it appears that the test with labelled fibrinogen is a highly useful clinical investigation.

Adult↗