{"title":"Cirugía urgente por rotura hemorrágica de un tumor del estroma gastrointestinal gigante","authors":"","doi":"10.31837/cir.urug/4.1.7","DOIUrl":"https://doi.org/10.31837/cir.urug/4.1.7","url":null,"abstract":"","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48053248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ascaris lumbricoides corresponds to the most frequent helminthiasis of the digestive tract, the highest prevalence is seen in countries with tropical and underdeveloped climates. Adult parasites, in addition to the digestive tract, can invade the pancreatic bile ducts.
{"title":"Ascaridiasis biliar, diagnóstico por colangiorresonancia","authors":"Andrés Pouy, Camila Haro, Mario Almada","doi":"10.31837/4.1.4","DOIUrl":"https://doi.org/10.31837/4.1.4","url":null,"abstract":"Ascaris lumbricoides corresponds to the most frequent helminthiasis of the digestive tract, the highest prevalence is seen in countries with tropical and underdeveloped climates. Adult parasites, in addition to the digestive tract, can invade the pancreatic bile ducts.","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46697836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Moreira, Mauricio Pontillo, R. Hernández, Gustavo Rodríguez Temesio
Background: Biliary lithiasis is a high prevalence disease among general population being one of the most common surgical cause to attend to ambulatory appointment or to the emergency room. Due to the disease high prevalence and the potential complications, treatment is indicated. The best treatment option is still a matter of debate, admitting either surgical, endoscopic or percutaneous treatment. The aim of this series was to present the surgical management of choledocholithiasis, either as symptomatic presentations or as an incidental finding during intraoperative colangiography, at Surgical Clinic 2, Maciel Hospital. Methods: An electronic search was done among all colecistectomie's records between January 1st and October 7th, 2018, selecting those with choledocholithiasis confirmed by intraoperative cholangiography. Results: 115 colecystectomy were done in the time period previously mentioned, 113 patients had laparoscopic colecistectomies and 2 patients had open conversions, choledocholitiasis was confirmed in 20 cases. Stone clearance was done with Dormia basket, angioplasty balloon catheter, Randall stone forceps and flushing with saline, it was successful in 18 cases. Discussion: Either transcistic or choledochotomy approach allowed to solve the disease in one surgical act. Intraoperative cholangiography was successful in 80% of cases and lithiasis extraction was complete in 90% of cases, no difference with previous published works found. Conclusions: Transcystic or choledochotomy approach is a safe and effective treatment
{"title":"Tratamiento de la litiasis coledociana por vía laparoscópica, serie de casos de la Clínica Quirúrgica 2 del Hospital Maciel","authors":"E. Moreira, Mauricio Pontillo, R. Hernández, Gustavo Rodríguez Temesio","doi":"10.31837/cir.urug/4.1.2","DOIUrl":"https://doi.org/10.31837/cir.urug/4.1.2","url":null,"abstract":"Background: Biliary lithiasis is a high prevalence disease among general population being one of the most common surgical cause to attend to ambulatory appointment or to the emergency room. Due to the disease high prevalence and the potential complications, treatment is indicated. The best treatment option is still a matter of debate, admitting either surgical, endoscopic or percutaneous treatment. \u0000The aim of this series was to present the surgical management of choledocholithiasis, either as symptomatic presentations or as an incidental finding during intraoperative colangiography, at Surgical Clinic 2, Maciel Hospital. \u0000Methods: An electronic search was done among all colecistectomie's records between January 1st and October 7th, 2018, selecting those with choledocholithiasis confirmed by intraoperative cholangiography. \u0000Results: 115 colecystectomy were done in the time period previously mentioned, 113 patients had laparoscopic colecistectomies and 2 patients had open conversions, choledocholitiasis was confirmed in 20 cases. Stone clearance was done with Dormia basket, angioplasty balloon catheter, Randall stone forceps and flushing with saline, it was successful in 18 cases. \u0000Discussion: Either transcistic or choledochotomy approach allowed to solve the disease in one surgical act. Intraoperative cholangiography was successful in 80% of cases and lithiasis extraction was complete in 90% of cases, no difference with previous published works found. \u0000Conclusions: Transcystic or choledochotomy approach is a safe and effective treatment","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49508058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Itussusception is a rare cause of intestinal occlusion in adults. The clinical case of this condition in an older adult is presented. In this case, computed tomography (CT) identified intussusception and the treatment was an intestinal resection. Pathological anatomy provided the definitive diagnosis. The most frequent etiology of the obstruction corresponds to malignant organic lesions at the level of the colon, and benign in the small intestine. Preoperative diagnosis has now increased, thanks to the advancement of imaging tests. Intestinal resection continues to be the treatment in most cases, due to the high percentage of malignant pathology as the underlying cause.
{"title":"Invaginación intestinal en el adulto. Reporte de caso","authors":"M. Almada, Pablo Minasián, P. Caviglia","doi":"10.31837/cir.urug/4.1.3","DOIUrl":"https://doi.org/10.31837/cir.urug/4.1.3","url":null,"abstract":"Itussusception is a rare cause of intestinal occlusion in adults. The clinical case of this condition in an older adult is presented. In this case, computed tomography (CT) identified intussusception and the treatment was an intestinal resection. Pathological anatomy provided the definitive diagnosis. The most frequent etiology of the obstruction corresponds to malignant organic lesions at the level of the colon, and benign in the small intestine. Preoperative diagnosis has now increased, thanks to the advancement of imaging tests. Intestinal resection continues to be the treatment in most cases, due to the high percentage of malignant pathology as the underlying cause.","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48868790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Javier Chinelli, R. Hernández, Gustavo Rodríguez Temesio
{"title":"Utilidad de la laparoscopía en el tratamiento de abscesos post apendicectomía. Casos clínicos (video)","authors":"Javier Chinelli, R. Hernández, Gustavo Rodríguez Temesio","doi":"10.31837/cir.urug/3.2.7","DOIUrl":"https://doi.org/10.31837/cir.urug/3.2.7","url":null,"abstract":"","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45858626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"El ateneo de morbilidad y mortalidad como herramienta de aprendizaje colectivo en un servicio de cirugía general","authors":"","doi":"10.31837/cir.urug/3.2.2","DOIUrl":"https://doi.org/10.31837/cir.urug/3.2.2","url":null,"abstract":"","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41326498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sarcoma retroperitoneal gigante. Reporte de un caso clínico.","authors":"","doi":"10.31837/cir.urug/3.2.4","DOIUrl":"https://doi.org/10.31837/cir.urug/3.2.4","url":null,"abstract":"","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41392580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. González, M. Viola, Arturo Méndez, Andrés Taullard, M. Gentile, A. Gamba, D. Debenedetti, A. Duarte, César Canessa
Background: Treatment of Zenker's diverticulum (DZ) has evolved from open surgery to flexible endoscopy, resulting in lower morbidity and mortality. The endoscopic treatment consists of the cricopharyngealmyotomy using multiple devices. Aim: The purpose of this study is to show a therapeutic alternative for flexible endoscopy for Zenker's diverticulum, using different cutting instruments. Methods: We describe a series of cases of patients diagnosed with Zenker's diverticulum treated by endoscopy, between March 2014 and July 2018. Allprocedures were performed by a single endoscopist. Data from endoscopic records werecollected retrospectively and demographic variables, symptoms, technical aspects, complications and follow-up were analyzed. Results: 12 patients were included, 7 (58%) female, mean age 69 years (range: 53-90). All patients had dysphagia for solids and liquids, 2 patients also had respiratory symptoms. The average size of the diverticula was 3.6 cm. The myotomy was performed with LigaSure in 4 patients, with clutch-cutter in 3 and needle knife in 5 cases. In 11 (91.6%) cases, symptom improvement was obtained, 2 (16%) patients presented recurrence of symptoms during a median follow-up of 9 months. One case (8%) required endoscopoicreintervention to obtain relief of dysphagia. Microperforationwas presented in one patient (8%), which resolved with conservative treatment. Conclusions:Diverticulotomy through flexible endoscopy was effective and safe for the treatment of DZ, so it should be considered in the therapeutic arsenal of this pathology.
{"title":"Tratamiento con endoscopía flexible del divertículo de Zenker: una técnica efectiva y segura","authors":"N. González, M. Viola, Arturo Méndez, Andrés Taullard, M. Gentile, A. Gamba, D. Debenedetti, A. Duarte, César Canessa","doi":"10.31837/cir.urug/3.2.1","DOIUrl":"https://doi.org/10.31837/cir.urug/3.2.1","url":null,"abstract":"Background: Treatment of Zenker's diverticulum (DZ) has evolved from open surgery to flexible endoscopy, resulting in lower morbidity and mortality. The endoscopic treatment consists of the cricopharyngealmyotomy using multiple devices. \u0000Aim: The purpose of this study is to show a therapeutic alternative for flexible endoscopy for Zenker's diverticulum, using different cutting instruments. \u0000Methods: We describe a series of cases of patients diagnosed with Zenker's diverticulum treated by endoscopy, between March 2014 and July 2018. Allprocedures were performed by a single endoscopist. Data from endoscopic records werecollected retrospectively and demographic variables, symptoms, technical aspects, complications and follow-up were analyzed. \u0000Results: 12 patients were included, 7 (58%) female, mean age 69 years (range: 53-90). All patients had dysphagia for solids and liquids, 2 patients also had respiratory symptoms. The average size of the diverticula was 3.6 cm. The myotomy was performed with LigaSure in 4 patients, with clutch-cutter in 3 and needle knife in 5 cases. In 11 (91.6%) cases, symptom improvement was obtained, 2 (16%) patients presented recurrence of symptoms during a median follow-up of 9 months. One case (8%) required endoscopoicreintervention to obtain relief of dysphagia. Microperforationwas presented in one patient (8%), which resolved with conservative treatment. \u0000Conclusions:Diverticulotomy through flexible endoscopy was effective and safe for the treatment of DZ, so it should be considered in the therapeutic arsenal of this pathology.","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43036934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Estenosis de manga gástrica. Conversión a by-pass gástrico (video)","authors":"","doi":"10.31837/cir.urug/3.2.5","DOIUrl":"https://doi.org/10.31837/cir.urug/3.2.5","url":null,"abstract":"","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41811669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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