摘要:

Summary1A brief review of the history of essential haematuria has been made.2The clinical and pathological findings in a series of seven cases of essential haematuria submitted to nephrectomy is given.3It is suggested that management should tend towards conservatism, with repeated and prolonged follow‐up investigation.However one cannot give an absolute assurance that a malignant neoplasm is not present, and it is surprising in this small series how much pressure was brought to bear by patients and relatives in favour of nephrectomy, for this reaso

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1960.tb03852.x

出版商:Blackwell Publishing Ltd    

年代:1960

数据来源: WILEY

摘要:

Summary1Indications are formulated for the use of a visceral transplant in the oesophageal construction necessary in cases of oesophageal atresia.2It is suggested that colon is the viscus most suitable for this purpose and that it should be placed intrapleurally along the posterior mediastinum.3A case of oesophageal atresia is reported in which a new oesophagus was built using transverse colon as such a transplant.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1960.tb03853.x

出版商:Blackwell Publishing Ltd    

年代:1960

数据来源: WILEY

摘要:

Summary1The chief disorders of blood coagulation are discussed as predisposing or complicating factors in intracranial haemorrhage.2Six cases of intracranial haemorrhage associated with various coagulation defects (haemophilia, hypoprothrombinaemia, and platelet deficiencies) are presented. Their management is discussed.3If the coagulation defect can be corrected or controlled, there is a reasonable possibility that surgical evacuation may be successful, especially when the haema‐toma is superficially situate

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1960.tb03854.x

出版商:Blackwell Publishing Ltd    

年代:1960

数据来源: WILEY

摘要:

SummaryAlthough Paget's disease of bone is very common in the general population of New South Wales, sarcoma arising in bone affected by osteitis deformans is very rare and is considered to be less than 1 per cent.Twenty‐nine cases of sarcoma of this type were found in the records of the four teaching hospitals in Sydney during the last ten years. Included in this series are 5 personal cases which are reported in more detail.The commonest site of the primary malignant lesion was in the shoulder girdle (9 cases), a part of the skeleton not usually affected by Paget's disease in its early stages. Another striking feature was the development of multiple sarcomatous changes in bone and in six cases in this series these were noted in the skull.Although several patients developed sarcoma after a definite history of injury and some were associated with fractures when first noted, it was not considered that there was sufficient evidence to indicate the effect of trauma in determining a malignant change. It was noted that only one case of sarcoma developed after a subtrochanteric fracture, the commonest site for fractures in patients with Paget's disease, and no case developed after surgical intervention.In most cases where a biopsy or autopsy was made the tumour was described as an osteogenic sarcoma, but cases of fibrosarcoma and chondrosarcoma were also found in this series. Amputation of the lower limb was carried out in 7 patients and one forequarter amputation was performed. Only one of these patients lived more than a year after operation. Deep X‐ray was given in 16 cases, but appeared to have no effect and most patients died within a few months. There were two exceptions: a man of 56 years with a sclerosing osteogenic sarcoma of the upper end of the humerus lived three years and eight months, and a woman of 60 years with X‐ray evidence of a pathological fracture and a soft tissue tumour lived seven and a half

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1960.tb03855.x

出版商:Blackwell Publishing Ltd    

年代:1960

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1960.tb03856.x

出版商:Blackwell Publishing Ltd    

年代:1960

数据来源: WILEY

摘要:

Summary1Three cases of fatal post‐operative pancreatitis are presented.2In each case the preceding operation was conducted on the biliary tract. In one the operation was confined to removal of the gall‐bladder but in the other two the common bile duct was explored.3The complication appeared within four days of the operation.4The pancreas, at autopsy, showed oedema and fat necrosis but minimal haemorrhage.5Circulatory collapse and upper abdominal pain were the initial symptoms in two patients; in the third, the onset was less acute.6A second exploratory operation was not well tolerated in the two patients in whom it was conducted.7The complication might be prevented by the surgeon handling the pancreas with great care, by his avoiding unnecessary explorations of the common duct, and by his exercise of extreme care when performing pancreatic bio

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1960.tb03857.x

出版商:Blackwell Publishing Ltd    

年代:1960

数据来源: WILEY

摘要:

SummaryThe morphology of the cutaneous glands is reviewed, with particular reference to the apocrine sweat glands. The latter have been studied by macroscopic and histological examination of axillary and perineal skin from newborn babies, adults and the very elderly. The apocrine glands are situated deep in the dermis, and are found in the skin of the axilla, mons veneris, perineum, about the anus, in the external auditory meatus, and around the nipples. Unlike the common eccrine sweat glands, they are not fully developed until puberty, and only then give rise to their characteristic secretion. They remain active until old age, when retrogression occurs.Infection of the apocrine glands occurs, and is recognised by its characteristic distribution (affecting simultaneously the axilla and perineum) and its tendency to incomplete resolution and recrudescences. A typical case history is presented. Wide excision of the involved skin and subcutaneous tissue, with graft replacement, has proven a successful means of treatment.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1960.tb03858.x

出版商:Blackwell Publishing Ltd    

年代:1960

数据来源: WILEY

摘要:

Summary1Attention is drawn to the relationship of irradiation of the thyroid gland in infancy and childhood to the subsequent development of carcinoma in this gland.2Supplemental information is furnished concerning two of the children suffering from carcinoma of the thyroid gland whose case histories were reported by Webster and Howard in this journal in 1954. It is suggested that irradiation is likely to have been implicated in their aetiology.3Record is made of a further case of carcinoma of the thyroid gland in childhood in whom irradiation of the neck preceded the development of malignancy.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1960.tb03859.x

出版商:Blackwell Publishing Ltd    

年代:1960

数据来源: WILEY

摘要:

Summary1Free perforation of the obstructed colon due to carcinoma has, not without reason; a sinister reputation.2With the aid of modern methods of resuscitation and antibiotics, recovery from this catastrophe is possible.3In order to ascertain the results of various methods of surgical management 34 cases were surveyed.4Untreated, the condition is uniformly fatal.5Simple drainage is little better than no treatment; the only patient surviving had only minimal contamination of the peritoneum.6The addition of colostomy or caecostomy to the procedure of drainage was uniformly unsuccessful. It is suggested that the reason for this is that continued infection of the peritoneum occurs from bowel severely damaged by distension and ischaemia.7The logical conclusion from the cases reviewed is that the perforated bowel should be exteriorized or excised. Where these procedures were carried out the results wert obviously better.8It is suggested that, for various reasons, excision of the devitalized bowel is preferable to simple exteriorization.9Review of the literature indicates that other authors have reached similar conclusions.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1960.tb03860.x

出版商:Blackwell Publishing Ltd    

年代:1960

数据来源: WILEY

摘要:

SummaryA case is reported in which during the course of emergency surgery for a bleeding anastomotic ulcer following a Billroth I gastrectomy (performed for duodenal ulcer), the lower ends of the bile and pancreatic ducts were severed. Repair was achieved by anastomosing the cut ends of the two ducts together, and the side of the common duct to the side of the duodenum. The convalescence. was good and two and a quarter years later the patient is in excellent health.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1960.tb03861.x

出版商:Blackwell Publishing Ltd    

年代:1960

数据来源: WILEY