摘要:

Eighty patients with historically proven carcinoma of the urinary bladder had pedal lymphangiography as part of their assessment for metastatic disease. Results were correlated with surgical findings within three months of the lymphangiographic interpretation in 49 patients. There were no false-positive lymphangiograms, and only five (10%) false-negative readings were recorded. The finding of positive lymphangiograms in 9% of patients with stage B disease, 16% of patients with stage C disease, and 57% of patients with fixation of the tumor to the pelvic or abdominal wall emphasizes the value of the procedure in limiting unnecessary surgical exploration.

ISSN:0038-4348    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Eighty-five overriding tibial shaft fractures (46 open, 39 closed) were treated at Ochsner Foundation Hospital between 1960 and 1972. Nine different treatment methods were employed by seven orthopedic surgeons. The best results were obtained in the nine patients treated by open reduction and either compression plating or external skeletal fixation with compression. All healed primarily in the briefest time and none had a complication.

ISSN:0038-4348    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

The records of all patients (43) with colovesical fistulas at Ochsner Clinic were reviewed retrospectively. The presenting symptoms are more often related to the bladder and not to the colon; fecaluria and pneumaturia are almost pathognomonic. The diagnosis may be difficult to obtain on proctoscopy, cystography, or intravenous pyelograms. Roentgenograms after barium enema and cystoscopy are the best means of diagnosis, though operation is necessary in some instances for definitive diagnosis. Primary resection and anastomosis with closure of the bladder has been successful in our experience with little morbidity and only one postoperative death. The controversy regarding primary colon resection in treatment of colovesical fistulas is perplexing. We do not believe that it is “foolhardy” to save the patient extra time, morbidity, and expense by doing one instead of three procedures. Primary resection of the colon with simple closure of the bladder is our recommended treatment for chronic colovesical fistula. We have had no recurrences.

ISSN:0038-4348    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Two brothers with multiple myeloma, both with immunoglobulin IgGk, are described. Although the cause and pathogenesis of this disease in instances of familial occurrence are uncertain, genetic predisposition and environmental factors may play a significant role.

ISSN:0038-4348    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Microdose norethindrone (0.35 mg taken each day without interruption) was used as an oral contraceptive agent by 168 women for 4,264 months over a five-year span. Seven pregnancies occurred with regular use and two with irregular use, resulting in a drug-effectiveness rate of 1.9 and a use-effectiveness rate of 2.5 per 100 woman-years. Cycle length was variable. During the five years of study, there was a tendency toward weight gain, but no definite trend in blood pressure changes was noticed; however, there were no comparable control groups for these latter two observations. Results of metyrapone tests done after 27 to 33 months of treatment were normal.

ISSN:0038-4348    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

A careful initial evaluation and proper treatment of the injured hand can minimize morbidity and assure early recovery. Various hand injuries encountered and their appropriate treatment are discussed. Emphasis is placed on the initial care, and in some instances the definitive treatment, which can be given in the physician's office or the hospital emergency room.

ISSN:0038-4348    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

The evolution of therapy for recurrences of cancer of the larynx after radiation therapy is presented. Four case histories of patients having partial laryngectomies after receiving radiation therapy are reported.

ISSN:0038-4348    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1976

数据来源: OVID