ISSN:0007-1323    

DOI:10.1002/bjs.1800590602

出版商:John Wiley&Sons, Ltd.    

年代:1972

数据来源: WILEY

摘要:

AbstractIn a series of 12 normal and 68 atherosclerotic patients a relationship between flow and pressure changes following moderate exercise correlates well with the anatomical level of the disease. Both flow and pressure studies provide a good objective assessment of the extent of the disease and of the functional results of reconstructive surgery.

ISSN:0007-1323    

DOI:10.1002/bjs.1800590603

出版商:John Wiley&Sons, Ltd.    

年代:1972

数据来源: WILEY

摘要:

AbstractA personal series of 17 cases of torsion of the testis collected over a 3 1/2‐year period is reviewed. The incidence is seen to be low in the general population but misdiagnosis is common in the acute condition. The relevant embryology, histology, and signs and symptoms of the condition are described. A number of the patients had unilateral testicular atrophy following a previously misdiagnosed torsion years earlier. Their subsequent management is described. The differential diagnosis is briefly mentione

ISSN:0007-1323    

DOI:10.1002/bjs.1800590604

出版商:John Wiley&Sons, Ltd.    

年代:1972

数据来源: WILEY

摘要:

AbstractEnlargement of the coronoid process of the mandible is a rare cause of limited jaw movement.Primary causes fall into two categories: benign tumours and developmental hyperplasia.Two cases of clinically important enlargement of the coronoid process secondary to other longstanding causes of difficulty in opening the mouth are described.It is suggested that significant appositional bone growth secondary to abnormal stresses mediated by the tendon of the temporalis muscle does occur.

ISSN:0007-1323    

DOI:10.1002/bjs.1800590605

出版商:John Wiley&Sons, Ltd.    

年代:1972

数据来源: WILEY

摘要:

AbstractMuscle blood‐flow has been measured by the local clearance of133Xe in 32 patients (34 limbs) following arterial replacement with a by‐pass vein‐graft for atherosclerotic occlusive disease affecting the femoropopliteal segment.In 27 cases (29 limbs) in which the graft was functioning satisfactorily there was a marked improvement in muscle blood‐flow with a return to within normal range in most instances. In 5 patients the graft occluded within 3 months of operation and in these cases there was no significant alteration in the muscle blood‐flow following operation. The measurement of muscle blood‐flow therefore provided objective corroborative evidence of the success or failure of the procedure.Seventeen of the group had muscle blood‐flow measurements carried out at 3‐monthly intervals for a year or more after operation. The postoperative flow tended to remain stable throughout this period, and did not show any tendency to return to the preoperative levels as has previously been reported for thrombo‐endarterectomy. This lends further support for the view that in reconstructive surgery for femoropopliteal occlusive disease the long‐term results are better with by‐pass vein‐grafts than with

ISSN:0007-1323    

DOI:10.1002/bjs.1800590606

出版商:John Wiley&Sons, Ltd.    

年代:1972

数据来源: WILEY

摘要:

AbstractThe results of all the operations for symptomatic sliding hiatus hernia carried out by 1 surgeon during 5 1/2 years are reviewed. One hundred and six operations were done and 101 patients were available for review after 6 months to 5 years. The earlier patients in the series underwent transthoracic or transabdominal hiatus hernia repair, and the later patients underwent fixation of the lesser gastric curve to the anterior abdominal wall, as described by Boerema (1969). Before operation the two groups were clinically comparable. There were significantly less clinical failures after the Boerema operation, and less radiological recurrences. This simple and rapid operation is, therefore, preferred to the more complicated procedure.

ISSN:0007-1323    

DOI:10.1002/bjs.1800590607

出版商:John Wiley&Sons, Ltd.    

年代:1972

数据来源: WILEY

摘要:

AbstractDeductions made from Makidono's (1956) observations of the movements of ascarids in the small intestine of man and from findings at surgical operations and post‐mortem examinations of the positions of ascarids causing clinical disturbances have been used to build a concept of the behaviour of ascarids under normal and abnormal condition

ISSN:0007-1323    

DOI:10.1002/bjs.1800590608

出版商:John Wiley&Sons, Ltd.    

年代:1972

数据来源: WILEY

摘要:

AbstractA survey has been made of the bacteria present in the gastric aspirate obtained from 280 preoperative and postoperative secretion studies. In the preoperative group viable bacteria were isolated from 41 per cent of patients, whereas in the postoperative group they were isolated from 73 per cent. The nature of the bacterial flora also differed in the two groups.It is suggested that infected stomach contents may cause local sepsis following gastric surgery and that loss of the acid barrier may allow infection by pathogenic bacteria of the gut, producing postoperative diarrhoea.

ISSN:0007-1323    

DOI:10.1002/bjs.1800590609

出版商:John Wiley&Sons, Ltd.    

年代:1972

数据来源: WILEY

摘要:

AbstractWe believe that it is possible in the majority of myelomeningoceles to achieve a satisfactory repair of the lesion. To achieve dural closure the mobilization must be extensive and this can only be done if the anatomy of the myelomeningocele is thoroughly understood. Large skin defects can be closed with primary wound healing provided that the skin is mobilized extensively. To do this it is essential that the subcutaneous layer be retained intact to maintain the blood‐supply to the skin. Only exceptionally large lesions require relieving incisions, skin‐grafts, or swinging of skin‐

ISSN:0007-1323    

DOI:10.1002/bjs.1800590610

出版商:John Wiley&Sons, Ltd.    

年代:1972

数据来源: WILEY

摘要:

AbstractPyloric function was studied by means of a modified pyloric regurgitation test in which regurgitation was assessed both radiologically and biochemically. Forty‐two tests were performed in 40 patients from six clinical grups: those with gall‐stones with and without dyspepsia; those after cholecystectomy with and without persistent dyspepsia; and those with normal radiographs with and without dyspepsia. A close correlation was found between a history of flatulent dyspepsia and the detection of pyloric regurgitation in each matched pair of grups and in the series as a whole (P<0.001). The time at which regurgitation occurred appeared to be significant. Regurgitation was not observed in symptomless subje

ISSN:0007-1323    

DOI:10.1002/bjs.1800590611

出版商:John Wiley&Sons, Ltd.    

年代:1972

数据来源: WILEY