scholarly journals A Case with Perirenal-Perihepatic-Bony Pelvic Hematoma That Presented with Syncope Following ESWL

Author(s):  
Mehmet Zeynel Keskin ◽  
Yusuf Özlem İlbey
Keyword(s):  
2013 ◽  
Vol 113 (12) ◽  
pp. 931
Author(s):  
Natalie Mosley ◽  
Nathan Hale ◽  
Jeff Chueh
Keyword(s):  

1993 ◽  
Vol 60 (1) ◽  
pp. 19-22
Author(s):  
P. Bassi ◽  
M. Gholam Alipour ◽  
G.L. Drago Ferrante ◽  
N. Piazza ◽  
N. Panza ◽  
...  

Radical cystectomy is the most common treatment for deeply invasive bladder cancer; due to reported operative risks, concerns have been expressed regarding the suitability of this operation in elderly patients. We reviewed the morbility and mortality rates in 50 patients aged 70 years and over (elderly group), undergoing radical cystectomy and urinary diversion, to verify if this procedure could be considered as initial treatment in older-age patients. The findings were compared with those observed in 50 patients aged 40 to 69 years (control group). In the elderly group there was no operative mortality; however 2 patients (4%) died post-operatively due to pulmonary embolism and multi-organ-failure syndrome respectively. Four patients (8%) were re-operated due to intestinal obstruction (2 pts), pelvic hematoma (1 pt) and wound dehiscence (1 pt). Wound separation was the more frequent complication (15%); 6% of patients experienced extended intestinal atonia. The length of hospital stay was 17.1 days. In the control group, surgical complications were comparable to those observed in the elderly group: furthermore medical complications were more frequent. In conclusion, these data suggest that radical cystectomy and urinary diversion can be safely performed in the elderly. Radical surgery is an effective treatment modality for elderly individuals who are in reasonably good general health. A higher incidence of medical complications must be expected in elderly patients.


1984 ◽  
Vol 13 (7) ◽  
pp. 554-556 ◽  
Author(s):  
Donald H Marks ◽  
R Phillip Dellinger ◽  
William W Orrison
Keyword(s):  

1993 ◽  
Vol 161 (4) ◽  
pp. 805-808 ◽  
Author(s):  
Y Yamashita ◽  
M Torashima ◽  
M Harada ◽  
H Yamamoto ◽  
M Takahashi

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Young-Sam Choi ◽  
Kwang-Sik Shin ◽  
Jin Choi ◽  
Ji-No Park ◽  
Yun-Sang Oh ◽  
...  

Objectives.To present our initial experiences with laparoscopically assisted vaginal hysterectomy performed using homemade transumbilical single-port system.Materials and Methods.We reviewed the medical records of one hundred patients who underwent single-port access laparoscopically assisted vaginal hysterectomy (SPA-LAVH). SPA-LAVH was performed with homemade single port system and conventional rigid laparoscopic instruments.Results.All procedures were successfully completed through the single-port system and vagina without need for extraumbilical puncture or conversion to laparotomy. The median patient age was 48.2 ± 6.5 years. Thirty-three patients had history of past abdominopelvic surgery. The median total operative time, largest dimension of the uterus, and weight of the uterus were 73.1 ± 24.6 min, 10.5 ± 2.1 cm, and 300.8 ± 192.5 gram, respectively. The median decline in the hemoglobin from before surgery to postoperative day 1 was 1.8 ± 0.9 g/dL. Bladder injury in occurred one patient who was repaired through intraoperative laparoscopic suture. The postoperative course was uneventful in most patients except for three who had a transient paralytic ileus, five who had pelvic hematoma, but they were recovered following conservative managements. No port-related complications were noted, and the cosmetic results were excellent.Conclusions.SPA-LAVH is technically safe procedure, and the homemade single-port system offers reliable access for single-port surgery.


2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Adelina Maria Cruceru ◽  
Ionut Negoi ◽  
Sorin Paun ◽  
Sorin Hostiuc ◽  
Ruxandra Irina Negoi ◽  
...  

Introduction. The objective of this case report is to illustrate a severe perineal impalement injury, associated with anorectal avulsion and hemorrhagic shock.Results. A 32-year-old male patient was referred to our hospital for an impalement perineal trauma, associated with complex pelvic fracture and massive perineal soft tissue destruction and anorectal avulsion. On arrival, the systolic blood pressure was 85 mm Hg and the hemoglobin was 7.1 g/dL. The patient was transported to the operating room, and perineal lavage, hemostasis, and repacking were performed. After 12 hours in the Intensive Care Unit, the abdominal ultrasonography revealed free peritoneal fluid. We decided emergency laparotomy, and massive hemoperitoneum due to intraperitoneal rupture of pelvic hematoma was confirmed. Pelvic packing controlled the ongoing diffuse bleeding. After 48 hours, the relaparotomy with packs removal and loop sigmoid colostomy was performed. The postoperative course was progressive favorable, with discharge after 70 days and colostomy closure after four months, with no long-term complications.Conclusions. Severe perineal injuries are associated with significant morbidity and mortality. Their management in high volume centers, with experience in colorectal and trauma surgery, allocating significant human and material resources, decreases the early mortality and long-term complications, offering the best quality of life for patients.


1993 ◽  
Vol 35 (3) ◽  
pp. 477-478 ◽  
Author(s):  
Yoram Kluger ◽  
Gregory T. Altman ◽  
Ravi Deshmukh ◽  
Ricard N. Townsend ◽  
Daniel L. Diamond

2015 ◽  
Vol 35 (2) ◽  
pp. 120-123
Author(s):  
Sérgio Silveira Júnior ◽  
Kaiser de Souza Kock ◽  
Diego Machado Silvano ◽  
Mariana Soares ◽  
Daniel Rufato Delgado

Urology ◽  
2020 ◽  
Vol 137 ◽  
pp. 208 ◽  
Author(s):  
Peter Y Cai ◽  
Christopher Gaffney ◽  
Rand Wilcox Vanden Berg ◽  
Jonathan E. Shoag ◽  
Richard K Lee
Keyword(s):  

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