ISSN:0038-4348    

出版商:OVID    

年代:1988

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1988

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1988

数据来源: OVID

ISSN:0038-4348    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

We present minicholecystectomy as a means of cost containment and discharge from the hospital 24 to 48 hours later. Among 450 patients undergoing this form of cholecystectomy through a 4 cm incision, only 49 stayed longer than an average of 1.2 days; all of those patients had preexisting surgical problems, some of which were corrected concurrently. Forty-two patients were admitted on the morning of the day of operation and stayed an average of 1.07 days. The mortality was 1/450 (0.2%); the complication rate was 3.1%. We have found the shorter and earlier procedure an excellent and safe means of cost containment and recommend that earlier discharge be considered for other procedures as well.

ISSN:0038-4348    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Monocyte dysfunction has been reported in patients with cancer. The generation of a procoagulant tissue factor is a marker of the monocyte's activation. Since the only blood cell capable of generating tissue factor is the monocyte, the incubation of citrated blood with either saline (control) or endotoxin (monocyte activator) followed by determination of the recalcification time should yield a measure of monocyte activation. The recalcification times of the saline-incubated samples were similar for healthy women and those with cystic hyperplasia, but were significantly shortened in patients with breast cancer. The recalcification times of the endotoxin-activated samples were significantly shorter in patients with breast cancer than in those with cystic hyperplasia, which in turn was significantly shorter than in healthy women.

ISSN:0038-4348    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

The mammographic appearance of breast hamartoma, a benign cause of a breast mass, is characteristic. We present four cases from the University of Virginia to review the mammographic, pathologic, and clinical features of this unusual entity.

ISSN:0038-4348    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Conventional roentgenographic views of the pelvis provide inadequate assessment of complex bony trauma. Computerized tomography (CT) allows simpler patient positioning, more reliable detection of subtle fractures, better characterization of complex fractures, and detection of associated soft tissue and joint space abnormalities. The addition of multiplanar reconstructions (MPR) provides a better understanding of the pathoanatomy. The sacrum and the sacroiliac joint, traditionally problematic to image, are particularly well defined by CT/MPR. Subtle diastasis and intra-articular fragments are more reliably detected when the transaxial image is supplemented by coronal reconstructions. The degree of comminution and direction of fragment displacement are also best defined by coronal and sagittal formatting. Surgeons often find this protocol useful in preoperative assessment of extent and stability of fractures, and in planning conservative or surgical management.

ISSN:0038-4348    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

In this paper we describe a technique for continuous spinal anesthesia, first described at the turn of the 20th century and long thought to have become obsolete. We discuss reasons for discontinuance and neglect of the technique, as well as its indications, applications, and specific advantages, and we report a significant illustrative case.

ISSN:0038-4348    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Brown recluse spider bites may cause painful, necrotic, slow-healing wounds. When these bites involve the hand and upper extremity, they can also create severe functional deficits and long-term disability. We reviewed an 11-year experience with brown recluse bites to the hand and upper extremity. Data from patients (n = 31) indicated a 20% incidence of functional complications (n = 6) unless conservative wound management, dapsone, and antibiotics were used. Delayed surgical excision was preferable until wounds were free from active inflammation. Painful, recurrent wound breakdown and hand dysfunction were more common with early surgical excision. These complications were successfully treated with steroids, sympathetic blockade, and early aggressive physical therapy.

ISSN:0038-4348    

出版商:OVID    

年代:1988

数据来源: OVID