Diagnosis of deep vein thrombosis.


:A wide range of clinical symptoms and signs are observed with venous thrombosis. Nonetheless, clinical diagnosis has been found to be unreliable and accurate diagnostic methods must be used before potent therapy such as anticoagulation is instituted, since the complications of treatment themselves can be life-threatening. Phlebography is still the basic reference for evaluation of deep venous disease. While it is felt to be the most accurate, there are still limitations relative to difficulty in separating acute from chronic disease, and in obtaining adequate contrast in certain veins such as calf muscles and in the larger intraabdominal veins. Moreover, it is an uncomfortable invasive test, not without complications of its own. The 125I-fibrinogen uptake test is an excellent test for screening for forming thrombi. The sensitivity of this test is high, particularly in the detection of small calf vein thrombi. The primary drawbacks of this technique are that it is falsely positive in cases where there has been bleeding, inflammation, gross edema, arthritis, or leg ulceration. It is not accurate above mid-thigh because of the high blood flow at the level of the groin and pelvis. Radioactive labeled plasmin which will adhere to the surface of recently formed thrombi can also be used for diagnosis. The limitations are a very short half-life of the radioactive label so that repeated investigation of a patient cannot be performed unless new injections are given. The diagnostic accuracy is comparable to that of radioactive labeled fibrinogen and has the same advantages and disadvantages. Plethysmographic techniques have been used with various modifications.(ABSTRACT TRUNCATED AT 250 WORDS)


World J Surg


World journal of surgery


Bergqvist D,Bergentz SE




Has Abstract


1990-09-01 00:00:00












  • Analysis of prognostic factors influencing long-term survival after hepatic resection for metastatic colorectal cancer.

    abstract:BACKGROUND:The aim of this study was to analyze the prognostic factors associated with long-term outcome after liver resection for colorectal metastases. The retrospective analysis included 297 liver resections for colorectal metastases. METHODS:The variables considered included disease stage, differentiation grade, s...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Arru M,Aldrighetti L,Castoldi R,Di Palo S,Orsenigo E,Stella M,Pulitanò C,Gavazzi F,Ferla G,Di Carlo V,Staudacher C

    更新日期:2008-01-01 00:00:00

  • Burn shock resuscitation.

    abstract::The goal of fluid resuscitation in the burn patient is maintenance of vital organ function at the least immediate or delayed physiological cost. To optimize fluid resuscitation in severely burned patients, the amount of fluid should be just enough to maintain vital organ function without producing iatrogenic pathologi...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审


    authors: Warden GD

    更新日期:1992-01-01 00:00:00

  • Letter to the Editor: Early Consequences of Pectus Excavatum Surgery on Self-Esteem and General Quality of Life.

    abstract:: ...

    journal_title:World journal of surgery

    pub_type: 评论,信件


    authors: Darling C,Chao S,Ramamurthi R,Tsui B

    更新日期:2019-03-01 00:00:00

  • Association of Genetic Risk of Obesity with Postoperative Complications Using Mendelian Randomization.

    abstract:BACKGROUND:The extent to which obesity and genetics determine postoperative complications is incompletely understood. METHODS:We performed a retrospective study using two population cohorts with electronic health record (EHR) data. The first included 736,726 adults with body mass index (BMI) recorded between 1990 and ...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Robinson JR,Carroll RJ,Bastarache L,Chen Q,Mou Z,Wei WQ,Connolly JJ,Mentch F,Sleiman P,Crane PK,Hebbring SJ,Stanaway IB,Crosslin DR,Gordon AS,Rosenthal EA,Carrell D,Hayes MG,Wei W,Petukhova L,Namjou B,Zhang G,Sa

    更新日期:2020-01-01 00:00:00

  • Assessment of the availability of technology for trauma care in India.

    abstract:BACKGROUND:We sought to assess the status of availability of technology for trauma care in a state in India and to identify factors contributing to both adequate levels of availability and to deficiencies. We also sought to identify potential solutions to deficiencies in terms of health system management and product de...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Shah MT,Joshipura M,Singleton J,LaBarre P,Desai H,Sharma E,Mock C

    更新日期:2015-02-01 00:00:00

  • The limited role of ultrasound in the diagnostic process of colonic diverticulitis.

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    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Nielsen K,Richir MC,Stolk TT,van der Ploeg T,Moormann GR,Wiarda BM,Schreurs WH

    更新日期:2014-07-01 00:00:00

  • Patterns and treatment of recurrence following pulmonary resection for colorectal metastases.

    abstract:BACKGROUND:Pulmonary resection is the best therapeutic option for lung metastases from colorectal cancer (CRC) today. However, recurrences are frequent following pulmonary resection. We aimed to evaluate the recurrence pattern and treatment of initial pulmonary resection for metastases from CRC. METHODS:Data from 76 p...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Yokota M,Kobayashi A,Nomura S,Nishizawa Y,Ito M,Nagai K,Saito N

    更新日期:2015-07-01 00:00:00

  • Access routes for nutritional therapy.

