Evaluación diagnóstica y tratamiento de pacientes con hematoma de la vaina de los rectos

Işık, Arda; Peker, Kemal; Soytürk, Mehmet; Fırat, Deniz; Yörüker, Uygar; Yılmaz, İsmayil

doi:10.1016/j.ciresp.2015.02.014

Cited by 13 publications

(5 citation statements)

References 17 publications

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“…Digital subtraction angiography (DSA) and selective embolization of the culprit vessel represent the preferred approach for unstable patients, with a high degree of success and low rebleeding risk [10, 11]. Surgery is indicated in cases when embolization is not available, the patient evolves to an ACS or the hematoma is infected, allowing for the evacuation of the hematoma, lowering the intraabdominal pressure and performing the ligation of the culprit vessel [5]. For patients in whom embolization or surgery was performed, postoperative follow- up with serial US examinations may allow practitioners to detect early rebleeding signs within the rectus sheath as well as to identify possibly infected contents, for which US-guidance diagnostic aspiration may be useful.…”

Section: Discussionmentioning

confidence: 99%

“…4Algorithm for diagnosing and managing a patient with an RSH. Modified from [2, 5]; RSH, rectus sheath hematoma; POCUS, point-of-care ultrasound; CT, computed tomography; DSA, digital subtraction angiography…”

Section: Discussionmentioning

confidence: 99%

“…The overall mortality rate of RSH is around 4% and rises up to 25% in anticoagulated patients due to increased hemorrhage volume [2]; an early recognition of RSH may be associated with improved chances of survival [5].…”

Section: Introductionmentioning

confidence: 99%

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Giant rectus sheath hematoma

Bello

Blanco²

2019

Ultrasound J

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Background: Rectus sheath hematoma (RSH) is an uncommon entity associated with predisposing factors such as anticoagulation. It may mimic more frequent abdominal conditions and its accurate diagnosis is important to focus on the correct treatments and improve morbidity and mortality. Case presentation: An elderly patient with shock, abdominal pain, palpable abdominal mass, and anemia was suspected of having a large RSH by point-of-care ultrasound (POCUS), which was then confirmed by computed tomography. Surgery was performed, markedly improving his clinical status. Conclusions: POCUS has a good sensitivity for the diagnosis of RSH and it is also an excellent tool for patient follow-up.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Giant rectus sheath hematoma

Bello

Blanco²

2019

Ultrasound J

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“…The principles of the surgery are repairing the weak defect between the rectum and vagina, reconstructing the anterior wall of the rectum, and restoring normal anatomy of the rectum in defecation. Surgical methods include transanal surgery, transvaginal surgery, transperineal surgery, and resection of the untreatable rectum or sigmoid colon [ 9 , 10 ]. There are many reports on the procedure for prolapse and hemorrhoids (PPH) used in treating rectocele, and some authors add the injection of a curative agent or traditional Chinese medicine [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Transvaginal Mesh and Transanal Resection to Treat Outlet Obstruction Constipation Caused by Rectocele

Yang

2017

Med Sci Monit

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BackgroundThe aim of this study was to evaluate the curative effect of transvaginal mesh repair (TVMR) and stapled transanal rectal resection (STARR) in treating outlet obstruction constipation caused by rectocele.Material/MethodsPatients who had outlet obstruction constipation caused by rectocele were retrospectively analyzed and 39 patients were enrolled the study. Patients were assigned to either the TVMR or STARR group. Postoperative factors such as complications, pain, recurrence rate, and operative time were compared between the 2 groups.ResultsTotal effective rate was 100% in both groups. No long-term chronic pain occurred and discomfort rate of tenesmus was higher in the STARR group than in the TVMR group. Postoperative defecography showed that the rectocele depth was significantly reduced, and the prolapse of the rectal mucosa and the lower rectal capacity was also decreased. Four cases had mesh exposure in the TVMR group and 2 cases in the STARR group had anastomotic bleeding after the surgery.ConclusionsFor outlet obstruction constipation caused by rectocele, TVMR and STARR both obtained satisfactory results. Although TVMR is complex with longer operative time and hospitalization period, its long-term effect is better than that of STARR.

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“…We think that these results may also be attributable to the low doses of drugs. More prospective studies, consisting of patients who undergo spinal anesthesia during operations, are needed [ 19 – 21 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of Fentanyl and Morphine on Shivering During Spinal Anesthesia in Patients Undergoing Endovenous Ablation of Varicose Veins

Önk

Ayazoğlu²,

Kuyrukluyıldız

et al. 2016

Med Sci Monit

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BackgroundWe sought to investigate the effect of morphine and fentanyl on shivering when used adjunctively with bupivacaine during spinal anesthesia in patients undergoing varicose vein surgery on an outpatient basis.Material/MethodsThe study included a total of 90 patients, aged 25–45 years, ASA I–II, scheduled to undergo endovenous laser ablation under spinal anesthesia for lower extremity venous insufficiency/varicose vein disease. Patients were randomly allocated into 3 groups: Group M (morphine group) received 5 mg 0.5% hyperbaric bupivacaine + 0.1 mg morphine, Group F (fentanyl group) received 5 mg 0.5% hyperbaric bupivacaine + 25 μg fentanyl, and Group C (control group) received 5 mg 0.5% hyperbaric bupivacaine + physiologic saline. The level of sensory blockade was assessed with pin-prick test and the level of motor blockade was assessed with Bromage scale at 5-min intervals. Shivering grade and time to first postoperative analgesic requirement was recorded.ResultsLevel and time of sensory block showed a slight but insignificant increase in the Morphine Group and Fentanyl Group. Time of postoperative analgesic requirement was significantly longer in patients who received morphine (p<0.05). Shivering was significantly less common in patients who received morphine and fentanyl than in patients who are in the Control Group (p<0.02).ConclusionsMorphine or fentanyl may be used as adjunctives to spinal anesthesia to prevent shivering in patients undergoing venous surgery.

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Evaluación diagnóstica y tratamiento de pacientes con hematoma de la vaina de los rectos

Cited by 13 publications

References 17 publications

Giant rectus sheath hematoma

Giant rectus sheath hematoma

Transvaginal Mesh and Transanal Resection to Treat Outlet Obstruction Constipation Caused by Rectocele

Effects of Fentanyl and Morphine on Shivering During Spinal Anesthesia in Patients Undergoing Endovenous Ablation of Varicose Veins

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