ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1976.tb03184.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1976.tb03185.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

Prolonged respiratory assistance by positive pressure ventilation via cuffed tracheosiomy or endotracheal tube can be complicated by mucosal erosions, tracheal stenosis, tracheomalacia, excavation of the tracheal wall with loss of tissue and tracheœsophageal fistula. Stenosis can occur at the subglottic region, at the stoma, or at the cuff site, whereas the other complications occur most often at the cuff site. This paper is concerned with complications occurring below the first tracheal ring

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1976.tb03186.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

Sixteen patients with severe peptic stricture of the œsophagus mere treated by cesophagogas‐trostomy at the Royal Children's Hospital, Melbourne, during the period 1048 to 1068. It has been possible to obtain a follow up on all patients, so that the period of follow up has varied from seven to 24 years. Although the early postoperative results were promising, later problems occurred in over half of the patients, the major complication being recurrence of peptic stricture at the anastomotic si

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1976.tb03187.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

Following a clinical experience of too cardiac operations in infants during deep hypothermia, as low as 15°C, the authors have designed a new bath for the procedure which incorporates several improvements over those used previously. The device described allows continuous cooling or rewarming of the patient at any stage of the operation by addition of more cold or hot water as required. It is possible to operate with the patient prone or on the side at any level of hypothermia, and while using heart lung bypass: The construction facilitates the even distribution of the circulating water, and a thermostatic control allows the temperature to be fixed at any level required

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1976.tb03188.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

One hundred and fifty consecutive splenectomies, performed at the Royal Prince Alfred Hospital over a five‐year period beginning in 1968, have been reviewed in a retrospective study. Splenectomy incidental to some other resectional procedure in the upper abdomen carried a mortality of 17%, accidental injury to the spleen during upper abdominal surgery carried a mortality of 28%, external trauma to the spleen a 7% mortality, while splenectomy for the diagnosis or therapy of a hematological disorder carried the lowest mortality, namely 4%. Morbidity and mortality were related to the age of the patient, and the mortality among patients 60 years or more was 26%. Pulmonary complications (excluding pidmonary embolus) occurred in 48% of patients. Clinically evident thromboembolism was delected in 10‐7% of patients. A definite relationship to platelet counts of more than 500,000/mm was noted amongst patients who were not heparinized.Splenectomy is associated with a high morbidity and a significant mortality. Surgeons performing the operation and physicians referring patients for splenectomy need to be aware of the risks involved. Careful patient selection, scrupulous perioperative management, and. meticulous surgery may reduce both morbidity and mortality. Elective splenectomy should be managed by a team of surgeons and physicians with a specific interest in the problems invol

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1976.tb03189.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

Benign osteoblastoma is a benign bone‐forming lesion, seen most commonly in the first three decades of life and having a predilection for the vertebral column and the short limb bones. It is distinguishable from osteoid osteoma on the bases of size (being more than one centimetre in diameter) and the absence of surrounding sclerosis. The two lesions, however, are probably of the same origin and behave differently because of their different situations. Treatment is by operation, either excision in whole if practicable, or thorough piecemeal excision and curettage, with bone grafting of the defect if indicate

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1976.tb03190.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

Articular synovial chondromatosis is a rare disease commonly affecting the knee, hip or elbow, and characterised by the formation of metaplastic cartilaginous foci in the synovium. A case of synovial chondromatosis affecting the shoulder joint is now reported because of the extreme rarity of the disease in this situation.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1976.tb03191.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

Two cases of clostridial cellulitis are presented in patients who had Charnley total hip joint replacement for severe osteoarthritis. Early deep infection can be a major problem in this operation, and is usually due to Staphylococcus aureus.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1976.tb03192.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY

摘要:

A study of 41 patients who underwent ileorectal anastomosis for Crohn's disease has shown this operation to be a relatively safe procedure with an immediate mortality of 2–5%. A defunciioning ileostomy may protect the patient against the consequences of anastomotic leakage. Ileorectal anastomosis is associated with a high early recurrence rate and an overall failure rate of up to 50% because of recurrence, intractable diarrhoea and exacerbation of perianal disease. However, half of the patients are able to retain the anastomosis and be restored to long‐standing good health. The surgical philosophy in this Centre has largely evolved from treatment of small‐bowel Crohn's disease, that is, resection of only the worst areas of involvement with the aim of symptomatic relief, and the results shown by this survey encourage us to pursue this policy by using ileorectal anastomosis for diffuse colonic disease, particularly if the rectum is uninv

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1976.tb03193.x

出版商:Blackwell Publishing Ltd    

年代:1976

数据来源: WILEY