Biomedical subjects

S Kanane

Publications and source records attributed to S Kanane.

3 recordsLinked to original sources

PubMed1996

[Mega-esophagus: treatment by celioscopic approach].

Heller's procedure is widely used as the most appropriate method for treating achalasia. We performed the procedure laparoscopically in three patients with good results. Two females and one male, age 40, 60 and 68 years, presented with long-term recurrent dysphagia due to achalasia which did not respond to endoscopic dilatation. Heller's procedure was performed laparoscopically in all three with no particular difficulty. In our cases we also attached the anterior border of the greater curvature to the left side of the myotomy and fixed it to the right diaphragmatic pillar to reduce reflux. The procedure would appear to have less risks than laparotomy since visualization of the operative fields is better. Laparoscopy will undoubtedly become the preferred procedure for achalasia.

Adult↗

PubMed1994

[Intraoperative colonic irrigation in the emergency treatment of occlusive lesions of the left colon].

This study reports the use of an intraoperative antegrade colonic irrigation in the management of left-sided large bowel obstruction requiring emergency surgery. 35 consecutive patients had primary bowel resection with immediate anastomosis (without colostomy) after intraoperative antegrade colonic irrigation. The cause of the obstruction was large bowel carcinoma in 26, diverticulitis in seven and volvulus in two cases. There were two post-operative deaths (5.7%). No digestive fistula was observed. The results of this study suggest that intraoperative colonic irrigation is an effective method, enabling the surgeon to perform a primary anastomosis with reasonable safety after emergency resection of selected distal colonic lesions.

Aged↗

PubMed1993

[Mesocaval anastomosis in the treatment of recurring hemorrhage caused by portal hypertension].

The ideal therapy for variceal hemorrhage would permanently eliminate this life-threatening complication of portal hypertension and have no adverse effects on hepatic physiology. Mesocaval interposition shunts preserve a hepato-pedal blood flow. 35 shunts were performed as an elective procedure from 1982 to 1992 in patients with hemorrhagic liver cirrhosis. There were 24 men and 11 women, with a median age of 51.7 years. The underlying etiology of the varices was alcoholic cirrhosis in 31 patients. The criteria of Child-Pugh were utilised to evaluate + all patients; 21 were in class A and 14 were in class B. All patients presented before the operation, two or several histories of acute variceal hemorrhage. The mean diameter of the graft was 14 mm (range 10 to 16 mm). Intra-operative portal pressure measurements showed satisfactory pressure reduction (18.7 mmHg to 11.2 mmHg). There was no death in the postoperative period. Eight patients had postoperative complications, for an overall morbidity rate of 22.8%: 2 ascites, 4 episodes of temporary encephalopathies and 2 recurrent bleeding. At the third month, angiographic (5 cases), sonographic (6 cases) or scanographic (17 cases) studies evaluated shunt patency. In one case, We observed an occluded graft. The actuarial survival rate was 82% at 2 years, 66% at 5 years. It is concluded that the interposition mesocaval shunt appears to be an effective technique for the control of variceal hemorrhage, has important hemodynamic advantages and can be applied to most patients for the control of variceal hemorrhage due to portal hypertension. Moreover, the procedure can be considered as a solution before the hepatic transplantation.

Adult↗