22 research outputs found
A Giant Dermatofibrosarcoma of the Anterior Chest Wall
No full textDermatofibrosarcoma (DFS) is a rare skin tumor, characterized by its recurrence. Its slow development and its banal clinical appearance often cause diagnostic delays, especially when the tumor is located in covered areas. The reference treatment is wide resection. We report a case of giant chest wall DFS. The discordance between the impressive tumor volume and the limited deep invasion is the peculiarity of this case report.A conservative treatment, a wide resection, and a split-thickness skin graft could be undertaken. With a follow-up of two years, the carcinological, functional, and aesthetic results are very satisfactory
Thymectomie par Video-Thoracoscopie Bilatérale : Quelle Place Parmi les Nouvelles Techniques Chirurgicales ?
No full textThymic tumors account for about 50% of whole tumors of the anterior mediastinum. The classic approach is total sternotomy (ST). However, for small, well-encapsulated tumors, video thoracoscopy (VATS) may be an acceptable alternative. We discuss the evolution of surgical treatment in our department
Anesthetic and Surgical Difficulties of Substernal Goiters: A Series of 16 Cases
No full textIntroduction: Haller first described substernal goiter in 1749. Authors report different definitions, but the most commonly used defines substernal goiter as a goiter that does not sit in the neck in the operating position and has a lower extension to more than two fingers breadth under the manubrium. The aim of our work is to highlight the perioperative anesthetic and surgical difficulties within substernal goiters' care.Materials and methods: This is a retrospective study conducted in both anesthesiology and thoracic surgery departments in Moulay Ismail hospital in Meknes over a period of three years from January 2013 to December 2015. This study has been based on the medical records of all patients operated for substernal goiter. The data investigated were: demographic characteristics, medical and surgical history, Mallampati and intubation difficulties, surgical approach, and finally intraoperative and postoperative complications.Results: The average age of our patients was 61.5 years with extremes ranging from 34 to 83 years old. The most affected age group was between 50 and 70 years old, 9 out of 56 cases. The sex ratio was 1.5, 10 women and 6 men. The approach was anterior cervicotomy, with total thyroidectomy, in almost all patients. A thoracotomy was decided from the outset for a single patient with goiter missed in endothoracic after thyroid surgery. The evolution was favorable in 16 patients of our series. Redon drains were removed 48 to 72 hours after surgery and the average hospital stay was five days.Conclusion: The substernal goiter care is easier if a full preoperative examination is made, allowing the anticipation of eventual anesthetic and surgical difficulties
Complications of totally implantable venous access devices: experience with 852 Moroccan cancer patients
No full textBackground: Totally implantable venous access devices (TIVADs) provide easy vascular access in cancer patients for chemotherapy administration, blood products, parenteral nutrition and blood sampling. However, they are associated with several complications which can be divided into early and late. The aim of the present study was to evaluate the various complications related to TIVADs in a single center in Morocco.Methods: This was a retrospective, observational, descriptive study conducted at the Medical Oncology Department of the Military Hospital Moulay Ismail in Meknes, Morocco, during a 6-year period, between January 1st, 2011 and December 31st, 2016. Author included all patients older than or equal to 18 years, with solid malignancies who had TIVAD placement for chemotherapy.Results: A total 852 TIVADs were placed. There were 92 complications (10.8% of patients). Early complications included 16 (1.9%) cases of pneumothorax and 12 (1.4%) cases of arterial puncture with a cervical hematoma. Infection was the most common late complications (2.8%), followed by thrombosis (1.8), extravasations of cytotoxic drugs (1.3%), mechanical dysfunction of the catheter (1.3%) and skin necrosis (0.3%).Conclusions: The results of the analysis confirm the safety and tolerability of TIVADs for chemotherapy administration in Moroccan patients, with similar rates of early and late complications compared to the published data. </jats:p
Opening of a tiny and almost complete fissure on the left side, using a vessel sealing device
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Full thoracoscopic fissure based technique for major pulmonary resections: rational and basic considerations
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