ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1992.tb06934.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1992.tb06935.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1992.tb06936.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Testicular biopsy is an important investigation in the management of an infertile patient with azoospermia. The study is aimed at defining the role of needle biopsy (Tru‐cut R) of the testes as an alternative to conventional open testicular biopsy in a prospective controlled trial of 45 consecutive patients. Our study shows that needle biospy of the testis is safe and effective, making it a reliable alternative to open biopsy of the teste

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1992.tb06937.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Cord compression was noted in 26 patients with extradural malignant lymphoma. There were 19 cases of non‐Hodgkin's lymphoma and seven cases of Hodgkin's disease. Eighteen cases of non‐Hodgkin's lymphoma had intermediate or high grade malignancy types according to the Working Formulation Lymphoma Classification. These patients represented 28% of all extradural malignant tumours seen at the Royal Adelaide Hospital (RAH) and 2.5% of all patients with malignant lymphoma, during an 11 year period.The patients were classified in three presenting groups: Group A, six patients with primary extranodal extradural lymphoma; Group B, nine patients with bolh extradural lymphoma and disseminated disease at initial presentation; and Group C, 11 patients who developed extradural lymphoma during the course of established disease. Only classification by groups appeared to affect survival time. Group A had the most favourable prognosis, with a 5 year survival of 83%. Five of the Group A patients had a relapse of lymphoma; four at distant sites and one in the retroperitoneum. Laminectomy was essential to provide a diagnosis in Group A patients. The most useful warning symptom of impending spinal cord compression was back and/or radicular pain, which preceded neurological deficit either by days or by up to 5 years. Plain spinal X‐rays were abnormal in 64% of cases, emphasizing the value of this simple proc

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1992.tb06938.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

A study of ultrasound screening for abdominal aortic aneurysms (AAA) was performed. During a 6 month period, 1225 men and women aged 60–80 years were screen at a variety of community venues. Screening was well received by the public and logistically simple to perform. Thirty‐three AAA were detected with sizes between 30 and 81 mm. In the 60–80 year age group, the prevalence of (AAA)>30 mm in diameter was 4.7% in men and 0.35% in women, and the prevalence of AAA>50mm was 0.6% in men and 0.17% in women. Cigarette smoking, but not hypertension or diabetes, was found to be a significant risk factor for AAA. This study confirms that screening for AAA is feasible and yields high prevalence rates in major population ce

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1992.tb06939.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Ultrasound examination of the abdominal aorta was performed on 100 patients with cardiovascular disease and a control group of 100 subjects. The objectives were to define the normal aortic size of Malaysians, to screen for aneurysms and to compare the aorta size of the different population groups. In the study group the mean anteroposterior (AP) diameter of the non‐aneurysmal aortas at the level of the renal arteries was 1.82cm (range 0.9–2.6cm) in men and 1.83cm (range 1.5–2.3cm) in women. This compares with 1.61 cm (range 1.1–2.2cm) in men and 1.50cm (range 0.8–2.4cm) in women in the control group. The dimensions of the infrarenal aorta show a similar relationship between the two groups. These AP diameters were significantly smaller than the published figures from studies done on Western populations and are consistent with the smaller stature of Malaysians. Five aneurysms and one ectasia were found (mean size 5cm, range 3.5–6.0cm). all in men aged 50–75 years in the study group, and none in the control group. All the aneurysms were easily palpable in these patients who were thinner than the average Caucasian. Given the lower incidence of aortic aneurysms in Malaysians there is no role for routine ultrasound screening of the population. High risk groups can be adequately screened by clinical exam

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1992.tb06940.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

All patients referred to the University Department of Surgery, Wellington Hospital, Wellington, New Zealand, with minor anorectal conditions requiring surgery were considered for day case surgery. Eighty‐three per cent of the patients were found suitable for day surgery. One hundred patients underwent 103 procedures under general anaesthesia. Admission to hospital from the day care facility was required for four patients; two for bleeding, one for pain and one for drowsiness. One patient required readmission due to inability to cope at home. Twenty‐six per cent reported severe pain. Eighty‐nine per cent found day surgery to be convenient and preferable to inpatient surgery. Eleven per cent found day surgery inconvenient and would prefer inpatient surgery in future. It is suggested that many anorectal procedures can be performed on a day case basis in selected patients, with safety and convenience. It is well tolerated and acc

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1992.tb06941.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Forty‐three patients with disseminated prostate cancer, resistant to orchidectomy or hormone therapy with estramustine were treated. Of the 33 evaluable patients, three patients had stable disease and two had a partial tumour response according to National Prostatic Cancer Project criteria. Twenty‐five patients (58%) showed improvement in pain and urinary symptoms. Ten patients (23%) had side effects requiring cessation of therapy.These results show that estramustine has a limited role in the treatment of advanced prostate cancer and that therapy is frequently associated with intolerable side effe

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1992.tb06942.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

The concept of the fasciocutaneous island flap (FCIF) has been established as a result of clinical experience in which over 180 cases have been compiled. It is a reconstructive design principle based on vascular and neural anatomy. Even though the flap pattern varies from region to region, it is the trilaminate composition of skin, fat and fascia supplied by fasciocutaneous, musculocutaneous and septocutaneous vessels, which is the basis for its success. Sometimes regional variations in this arrangement occur, for example: there is no deep fascia evident in the trigeminal nerve (CN‐V); and in the hand and the foot, the local vascular anatomy still supports this island flap idea without any defined fascial lining.Following their use in the head and neck region, and as more successful ones were designed, the flaps seemed to follow the circumferential layout on the trunk and the longitudinal distribution in the limbs, similar to the dermatomal markouts. Such dermatomal charts thus became the basis of unexplored flap potentials with or without axial vessels.In the past, the clinical word ‘angiotome’ (which means a vascularized segment) has been used in world literature to describe flap vasculature with axial input. Thus flaps with a fasciocutaneous basis may well be described as a fasciocutaneous angi

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1992.tb06943.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY