摘要:

AbstractA series of 9 patients with ulcerative colitis undergoing proctocolectomy and ileal intra‐abdominal reservoir is reported. Eight patients are continent and 1 is incontinent. Early and late postoperative complications, work capacity and social and sexual functions are describe

ISSN:0007-1323    

DOI:10.1002/bjs.1800620112

出版商:John Wiley&Sons, Ltd.    

年代:1975

数据来源: WILEY

摘要:

AbstractGreater awareness of the possibility of torsion of the testis and earlier exploration has led to the saving of 14 out of 19 acutely twisted testicles.

ISSN:0007-1323    

DOI:10.1002/bjs.1800620113

出版商:John Wiley&Sons, Ltd.    

年代:1975

数据来源: WILEY

摘要:

AbstractThe early and late effects of vasectomy have been investigated in 40 men. Besides histopathological examination, the volume of the testis and its total content of testosterone‐secreting Leydig cells have been measured.The volume of the testis showed a wide normal variation (5—3–23·3 ml) but was not significantly changed by vasectomy. One month after vasectomy widespread degeneration of the germinal epithelium, thickening of the basement membrane and some intertubular fibrosis were observed. Spermatogenesis had ceased. However, cases examined 2–3 1/2 years later showed an essentially normal structure with active spermatogenesis. This indicates that regeneration does occur spontaneously, even without recanalization. Whether the sperms formed are functionally normal remains uncertain.The normal total Leydig cell volume was 2·2 ± 0·4 miltestis in young adults and showed a modest increase after vasectomy, rising to 2·5 ± 0·5 ml after 1 month and 2·6 ± 0·5 ml after 2–3 1/2 years. The findings have been discussed in the light of Steinach's (1927) original hypothesis that vasectomy can rejuvenate ageing males by improving the endocrine fun

ISSN:0007-1323    

DOI:10.1002/bjs.1800620114

出版商:John Wiley&Sons, Ltd.    

年代:1975

数据来源: WILEY

摘要:

AbstractThe Doppler ultrasound technique has been used to assess the haemodynamics of the peripheral circulation in patients with arterial disease. Using this method the resting pressure index and the response after exercise of the systolic pressure at the ankle was determined in 62 limbs.Following exercise, four patterns of abnormal response to exercise were found and graded in severity from 1 to 4. A single aorto‐iliac lesion was associated with a normal or slightly reduced resting pressure index but with a severe reduction of pressure (grade 3–4) after exercise. A single femoropopliteal lesion was usually associated with a low resting pressure index but only a slight (grade 1–2) fall after exercise.A low resting pressure index and a severe postexercise grade were found in patients with multiple occlusions. Disease of the profunda femoris artery was associated usually with both a low resting pressure index and a grade 3–4 post‐exerc

ISSN:0007-1323    

DOI:10.1002/bjs.1800620115

出版商:John Wiley&Sons, Ltd.    

年代:1975

数据来源: WILEY

摘要:

AbstractTwenty‐five patients with intermittent claudication were randomly allocated to treatment either by injection of phenol into the lumbar sympathetic chain or by injection of local anaesthetic subcutaneously. On the day after the injection, sympathectomy, assessed by skin temperature change, was achieved in 85 per cent of the phenol group.At 1 month subjective improvement was claimed by 45 per cent of the patients in the sympathectomized group and by 64 per cent in the control group; at 3 months the figures were 25 and 45 per cent respectively.Treadmill testing at two exercise loads showed no significant difference in claudication distance or stopping time between the two groups. Calf blood pressure response following exercise was not affected by sympathectomy.There is no subjective or objective evidence that phenol sympathectomy improves intermittent claudicatio

ISSN:0007-1323    

DOI:10.1002/bjs.1800620116

出版商:John Wiley&Sons, Ltd.    

年代:1975

数据来源: WILEY

摘要:

Abstract1. The current practice of operating upon patients with varicose veins as the treatment of choice costs more than £15 millions a year.2. The bulk of this expense is due to the length of time that patients are kept in the ward. If they were treated as outpatients, either by Fegan's method or by operation, the cost would be reduced to one‐tenth of what is now spent. Even if the operation were done on a ‘short‐stay’ basis the cost would be reduced to one‐third or less.3. Although the long term results of Fegan's method are uncertain there is no doubt that it gives better immediate results than an operation. Moreover, there is no particular type of varicosity or shape of limb which preclud

ISSN:0007-1323    

DOI:10.1002/bjs.1800620117

出版商:John Wiley&Sons, Ltd.    

年代:1975

数据来源: WILEY

摘要:

AbstractTwo cases of metastasis to the penis from a primary rectal carcinoma are described. The clinical features, treatment and prognosis together with the probable modes of metastasis are discussed. All previously reported cases of penile metastasis from the rectum are reviewed.It is suggested that contrary to previous reports the prognosis is not uniformly poor and hence a more aggressive attitude to treatment should be adopted. Metastatic lesions in the penis should also be considered as a cause of urinary obstruction following abdominoperineal excision of the rectum.

ISSN:0007-1323    

DOI:10.1002/bjs.1800620118

出版商:John Wiley&Sons, Ltd.    

年代:1975

数据来源: WILEY

ISSN:0007-1323    

DOI:10.1002/bjs.1800620123

出版商:John Wiley&Sons, Ltd.    

年代:1975

数据来源: WILEY

ISSN:0007-1323    

DOI:10.1002/bjs.1800620127

出版商:John Wiley&Sons, Ltd.    

年代:1975

数据来源: WILEY

ISSN:0007-1323    

DOI:10.1002/bjs.1800620131

出版商:John Wiley&Sons, Ltd.    

年代:1975

数据来源: WILEY