ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1986.tb02354.x

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1986.tb02355.x

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

Of 188 Patients having a total proctocolectomy and ileo‐anal anastomosis, 95|X% had a successful procedure and are sarisfied with their quality of life. Mortality was zero, and mean hospital stay was 14 days after colectomy and 10 days after closure of the stoma. Pelvic spsis and small bowel obstruction remained clinical problems in the postoperative period. No male patients were impoten

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1986.tb02356.x

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

Right‐sided diverticular disease is uncommon and represents a heterogenous group of cases with varying clinical presentation often confused with other disorders. Based on number, size, distribution and histological appearance of the diverticula, four distinct groups were identified, each with a distinct clinical preseqtation. Six patients had solitary false diverticula mimicking acute appendicitis and at operation were found to have inflamed caecal masses. Five patients had diverticula formed on the basis of defects in the muscularis propria. The mean age of these patients was 30 years older than the previous group and all of them presented with rectal haemomhage, often confused with angiodysplasia clinically. At laparotomy the external appearance of the bowel was unremarkable. Three patients had diverticular disease similar to that seen in the left side of colon. Two patients had true congenital caecal diverticula confirming that the minority of caecal diverticula conforms to this grou

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1986.tb02357.x

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

The case is presented of a young man who suffered a traumatic hind‐quarter amputation and penile infarction. One stage penile reconstruction was performed using a free ulnar forearm fla

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1986.tb02358.x

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

Myocutaneous flap cover of postirradiation ulcers has recently been recognized as a useful and effective method of treating these non‐healing ulcers. This study presents the results of three case of postirradiation sacral ulcers treated by gluteus maximus myocutaneous flaps. In one case a conventional is land flap was used, whereas in the other two cases a new technique of a total rotation gluteus maximus myocutaneous flap is describe

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1986.tb02359.x

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

A case of spontaneous neonatal renal vein thrombosis is presented. A 1 week old, 36 week gestation, male child presented with gross haematuria and a large right flank mass. Investigations including intravenous pyelogram, ultrasound and venacavogram indicated the diagnosis. The child was clinically well, with normal renal and clotting function. No predisposing cause could be found. A conservative approach to treatment was undertaken in view of the normal renal function, sand no evidence of consumptive coagulopathy or pulmonary emboli. The child remains well, but may require nephrectomy in the future.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1986.tb02360.x

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

A series of 158 children, who were operated on for perforated or gangrenous appendicitis between 1980 and 1984 inclusive, are reviewed. A protocol of management, based on the results of bacteriology of the perforated appendix was introduced and the guidelines followed in all but four instances. Eight patients (5.0%) developed postoperative infections, either in the wound or intraperitoneally. The frequency of infection was affected by the adherence to protocol, as 50% of the infections occured in patients who did not receive preoperative antibiotic prophylaxis. The use of drainage also contributed to the frequency of wound infection. Thorough peritoneal lavage and meticulous surgical technique should reduce the need for drainage.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1986.tb02361.x

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

Peri‐operative neurological deficits in 212 patients undergoing carotid endarterectomy for unilateral carotid stenosis were examined to determine whether the internal carotid back pressure (ICBP) correctly predicted the need for a protective shunt during temporary carotid occlusion. Three strokes occurred in 149 patients who were not shunted. In one of these the ICBP indicated the need for a shunt, but shunting was not possible for technical reasons and a stroke due to hypoperfusion occurred. In another patient a stroke occurred as a result of embolism. There was only one patient where the ICBP possibly incorrectly predicted that a shunt would not be necessary. Four strokes due to various causes occurred in the 63 shunted patients. Shunting was not withheld from these patients in order to prove that ICBP would correctly predict their vulnerability to hypoperfusion since to have done so would be unethical. The results indicate that in patients with unilateral carotid stenosis the ICBP is an accurate indicator of which patients can undergo carotid endarterectomy without the need for shuntin

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1986.tb02362.x

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

A reproducible model of acute gastric stress ulceration has been described in the tetraplegic rat. The characteristics of the development of acute gastric ulceration and the concentrations of plasma gastrin have been examined. There was a significant increase in gastric stress ulceration within 4 h of producing the tetraplegia. The ulceration was confined to the glandular portion of the stomach and occurred equally on crests and rugal throughs. Plasma gastrin concentrations were not changed by spinal cord section. This characterized model can serve as a basis for further investigation of the aetiology and prophylaxis of acute gastric ulceration in quadriplegia.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1986.tb02363.x

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY