Search

Copyright of Polish Surgery / Chirurgia Polska is the property of VM Medica-VM Group (Via Medica) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

A case of multiple surgical, conservative and endoscopic interventions for foreign body ingestion in a mentally challenged patient is presented. During numerous hospitalizations, the patient underwent laparotomy for bowel perforation, as well as upper alimentary tract endoscopies and conservative management. During one of her hospital stays, she choked, requiring resuscitation and developed pneumothorax requiring chest drainage. It is quite safe to assume that numerous foreign bodies were passed spontaneously. The authors have decided to present this case due to the multiplicity of the interventions, as well as the occurrence of life-threatening complications. A review of the available literature on the problem of the diagnostics and treatment of alimentary tract foreign bodies has also been presented. [ABSTRACT FROM AUTHOR]

Introduction: The injuries of the external male genital organs are seldom described in the written form. The aim of the study was to present of the own material with an attempt to apply the AAST scale for the evaluation of the injury degree, Material and methods: Between January 2004 and June 2006 41 patients with the injuries of their external genital organs were cured. The blunt injuries were 90.2% of all the cases and the penetrating injuries were 9.8%. All the patients were given the operational treatment. The testicles' injuries were found with 48,7% (out this figure 50% were of the 3rd degree, the 4th degree -- 35%t, the 5th degree -- 15%). The scrotum injuries caused by the blunt injuries were found with 19.5% and 4.9% were caused by the penetrating injuries. The penis blunt injuries were found with 17%, the penetrating ones with 4.9% and the mixed injuries with 4.8% of the patient. Results: All the patients were qualified for the operational treatment. The hematoma evacuation (being the result of the blunt mechanism) was necessary for the patients with the scrotum damages. For 4,9% of the patients with the penetrating scrotum damages it was necessary to revise the scrotum with its subsequent suture. Fourteen patients with the testicles' damages had the whitish sheath sutured and it was a must tote remove the testicle. Within the group of patients with the penis injuries, 2 of them had their penises totally guillotine-amputated. The group of 7 patients (17%) were treated operationally depending on the degree of their injuries. Conclusions: It is possible to use the AAST scale for diagnosing of the injuries of the external male genital organs. Every injury (even the smallest one) may cause the infertility, erection disorders, miction and mental health problems, The ultrasonography is idispensable for evaluating the damage degree and for monitoring of the post-trauma evolution. [ABSTRACT FROM AUTHOR]