摘要:

AbstractTo assess the value of nutrition in the first week after surgery, total nitrogen balance was determined in three groups of patients (two experimental, one control) undergoing vagotomy and pyloroplasty from 1 day before to 8 days after operation. In the experimental groups nutrition was maintained postoperatively by the intravenous route in one and intraduodenally in the other at a level adequate for normal non‐postoperative subjects. Water and electrolyte intakes were similar in the three groups, but patients in the control group received no calories or nitrogen in the immediate postoperative period.With respect to nitrogen economy, the group fed largely by the intraduodenal route fared best. Nevertheless, nitrogen balance did not reach equilibrium until day 5 in any group, probably indicating a relative increase in protein catabolism in the early postoperative perio

ISSN:0007-1323    

DOI:10.1002/bjs.1800600802

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractAn inflatable sling tourniquet has been developed to control arteries during surgical procedures and has been assessed clinically and experimentally. It has been found to give precise and reliable control over normal and arteriosclerotic arteries and to be extremely atraumatic in practice. It is particularly useful when catheters or shunts are to be passed up the occluded artery.

ISSN:0007-1323    

DOI:10.1002/bjs.1800600803

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractTwenty‐eight patients were operated upon for aneurysm of the thoracic aorta using a temporary external by‐pass shunt. Four early deaths occurred, the cause of which could not be related to the by‐pass procedure itself. The temporary long external by‐pass from the left subclavian artery or from the ascending aorta to the femoral artery was preferable for resection of an aneurysm of the descending aorta or the distal aortic arch which required cross‐clamping of

ISSN:0007-1323    

DOI:10.1002/bjs.1800600804

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractThe incidence of recurrent duodenal or jejunal ulceration was assessed 5–10 years after selective surgery for duodenal ulceration in 253 patients after vagotomy and drainage and in 55 patients after vagotomy and antrectomy.In the vagotomy and drainage group 8.6 per cent of the patients developed proven or highly suspected recurrent duodenal or jejunal ulcer. None of these patients had preoperative maximal acid output (M.A.O.) values less than 25 mEq. per hour. No recurrent jejunal ulcers occurred in the vagotomy and antrectomy group despite the fact that they had the same incidence of incomplete vagotomy by Hollander's criteria as the vagotomy and drainage group.It is suggested that a policy of selection of patients for vagotomy and drainage based on a preoperative M.A.O. of 25 mEq. per hour seems more justified and realistic than the previously used level of 40–50 mEq. per hour. Vagotomy and antrectomy should probably be employed if the M.A.O. is greater than 25 mEq. per h

ISSN:0007-1323    

DOI:10.1002/bjs.1800600805

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractA case control field survey was carried out on 106 Indonesian patients with spontaneous peripheral gangrene. In 101 patients the disease was a four‐limb youthful type of peripheral vascular disease occurring in young male smokers. Migratory superficial thrombophlebitis was present in 38 patients. This constellation of signs and symptoms was similar to that described for the Buerger syndrome.Of the aetiological factors studied, tobacco, cold injury, familial aggregation, and a past history of mycotic infection may be of significanc

ISSN:0007-1323    

DOI:10.1002/bjs.1800600806

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

Abstract1. The metabolic and functional changes that follow hepatectomy in the rat are related to the extent of liver resection.2. Regenerating liver cells show an impaired ability to excrete bilirubin, bromsulphophthalein, and125I Rose Bengal during the early postoperative period.

ISSN:0007-1323    

DOI:10.1002/bjs.1800600807

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractThe leucocyte count was estimated in 100 consecutive cases of pathologically proved appendicitis. It is concluded that although a white‐cell count below 10,000 per c.mm. does not exclude the diagnosis of acute appendicitis, such a result should prompt further review and consideration of the diagnosi

ISSN:0007-1323    

DOI:10.1002/bjs.1800600808

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractTwo cases of intussusception of the appendix are reported. In both cases there was a palpable tumour within the caecum and a short thickened appendix. Both intussuceptions were predominantly mucosal and of a type not previously described.

ISSN:0007-1323    

DOI:10.1002/bjs.1800600809

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractGas gangrene is now uncommon in this country, particularly as a postoperative complication of elective abdominal surgery. A case of a patient who developed gas gangrene of the scrotum after a sigmoid colectomy for diverticulitis is described. A search through the relevant literature failed to reveal any similar cases.

ISSN:0007-1323    

DOI:10.1002/bjs.1800600810

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractFive children with severe complications of acute amoebic dysentery are described. The results of a simple defunctioning proximal ileostomy are encouraging. Prior administration of anti‐amoebic therapy and postoperative intensive medical care are mandatory for a successful outcom

ISSN:0007-1323    

DOI:10.1002/bjs.1800600811

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY