摘要:

AbstractMuscles which lose their attachments are uncommon. During development this normally occurs in certain muscles, e.g. the muscles of the face and epicranius; these muscles lose their skeletal connections before migration. In the case presented here a muscle in the occipital region had lost its attachment and formed a peculiar swelling.

ISSN:0007-1323    

DOI:10.1002/bjs.1800660102

出版商:John Wiley&Sons, Ltd.    

年代:1979

数据来源: WILEY

摘要:

AbstractSpinal epidural abscess is seldom encountered in children and rarely occurs in the absence of spinal pain. A case is described in which a child with a thoracic epidural abscess presented with abdominal rather than spinal pain. Thoracolumbar radicular inflammation and visceroparietal refexes initiated by a ‘spinal ileus’ probably produced the symptoms and signs of acute intra‐abdominal disease. Consideration of intraspinal disease is advisable in all cases of acute abdomen which exhibit atypical fea

ISSN:0007-1323    

DOI:10.1002/bjs.1800660103

出版商:John Wiley&Sons, Ltd.    

年代:1979

数据来源: WILEY

摘要:

AbstractToxic dilatation of the colon may be due to inflammatory bowel disease, either ulcerative colitis or Crohn's disease of the colon, but recent experience has shown that infective colitis due to salmonella can produce this complication. We present 13 cases with toxic dilatation (9 inflammatory bowel disease and 4 salmonellosis) and outline the diagnostic features and treatment in these patients. It is important to distinguish salmonellosis at an early stage because, whilst toxic dilatation in inflammatory bowel disease is an absolute indication for surgical treatment, cases with this complication due to salmonellosis may be treated conservatively in the majority of instances.

ISSN:0007-1323    

DOI:10.1002/bjs.1800660104

出版商:John Wiley&Sons, Ltd.    

年代:1979

数据来源: WILEY

摘要:

AbstractThis report presents the interim results of the MRC trial on the treatment of Stage I melanoma of the lower limb by endolymphatic therapy.Over a 10‐year period a group of 146 patients has been entered into the trial. Although total recurrence rates were not significantly affected by endolymphatic therapy, recurrence in the lymph nodes was largely prevented. More patients in the standard treatment group needed the more major procedure of block dissection.The survival rates for the endolymphatic and standard treatment groups did not differ significantl

ISSN:0007-1323    

DOI:10.1002/bjs.1800660105

出版商:John Wiley&Sons, Ltd.    

年代:1979

数据来源: WILEY

摘要:

AbstractAn abdominal extraperitoneal approach is described for use in patients who have a severe degree of incomplete descent of the testicle. In 86 such operations, the testicle was placed in the scrotum in 85. The approach allows certainty of diagnosis in cases of anorchia and it is helpful when orchidopexy has to be combined with a herniotomy in infancy.

ISSN:0007-1323    

DOI:10.1002/bjs.1800660106

出版商:John Wiley&Sons, Ltd.    

年代:1979

数据来源: WILEY

摘要:

AbstractThe investigation, management and clinical course of 12 patients developing stenosis of the renal artery following transplantation are described. The possible aetiology of the three arteriographic patterns of stenosis is discussed. Surgical correction of graft arterial stenosis is difficult and may lead to graft loss, whereas the outcome with antihypertensive drug treatment with or without anticoagulants is good. Surgery should only be contemplated if medical treatment is failing or if renal function is deteriorating.

ISSN:0007-1323    

DOI:10.1002/bjs.1800660107

出版商:John Wiley&Sons, Ltd.    

年代:1979

数据来源: WILEY

摘要:

AbstractThe outcome of 68 arteriovenous grafts placed in 46 patients requiring haemodialysis was studied over a period of 3.5 years. The biological grafts included autogenous saphenous vein, modified bovine carotid artery and human umbilical cord vein allograft, whereas the synthetic grafts comprised Sparks Dacron mandril, expanded reinforced polytetrafluoroethylene and knitted Dacron velour. These subcutaneous grafts were arranged as looped or straight configurations in the forearm or thigh. Of 59 grafts evaluated in patients with end‐stage renal failure, only 48 per cent of the forearm grafts performed well, compared with 85 per cent of the thigh grafts. Although only 38 per cent of the looped grafts were successful, 78 per cent of the straight grafts functioned satisfactorily. Synthetic grafts suffered less serious complications than the commercial biological graft

ISSN:0007-1323    

DOI:10.1002/bjs.1800660108

出版商:John Wiley&Sons, Ltd.    

年代:1979

数据来源: WILEY

摘要:

AbstractThe clinical features and surgical management of 2 patients with neurofibrosarcoma of the duodenum in association with von Recklinghausen's disease are described. The tumours were excised and the resulting duodenal defects closed satisfactorily using the jejunal serosal patch technique. Three such neurofibrosarcomas reported previously in English are reviewed.

ISSN:0007-1323    

DOI:10.1002/bjs.1800660109

出版商:John Wiley&Sons, Ltd.    

年代:1979

数据来源: WILEY

摘要:

AbstractA case of the rare condition of pyeloduodenal fistula is presented—the thirty‐second case so far recorded in the literature. The authors consider that this instance shows some of the features typical of the cases so far reported.The literature is reviewed and the aetiology, presentation, diagnostic methods and treatment are briefly discus

ISSN:0007-1323    

DOI:10.1002/bjs.1800660110

出版商:John Wiley&Sons, Ltd.    

年代:1979

数据来源: WILEY

摘要:

AbstractIn order to know whether the exact determination of the corpus–antrum border is of importance in highly selective vagotomy (HSV) the operation was performed on two matched groups of patients with duodenal ulcers. In group 1 (35 patients) HSV was performed using anatomical landmarks to define the distal extent of dissection. In group 2 (35 patients) HSV was performed using the same technique and then a gastrotomy was made and any remaining acid‐secreting mucosa was identified using pH‐metry under pentagastrin stimulation. In 22 cases secretion of acid was observed distal to the anatomically defined corpus‐antrum border. In these patients afurther distal division of vagal branches was done until no acid secretion was observed. Two months and 1 year after the operation, basal acid output (BAO), pentagastrin‐stimulated acid output (PAOpg), insulin‐stimulated acid output (PAO1) and basal serum gastrin determinations were done and compared with the corresponding preoperative data. Our results show that despite the more extensive division of the antral vagal branches in group 2, BAO and PAOpgwere similar in both groups postoperatively. Postoperative PAOIwas also similar. Differences were observed, however, in postoperative serum gastrin levels–group 1 42.5 ± 6.0 pmol/l and group 281.7 ± 7.4 pmol/l 1 year after the operation. In no cases did the more extensive dissection of antral vagal branches lead to clinical or radiological gastric stasis. Thus, if the branches of the nerves of Latarjet are used as landmarks in performing HSV, in many cases vagally innervated, acid‐secreting mucosa will be left in the stomach, but apparently this is quantitatively of minor importance. On the other hand, a more extensive distal vagal dissection leads to disturbingly high postoperative ser

ISSN:0007-1323    

DOI:10.1002/bjs.1800660111

出版商:John Wiley&Sons, Ltd.    

年代:1979

数据来源: WILEY