Khirurgii͡a
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The main treatment for most types of malignant tumors is their surgical removal. During the past years there has been a growing interest in the anesthesia effects on long-term surgery results in connection with cancer. Modern clinical and laboratory data indicate that the anesthetic technique may play a role in tumor dissemination and recurrence. The purpose of this study is to review the available literature data on the anesthetic techniques applied in oncology surgery, long-term consequences of anesthesia/analgesia and their relation to tumor progression. ⋯ Further randomized controlled trials are required for extensive research of this problem.
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Anti-reflux laparoscopic operations replaced conventional surgery and are now widely available, because of the advantages of this type of surgery. One of the main reasons for the high complications rate in this type of operations is the lack of experience of the surgeons, although recently in the reports of most leading authors complications and increased mortality rate is due to the older patients undergoing this type of surgery. The main causes of death were gastrointestinal hemorrhage, necrosis with perforation of the esophagus or stomach, cardiac arrest, respiratory and inflammatory complications, and pulmonary thromboembolism.
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Case Reports
Clinical case of a patient diagnosed with sinister inguinal hernia and disembriogenesis of the inguinal canal.
Hernia (lat. - rupture, burst) or protrusion represents the act of escape of tissue, organ or an organ constituent through an innate or acquired fault of the muscle or the connective tissue membrane. The inguinal hernia, also known as groin hernia, rates one of the most frequent surgical conditions. It is manifested by all ages, however is more common in males. ⋯ Two kind of anomalies exist--anomalies connected with the obliteration of processus vaginalis peritonei and anomalies connected with the embryogenessis of the inguinal canal. We present a clinical case of a 59-years-old male presenting with emerged arch-like protuberance in the sinister groin region, enlarging during physical effort and strain, accompanied by a strong, harsh pain. Intraoperatively it was discovered a disembryogenessis of the inguinal canal, a total lack of the front wall of the canal itself, a lack of formed superficial inguinal opening and inobliterated processus vaginalis peritonei.
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The main treatment for most types of malignant tumors is their surgical removal. During the past years there has been a growing interest in the anesthesia effects on long-term surgery results in connection with cancer. Modern clinical and laboratory data indicate that the anesthetic technique may play a role in tumor dissemination and recurrence. The purpose of this study is to review the available literature data on the anesthetic techniques applied in oncology surgery, long-term consequences of anesthesia/analgesia and their relation to tumor progression. ⋯ Further randomized controlled trials are required for extensive research of this problem.
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Hydatid disease is a major health problem worldwide. Its frequency is different worldwide depending to the climate and locoregional factors. Primary hydatid disease of the pancreas is very rare. ⋯ A diagnosis of hydatid cyst in tail region of the pancreas, measuring 55/75 mm, was established by abdominal computed tomography before surgery. The treatment consisted of a distal pancreatectomy. The postoperative period was uneventful.