ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02470.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.tb02471.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.tb02472.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

The prevalence of saphenofemoral incompetence in a series of 105 consecutive patients undergoing saph‐enofemoral ligation as part of an operation for primary varicose veins was determined using a directional continuous‐wave Doppler ultrasonic device. Saphenofemoral incompetence was correctly predicted in 97% of limbs. Using conventional clinical methods, incompetence was correctly predicted in 82% of limbs. This difference was highly significant (P<0.01 McNemar). It is concluded that a directional Doppler ultrasonic assessment is a useful aid in the pre‐operative determination of saphenofemoral incompe

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02473.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

Thirty‐five patients with chronic pancreatitis of varying cause have been treated according to a protocol first introduced in 1979. At the end of a mean follow up time of 2.1 years, only 54% of patients were found to have derived benefit defined by pain relief and improved quality of life. Patients with alcoholic pancreatitis did particularly poorly, and alcoholics who continued to drink almost never benefited. Patients with dilated pancreatic ducts were more likely to do well than those with small ducts, and pancreaticojejunostomy had a satisfactory record of pain relief. Patients with biliary pancreatitis generally did well with cholecystectomy and clearance of the common bile duct. The 40–80% pancreatectomy had a poor record for pain relief, and produced diabetes in the majority of patients in whom it was used. Nothing will reverse the established pathology of chronic pancreatitis, which remains an unsatisfactory condition to tr

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02474.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

A review of 52 patients having palliative bypass surgery for carcinoma of the head of the pancreas revealed that 20% of patients required subsequent laparotomy for relief of gastric outlet obstruction and that biliary‐enteric anastomoses using the gall bladder were unsatisfactory in 25% of patients. It is recommended that gastroenterostomy be performed routinely during the intial laparotomy. The biliary anatomy should be demonstrated by preoperative or intra‐operative contrast X‐rays and the gall bladder should be used for biliary‐enteric anastomosis only when the surgeon is certain that the biliary system will be adequately

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02475.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

A long term follow‐up of 300 patients treated by bilateral adrenalectomy for advanced breast cancer is presented. The notable features are the lengthy remissions and survival times which occurred in some patients. This is further evidence of at least two important biological subsets within the general population of breast cancers. Of the responders, 11% were still in remission at four years and 10% were alive at 10 years. Responders also enjoyed a good quality of life. These results are of considerable importance in assessing the relative merits of newer methods of treatmen

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02476.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

A double‐blind, randomized controlled trial was carried out in University Hospital, Kuala Lumpur to study the effect of metronidazole and cotrimoxazole on the incidence of wound infection following appendicectomy from November 1978 to January 1980. Patients were allocated at random into one of four groups: cotrimoxazole injection and placebo suppository, metronidazole suppository and cotrimoxazole injection, metronidazole suppository and placebo injection or placebo suppository and placebo injection. Treatment was started 30 min before operation and continued for 72 h. All patients were followed up for 2 weeks and thereafter for one month. A total of 283 patients was finally accepted into the study. Sepsis rates were found to be 27% for the untreated group, 9% for the group receiving metronidazole only, 8% for the group receiving cotrimoxazole injection only and 2.7% for the group receiving both drugs. The study showed that a combination of metronidazole and cotrimoxazole is a regime highly effective for prophylaxis against wound infection following appendicectom

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02477.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

Three cases of great vessel injury resulting from blunt chest trauma and associated with posterior dislocation of the sternoclavicular joint are presented. The diagnosis and management including the surgical approach to this uncommon injury are discussed.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02478.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

Thirty‐three patients previously splenectomized following traumatic rupture of the spleen were assessed using a radionuclide technique. Splenic tissue was detected by this means in 22 patients (67%). Peripheral venous blood was examined for the presence of erythrocyte surface vacuoles. Vacuolated red blood cells were detected more frequently than in the normal population. The incidence of vacuolated red blood cells was inversely related to the estimated volume of regenerated splenic tissu

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02479.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY