ISSN:0007-1323    

DOI:10.1002/bjs.1800791202

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

ISSN:0007-1323    

DOI:10.1002/bjs.1800791203

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

ISSN:0007-1323    

DOI:10.1002/bjs.1800791204

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

摘要:

AbstractThe aetiology, diagnosis and management of prosthetic vascular graft infection are reviewed. The importance of contamination at the time of surgery as the crucial aetiological factor is highlighted. Staphylococcus epidermidis is the causative organism in over 50 per cent of cases and the reasons for this are explored. Sound surgical technique, use of prophylactic antibiotics and the avoidance of a groin incision are emphasized as the most important factors in prevention of graft infection. Difficulties of diagnosis are highlighted and the diagnostic role of various imaging methods is assessed. Graft excision with extra‐anatomic revascularization is presented as the conventional surgical solution, while the roles of less radical surgical solutions and non‐operative management are discus

ISSN:0007-1323    

DOI:10.1002/bjs.1800791205

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

ISSN:0007-1323    

DOI:10.1002/bjs.1800791206

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

摘要:

AbstractThe literature on metastasectomy abounds in anecdote and retrospective studies of non‐randomized patients. In this paper, the published evidence concerning the efficacy of metastasectomy in the lung, liver, brain, gastrointestinal tract and omentum is reviewed to formulate practical recommendations for patient selection and treatment. At some sites metastasectomy can be recommended with little hesitation for more widespread application, but surgery for liver metastases should still be regarded with some reservatio

ISSN:0007-1323    

DOI:10.1002/bjs.1800791207

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

摘要:

AbstractHaving carried digests from The American Journal of Surgery and Der Chirurg since March and April of this year, we this month extend our exchange to include Surgery Today (The Japanese Journal of Surgery). Professor Yoshio Mishima, Editor‐in‐Chief of that journal, has highlighted key papers from the January, March and May 1992 issues. A digest of the best of the BJS from July to September, prepared by our Editor, Professor John Farndon, will appear in the Japanese journal in December. Professor Mishima's address for correspondence is at the end of his summ

ISSN:0007-1323    

DOI:10.1002/bjs.1800791208

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

摘要:

AbstractProfessor Christian Herfarth and Dr Thomas Lehnert of Der Chirurg have this month written résumés of the most interesting articles published in the German journal from July to September of this year. A reciprocal digest is to be published in their December issu

ISSN:0007-1323    

DOI:10.1002/bjs.1800791209

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

摘要:

AbstractIn the last of our quarterly digests for 1992, Dr Hiram Polk has this month selected articles from the July to September issues of The American Journal of Surgery, of which he is Editor. Correspondence should be addressed primarily to Dr Polk, although The British Journal of Surgery would be glad to receive a copy.

ISSN:0007-1323    

DOI:10.1002/bjs.1800791210

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

摘要:

AbstractThe mechanical properties of the abdominal aorta were investigated non‐invasively in 30 patients with aortic anaeurysm and II with peripheral arterial disease. The distensibility of the aorta was measured using M‐mode ultrasonography, permitting non‐invasive assessment of the pressure‐strain elastic modulus or aortic stiffness,Ep. The median Epvalue increased, from 4.0 N/cm2in control subjects in their third decade of life (n= 10) to 10.4N/cm2in middle age (n= 11) to 14.0 N/cm2in the elderly (n= 13). In the presence of a normal diameter.peripheral arterial disease with aortic atherosclerosis had little effect on aortic stiffness, medianEpbeing 16.0N/cm2. Aneurysmal dilatation was associated with a significant increase in aortic stiffness, median Epbeing 31.3 N/cm2(P<0.001). For aortas of normal diameter,Epwas at all ages dependent on mean arterial pressure. In patients with aortic aneurysms there was no clear relationship betweenEpand mean arterial pressure or aortic diameter. Of the patients studied, 15 underwent aortic rcconstruction; increasing aortic stiffness (logEp) was associated with a decreased medial elastin content of the aortic biopsy (r= −0.63,P<0.02 ). This study demonstrates the marked stiffness or inelasticity of dilated or aneurysmal vessels, part of which is attributable to the loss o

ISSN:0007-1323    

DOI:10.1002/bjs.1800791211

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY