Abstract：
:A retrospective review was performed of 98 patients admitted to a Level I Trauma Center between July 1989 and December 1990 with a diagnosis of blunt chest trauma. Of these patients, 49% suffered either immediate or delayed complications. Immediate complications included hemothorax or pleural effusion in 21.4%, pneumothorax in 36.7%, and ruptured diaphragm in 2%. Delayed complications occurred in 29.6% of patients overall; these included pulmonary contusion in 33.7%, pneumonia in 5.1%, and pulmonary embolus in 1.0%. Both initial Trauma Score (TS) and the Injury Severity Score (ISS) were predictive of mortality. The mortality rate was significantly greater in patients with a TS < or = 13-30.2% of these patients died of their injuries as opposed to 1.9% of those with a TS > 13. Similarly, 19.7% of patients with an ISS > or = 16 died, while all patients with an ISS < 16 survived. These differences were statistically significant (p < 0.001 and p < 0.05, respectively). Neither TS nor ISS, however, was predictive of either immediate or delayed complications. Even with a TS > 13, 47.2% of patients suffered complications; 80% of these patients had delayed complications. Similarly, 51.8% of patients with ISS < 16 had complications. Statistically, neither TS nor ISS could be used to predict complications, regardless of the reference value chosen for TS or ISS. Therefore, it is imperative that all patients with blunt trauma be considered at risk for secondary complications, even those with "favorable" TS or ISS.
journal_name
Int Surgjournal_title
International surgeryauthors
Sariego J,Brown JL,Matsumoto T,Kerstein MDsubject
Has Abstractpub_date
1993-10-01 00:00:00pages
320-3issue
4eissn
0020-8868issn
2520-2456journal_volume
78pub_type
杂志文章abstract：:The activity of serum xanthine oxidase, an enzyme mainly found in the liver, was determined in a random series of patients who underwent abdominal surgery of varying severity. Enzyme activity rose markedly on completion of operation in almost all patients undergoing biliary tract and gastric surgery, but not in those ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1976-03-01 00:00:00
abstract：:Four operative cases of lung cancer with intra-atrial extension via the pulmonary vein were reviewed. Three of them had circulatory as well as respiratory symptoms, and their performance status (PS) was extremely poor. In two cases, after assessment of the cardiac involvement using two-dimensional echocardiography and...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
abstract：PURPOSE:This study aimed to assess the effect of intraoperative PEEP intervention on the healing of colonic anastomoses in rabbits. MATERIALS AND METHODS:Thirty-two New Zealand type male rabbits were divided into two groups of sixteen animals each. Following ventilation with tracheostomy, colonic resection and anastom...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-15-00160.1
更新日期：2015-07-27 00:00:00
abstract：:The authors describe the present surgical procedure for duodenal ulcer; this consists of vagotomy in association with resection of the antral mucosa, and sliding the fundus mucosa to cover the naked surface. The gastroduodenal junction is sewn as an enlarged Weimberg pyloroplasty. A series of 20 patients were operated...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1982-01-01 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：:To inhibit local recurrence of rectal cancer, it is very important to ensure that there is a sufficient circumferential resection margin. We evaluated pathology studies of combined radical resection of seminal vesicles in the treatment of rectal cancer. We analyzed data from 7 cases of combined radical resection of th...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/1362.1
更新日期：2011-01-01 00:00:00
abstract：:A case of cardiac tamponade as the first manifestation of bronchogenic adenocarcinoma is presented. Diagnosis of metastatic pericarditis with effusion was made by echocardiography and cytology of the pericarditis fluid. Because of rapid recurrence of the effusion, a pericardial window was created. This operation was w...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1985-01-01 00:00:00
abstract：:In 1723, Vater first described choledochal cyst and in 1977, Todani et al classified this disease. For many years, open excision (OP) as the standard procedure made a great impact in the treatment of choledochal cyst. Since 1995, when Farello et al first reported laparoscopic choledochal cyst excision, laparoscopic ex...
journal_title：International surgery
pub_type： 杂志文章,meta分析,评审
doi：10.9738/INTSURG-D-14-00165.1
更新日期：2015-01-01 00:00:00
abstract：:The prognosis of pancreatic duct carcinoma is determined mainly by the degree of local invasion, particularly of the portal system and/or associated arteries supplying the carcinoma. Intraoperative (25-36.5 Gy of betatron) and/or external (14.4-25.6 Gy, preoperatively, and 24-61.2 Gy, postoperatively, using lineac pho...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1988-07-01 00:00:00
abstract：:This series consists of seven patients with hydatid cysts of the pancreas; five females and two males, with an average age of 31 years. In a follow-up extending up to 33 years, about a 50% rate of correct preoperative diagnosis was recorded. The most sensitive and effective diagnostic modalities such as latex agglutin...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1991-07-01 00:00:00
abstract：:Limy bile syndrome is a rare condition in which the gallbladder is filled with a paste-like radiopaque material. The presence of limy bile in the common bile duct is rare. A 72-year-old woman was admitted to our hospital with epigastric pain and jaundice. Plain abdominal radiography on admission showed a radiopaque ma...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2010-01-01 00:00:00
abstract：:AbstractObjective: During fiscal crisis there was a period of shortage of staplers in our hospital, which drove us to manual suturing of bronchi and pulmonary vessels during major lung resections. We present our experience during that period in comparison to a subsequent period when staplers became available again. M...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-15-00116.1
更新日期：2015-07-27 00:00:00
abstract：:This case history re-emphasizes the absolute necessity for all cases of leukokoria or opaque media, where a view of the fundus is impossible, to have preliminary "A" or "B" scan ultrasonography. In 1960 perhaps only two or three institutions had the high resolution "B" scan equipment at their disposal. Today at least ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1978-09-01 00:00:00
abstract：:Angiomyolipoma, a form of mixed mesenchymal tumor, a not uncommon tumor of the kidney, is rarely found in the liver. We report a case of angiomyolipoma of the liver in a 34-year-old woman, in whom diagnosis was made by computed tomography (CT), magnetic resonance imaging, superior mesenteric and celiac trunk angiograp...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1996-07-01 00:00:00
abstract：:Results obtained with temporary ileal cecostomy in 23 patients are reported. Particular attention is given to the incidence of anastomotic leakage, morbidity, mortality, hospitalization and nursing. The results achieved were successful and, although the series presented is small, the authors suggest that this techniqu...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1982-10-01 00:00:00
abstract：:We have analyzed 196 cases of pyloroduodenal obstruction due to peptic ulcer disease. Obstruction occurred in 19% of peptic ulcer patients. Males predominated five to one over females. Diagnosis could usually be made on clinical grounds alone. Air contrast x-ray studies were better than conventional barium meal x-rays...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1975-08-01 00:00:00
abstract：:A gallstone ileus is an unusual form of bowel obstruction. Colonic gallstone ileus is rare, difficult to diagnose, and still has a high mortality rate. We present a case of biliary ileus caused by an impacted gallstone, causing necrosis and perforation of the rectosigmoid junction. A Hartmann's procedure was performed...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2009-01-01 00:00:00
abstract：:Immediate breast reconstruction with the transverse rectus abdominis musculocutaneous (TRAM) flap after skin-sparing mastectomy is becoming an increasingly performed procedure in patients with ductal carcinoma in situ, early invasive breast cancer, and prophylactic mastectomy. Through a periareolar approach, it is pos...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2001-10-01 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：:Cardiac metastases are uncommon and difficult to diagnose clinically; thus, they are most often found only at autopsy. Here we present a case of isolated right atrial cardiac metastasis found 7 weeks after the resection of the primary tumor, which was an adenocarcinoma of the lung. The patient presented with intractab...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2001-07-01 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：:Video-thoracoscopy was used to evaluate and manage patients after thoracic trauma. It was used in 29 patients. Indications included retained hemothorax in 16 patients, empyema in 11, evaluation for the source of thoracic bleeding in 1, and an airleak in 1. The mechanism of injury was blunt trauma in 8 cases, 10 with s...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1998-07-01 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：:Between 1965 and 1979, 934 patients underwent 1,057 operations for extracranial carotid stenosis at this institute, and over a recent 30-month period 463 patients underwent 511 operations of this type. This number is equal to the total of operations performed during the years 1965-1976. The increase in the frequency o...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1981-07-01 00:00:00
abstract：:Synchronous primary anorectal melanoma and colorectal adenocarcinoma is extremely rare, with only 5 cases reported in the literature. Here, a case is reported and the currently available literature is summarized. A 72-year-old white male presented with changes in his bowel habits and unintentional weight loss. Colonos...
journal_title：International surgery
pub_type： 杂志文章,评审
doi：10.9738/INTSURG-D-14-00243
更新日期：2015-05-01 00:00:00
abstract：:We made clinical trials of en bloc extended radical mastectomy (EXT) of a new type in 118 patients from 1980 through 1985. A variety of conventional radical mastectomies (RDL) were also performed in 105 patients from 1973 through 1985. A multivariate analysis was performed of the results to compare EXT and RDL. The re...
journal_title：International surgery
pub_type： 临床试验,杂志文章
doi：
更新日期：1992-01-01 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：:The goal of this study is to identify invariable risk factors predicting the morbidity and mortality of a serious complication of peptic ulcer perforation (PUP). One hundred fifty-four patients were operated for PUP. We selected 147 patients who underwent primary repair and omentoplasty for PUP. The Boey score used to...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2007-05-01 00:00:00
abstract：:Small liver metastasis of rectal carcinoma is mostly solid and rarely accompanied by necrosis. Microscopic invasion of the hepatic vein is rare in colorectal metastasis. A 53-year-old man, 2 years after rectal carcinoma resection, was noted to have a 15-mm liver tumor. On imaging, it was difficult to determine if the ...
journal_title：International surgery
pub_type： 杂志文章,评审
doi：
更新日期：2005-11-01 00:00:00
abstract：BACKGROUND:The surgical treatment of cancer of the cardia is controversial and results are often disappointing. Concern exists not only with regards to the surgical approach but also to the extent of the resection. The authors analyze their experience over a 20-year period adopting almost exclusively a "limited" esopha...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1997-04-01 00:00:00
