Biomedical subjects

R Vizeteu

Publications and source records attributed to R Vizeteu.

7 recordsLinked to original sources

PubMed1995

[Therapeutic strategy in breast cancer].

The authors present the actual concepts of the therapeutic strategy for the breast cancer. The choice of the optimal protocol treatment is based on a complete and correct pretherapeutic evaluation. This implies the staging using TNM/ UICC/ 1987 system (explained in the text) and the definition of the prognostic factors: axillary lymph node involvement, other pathological patterns, the situation of the hormonal receptors and the cell proliferation index. For the stages I-II the strategy of the treatment include: modified radical mastectomy, postoperative irradiation in well defined cases and the adjuvant systemic treatment using chemotherapy and hormonal therapy. The laparoscopic ovariectomy is a safe and simple technique. For the local advanced cancer (IIIA and IIIB) the treatment begins with a systemic aggressive approach, the surgery being applied following the tumoral regression. In the stage IV the complex palliative treatment is indicated.

Breast Neoplasms↗

PubMedDate not supplied

[A rare cause of postoperative digestive hemorrhage].

The author presents a rare case of postoperative gastrointestinal bleeding due to a hepatic vascular fistula. This was the result of corrosive attack on the liver in the portion who covered an acute perforate ulcer.

Aged↗

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

[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

[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↗