Surgery today
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Foreign body ingestion occurs commonly in children and in specific high-risk groups of adults. Foreign bodies in the gastrointestinal tract can result in serious complications depending on the size and shape of the ingested object. This report presents a patient with an unusual foreign body in the esophagus.
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Primary or idiopathic torsion of the greater omentum is an uncommon cause of acute abdominal pain, often mimicking other acute abdominal conditions. The diagnosis is usually made at laparotomy, with the presence of free serosanguinous fluid in the absence of any other intra-abdominal pathology being suggestive of this condition. Resection of the infarcted segment is the treatment of choice, offering rapid recovery and reducing the possibility of adhesion formation. We report a case of primary omental torsion and discuss the diagnostic and therapeutic implications of this entity.
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Endoscopic endocrine neck surgery is desirable from a cosmetic viewpoint. We compared the effectiveness of our new technique with that of conventional surgery in a clinical study. ⋯ The VANS method is feasible, practical, and safe, and has great cosmetic benefits.
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Clinically significant and palpable enlargement of the gastrocnemio-semimembranosus bursa is known as a Baker's cyst. Baker's cysts may rupture, resulting in a swollen, painful leg that is clinically indistinguishable from acute deep vein thrombosis. For this reason, ruptured Baker's cysts are sometimes called pseudothrombophlebitis. ⋯ Lymphedema was also common, being diagnosed in 16 limbs. Ruptured Baker's cysts were observed in three limbs, with an incidence of 2.4%. In all of these patients, a large hypoechoic space was seen behind the calf muscles and this sonolucent area was easily detected by a conventional scanner, being pathognomonic of a ruptured Baker's cyst.
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We developed a new technique of aortic root repair which may be able to eliminate the potential problem of leaflet damage, resulting from the direct contact of the aortic leaflets with synthetic vascular grafts during systole. This report describes our technique of annuloaortic repair and the operative results. Between February 1995 and October 1998, 13 patients underwent annuloaortic repair. ⋯ Ten patients were class I and 2 were class II. This technique of annuloaortic repair with or without aortic valvuloplasty is applicable to a certain subset of patients with aortic root disease and AR. Both the indications for this procedure and the long-term results should be confirmed.