Abstract:
:In 17 years we have performed 6,505 neurosurgical procedures in the neurosurgical unit of the Salisbury Hospital Group. Only 62% were performed on Africanpatients and 38% on European patients, despite the fact that the African population exceeds the European population by 20 times. This is partly due to the tolerance of rural people towards disease and partly to a number of social factors. The European group has a greater percentage of elderly people than the African group and, although we could not estimate the incidence of tumors among the African group, we would expect their overall incidence per capita to be lower because malignant tumors tend to occur in older people. We do not suspect the existence of a genetic factor in tumor incidence. There were 205 primary intracranial neoplasms in Africans and 244 in Europeans. Histological study shows that 33% of all tumors were meningiomas in the African group compared to 19% in the European group. Gliomas comprised 61.3% of the European series and 48.8% of the African series but the distribution by Kernohan's grading of astrocytomas was the same in both groups. If age was a factor, Grades I and II should have predominated in the African group, but did not. The incidence for each tumor among our European patients followed the patterns reported in various European and USA series. Likewise the pattern emerging from our African series closely paralleled the reports of other workers in Africa. Acoustic neuromas appear to be rather rare among Africans. The average age of all adults with tumors was 15 years lower in the African group than in the European group. However, this is entirely related to the age structure of the population, and not to an earlier age of occurrence. The average ages of medulloblastoma cases were identical. In our European series the occurrence according to age was much the same as that reported by overseas workers. The sex incidence of tumors in the European group seems to be a fair reflection of the situation elsewhere; in the African group it is questionable because men go into the towns to work and leave their families in the country. There was no significant difference in the location of tumors in the two groups. Results of treatment were uniformly inferior in the African group, partly due to the lateness of arrival at the hospital so that the growth was already far advanced and also because many patients suffered poor health from concomitant disease.
journal_name
Int Surgjournal_title
International surgeryauthors
Levy LF,Auchterlonie WCkeywords:
subject
Has Abstractpub_date
1975-05-01 00:00:00pages
286-92issue
5eissn
0020-8868issn
2520-2456journal_volume
60pub_type
杂志文章abstract::The infiltration of extrahepatic bile duct carcinoma along the bile duct wall was studied in 29 resection cases. Histologically, spreading took place by mucosal infiltration in one case, mucosal and transmural in three, and transmural in 25. The average microscopic infiltrating distance from the gross margin of the tu...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1988-04-01 00:00:00
abstract::The successful replacement of islet tissue by pancreas transplantation appears to be beneficial in the early course of those uremic diabetic recipients who receive a simultaneous renal transplant. The long-term advantages of SKP transplantation remain to be determined, however, current improvement in patient and graft...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract::A follow-up examination was performed on 15 patients who had undergone esophagogastric resection or total gastrectomy for cancer an average of ten years earlier. Endoscopy was done in each case. None of the patients who had the esophagogastrostomy high in the esophagus had esophagitis. The diameter of the esophagogast...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1977-06-01 00:00:00
abstract::Fifty-one cases of elbow ankylosis treated with fascial arthroplasty were studied. Forty-two cases (85.4%) of elbow ankylosis were due to injuries; chronic dislocation (24), traumatic myositis ossificans (14) and gunshot wounds (4). Eight were due to infection and one to congenital humero-radial synostosis. Seventy-si...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1983-01-01 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::The authors give a brief review of the pathologic anatomy, the incidence and distribution, the probable etiologic factors in the development of spondylolysis and spondylisthesis, and a description of the clinical syndrome of this abnormality. It is pointed out that there are two distinct parts to the clinical syndrome...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1984-10-01 00:00:00
abstract::Radiofrequency ablation of the liver for primary and metastatic disease is used for patients who are not candidates for resection or in conjunction with resection. The technique is simple, and the morbidity rate is low. A case of intrahepatic pseudoaneurysm after radiofrequency ablation of a centrally located hepatoce...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2008-11-01 00:00:00
abstract::The development of techniques to prolong the window of fertility for women has the ability to meet the needs of future populations and their delay in childbearing. With current techniques of cryopreservation of embryos, oocytes, or ovarian tissue, prolongation of fertility with varying success is feasible. In the futu...
journal_title:International surgery
pub_type: 杂志文章,评审
doi:
更新日期:2006-09-01 00:00:00
abstract::A retrospective study of 46 patients who received bupivacaine local injections after hemorrhoidectomy were compared to a matching group of 46 patients of similar age and sex distribution who underwent the same operation. Pain medications requirement on the same day of operation and on subsequent days were measured and...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract::Acute traumatic abdominal wall hernia (TAWH) is a rare type of hernia that occurs after a low- or high-velocity impact of the abdominal wall against a blunt object. With few cases reported, a consensus in diagnosis and management has not been established in the literature. A systematic review of the literature for adu...
journal_title:International surgery
pub_type: 杂志文章,评审
doi:10.9738/INTSURG-D-14-00079.1
更新日期:2015-03-01 00:00:00
abstract::Cutaneous metastasis from primary visceral malignancy is a relatively uncommon clinical entity, with a reported incidence ranging from 0.22% to 10% among various series. However, the presence of cutaneous metastasis as the first sign of a clinically silent visceral cancer is exceedingly rare. We describe here a case o...
