ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1975.tb05713.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

The preperitoneal fascia of the groin is distinct from the transversalis fascia, although often mistaken for it. This distinction, and other special features of this fascia in the inguen, are more readily appreciated in the course of the preperitoneal approach than by the conventional transinguinal approach. Certain features of this fascia which are of practical surgical significance are emphasized, especially those concerning operations for hernias, hydroceles, or undescended testes in infancy and childhood. These special features include the preperitoneal fascial ring or secondary internal ring, which appears to have been confused in the past with the transversalis fascial opening or internal ring proper. Other features concerning the relative merits of the preperitoneal approach to groin hernias as opposed to the conventional transinguinal approach are discussed.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1975.tb05714.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

A series of 12 patients with torsion of the testis in the newborn is reported. In all patients the torsion occurred above the investment of the tunica vaginalis. Torsion occurred on the right side in six patients, on the left side in. five, and was bilateral in one. The clinical features, operative findings and treatment are described

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1975.tb05715.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

Eighty‐seven limbs in 48 patients have been studied with an electromagnetic flow meter at the time of arterial reconstruction designed to restore blood flow from the aorta to the femoral artery system. The mean overall flow was 339 ml per minute. Blood flow in aneurysmal disease was significantly higher than that recorded in obstructive disease. Blood flow in arteries running into a fully patent femoral system was significantly higher than in those that ran only into the profunda. Age, sex, type of surgery and size of graft had no influence on the flow achieved. Reconstructions for rest pain or advanced trophic change produced flows of the same magnitude as reconstructions for intermittent claudication. The patient's weight correlated significantly with the intraoperative flow. The mean flow in the limbs of 28 patients in whom an accurate preoperative weight was known was 2–56 mil 100 gm/minute, taking the hind limb and hemi‐pelvis as 25% of the body weight. This is an acceptably “normal” value. A flow of less than 100 ml per minute in an aortoiliac reconstruction was found to be not likely to result in long‐t

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1975.tb05716.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

A comparison is presented of the complications found in two series each consisting of 331 consecutive patients undergoing thyroidectomy in the same Unit ten years apart. The overall incidence of postoperative complications has been reduced, particularly in the group of patients having thyroidectomy for thyrotoxicosis, following which it is now no greater than after thyroidectomy for benign non‐toxic goitre. The techniques used to try to reduce the postoperative complication rate are discussed. The incidence of permanent recurrent laryngeal nerve palsy has been reduced to 0–3% and of permanent hypoparathyroidism to 1.2/. The overall incidence of complications causing permanent disability is now

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1975.tb05717.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

A case of congenital chondromatous hamartoma of the thyroid gland in a male infant is reported. It presented as a congenital goitre. The thyroid swelling started to increase in size and became hard. It was excised. Histopathological examination revealed the tumour to be a chondromatous hamartoma of the thyroid gland. Reports of this condition in the literature are few

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1975.tb05718.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

Regional perfusion has been carried out in the limbs of a group of patients with recurrent melanoma, and has achieved disappearance of visible disease in the affected limb in JO patients out of 28 (36%), prevention of local recurrence in five, and no effect on the disease in nine. This control of recurrent melanoma cost no mortality, but did carry a definite but acceptable morbidity

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1975.tb05719.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

This paper reports a series of 43 patients with lung cancer treated by means of planned preoperative radiotherapy between 1961 and 1966. A five‐year survival figure of 23% is reported for the series. The rationale of the treatment is discussed, together with some clinical situations in which it was felt that this regime had a definite advantage over other metho

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1975.tb05720.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

Primary malignant tumours of the mediastinum are difficult clinical problems in thoracic surgery from both diagnostic and therapeutic points of view. Three cases of malignant seminoma of the mediastinum have been documented, thus bringing the total number of cases reported in the literature to 78. A case of metastasis to the subcutaneous tissue in malignant thymoma has been documented. Because of the multiple‐cell types of these tumours and their ill‐defined extent due to involvement of adjacent structures,^ surgery is often difficult. Radiotherapy along with chemotherapy has a definite place in their management, either as a primary treatment in inoperable cases or as a supplement to surgery if the condition is oper

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1975.tb05721.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY

摘要:

One hundred and three patients with 104 patellar fractures were examined over a follow‐up period ranging from three to 11 years. Patients were assessed subjectively and objectively. The fractures were classified into three groups, transverse, comminuted and polar. Four methods of treatment were used, conservative, internal fixation, partial excision and total excision. In general, the results in the majority of patients were satisfactory, those patients who underwent total patellectomy faring at least as well as any others requiring surgical interventi

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1975.tb05722.x

出版商:Blackwell Publishing Ltd    

年代:1975

数据来源: WILEY