摘要:

The recent successes within vitrofertilization and embryo transfer in the management of female infertility have ramifications outside of gynaecology. Procedures of a general surgical nature in young women should be carried out with possible future oocyte aspiration via the laparoscope kept in mind.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02395.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

The penile sleeve is an extremely valuable technique in one stage penile urethral surgery. A modification of the penile sleeve involving its rotation through 60 to 90 degrees on its base allows its adaptation to the surgery of penile urethral fistula, and to second stage urethroplasty.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02396.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02397.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

Reconstruction of the nipple‐areola complex is being performed for about a quarter of postmastectomy breast reconstruction patients. The methods used and results achieved in thirteen reconstructions were reviewed. Full thickness skin grafts from the upper inner thigh were used for the areola, with 100% success. For the nipple proper, most (eight) had a composite graft from the opposite nipple, with 100% take if the dressing was kept in place for 10–12 days. Earlobe tissue made an excellent nipple reconstruction for bilateral cases (four). It is concluded that nipple‐areola reconstruction is safe, simple and predictable. A second operation is recommended for this surgery to ensure symmetry of nipple position, a fundamental requirement for a good r

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02398.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

A simple one staged technique for voice reconstruction after total laryngectomy is described. A section of posterior tracheal wall is preserved and converted into a tracheo‐oesophageal shunt. Results in nine patients are describe

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02399.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

Ten patients with hangman's fracture are reported. The possible mechanisms of injury are reviewed. The different types of hangman's fracture are described as well as their possible mechanisms of production. The uniformly successful outcome of nonoperative management is emphasized.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02400.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

Thirteen patients presented primary extradural neoplasms compressing the spinal cord and/or roots in a four year period. Laminectomy and tumour excision or biopsy were carried out in twelve patients and transthoracic resection in the one remaining. Six tumours were benign; two were neurofibromata associated with von Recklinghausen's disease; two were osteochondromata; and there were single cases of cavernous haemangioma and aneurysmal bone cyst. All patients are alive and well; follow‐up ranges between 1.3 an 8.5 years post‐operation. Among the malignant neoplasms there were three malignant lymphomata, two Ewing's sarcoma and single instances of mesenchymal chondrosarcoma and chondrosarcoma of the classical type. Four patients are alive, having been followed up between 3.5 to 5 ye

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02401.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

Extradural haematoma complicating head injury still has a formidable mortality despite recent advances in neurological surgery. The experience of 60 cases of extradural haematoma treated in a general surgical unit was reviewed retrospectively. The mortality was 35%. Analysis of the 21 deaths showed that 13 (62%) of them were possibly avoidable. Lack of index of suspicion, delay in instituting surgical treatment and inadequate surgical intervention were the main causes of the avoidable motality.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02402.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

Of 200 consecutive appendicectomies performed at Royal Prince Alfred Hospital the indications for operation were suspected acute appendicitis (65%), chronic or recurrent appendicitis (11.5%), interval appendicectomy (3%) and appendicectomies incidental to other operations (20.5%). Of those operated upon for suspected acute appendicitis, the appendix revealed acute inflammation pathologically in 64% of patients. Pathological changes occurred with the same frequency in both the incidental appendicectomy group and the chronic appendicitis group. Within the group with a provisional diagnosis of acute appendicitis there were marked variations in the documentation of preoperative symptoms .signs and investigations. On average 11.5 hours passed between the time these patients presented and when appendicectomy was performed. The patients spent an average of 6.4 days in hospital and only 33% had any documentation follow‐up in the hospital records. Auditing systems can only be instituted in Australia if the structure of medical services is borne in mind. Adoption of overseas systems based on different patterns of medical care will add little to patient car

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02403.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02404.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY