Early postoperative wound complications in revascularization procedures in the groin very often include complications associated with injury to the lymphatic system such as lymphocele and lymphorrhea with subsequent local infectious complications and the risk of infection of prosthetic grafts. We present a case report of successful treatment of postoperative lymphocele with subsequent lymphatic fistula and dehiscence of the surgical wound by intranodal embolization of the injured lymph node with Histoacryl tissue glue.
- Klíčová slova
- embolisation, embolization, lymphocele, lymphography,
- MeSH
- enbukrylát terapeutické užití MeSH
- lidé MeSH
- lymfatické uzliny transplantace MeSH
- lymfokela * etiologie terapie MeSH
- pooperační komplikace terapie MeSH
- terapeutická embolizace * metody MeSH
- tkáňová adheziva terapeutické užití MeSH
- třísla * MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- Názvy látek
- enbukrylát MeSH
- tkáňová adheziva MeSH
To determine whether PHEMA [poly(2-hydroxyethylmethacrylate)] is suitable for portal vein embolization in patients scheduled to right hepatectomy and whether it is as effective as the currently used agent (a histoacryl/lipiodol mixture). Two groups of nine patients each scheduled for extended right hepatectomy for primary or secondary hepatic tumor, had right portal vein embolization in an effort to induce future liver remnant (FLR) hypertrophy. One group had embolization with PHEMA, the other one with the histoacryl/lipiodol mixture. In all patients, embolization was performed using the right retrograde transhepatic access. Embolization was technically successful in all 18 patients, with no complication related to the embolization agent. Eight patients of either group developed FLR hypertrophy allowing extended right hepatectomy. Likewise, one patient in each group had recanalization of a portal vein branch. Histology showed that both embolization agents reach the periphery of portal vein branches, with PHEMA penetrating somewhat deeper into the periphery. PHEMA has been shown to be an agent suitable for embolization in the portal venous system comparable with existing embolization agent (histoacryl/lipiodol mixture).
- MeSH
- enbukrylát farmakologie terapeutické užití MeSH
- ethjodizovaný olej farmakologie terapeutické užití MeSH
- hepatektomie metody MeSH
- játra účinky léků MeSH
- lidé středního věku MeSH
- lidé MeSH
- polyhydroxyethylmethakrylát farmakologie terapeutické užití MeSH
- senioři MeSH
- terapeutická embolizace metody MeSH
- vena portae účinky léků MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- klinické zkoušky kontrolované MeSH
- práce podpořená grantem MeSH
- srovnávací studie MeSH
- Názvy látek
- enbukrylát MeSH
- ethjodizovaný olej MeSH
- polyhydroxyethylmethakrylát MeSH
Hemobilia is a rare phenomenon. In this case report we present an emergent transcatheter glue embolization (in which N-butyl cyanoacrylate is used as an embolizing agent) due to arteriobilary fistula occurred following the laparoscopic cholecystectomy in a 41-year-old woman.
- MeSH
- biliární píštěl etiologie terapie MeSH
- cévní píštěle etiologie terapie MeSH
- cholecystektomie laparoskopická škodlivé účinky MeSH
- dospělí MeSH
- enbukrylát terapeutické užití MeSH
- endovaskulární výkony * MeSH
- hemobilie etiologie MeSH
- krvácení etiologie terapie MeSH
- lidé MeSH
- terapeutická embolizace * MeSH
- tkáňová adheziva terapeutické užití MeSH
- žlučník krevní zásobení MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- Názvy látek
- enbukrylát MeSH
- tkáňová adheziva MeSH
Indermil, in relation to the tissue adhesives described remains the state of the art with regard to function and clinical outcome. The advantage of an inventory sterile tissue adhesive that is to say one that is in the clinic or operating theatre ready for immediate use on demand is the requirement of modern surgical practice. Cost factors are also an important consideration in today's environment. A research study by the Department of Health Economics at the University of York found the cost of the Indermil tissue adhesive system equivalent to absorbable sutures and produced projected savings per patient in relation to conventional sutures with respect to theatre time and return patients' visits (6). In parallel a survey of patients showed 90% would prefer wound closure by an adhesive in relation to traditional sutures. There are few areas of surgical practice which cannot find some application for tissue adhesives. The growing international interest in adhesives and their application would confirm their importance and potential in surgery.
- MeSH
- enbukrylát ekonomika terapeutické užití MeSH
- lidé MeSH
- tkáňová adheziva ekonomika terapeutické užití MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Názvy látek
- enbukrylát MeSH
- tkáňová adheziva MeSH