Papers by Gabriela Canschi
FACTORS OF FAILURE FOR NONSURGICAL TREATMENT OF BLUNT LIVER AND SPLENIC TRAUMA (Abstract): A revi... more FACTORS OF FAILURE FOR NONSURGICAL TREATMENT OF BLUNT LIVER AND SPLENIC TRAUMA (Abstract): A review of the literature describing the hepatic and splenic blunt trauma , indicates that as many as 67% of exploratory celiotomies, are reports as diagnostic. Avoiding unnecessary surgical procedure offers un attractive choice. Nevertheless, nonsurgical management should not bew considered unless the patient meets the following criteria: 1. hemodynamic stability, with or without minimal fluid resuscitation; 2. no demonstrable peritoneal signs on abdominal examination; and 3. the absence on computer tomography (CT scan) of any intraperitoneal or retroperitoneal injuries that require operative intervention. Although a patient could meet the above criteria, several additional factors can be used as predictors of failure of non surgical treatment.
Background. Ischemic colitis is very rare in our country; there are difficulties in diagnosis and... more Background. Ischemic colitis is very rare in our country; there are difficulties in diagnosis and surgical treatment, and the late diagnosis in advanced cases causes a high rate of fatalities. Case. A 73-year old woman was presented with melena, diffuse abdominal pain, nausea and vomiting. Laboratory evaluation revealed a WBC of 20,900/mm 3 , blood glucose level of 194 mg/dl, without other abnormalities. Plain abdominal radiography and abdominal ultrasound were normal. Emergency exploratory laparotomy revealed a rubbery hard colon, without the normal aspect of haustrations, feeling like a parenchimatous organ, from the left colic angle to the recto-sigmoid junction. The dissection of the origin of the inferior mesenteric artery proved its complete thrombosis. We performed a left colectomy with terminal colostomy on the transverse colon. Postoperative course was uneventful. Nine months after the first operation, we restored the continuity of the digestive tract by a colo-rectal anastomosis, without any problems.
World journal of …, 2007
ABSTRACT Since the tumor thrombus in the main portal vein appears in the terminal stage of hepato... more ABSTRACT Since the tumor thrombus in the main portal vein appears in the terminal stage of hepatocellular carcinoma (HCC), any attempt to remove it surgically is thought to be impractical as the malignancy itself cannot be entirely removed. During the past 5 years, we have performed tumor thrombectomy combined with hepatectomy in 29 of 298 patients with HCC. This combined therapy was initially decided upon as an emergency measure to prevent impending rupture of esophageal varices, rather than to improve patient survival. Since portal flow was obtained after removal of thrombi, this condition enabled transcatheter arterial embolization (TAE) and/or percutaneous ethanol injection therapy (PEIT). Although improved patient survival was not the primary goal of the emergency operation and there was an operative mortality of 11%, half of the other patients in the present series had unexpectedly high survival rates of 1 year (52.2%), 2 years (23.2%), and 3 years (11.6%), which were significantly higher than in patients not undergoing operation (n=22).
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Papers by Gabriela Canschi