SURGICAL MANAGEMENT OF CHOLECYSTOENTERIC AND CHOLECYSTOCOLONIC FISTULAS IN GALLSTONE ILEUS: CASE REPORT

Rasa Bradūnaitė, Anna Spooren, Kamilis Kobeckis, Kęstutis Strupas, Aistė Gulla Abstract Gallstone ileus (GI) is a serious complication of choledocho­lithiasis leading to high mortality because it manifests with mostly unspecific mechanical bowel obstruction symptoms such as abdominal pain, nausea, vomiting and constipation. Conservative treatment of GI is very rarely successful and non-invasive treatment methods provide…

TRANSDERMAL FENTANYL PATCH FOR ACUTE PAIN CONTROL AFTER SHORT INTRAHOSPITAL STAY

Matas Pažūsis, Kristijonas Jasaitis, Erika Keršytė, Andrius Macas, Žilvinas Endzinas Abstract Transdermal fentanyl patch (TFP) is used for alleviation of chronic pain, while scientific evidence regarding its use for acute pain is insufficient. Purpose. To compare the effects of pain control by non-steroidal anti-inflammatory drug (NSAID) and TFP and the restrictions in daily activities in…

ACUTE APPENDICITIS: DELAYED SURGERY DOES NOT INCREASE THE NUMBER OF POSTOPERATIVE COMPLICATIONS

Romualdas Riauka, Povilas Ignatavičius, Žygimantas Tverskis, Žilvinas Dambrauskas Abstract Introduction. Historically appendicitis is tending to be operated as soon as possible to prevent future complications. Recent discussions show, that urgent operation does not always reduce the rate of postoperative complications. Immediate appendectomy can be delayed in some cases. Methods. Retrospective, non-randomized, single center, cohort study…

The Prevalence Of Acute Neuropathic Pain After Surgery In Hospital Of Lithuanian University Of Health Sciences Kaunas Clinics

Liuda Brogienė, Dovilė Bendinskaitė, Miglė Siderkevičiutė, Aida Kinderytė, Gintarė Žemgulytė, Andrius Macas Abstract Background. Acute neuropathic pain can be one of the post-surgical pain components, which is often under-recognized and complicated to treat. The prevalence of pain with neuropathic characteristics in general population is about 6 – 8%. Moreover, it might to progress and become…

Pelvic Exenteration – Ultra-Radical Operations at Klaipėda University Hospital

Raimondas Šiaulys, Justina Domarkaitė, Michail Tarachovskij Abstract Objectives: To overview and analyze the experience of pelvicexenteration at Klaipėda University Hospital and to compare datawith other studies.Methods: The retrospective overview of patients who underwentpelvic exenteration from May 2011 to December 2013 wasdone. Complications and outcomes were estimated.Results: The analysis of 8 patients’ data was performed. Themean…