    abstract::Enteral nutrition (EN) and total parenteral nutrition (TPN) may provide life-sustaining therapy for surgical patients. The duration of nutritional therapy (enteral or parenteral) implies distinct access routes. We review the main aspects related to access routes for nutrient delivery. The enteral route, whenever feasi...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审


    authors: Waitzberg DL,Plopper C,Terra RM

    更新日期:2000-12-01 00:00:00

  • The 1-2-3 approach to abdominal packing.

    abstract:BACKGROUND:Abdominal packing (AP) in damage-control laparotomy (DCL) is a lifesaving technique that controls coagulopathic hemorrhage in severely injured trauma patients. However, the impact of the duration of AP on the incidence of re-bleeding and on intra-abdominal infections in penetrating abdominal trauma is not cl...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Ordoñez C,Pino L,Badiel M,Sanchez A,Loaiza J,Ramirez O,Rosso F,García A,Granados M,Ospina G,Peitzman A,Puyana JC,Parra MW

    更新日期:2012-12-01 00:00:00

  • Applicability of intraoperative parathyroid hormone assay during total thyroidectomy as a guide for the surgeon to selective parathyroid tissue autotransplantation.

    abstract:BACKGROUND:Intraoperative parathyroid hormone assay (IOPTH) has been suggested to have value in predicting the development of postoperative hypoparathyroidism after thyroid surgery. IOPTH has been validated in identification of patients at risk of postoperative hypocalcemia requiring early onset of calcium supplementat...

    journal_title:World journal of surgery

    pub_type: 杂志文章,随机对照试验


    authors: Barczyński M,Cichoń S,Konturek A,Cichoń W

    更新日期:2008-05-01 00:00:00

  • Is adrenal venous sampling mandatory before surgical decision in case of primary hyperaldosteronism?

    abstract:BACKGROUND:Primary hyperaldosteronism (PHA) is a cause of secondary arterial hypertension potentially curable by laparoscopic unilateral adrenalectomy. We describe the follow-up of these patients according to their medical or surgical treatment. METHODS:We report a retrospective single-center study of 91 patients with...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Pirvu A,Naem N,Baguet JP,Thony F,Chabre O,Chaffanjon P

    更新日期:2014-07-01 00:00:00

  • The evolving role of laparoscopy in colonic diverticular disease: a systematic review.

    abstract:BACKGROUND:A PubMed search of the biomedical literature was carried out to systematically review the role of laparoscopy in colonic diverticular disease. All original reports comparing elective laparoscopic, hand-assisted, and open colon resection for diverticular disease of the colon, as well as original reports evalu...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审


    authors: Gaertner WB,Kwaan MR,Madoff RD,Willis D,Belzer GE,Rothenberger DA,Melton GB

    更新日期:2013-03-01 00:00:00

  • Factors of failure for nonoperative management of blunt liver and splenic injuries.

    abstract::A review of the literature describing the management of hepatic and splenic injuries indicates that as many as 67% of exploratory celiotomies for blunt trauma are reported as nontherapeutic. Avoiding unnecessary surgery through nonoperative management offers an attractive alternative. Nonetheless, nonoperative managem...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审


    authors: Ochsner MG

    更新日期:2001-11-01 00:00:00

  • Elective lymph node dissection for melanoma: two perspectives.

    abstract::Node dissection for melanoma remains the most important therapeutic decision for the optimal management of the patient with melanoma. In Australia and in some parts of the United States, the majority of patients with intermediate thickness melanoma (1.6-4.00 mm) will undergo elective lymph node dissection. In Europe, ...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审


    authors: McCarthy WH,Shaw HM,Cascinelli N,Santinami M,Belli F

    更新日期:1992-03-01 00:00:00

  • Risk factors for conversion of laparoscopic colorectal surgery to open surgery: does conversion worsen outcome?

    abstract:INTRODUCTION:The utilization of laparoscopy in colorectal surgery is increasing. However, conversion to open surgery remains relatively high. OBJECTIVE:We evaluated (1) conversion rates in laparoscopic colorectal surgery; (2) the outcomes of converted cases compared with successful laparoscopic and open colorectal ope...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Masoomi H,Moghadamyeghaneh Z,Mills S,Carmichael JC,Pigazzi A,Stamos MJ

    更新日期:2015-05-01 00:00:00

  • Endoscopic management of nonvariceal gastrointestinal bleeding.

    abstract::Endoscopic management of upper gastrointestinal bleeding has been expanded from a purely diagnostic role to a therapeutic role in many patients. In addition to controlling active bleeding, it is an option in a patient who is clinically at a high risk of rebleeding, or in patients who have peptic ulcers with visible ve...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审


    authors: Steffes CP,Sugawa C

    更新日期:1992-11-01 00:00:00

  • Endoscopic subfascial sectioning of incompetent perforating veins in treatment of primary varicosis.

    abstract::Subfascial elimination of incompetent perforating veins is the most effective therapeutic principle in the treatment of trophic skin disorders associated with varicosis. A recently developed endoscopic technique allows accurate sectioning of perforating veins with direct observation of the veins and minor trauma. From...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Jugenheimer M,Junginger T

    更新日期:1992-09-01 00:00:00

  • Inspection of safety and accuracy of D2 lymph node dissection in laparoscopy-assisted distal gastrectomy.