journal_title:International surgery
pub_type: 杂志文章,评审
doi:10.9738/INTSURG-D-13-00070.1
更新日期:2014-07-01 00:00:00
abstract::Induction of transplant tolerance is a clinically desirable goal. To provide unbiased insight into transplant tolerance, we analyzed gene expression profiling in peripheral blood mononuclear cells from recipients of living-donor liver transplants (LDLTs) who had retained an immune tolerance with a well-functioning gra...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2007-09-01 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 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::An 85-year-old woman with no history of abdominal surgery complained of abdominal pain and vomiting and was referred to us with a diagnosis of intestinal obstruction a few days later. Upon admission to our facility, she presented with marked abdominal swelling and prominent kyphosis. Because of the kyphosis, most of t...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-12-00003
更新日期:2013-07-01 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::At present, physicians and surgeons treating thyroid disorders can rely on highly accurate and precise investigations, modern equipment, and state of the art operating theater to achieve optimum results; however, this was not the case at the beginning of the treatment of thyroid diseases centuries ago. We present a sh...
journal_title:International surgery
pub_type: 历史文章,杂志文章
doi:10.9738/CC185.1
更新日期:2013-01-01 00:00:00
abstract::This retrospective study investigated the clinicopathologic characteristics and clinical outcomes of esophageal basaloid squamous carcinoma (BSC). Among 190 patients with esophageal carcinoma treated surgically between 1998 and 2011, we identified 9 (4.7%) with BSC. All of the patients were male, with a median age of ...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/CC195
更新日期:2013-10-01 00:00:00
abstract::Over a one year period (June 1992-June 1993), 260 patients (208 females and 52 males) with mean age of 37 years (range 13-80), underwent laparoscopic cholecystectomy (LC) for symptomatic gallstones. Thirty patients were admitted as emergency (20 acute cholecystitis, 10 acute pancreatitis). The procedure was performed ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1995-04-01 00:00:00
abstract::Video-assisted thoracoscopic surgery (VATS) has emerged as a minimally invasive therapy of bronchogenic carcinoma, when the diseases occur in patients unable to tolerate open thoracotomy who are 80 years old or older. We report on an 80-year-old man with poor pulmonary function and an 83-year-old man, who were treated...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1996-07-01 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::Early diagnosis of intersex is essential to avoid indecision and to establish the correct sex of rearing before mistakes have been made. Diagnosis of adrenogenital syndrome is singularly important for delay in diagnosis may lead to stunted growth or death from electrolyte imbalance. All others except the hormonally in...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1975-02-01 00:00:00
abstract::Obesity is an additional risk factor in surgical patients. The mortality rate in obese patients is high (3.6% in my series) and the morbidity is much higher. These patients may be prediabetic, diabetic, hypertensive or atherosclerotic and they are liable to develop postoperative coronary thromboses and chest complicat...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1985-04-01 00:00:00
abstract::Two children, both girls, aged 11 and 16 with a postoperative biliary fistula and cholelithiasis, choledochal cyst and common bile duct stones have undergone endoscopic sphincterotomy (EST), leading to a rapid recovery from their pathologies, thanks to cooperative work. In reviewing the literature we have not come acr...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1989-01-01 00:00:00
abstract::Among the causes of male infertility, the varicocele accounts for 40%. Videolaparoscopic varicocelectomy was used for the treatment of 800 men as day surgery cases. The operation enabled high bilateral ligation, with an average operating time of 1.5 hours. Operative difficulties were minor being colon adhesions, vascu...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2006-09-01 00:00:00
abstract::This report describes an alternative technique for Petit hernia repair. The treatment of lumbar hernias should follow the concept of tension-free surgery, and the preperitoneal space can be the best place for prosthesis placement. An obese patient had a bulge in the right lumbar region, which gradually grew and became...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-13-00135.1
更新日期:2014-09-01 00:00:00
abstract::Progress in the development of suture materials results in a lower rate of fistulas. Modern techniques for the diagnosis of leakage (contrast study, CT-scan) allow for an early diagnosis and adequate therapy: if possible conservative therapy with drainage of the abscess, adapted antibiotic therapy and parenteral and e...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1998-10-01 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::Two hundred and seven patients aged from 37 to 65 years with noninflammatory breast cancer treated by surgery without radiation were studied over a ten year period with a view to forecasting the prognosis on the basis of the immune status and treatment. The immunocompetence or immune status was studied in 121 patients...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1988-01-01 00:00:00
abstract::Carotid endarterectomy is a method of prophylaxis. A total of 367 carotid endarterectomies in 335 patients were performed during the period of 1989-1997: 222 (66.3%) were symptomatic and 113 (33.7%) asymptomatic patients. In all, 262 (78.2%) had unilateral, 41 (12.2%) contralateral occlusion and 32 (9.6%) bilateral ar...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00