摘要:

Electrical hazards have developed insidiously in operating theatres over recent years, and few people who work in them are aware of the dangers. The formulation of more appropriate safety codes and the education of medical people concerning the safe use of electricity are urged. The hazards that now exist are discussed, with examples, and some basic electrical concepts which apply to these hazards are examined. A plea is made for a more responsible attitude by doctors, and for higher standards of maintenance and vigilance.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1968.tb06269.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

摘要:

Wound infection rates in a general hospital over an 11‐year period have been studied, the review embracing over 12,000 sutured surgical wounds. There is a remarkably constant downward trend in the wound infection rate. This is considered real, as there has been no change in the method of recording. Changes in operating theatre technique have not individually influenced the rates or the trend. In particular, the use or non‐use of surgical masks made no difference to the incidence of wound infection. Changes in scrub‐up‐technique and the introduction of air‐conditioning in the operating rooms had no appreciable effect. There is a difference between wound infection rates of acute operations and elective operations, of “clean” operations and “dirty” operations. The possible sources of surgical wound infection are discussed. The classification into “inherent” and “sporadic” groups is offered, and in “sporadic” infections the role of the patient as a sour

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1968.tb06270.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

摘要:

Ninety consecutive patients with ruptured abdominal aortic aneurysms were treated surgically. The hospital mortality was 42% for the whole period, but was reduced to 33% for the last five years. Case management is outlined, with emphasis on ancesthetic and fluid management, and causes of mortality and morbidity are presented. The late results were also discussed and an actuarial survival curve was calculated.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1968.tb06271.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

摘要:

The incidence of diverticular disease of the colon is discussed, and the indications for surgical interference, over and above those which are absolute, are considered. In the author's experience, a second attack of diverticulitis implies a greater likelihood of subsequent attacks, and a greater likelihood also of more serious complications. In an endeavour to prevent these, the routine daily administration of 250 mg of tetracycline is suggested. “Painful diverticulitis attacks” may in fact have no inflammatory background, but can be due to spastic colon syndrome and can be relieved by sigmoid resect

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1968.tb06272.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

摘要:

A case of carcinoma of the rectum presenting with ischemic colitis is described. The problems arising from the coexistence of these conditions are discussed in terms of the diagnosis of stricture in the presence of ischemic colitis and of the surgery required for the carcinoma.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1968.tb06273.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

摘要:

The clinical manifestations and pathological features of radiologically detected, apparently benign, polypoid lesions of the stomach are considered. Data were obtained from 22 cases from the Royal Adelaide and Queen Elizabeth Hospitals, and from series of cases previously recorded. A decision tree is constructed, as a guide to clinical management.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1968.tb06274.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

摘要:

The fourth recorded case of total reduplication of the stomach, illustrating the problems created by this anomaly, particularly hemorrhage, is presented. Management by duodeno‐duodenostomy is discussed in the light of previous report

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1968.tb06275.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

摘要:

Three cases of this rare emergency are presented. The pathological basis, clinical features and treatment are discussed, and the importance of precisely locating the bleeding site is emphasized. Two of these patients were diabetic, an association which has not previously been described.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1968.tb06276.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

摘要:

A case of acute arterial insufficiency of the right leg of a young man is described, following a blow on the inguinal region from the handlebar of a motor‐scooter. A review of the literature suggests that this is an uncommon but clear‐cut syndr

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1968.tb06277.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY

摘要:

The case records arc reported of 13 patients who gave a history of a well‐remembered injury, which appeared to have resulted, within a comparatively short period of time, in the development of a basal‐cell carcinoma at the same site. Although it is likely that, if such an injury is relevant, it has only accelerated the appearance of a tumour in a precancerous area, it is, none the less, curious that this happening is more commonly recorded in the pathogenesis of a basal‐cell carcinoma than in that of a squamous‐cell carcinoma. In seven of the cases the injury was a ther

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1968.tb06278.x

出版商:Blackwell Publishing Ltd    

年代:1968

数据来源: WILEY