Lý thuyết - PHẪU THUẬT VÀ PHẪU THUẬT NỘI SOI

14:44 ICT Thứ sáu, 19/04/2024

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Esophageal perforation in South of Sweden: Results of surgical treatment in 125 consecutive patients

For many years there has been a debate as to which is the method of choice in treating patients with esophageal perforation. The literature consists mainly of small case series. Strategies for aiding patients struck with this disease is changing as new and less traumatic treatment options are developing. We studied a relatively large consecutive material of esophageal perforations in an effort to evaluate prognostic factors, diagnostic efforts and treatment strategy in these patients.

Management of gastroesophageal reflux disease and hiatus hernia: Overview and authors' perspective

Hiatus hernia and GORD is a common problem, with many different approaches to treatment. Management has changed dramatically over the years as new and varied treatments have become available. The treatment differs between countries depending on the availability of the various therapies. Overall, medical therapy is undoubtedly the commonest form of treatment, with surgery being used as second line therapy or for intractable symptoms. This paper provides an overview of reflux disease and the available treatments, as well as describing the most common surgical techniques, providing the practitioner with guidance as to when surgery may be a viable option.

Epidemiological characteristics of 778 patients who underwent surgical drainage of chronic subdural hematomas in Brasília, Brazil

Chronic subdural hematomas (CSDHs) are common in neurosurgical practice. There are no publications that report large series of the epidemiological characteristics of this pathology in Brazil. The purpose is to describe a large series of surgical cases and analyze the epidemiological and clinical characteristics.

The PRAISE study: A prospective, multi-center, randomized, double blinded, placebo-controlled study for the evaluation of iloprost in the early postoperative period after liver transplantation (ISRCTN12622749)

Liver graft dysfunction can deteriorate to complete organ failure and increases perioperative morbidity and mortality after liver transplantation. Therapeutic strategies reducing the rate of graft dysfunction are of current clinical relevance. One approach is the systemic application of prostaglandins, which were demonstrated to be beneficial in reducing ischemia-reperfusion injury. Preliminary data indicate a positive effect of prostacyclin analogue iloprost on allograft viability after liver transplantation. The objective of the study is to evaluate the impact of iloprost in a multi-center trial.

A prospective randomized controlled multicenter trial comparing antibiotic therapy with appendectomy in the treatment of uncomplicated acute appendicitis (APPAC trial

Although the standard treatment of acute appendicitis (AA) consists of an early appendectomy, there has recently been both an interest and an increase in the use of antibiotic therapy as the primary treatment for uncomplicated AA. However, the use of antibiotic therapy in the treatment of uncomplicated AA is still controversial.