Abstract：
:The aim of this study was to determine the clinical presentation, morbidity, and mortality and to identify the factors that might affect the outcome of emergency repair in elderly patients. A study of 143 patients (> 65 years old) who underwent emergency surgical repair for incarcerated external hernias during the period 1992-2001 was done. Fifty patients (35%) presented after 48 hours of symptoms onset. Coexisting diseases were found in 104 cases (77.7%). Bowel resection was required in 25 patients (17.5%). Overall morbidity was 46.2%, and major complications were seen in 17 cases (11.9%). Mortality was observed in seven patients (4.9%). Longer duration of symptoms, delayed hospitalization, concomitant illness, and high American Society of Anesthesiologists scores were significant factors linked with unfavorable outcome. To avoid the increased risks of emergency hernia repairs in the elderly, priority admission and early elective surgery should be used.
journal_name
Int Surgjournal_title
International surgeryauthors
Alvarez Pérez JA,Baldonedo RF,Bear IG,Solís JA,Alvarez P,Jorge JIkeywords:
subject
Has Abstractpub_date
2003-10-01 00:00:00pages
231-7issue
4eissn
0020-8868issn
2520-2456journal_volume
88pub_type
杂志文章abstract：:The authors performed a total of 237 endolaser treatments for insufficiency of great and small saphenous veins and assessed 5-year results. It was found that this method, especially if performed with a 1470-nm-wavelength laser combined with instrumental removal of some lateral veins, was very effective. It was delicat...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2010-07-01 00:00:00
abstract：:The aim of the earliest possible diagnosis of breast carcinoma achieved through the integration of clinical, mammographic, sonographic and cytologic data has determined an increased detection of breast lesions and a greater accuracy in their description. Nevertheless, the nature of some of these lesions cannot be well...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1995-04-01 00:00:00
abstract：:Congenital defects presenting at an adult age are subject to diagnostic errors because of their relative rarity and often odd clinical presentation. We illustrate a 63-year-old male patient with multiple ileal carcinoid tumors along with a carcinoid tumor in Meckel's diverticulum. The Meckel's diverticulum is a congen...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
abstract：:Persistent descending mesocolon is an uncommon developmental anomaly which results from failure of fusion of the descending mesocolon with the posterior parietal peritoneum. It is asymptomatic in most cases and rarely causes intestinal obstruction. We report here a case of primary intestinal obstruction complicated by...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2000-07-01 00:00:00
abstract：:Massive lower gastrointestinal hemorrhage originates in the colon in 70% of cases. In half the remaining cases it originates in the small bowel, and in the other half in the duodenum. Currently available diagnostic techniques are: mesenteric angiography, barium contrast meal studies, colonoscopy, and laparotomy. Cause...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1980-03-01 00:00:00
abstract：:Cases with concurrent pheochromocytoma and renal artery stenosis, two "surgically curable" hypertensive disorders, are rare. The stenosis is generally secondary to direct compression or stretching of the renal artery by the tumor. Five such cases are reported. Sometimes the tumor and the renal artery stenosis occur in...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1985-04-01 00:00:00
abstract：:Obstructive jaundice in patients with chronic pancreatitis still constitutes a surgical problem deserving the attention of many specialized centers throughout the world. Out of a series of 149 patients operated upon for chronic pancreatitis, 45 (30.2%) with common duct stricture secondary to pancreatic disease have be...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1984-04-01 00:00:00
abstract：:A 68-year-old man underwent pancreaticoduodenectomy with lymph nodes dissection for carcinoma of the ampulla of Vater. The patient had anxiety neurosis and had been treated with a selective serotonin reuptake inhibitor (SSRI). Postoperatively, SSRI was resumed on postoperative day 2. His serum sodium concentration gra...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-13-00032.1
更新日期：2013-10-01 00:00:00
abstract：:The effectiveness of low-molecular weight heparin CY 216 in the prophylaxis of fatal pulmonary embolism in patients undergoing general surgery was assessed in a multicentre, double-blind, randomized, clinical trial against placebo. A total of 4,498 patients aged over 40 undergoing general surgery were enrolled in the ...
journal_title：International surgery
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：
更新日期：1989-10-01 00:00:00
abstract：:14 cases of silent perforation of the uterus by the Lippes loop are presented. Loop perforations are usually asymptomatic and can be treated conservatively. If complications occur, they require surgical intervention with posterior colpotomy being the procedure of choice if the loop is in the pelvic cavity. Laparoto...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1973-05-01 00:00:00
abstract：:We studied the reaction in rats to implants of heterotopic bone in the paravertebral region, using three types of material: bone preserved in alcohol, homologous bone preserved in alcohol associated with autogenous cancellous bone obtained from the iliac crest of the same animal, and isolated autogenous cancellous bon...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1975-06-01 00:00:00
abstract：:Intussusception is a rare cause of adult intestinal obstruction. Clinical manifestations are not specific, which makes a preoperative diagnosis difficult to establish and often causes delay. We report a case of acute intestinal obstruction due to ileocolic intussusception. An emergency laparoscopy was performed reveal...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-12-00005.1
更新日期：2013-10-01 00:00:00
abstract：:The purpose of this study was to clarify the rate and characteristics of conscious disorder without intracranial hemorrhagic injury in polytrauma patients. The medical records of polytrauma patients with conscious disorder without intracranial hemorrhagic injury were reviewed. Fifty-five patients (35.3% of 156 polytra...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2010-07-01 00:00:00
abstract：:A case of acute mesenteric ischemia and massive intestinal infarction secondary to bilateral lumbar sympathectomy and without any other apparent precipitating factors is presented. Its characteristics and findings significantly agree with those described as part of the mesenteric arterial steal syndrome. Although this...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1979-05-01 00:00:00
abstract：:The records of patients treated for vulvar carcinoma at the University of Milan from January 1967 through December 1991 have been studied retrospectively, making an analysis of the results of surgical staging in terms of prognosis, morbidity and long-term survival. All cases have been reevaluated and restaged accordin...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1996-01-01 00:00:00
abstract：:This is the first publication of a rare benign tumor; mesenteric panniculitis causing acute on chronic ischemic bowel injury. ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2008-07-01 00:00:00
abstract：:The objective of this study was to assess the diagnostic value of preoperative cytology and galactography in women with nipple discharge using a simple intraductal aspiration method. From May 1997 to February 2002, 172 patients with unilateral, spontaneous nipple discharge without palpable masses underwent intraductal...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2003-04-01 00:00:00
abstract：:Benign tracheal stenosis is responsible for considerable morbidity, and it is difficult to treat. Our objective is to present the results of surgical treatment. This was a retrospective chart review from the tertiary care center on Head and Neck Surgery in Hospital Ana Costa. We performed a retrospective review of 19 ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2008-11-01 00:00:00
abstract：:The aim of this study is to analyze the risk factors for complications and recurrence in pilonidal sinus disease. The prospective study consisted of 144 patients with pilonidal sinus disease who were operated on at Dicle University Medical Faculty, Department of General Surgery, between February 2008 and December 2010...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/CC86.1
更新日期：2012-07-01 00:00:00
abstract：:In an attempt to assess the different methods of treatment of tumors of the esophagus we contacted 170 surgeons (in 1975-1976). Seventy-six (45%) answered a questionnaire concerning the surgical management of esophageal tumors, the reasons for non operability and non resectability, the place of radiotherapy, the valid...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1979-03-01 00:00:00
abstract：:The study was undertaken to investigate the use of one-stage circumferential ring-constriction release with Z-plasties regarding the safety, aesthetic appearance, and limb function. A thorough review was conducted on all English publications in PubMed during the period of 2001 through 2011. Titles and abstracts were i...
journal_title：International surgery
pub_type： 杂志文章,评审
doi：10.9738/INTSURG-D-13-00230.1
更新日期：2015-02-01 00:00:00
abstract：:We examined eight patients with adenocarcinoma of the small intestine: four were localized in the duodenum and four in the jejunum. We performed six curative resections: two pancreatoduodenectomy, two total pancreatectomy and two jejunal resections; in two cases, only by-pass was performed. Three patients who were res...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1991-10-01 00:00:00
abstract：:Regarding the complications of peptic ulcer, a perforation remains the most important fatal complication. The aim of our retrospective study was to determine relations between postoperative morbidity and comorbid disease or perioperative risk factors in perforated peptic ulcer. In total, 239 patients who underwent eme...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-14-00187.1
更新日期：2015-05-01 00:00:00
abstract：:Bronchobiliary fistula (BBF) is a rare condition which occurs most commonly as a complication of hydatid cyst liver disease. The following report describes a patient who presented with biliptysis 6 months following decortication of an empyema that had occurred following partial hepatectomy of a colon cancer metastasis...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-13-00095.1
更新日期：2014-07-01 00:00:00
abstract：:Trigger digits can be treated surgically using a percutaneous or an open technique. The aim of this study was to evaluate the long-term results of the percutaneous and open surgery for trigger digits. The long-term results of 266 percutaneously released trigger digits and 70 open released trigger digits were evaluated...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2002-01-01 00:00:00
abstract：:Incidence of cholelithiasis in the teaching hospital population of India has been reported. The study suggests that North Indians are more prone to cholelithiasis than South Indians. Apparently this variation is related to dietary and geographical factors. ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1977-03-01 00:00:00
abstract：:Twenty cases of carcinoma of the cervix uteri stage III and IV and ten cases of carcinoma of the rectosigmoid colon stage III were investigated by fractionated cystography to detect any infiltration of the destensible part of the urinary bladder wall. Cystography was normal in all cases except one. The finding was con...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1975-05-01 00:00:00
abstract：:We report nine cases of adrenal cysts, treated in our hospital, between 1980 and 1990. The majority of the cases (5/9) were incidental findings on US and CT examinations. We operated on 4/9 cases because of their symptomatology or their size. Four other cases were managed conservatively; one last case was treated by p...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1993-07-01 00:00:00
abstract：:A new classification of proximal bile duct tumors mainly based on endo- and exobiliary neoplastic invasion, indicating radical or palliative surgery is proposed. Fifty-eight patients underwent radical (12) or palliative (46) surgery. The 5-year survival rate of patients treated radically is 40% compared to 0% in patie...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1985-01-01 00:00:00
abstract：:Ocular chemical burns are frustrating disorders. The conjunctival surface provides a defense mechanism protecting against infection, desiccation, and injury, being centered in the epithelial lining of the ocular surface. A monocular case of severe acid chemical burn is presented. Postinjury-stratified epithelium in th...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2005-01-01 00:00:00
