Urètrocèle post-traumatique chez l’homme: A propos de 2 cas

Urethral diverticulum is unusual in male where it is often acquired. We report two cases of post-traumatic urethrocele in young male managed successfully by open surgery. We describe herein, the clinical, paraclinical and therapeutic features.     

宫腹腔镜配合手术治疗剖宫产瘢痕憩室的术中护理分析

目的探讨宫腹腔镜配合手术治疗剖宫产瘢痕憩室的术中护理方法及临床应用效果。方法随机选取2014年5月~2016年5月在我院妇产科进行治疗的50例子宫瘢痕憩室患者,所有患者均行宫腹腔镜配合手术治疗,将患者随机分为两组,对照组患者术中给予常规护理,观察组在对照组的基础上加用并发症护理,对比两组患者护理效果。结果观察组患者护理有效率为96.0%,对照组患者护理有效率为72.0%,观察组患者生活质量评分明显优于对照组,两组结果对比差异具有统计学意义(P0.05)。结论宫腹腔镜配合手术治疗剖宫产瘢痕憩室临床疗效较好,在术中对患者及时进行护理,能够显著改善患者的恢复情况,促进伤口愈合,减少并发症的发生。     

Coronary sinus diverticulum: Importance,function, and treatment

The importance of venous structure in the heart is usually overshadowed by that of the arterial system. Coronary sinus (CS) is a part of cardiac venous apparatus and connects left atria to the right atria. Other than having role in physiological contractions of both atria, it contributes substantially to cardiac electrical conduction system. Due to unique placement and connections of the CS, it has become growing interest in clinical cardiology. It is used in cardiac resynchronization therapy with biventricular pacing, left-sided catheter ablation of arrhythmias, and administration of retrograde cardioplegia in cardiac surgery. In some individuals, CS is presented with anatomical variants. CS diverticulum is a congenital outpouching that provides muscular connection between atria and ventricle. This connection provides a suitable substrate for occurrence of arrhythmias, which even results in life-threatening events such as sudden cardiac death. Early diagnosis leads to treatment with ablation techniques, which ultimately eliminates origins of arrhythmias.     

Pharyngeal diverticulum: Iatrogenic complication of anterior cervical spine surgery

IntroductionDysphagia is a common presenting complaint and can often be due to pharyngoesophageal diverticulum, including Zenker's diverticulum. Iatrogenic pharyngeal diverticulum, occurring after anterior cervical spine surgery, is a rare cause of dysphagia.Case reportWe report the case of a 51-year-old man, with a history of anterior cervical fusion about ten years previously, who complained of chronic dysphagia and disabling episodes of aspiration. Anterolateral pharyngeal diverticulum in contact with the cervical screw plates was diagnosed on barium swallow and upper gastrointestinal endoscopy.DiscussionPharyngeal diverticulum differs from Zenker's diverticulum in terms of its position and its origin. It may occur early or late after anterior cervical spine surgery. Treatment consists of endoscopic or open surgery via a neck incision. In our case, appropriate treatment allowed complete resolution of the patient's symptoms with no complications following rigorous postoperative surveillance.