摘要:

AbstractIn recent months we have presented the Members of Council of The British Journal of Surgery Society, the body that owns and administers the Journal, and we now conclude Council and continue with the other Members of the Editorial Committee.

ISSN:0007-1323    

DOI:10.1002/bjs.1800790902

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

ISSN:0007-1323    

DOI:10.1002/bjs.1800790903

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

ISSN:0007-1323    

DOI:10.1002/bjs.1800790904

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

摘要:

AbstractThe management of hidradenitis suppurativa is frequently unsatisfactory. No method satisfies all requirements for the ideal treatment ‐ quick healing, no hospital admission, minimal patient inconvenience and low recurrence ‐ but greater awareness of the strengths and weaknesses of existing methods should lead to improved management. Good reports of the relative cure rates of the different surgical options are scarce and controlled trials non‐existent, but existing evidence is reviewed critically and summarized. The operation of choice in most instances is wide local excision and healing by secondary inte

ISSN:0007-1323    

DOI:10.1002/bjs.1800790905

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

摘要:

AbstractIntussusception is one of the commonest causes of intestinal obstruction in infants and accounts for about 700 hospital admissions each year in England and Wales. Improved results of treatment have followed recent technological developments, which include ultrasonographic imaging and pneumatic reduction techniques. Most intussusceptions can be reduced successfully without the need for operation but close cooperation between surgeon and radiologist is essential. Mortality and morbidity rates from the condition have progressively declined in recent decades but avoidable deaths still occur.

ISSN:0007-1323    

DOI:10.1002/bjs.1800790906

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

摘要:

AbstractDuodenal diverticula are present in up to 20 per cent of the population but few patients require surgery for acute complications. Perforation is the rarest of these complications; only 101 affected patients have been reported in the world literature. These reports of perforated duodenal diverticulum are reviewed and strategies for the diagnosis and management of this unusual condition are discussed.

ISSN:0007-1323    

DOI:10.1002/bjs.1800790907

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

摘要:

AbstractThe longitudinal muscle in the intersphincteric space has received little attention despite an explosion of interest in anorectal physiology in the past decade. Its anatomy is contested and its function unknown. Speculation, however, gives it a role as a skeleton supporting and binding the rest of the internal and external sphincter complex together, as an aid during defaecation by everting the anus, as a support to the haemorrhoidal cushions, and as a determining factor in the ramification of sepsis.

ISSN:0007-1323    

DOI:10.1002/bjs.1800790908

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

摘要:

AbstractContinuing our exchange with Der Chirurg, Professor Christian Herfarth and Dr Thomas Lehnert have this month selected key papers from the April to June issues of that journal. Comments specific to the content of their digest should be sent to the address given, although The British Journal of Surgery would be glad to receive a copy.

ISSN:0007-1323    

DOI:10.1002/bjs.1800790909

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

摘要:

AbstractIn the third of our quarterly exchange of digests, Dr Hiram Polk, Editor of The American Journal of Surgery, has this month highlighted papers from the April, May and June issues of that journal. A digest of the same months' British Journal of Surgery prepared by our Editor, Professor John Farndon, appears in the September issue of the American journal. Dr Polk's address for correspondence is given at the end of his summary.

ISSN:0007-1323    

DOI:10.1002/bjs.1800790910

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

摘要:

AbstractStripping of the long saphenous vein (LSV) may prevent recurrence of varices, although this has not been demonstrated using objective criteria. The aim of this study was to determine whether the addition of LSV stripping, from groin to upper calf, to saphenofemoral junction (SFJ) ligation prevents residual reflux, and whether LSV stripping to the upper calf results in greater neurological complications. Sixty‐nine patients with primary varicose veins, LSV reflux and SFJ incompetence, confirmed by duplex ultrasonography and photoplethysmography, were studied. A total of 105 limbs were treated by SFJ ligation and avulsion of varices; patients were randomized to undergo stripping of the LSV to the upper calf (n= 49) or no additional treatment (n= 56). Three months after surgery all patients were examined clinically, by duplex ultrasonography and by photoplethysmographic tests of venous function, to establish the extent of persisting varices. Fewer persisting incompetent LSVs in the calf were found when the LSV was stripped (n= 9) than after SFJ ligation alone (n= 25) (P<0.01). Photoplethysmographic refilling times were improved to a similar extent in both groups after surgery but were lower in those who had residual LSV reflux (P<0.05). Six limbs developed paraesthesia in the distribution of the saphenous nerve: two in the group that were stripped and four in those that were not. These data suggest that LSV reflux is more completely abolished by combining LSV stripping with SFJ ligation; stripping the LSV to the upper calf does not result in a higher incidence of injury to the saphenous nerv

ISSN:0007-1323    

DOI:10.1002/bjs.1800790911

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY