Összesen 2 találat.


001-es BibID:BIBFORM090346
Első szerző:Deák János (sebész)
Cím:Hydatid disease of pancreas: A case riport / János Deák, Gergely Zádori, Adrienn Csiszkó, László Damjanovich, Zsolt Szentkereszty
ISSN:2061-1617 2061-5094
Megjegyzések:Abstract: Primary pancreatic hydatid disease is extremely rare. Diagnosis of the disease is difficult because hydatid cysts can be confused with a pseudocyst or neoplastic cystic diseases. Authors report a case of a surgically treated hydatid disease of the uncinate process of pancreas. In a 34-year- old patient with minor symptoms, a cystic disease of the pancreas was accidentally identified. CT scan revealed a multivesicular cystic mass with a maximum of 13-cm diameter and with a calcificated wall. During laparotomy, the uncinate process of pancreas was resecated and the cystic lesion was enucleated. Patient was recovered without complications and recurrence of the disease. There must be a suspicion of hydatid disease when cysts are identified in good conditioned, asymptomatic patients, or in case of wall calcification or multivesicular cysts revealed by radiological images. Surgical procedures are recommended in uncertain diagnoses too, because differentiation preoperatively between cystic pancreatic lesions is often impossible.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:Interventional Medicine and Applied Science. - 11 : 1 (2019), p. 74-76. -
További szerzők:Zádori Gergely (1983-) (sebész) Csiszkó Adrienn Damjanovich László (1960-) (általános sebész) Szentkereszty Zsolt (1961-) (sebész)
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat


001-es BibID:BIBFORM106747
035-os BibID:(Scopus)85006797872
Első szerző:Martis Gábor (sebész, érsebész)
Cím:Incarcerated and eventrated abdominal wall hernia reconstruction with autologous double-layer dermal graft in the field of purulent peritonitis - A case report / Gábor Martis, Máté Rózsahegyi, János Deák, László Damjanovich
Megjegyzések:INTRODUCTION: Double-layer dermal grafts are used for the management of complicated abdominal wall hernias in obese, high risk patients. The method has not yet been used in case of emergency in septic/dirty environment. CASE REPORT: A 76-year old female patient (BMI 36.7 kg/m2) was admitted with mechanical bowel obstruction and sepsis caused by a third time recurred, incarcerated and eventrated abdominal wall hernia. During the emergency surgery perforation of the terminal ileum and the ascending colon was detected, along with a feculent peritonitis and extended abdominal wall necrosis. Extended right hemi colectomy and necrectomy of the abdominal wall were performed. The surgery resulted in an abdominal wall defect measuring 223 cm2, for the management of which direct closure was not possible. Using a specific method, an autologous dermal graft was prepared from the redundant skin. The first dermal graft was placed under the abdominal wall with 5 cm overlap, and the second layer was placed onto the first layer with 3 cm overlap in a perforated fashion. The operating time was 250 min. No significant intra-abdominal pressure elevation was measured. No reoperation was performed. On the fifth postop erative day, the patient was mobilised. She was discharged in satisfactory general condition on the 18th postoperative day. There is no recurrent hernia 8 months after the surgery. DISCUSSION: Abdominal wall reconstruction was possible in a necrotic, purulent environment by using a de-epithelised autologous double layer dermal graft, without synthetic or biological graft implantation. The advantage of the procedure was cost-effectivity, and the disadvantage was that only in an obese patient is the sufficient quantity of dermal graft available. CONCLUSION: A homogeneous internal and perforated outer dermal graft was suitable for bridging the abdominal gap in the case of an obese, high risk patient. Autologous dermal grafts can be a safe and feasible alternative to biological meshes in emergency abdominal wall surgeries. Evaluation of a case series can be the next cornerstone of the method described above.
Tárgyszavak:Orvostudományok Klinikai orvostudományok esettanulmány
Double-layer dermal graft
Incarcerated hernia
Eventrated hernia
Dirty wound
Low tension reconstruction
Case report
Megjelenés:International Journal of Surgery Case Reports. - 30 (2017), p. 126-129. -
További szerzők:Rózsahegyi Máté Deák János (1982-) (sebész) Damjanovich László (1960-) (általános sebész)
Internet cím:DOI
Intézményi repozitóriumban (DEA) tárolt változat
Rekordok letöltése1