摘要:

AbstractTwo patients with a particular type of isolated injury to the left colon produced by the lapstrap of a seat belt are described. The literature on this subject is reviewed and the features and management of these injuries are discussed, with particular reference to the delay in presentation often seen in such patients and to the frequent association with ischaemic damage which makes proximal colostomy advisable where primary repair is undertaken.

ISSN:0007-1323    

DOI:10.1002/bjs.1800600902

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractExtended deep femoral angioplasty is an invaluable method of saving a limb especially where a femoro‐popliteal vein by‐pass is not possible because of a poor run‐off. Atherosclerosis in the deep femoral artery often extends for more than 10 cm. In such cases we have preferred to perform a short vein by‐pass than an extensive endarterectomy and patch graft. Our experience is described of 6 such cases, in 5 of whom amputation was

ISSN:0007-1323    

DOI:10.1002/bjs.1800600903

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractTwo cases of traumatic closed injury of the iliofemoral arterial segment incurred while working at sea are reported. These cases share many similarities which are discussed together with general observations on the management of such injuries. The need for repair utilizing the by‐pass principle rather than direct procedures on the involved segment is stresse

ISSN:0007-1323    

DOI:10.1002/bjs.1800600904

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractOne hundred and six patients undergoing major surgery were given dextran 70‐500 ml. during operation, 500 ml. on the following day, and then 500 ml. on alternate days until discharge. Of these patients, I developed a deep venous thrombosis after the operation (0‐94 per cent). One hundred and one patients acted as control subjects and, of these, 10 developed deep venous thrombosis (9‐9 per cent). This reduction in incidence of thrombosis is significant at the 2 per cent level, indicating that dextran 70, as macrodex 6 per cent in 5 per cent dextrose, in the régime given is a simple and effective means of reducing deep venous thrombosis after major s

ISSN:0007-1323    

DOI:10.1002/bjs.1800600905

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractFour cases of carcinoid tumour of the colon are presented together with a brief review of the literature.

ISSN:0007-1323    

DOI:10.1002/bjs.1800600906

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractA sterile disposable applicator for skin clips has been used for the closure of skin incisions in 117 consecutive operations. These have included most of the standard incisions in the head, neck, trunk, and limbs. The instrument has proved satisfactory in use, the skin incisions having healed satisfactorily with much time having been saved in their closure.

ISSN:0007-1323    

DOI:10.1002/bjs.1800600907

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractThirty patients with villous tumours of the rectum are described. With the criterion that invasion of the muscularis mucosae is necessary to make a diagnosis of malignant change the incidence of malignancy was 17 per cent. The technique of local excision per anum using submucosal infiltration is described, and the management of large mucosal defects and of total papillomatosis of the rectum is discussed. Local infection and incontinence have not been features in this series and every patient has had a sphincter‐conserving operation. The recurrence rate was 10 per cent and recurrences can be treated by further local excisio

ISSN:0007-1323    

DOI:10.1002/bjs.1800600908

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractOne‐hundred and thirty‐nine resections were performed for diverticular disease at St. Mark's Hospital, London, during the period from 1964 to 1969. One hundred and three of the resections were done on selected cases before any of the clinically recognized complications of the disease had occurred. In 46 of the resected specimens no evidence of inflammation could be found despite meticulous examination by the pathologist.The surgical procedures were accompanied by no mortality, moderate morbidity, and a gratifying relief of symptoms, which are contrary to the generally held belief that surgery for diverticular disease is hazard

ISSN:0007-1323    

DOI:10.1002/bjs.1800600909

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractA study has been made of the accuracy of clinical assessment, the fluorescein test, and phlebography in the localization of incompetent perforating veins using an extensive subfascial exploration as the method of assessing the results. Clinical assessment was found to be 48 per cent accurate, the fluorescein test 39 per cent accurate, and phlebography 69 per cent accurate. Although phlebography is the most useful investigation we do not feel that it can be used to restrict a full surgical exploration of the medial side of the leg. However, it is valuable in drawing attention to the presence of incompetent perforating veins on the lateral aspect of the legs which in this series occurred in I of every 2 patients.

ISSN:0007-1323    

DOI:10.1002/bjs.1800600910

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY

摘要:

AbstractThe results of the insulin‐infusion test carried out after vagotomy in 50 patients are presented. In 25 cases a comparison was made between the insulin‐infusion test and the conventional Hollander test. A good correlation was observed between the peak acid output induced by insulin infusion and that noted during the Hollander test. It is concluded that with the present criteria for interpretation the insulin‐infusion test may be no better than the Hollander technique for defining patients at risk of recurrent dyspepsia. However, the small amounts of insulin used, the gradual lowering of blood‐glucose, and the reduced incidence of profound hypoglycaemia which attend the insulin‐infusion test suggest that this technique should be adopted for the assessment of vagotomy in preference to the potentially dangerous Holla

ISSN:0007-1323    

DOI:10.1002/bjs.1800600911

出版商:John Wiley&Sons, Ltd.    

年代:1973

数据来源: WILEY