摘要:

Sixty‐two patients presented on 81 occasions with acute‐oesophageal variceal haemorrhage. Bleeding required tamponade on or during that admission on 87 occasions and was successful in arresting haemorrhage in 93%. Employing a policy of management in which injection sclerotherapy was the main therapeutic option, control of haemorrhage was achieved on 89% of admissions with an admission mortality of 30%. These results are compared with other reported ser

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02428.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

Information regarding the epidemiology and pathology ofEchinococcus granulosusin Australasia is not well presented in standard surgical textbooks. This review presents the basic science off.granulosusin Australasia, emphasizing those areas which are not well known, are misunderstood, or are of particular relevance to current surgical practice.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02429.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

A new system – the Australian Clinico‐pathological Staging (ACPS) System – is proposed for the reporting of cases of colorectal adenocarcinoma. It utilizes all information available – clinical, operative and pathological – before a stage is allotted. This contrasts with Dukes’classification which is based solely on the pathological examination of the resected specimen. The ACPS has a special category‘D’for incurable cancer – those with a locally advanced irremovable tumour or with distant metastases. This method requires co‐operation between clinician and pathologist and the use of precise terminology with strict adherence to definitions. The validity of the system is tested by analysing the survival pattern of 709 patients from Concord Hospital according to the AC

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02430.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

Between 1971 and 1980, 346 patients had a carcinoma of the colon resected. Seventy‐seven patients had an urgent operation with a hospital mortality of 13.3%; 269 patients had an elective operation with a mortality of 3.8%. Three patients died as a result of anastomotic leakage. Other complications were thromboembolism (2%) and wound infection (14.5%). The overall median survival was 28.4 months and 57 months following curative resection. The clinicopathological staging system used identified 28% of patients as incurable at the time of resectio

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02431.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

A neonate with congenital short colon in association with imperforate anus and colovesical fistula was managed by excision of the pouch and single stage primary abdominoperineal pull‐through operatio

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02432.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

Multiple oestrogen receptor assays have been performed on primary, locally recurrent, and metastatic breast cancer in 62 patients. A change in receptor status was found in seven of 25 late recurrences (28%). It was noted that the level of oestrogen receptor was higher in lymph nodes than the primary tumour, particularly at the time of initial surgery. Other factors which might contribute to differences in receptor levels include site of metastases, method of handling, heterogeneity of tumours, and subsequent treatment. Such differences have important implications in management.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02433.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

Twenty‐eight patients with inoperable or metastatic gastric cancer were treated with combination chemotherapy using 5‐fluorouracil, adriamycin and mitomycin‐C (FAM). Twenty‐one patients had measurable disease parameters and 57 per cent of these experienced a major regression of disease following chemotherapy. The median survival of the responding patients was 13.2 months compared with 6.8 months in the group who did not achieve a major response. These results demonstrate the sensitivity of gastric carcinoma to this drug comb

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02434.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

Major amputation is an infrequently performed procedure for melanoma. Less than one per cent of patients seen at our unit have had a major amputation for melanoma. Thirty‐two patients who had a total of thirty‐four amputations have been reviewed in this article. The most frequent indication for amputation has been intractable local recurrences not responding to other forms of treatment. Amputation is only considered in patients with no evidence of systemic disease. Our conclusion, based on survival figures after amputation, is that the procedure has a palliative role in some cases of advanced localized melanoma, with a few long term cu

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02435.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

Of 200 patients, 6.5% were skin carriers ofStaphylococcus aureusand 3.5% became skin carriers after admission. Development of skin carrier state was associated with a long preoperative hospital stay. A second study of 275 cases showed that skin carriers ofS. aureushad a significantly higher subsequent staph wound infection rate than non‐carriers, but nose and/or throat carriers ofS. aureusdid not. Peroperative wound contamination was a significant factor in the subsequent development of wound infection. In clean surgery the infection rate was 5.9%. Both wound contamination and infection was due to gram positive organisms, usuallyS. aureus.When the gastrointestinal or biliary tract had been opened, the infection rate was 28%, the usual contaminating and infecting organisms were enteric and only occasionallyS. aureus.There is a need for improved methods of minimizing peroperative wound contaminatio

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02436.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

In four groups of 25 patients in whom perioperative prophylactic antibiotics were not used, the wound infection rates after partial gastrectomy were 40% in gastric cancer, 44% in chronic gastric ulcer, 24% in chronic duodenal ulcer and after trunkal vagotomy and pyloroplasty, the wound infection rate was 12%. In gastric cancer and chronic gastric ulcer, most wound infections were caused by enterobacteria, while in chronic duodenal ulcer almost all infections were caused byStaphylococcus aureus.Appropriate short‐term perioperative prophylactic antibiotic use is likely to decrease wound sepsis rate in patients who have a gastric resection in the presence of gastric cancer or gastric ulce

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1983.tb02437.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY