Symptomatic Giant Cavernous Haemangioma of the Liver: Is Enucleation a Safe Method?

Twenty-three patients with symptomatic giant hemangioma of the liver were treated by surgery between 1979 and 1996 at the department of General Surgery, Faculty of Medicine, University of Çukurova. Twenty-three enucleations were performed in 21 patients, left lateral segmentectomy in one patient and enucleation plus left lobectomy in one patient. The tumors were enucleated along the interface between the hemangioma and normal liver tissue. The diameters of the tumors ranged from 5×5 to 25×15 cm. The mean blood loss for enucleations was 525 ml (range 500–1000 ml). There was no mortality and no postoperative bleeding. Three patients had postoperative complications. Enucleation is the best surgical technique for symptomatic giant hemangioma of the liver. It may be performed with no mortality, low morbidity and the preservation of all normal liver parenchyma

Long-Term Surgical Recurrence, Morbidity, Quality of Life, and Body Image of Laparoscopic-Assisted vs. Open Ileocolic Resection for Crohn’s Disease: A Comparative Study

PurposeSeveral studies have compared conventional open ileocolic resection with a laparoscopic-assisted approach. However, long-term outcome after laparoscopic-assisted ileocolic resection remains to be determined. This study was designed to compare long-term results of surgical recurrence, quality of life, body image, and cosmesis in patients who underwent laparoscopic-assisted or open ileocolic resection for Crohn's disease.MethodsSeventy-eight consecutive patients who underwent ileocolic resection during the period 1995 to 1998 were analyzed; 48 underwent a conventional open approach in the Academic Medical Centre (Amsterdam, The Netherlands) and 30 underwent a laparoscopic-assisted approach in the Leiden University Medical Centre (Leiden, The Netherlands). Primary outcome parameters were reoperation and readmission rate. Secondary outcome parameters were quality of life, body image, and cosmesis.ResultsThe two groups were comparable for characteristics of sex, age, and immunosuppressive therapy. Seventy-one patients had a complete follow-up of median 8.5 years. Resection for recurrent Crohn's disease was performed in 6 of 27 (22 percent) and 10 of 44 (23 percent) patients in the laparoscopic and open groups, respectively. Reoperations for incisional hernia were only performed after conventional open ileocolic resection (3/44 = 6.8 percent). Quality of life and body image were comparable, but cosmesis scores were significantly higher in the laparoscopic group.ConclusionsDespite small numbers, we found that surgical recurrence and quality of life after laparoscopic-assisted and open ileocolic resection were comparable. Incisional hernias occurred only after open ileocolic resection, and laparoscopic-assisted ileocolic resection resulted in a significantly better cosmesis

Functional results after coloanal anastomosis for rectal cancer

WOS: 000176378900737

Abdominal tuberculosis.

WOS: 000073089605577

Peritoneal encapsulation: A case report

Peritoneal encapsulation is a rare developmental anomaly and is characterized by the presence of an accessory peritoneal sac containing small bowel. This condition may involve the small bowel totally or partially. In this case, the partially peritoneal encapsulation discovered during laparatomy is presented. Treatment consist of complete removal of the membrane

Pelvi-perineal myolipoma

[No abstract available

Intestinal Behcet's disease with perianal abscess and necrosis: A case report

Background: Behçet's disease (BD) is an inflammatory multisystem disorder, characterized by recurrent oral and genital ulcers, erythema nodosum-like lesions, papulopustular lesions, uveitis, large vessel thrombosis as well as neurologic and gastrointestinal manifestations. Case Report: A 55-year-old man with BD was admitted to the emergency room with perianal abscess and necrosis. One day after abscess drainage and débridement the patient developed peritonitis, and sepsis ensued. Histopathologic examination of the skin overlaying the débridement area revealed vasculitis and fibrinoid necrosis. Emergency laporatomy revealed multiple 'punchedout' perforations with 0.5-1 cm in diameter over the whole small intestine concentrating in the terminal ileum. Débridement - primary repair and partial ileal resection - of ileostomy was done. The patient died due to sepsis and multiple organ failure on the first postoperative day. Histopathologic examination revealed nonspecific inflammatory cell infiltrates surrounding capillaries and venules, especially in the submucosa and serosa (vasculitis) with no evidence of granulomatous inflammation. Conclusion: Anal abscess or necrosis in a patients with BD may be a clue to the presence of intestinal BD with imminent perforation, representing the widespread vasculitis of the gut in BD. © 2007 S. Karger GmbH

Value of prognostic index in acute pancreatitis

1st European Congress of the IHPBA -- MAY 25-28, 1995 -- ATHENS, GREECEWOS: A1995BD75R00119…IHPB

The effects of diclophenac sodium and alpha-tochoferol in the prevention of postoperative intraperitoneal adhesions

In this experimental study, parenteral diclophenac sodium and alpha tochoferol were used in the prevention of postoperative intraperitoneal adhesions in 60 rats operated in the same way. The rats were evaluated in 3 groups each consisting 20 rats. First group was used as control group and no medication were given but the operation. In order to prevent adhesions, diclophenac sodium (2-3mg/kg) were given intramuscularly to the group-II and alpha-tochoferol (300IU/kg) intramuscularly to the group-III in the pre and postoperatif period. Moreover, peritoneal lavage were applied to every 10 rats out of 20 in each group with 5 cc 0.9% NaCl and with 5 cc 10% Povidon to the other 10 rats. As a result, in this experimental study alpha-tochoferol was found to be more effective than diclophenac sodium in the prevention of postoperative adhesions (p < 0.001) and in the group III-a in which the rats were treated with alpha-tochoferol(i.m) plus peritoneal lavage with 0.9% NaCl, no adhesions were detected postoperatively