    abstract:BACKGROUND:There is a consensus on the indication of laparoscopy-assisted distal gastrectomy (LADG) for early gastric cancer that needs D1 + alpha or D1 + beta lymph node dissection. However, many gastrointestinal surgeons consider D2 lymph node dissection in LADG to be difficult, therefore, only a few medical institut...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Kawamura H,Homma S,Yokota R,Yokota K,Watarai H,Hagiwara M,Sato M,Noguchi K,Ueki S,Kondo Y

    更新日期:2008-11-01 00:00:00

  • Left Hepatectomy with Combined Resection and Reconstruction of Right Hepatic Artery for Bismuth Type I and II Perihilar Cholangiocarcinoma.

    abstract:BACKGROUND:Right hepatectomy with caudate lobectomy (RHx) is considered an appropriate procedure for Bismuth type I/II perihilar cholangiocarcinoma in terms of its anatomical and oncological aspect. However, validity of left hepatectomy with caudate lobectomy (LHx) concomitant with arterial resection and reconstruction...

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    pub_type: 杂志文章


    authors: Sugiura T,Okamura Y,Ito T,Yamamoto Y,Ashida R,Ohgi K,Nakagawa M,Uesaka K

    更新日期:2019-03-01 00:00:00

  • Usefulness of computed tomography in the etiologic evaluation of adult unilateral vocal fold paralysis.

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    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Kang BC,Roh JL,Lee JH,Jung JH,Choi SH,Nam SY,Kim SY

    更新日期:2013-06-01 00:00:00

  • Local anesthesia use for laparoscopic cholecystectomy.

    abstract::This study aimed to investigate the effects and timing of local anesthesia during laparoscopic surgery in terms of postoperative pain, nausea, and the need for opioids and antiemetics. This prospective study was carried out on 142 patients who underwent laparoscopic cholecystectomy. Peroperative local anesthesia was n...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Inan A,Sen M,Dener C

    更新日期:2004-08-01 00:00:00

  • Clinicoanatomical study on the infraportal bile ducts of segment 3.

    abstract::In some patients, bile ducts of segments 2 and 3 (B2 and B3) run caudally to the umbilical portion of the left portal vein (UP)--an infraportal course. We aimed to evaluate the frequency and clinical implications of this variation. Between January 1992 and October 2000, 108 patients underwent resection for hilar chola...

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    pub_type: 杂志文章


    authors: Ozden I,Kamiya J,Nagino M,Uesaka K,Sano T,Nimura Y

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  • Tamoxifen and gallstone formation in postmenopausal breast cancer patients: retrospective cohort study.

    abstract::Tamoxifen is being used successfully in breast cancer patients as adjuvant hormonal therapy. The aim of this retrospective cohort study is to evaluate the impact of tamoxifen on gallstone formation in postmenopausal breast cancer patients. A total of 3165 patients who were treated for invasive breast cancer between 19...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Akin ML,Uluutku H,Erenoglu C,Karadag A,Gulluoglu BM,Sakar B,Celenk T

    更新日期:2003-04-01 00:00:00

  • Intraperitoneal gossypibomas: the need to count sponges.

    abstract::Intraperitoneal forgotten foreign bodies are prone to create adhesions and to encapsulate, or to provoke an exudative response, with or without accompanying bacterial infection. Often a process of self-extrusion is initiated. This is also true for gossypibomas, retained surgical sponges. Presentation is possible as a ...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审


    authors: Lauwers PR,Van Hee RH

    更新日期:2000-05-01 00:00:00

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    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Ling FC,Vallböhmer D,Hoelscher AH,Schmidt D,Bollschweiler E,Schneider PM

    更新日期:2010-11-01 00:00:00

  • Key aspects of health policy development to improve surgical services in Uganda.

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    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Luboga S,Galukande M,Mabweijano J,Ozgediz D,Jayaraman S

    更新日期:2010-11-01 00:00:00

  • Robotic Reoperative Anti-reflux Surgery: Low Perioperative Morbidity and High Symptom Resolution.

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    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Elmously A,Gray KD,Ullmann TM,Fahey TJ 3rd,Afaneh C,Zarnegar R

    更新日期:2018-12-01 00:00:00

  • Cardiopulmonary assessment: is improvement needed?

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    journal_title:World journal of surgery

    pub_type: 临床试验,杂志文章


    authors: Van De Water JM,Dalton ML,Parish DC,Vogel RL,Beatty JC,Adeniyi SO

    更新日期:2005-01-01 00:00:00

  • Preliminary report: functional MRI of the brain may be the ideal tool for evaluating neuropsychologic and sleep complaints of patients with primary hyperparathyroidism.

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    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Perrier ND,Coker LH,Rorie KD,Burbank NS,Kirkland KA,Passmore LV,Tembreull T,Stump DA,Laurienti PJ

    更新日期:2006-05-01 00:00:00

  • Introduction of an acute surgical unit: comparison of performance indicators and outcomes for operative management of acute appendicitis.

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    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Lancashire JF,Steele M,Parker D,Puhalla H

    更新日期:2014-08-01 00:00:00