ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1972.tb05620.x

出版商:Blackwell Publishing Ltd    

年代:1972

数据来源: WILEY

摘要:

It is the aim of this to discuss the surgical aspects of a culturally determined, yet essentially preventible disease; to review the experience derived from 72 patients, in whom it was confirmed at operatin; and to draw conclusins which may assist in the future management of this problem.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1972.tb05621.x

出版商:Blackwell Publishing Ltd    

年代:1972

数据来源: WILEY

摘要:

A series of small bowel neoplasms, benign, primary malignant and metastatic, representing the total local experience of a fourteen‐year period, is reviewed. The problems of diagnosis and management are presented and discussed. Argentaffin carcinoma is the most frequently encountered primary malignant tumour. The mode of presentation is considered to be related to the biological behaviour of the various tumours rather than to bear upon the attendant prognosis. It is apparent from our observations that knowledge of the epidemiology of these lesions must still be considered deficien

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1972.tb05622.x

出版商:Blackwell Publishing Ltd    

年代:1972

数据来源: WILEY

摘要:

A series of 910 frozen section examination of skin lesions is presented, and the results are analysed in detail and compared with others in the literature. The difficulties in histological diagnosis are discussed and contrasted with those of clinical diagnosis especially of pigmented lesions.SummaryIn 910 consecutive frozen section examinations of skin lesions nine false positive reports were submitted, but only two were of major importance. False negative reports occurred with malignant melanomas when the lesion was small or heavily pigmented, and with other malignant lesions when the specimens were large (sampling error). Frozen section examination accurately identifies lesions that tend to be mistaken for malignant melanoma on clinical examination.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1972.tb05623.x

出版商:Blackwell Publishing Ltd    

年代:1972

数据来源: WILEY

摘要:

Essential hyperhidrosis of the upper limb is readily corrected by cervico‐dorsal sympathectomy. The clinical picture of this condition, the mechanisms of sweat production and the results of treatment are discussed.SummaryTreatment of essential hyperhidrosis of the upper limb in five patients by bilateral cervical sympathectomy is reported.There was no mortality and little morbidity in this series, and all patients were relieved of their distressing symptom

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1972.tb05624.x

出版商:Blackwell Publishing Ltd    

年代:1972

数据来源: WILEY

摘要:

Fluorescent angiography of the human fundus oculi provides valuable information on the retinal circulation and events in the vascular beds of the choroid and optic nerve head. Pre‐capillary arterioles can be delineated consistently by the intravenous injection of 5% sodium fluorescein, while good capillary filling can be shown frequently. The safety, speed and ease of this investigation make it one of the most promising of the angiographic techniques available for clinical research. Its applicability extends from regional ocular diseases to a broad range of general medical problem

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1972.tb05625.x

出版商:Blackwell Publishing Ltd    

年代:1972

数据来源: WILEY

摘要:

A series of 55 cases of fish‐bone impaction of the pharynx and œsophagus is discussed. Special reference is made to the serious and sometimes fatal complications that may result from delay in treatment, and cases illustrating these complications are reported in detail.SummaryFifty‐five cases of fish‐bone impaction of the pharynx and the œsophagus are reported. Spontaneous disimpaction can occur. Persistent simple impaction, although distressing for the patient, is easily managed. Delay in treatment or well‐intentioned but inexpert attempts at dislodging the fish bone by the patient or his friends may result in perforation of the pharyngo‐œsophageal wall with retropharyngeal inflammation and suppuration, a condition carrying high morbidity. Perforation of the carotid artery or the aorta is a grave complication, requiring urgent treatment if a high mortality is to be avoided. A brief review is made of the complications of fish‐bone impaction in the abdominal part of the al

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1972.tb05626.x

出版商:Blackwell Publishing Ltd    

年代:1972

数据来源: WILEY

摘要:

In the past 21 years Thiersch's operation has been revived and has earned a small but definite place among the operations now in use.SummaryThirsch's operation is the least disturbing procedure available for the treatment of complete rectal prolapse, and may be carried out no matter how poor the general condition of the patient.Despite the results in this series of 32 cases, it is my belief that Thiersch's operation (using a wide ring of braided stainless steel wire placed deeply in the perianal tissues) deserves a place in at least the poor‐risk case with a small but complete rectal prolaps

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1972.tb05627.x

出版商:Blackwell Publishing Ltd    

年代:1972

数据来源: WILEY

摘要:

A retrospective study of 603 instance of perforated peptic ulcer occurring over the period from 1944 to 1964 is presented with reference to annual and seasonal incidence, sex ratios, mortality and the factors affecting it, and immediate morbidity. Of special note are: (a) the highly significant increase in the proportion of females in Newcastle, New South Wales; (b) the markedly lower pyloro‐duodenal: gastric ratio as compared with that reported in overseas figures; (c) a previously unreported relationship between the actual act of drinking chilled beer and perforation and (d) the very highly significant relationship between the death rate and the sise of the performation.SummaryA series of 603 instances of perforated peptic ulcer over a period of 21 years until 1964 is presented.There has been no real change in the relative incidence of perforation in gastric, pyloric and duodenal ulcers over that time interval, and none in the annual incidence. On the contrary, there has been a highly significant increase in the proportion of females, and the pyloroduodenal: gastric ratio in females is less than unity, a most marked variation from European figures.The seasonal incidence of perforated ulcer in Newcastle, Australia, is remarkably constant.A previously unreported relationship between the actual act of drinking chilled beer and perforation is noted.The overall mortality rate was 15.4%, 7.8% in patients who were operated on and 72.8% in those who were not. There was a single operative death among 80 females. In operations on males, gastric performations were the most lethal to a highly significant degree.Increase in age and delay in operation adversely affect the operative death rate.The prognosis is further worsened by perforation in hospital, posterior wall perforation, perforation associated with gastro‐intestinal hæmorrhage, admission to a non‐surgical service and, of course, mis‐diagnosis.A very highly significant relationship was noted between the death rate and the size of the perforation.The young seek advice earlier than the old, and males earlier than females.The immediate morbidity is high, with a postoperative pneumonia rate of 42.9% and a wound infection rate of 31.9%. A significant relationship is seen between subphrenic abscess and gastric per

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1972.tb05628.x

出版商:Blackwell Publishing Ltd    

年代:1972

数据来源: WILEY

摘要:

The results of surgery in 232 cases of peptic ulcer complicated by pyloric obstruction have been reviewed and the results of different operative procedures compared.SummaryIn this series vagotomy and drainage gave much better results in the presence of pyloric obstruction than in the treatment of peptic ulcer in general, whereas the results of Pólya gastrectomy appear marginally worse. It appears that the risk of stomal ulceration is the major difference, as the stomal ulcer rate for vagotomy and drainage in the presence of pyloric obstruction was 2% as compared with 8% in the total series. Conversely, the incidence of stomal ulcer following gastrectomy appears to be slightly increased. These findings suggest that vagotomy with drainage is the treatment of choice in pyloric obstruction

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1972.tb05629.x

出版商:Blackwell Publishing Ltd    

年代:1972

数据来源: WILEY