The rational use of computed tomography scans in the diagnosis of appendicitis.

abstract：BACKGROUND:Occult primary breast cancer (OPBC) represents less than 1% of breast cancer. In only a third of cases, mammography identifies a primary tumor. We hypothesized that rotating delivery of excitation off-resonance breast magnetic resonance imaging (MRI) would identify or exclude the breast as a primary site in ...

journal_title：American journal of surgery

authors： Henry-Tillman RS,Harms SE,Westbrook KC,Korourian S,Klimberg VS

更新日期：1999-12-01 00:00:00

abstract：:Four hundred seventy-eight patients with hand burns (786 hands) were treated at the burn service of the Massachusetts General Hospital. Long-term evaluation showed that early incision and immediate autografting of deep second degree, mixed second and third degree, and third degree full-thickness hand burns resulted in...

journal_title：American journal of surgery

authors： Frist W,Ackroyd F,Burke J,Bondoc C

更新日期：1985-04-01 00:00:00

abstract：BACKGROUND:We hypothesized that wide-field brachytherapy (BRT) after margin negative excision would result in complication rates, local recurrence rates, and cosmesis scores equivalent to external beam radiotherapy (ERT). METHODS:Patients with T(is,1,2) tumors less than or equal to 4 cm, 0 to 3 positive axillary nodes...

journal_title：American journal of surgery

authors： King TA,Bolton JS,Kuske RR,Fuhrman GM,Scroggins TG,Jiang XZ

更新日期：2000-10-01 00:00:00

abstract：BACKGROUND:To assess the impact of adding a surgical oncologist to our faculty we examined the operative experience in our program before and after the addition. METHODS:Operative case numbers reported to the American Board of Surgery over a 10-year period were analyzed. This time period encompassed 5 years before and...

journal_title：American journal of surgery

authors： Gamblin TC,Dalton ML,Morgan JH 3rd,Christie DB 3rd,Vogel RL,Dale PS

更新日期：2004-01-01 00:00:00

abstract：:Hepatic rupture as a late complication of toxemic pregnancy is a rare yet lethal condition requiring rapid recognition and surgical management. The clinical triad of toxemia, right upper quadrant pain, and sudden hypotension is the diagnostic hallmark of presentation. Most patients present near the time of delivery an...

journal_title：American journal of surgery

authors： Nelson EW,Archibald L,Albo D Jr

更新日期：1977-12-01 00:00:00

abstract：:Thymectomy was performed on 249 patients with myasthenia gravis between 1957 and 1981. During a follow-up period that ranged from 2 months to 24 years (mean 7.5 years), the remission rate for the entire group was 51 percent, and an additional 36 percent had improvement (87 percent benefited). In those 51 patients with...

journal_title：American journal of surgery

authors： Mulder DG,Herrmann C Jr,Keesey J,Edwards H

更新日期：1983-07-01 00:00:00

abstract：BACKGROUND:Patients with the best performance status have the best prognosis after resection for pancreatic adenocarcinoma. This study was undertaken to determine the impact of performance status on survival after pancreatectomy for adenocarcinoma. METHODS:Patients with a Karnofsky Performance Score (KPS) status (KPS)...

journal_title：American journal of surgery

authors： Mullinax JE,Hernandez JM,Toomey P,Villadolid D,Bowers C,Cooper J,Rosemurgy AS

更新日期：2012-11-01 00:00:00

abstract：BACKGROUND:Although several methods of repair of extremity venous injuries have been shown to be efficacious, patency rates have varied significantly from center to center. METHODS:A retrospective review was made of treatment outcomes of adult and pediatric patients with major venous injuries of the lower extremity. ...

journal_title：American journal of surgery

authors： Parry NG,Feliciano DV,Burke RM,Cava RA,Nicholas JM,Dente CJ,Rozycki GS

更新日期：2003-12-01 00:00:00

abstract：BACKGROUND:Residents are more likely to learn from educational experiences when properly prepared from the start of instruction and expectations are clear and consistent. The purpose of this study was to examine what first year residents need to know and be able to perform before starting their rotation in the intensiv...

journal_title：American journal of surgery

authors： York NL,DaRosa DA,Folse R

更新日期：1996-06-01 00:00:00

abstract：BACKGROUND:Injury epidemiology fluctuates with economic activity in many countries. These relationships remain unclear in Canada. METHODS:The annual risk of admission for major injury (Injury Severity Score ≥12) to a high-volume, level-1 Canadian trauma center was compared with indicators of economic activity over a 1...

journal_title：American journal of surgery

authors： Roberts DJ,Das D,Mercado M,Vis C,Kortbeek JB,Kirkpatrick AW,Ball CG

更新日期：2014-05-01 00:00:00

abstract：BACKGROUND:Many cases of acute adhesive small-bowel obstruction (SBO) can be successfully treated with intestinal tube decompression. There is considerable controversy, however, regarding whether a short nasogastric tube (NGT) or a long nasointestinal tube (LT) is the best method of intestinal tube decompression. PATI...

journal_title：American journal of surgery

authors： Fleshner PR,Siegman MG,Slater GI,Brolin RE,Chandler JC,Aufses AH Jr

更新日期：1995-10-01 00:00:00

abstract：BACKGROUND:Little is known about the role of percutaneous revascularization of the profunda femoral artery (PFA) in patients with amputation stump ischemia who are at risk of hip disarticulation. METHODS:We identified 4 patients who were treated for persistent amputation stump ischemia by PFA percutaneous revasculariz...

journal_title：American journal of surgery

authors： Poi MJ,Pisimisis G,Barshes NR,Lin PH,Kougias P,Bechara CF

更新日期：2012-11-01 00:00:00

abstract：:Fifty-six patients undergoing elective colonic resection were prospectively randomized into two groups either with or without postoperative nasogastric decompression. The results demonstrated only minimal differences between the two groups. Postoperative abdominal distention was more common in patients without nasogas...

journal_title：American journal of surgery

authors： Racette DL,Chang FC,Trekell ME,Farha GJ

更新日期：1987-12-01 00:00:00

abstract：:From 1971 through 1975, 104 patients with squamous carcinoma of the anterior and anterolateral floor of the mouth underwent surgery, irradiation therapy or a combination of both with the purpose of eliminating their tumors. No patient had received treatment before, and this effort was considered primary and definitive...

journal_title：American journal of surgery

authors： Guillamondegui OM,Oliver B,Hayden R

更新日期：1980-10-01 00:00:00

abstract：BACKGROUND:We hypothesized that intravenous methylene blue will facilitate adrenal gland identification and resection during laparoscopic adrenalectomy. METHODS:Five mini-Hanford pigs were anesthetized and monitored per an approved Internal Review Board protocol. Timing of color changes in the adrenals was recorded af...

journal_title：American journal of surgery

authors： Obermeyer RJ,Knauer EM,Millie MP,Ojeda H,Peters MB Jr,Sweeney JF

更新日期：2003-11-01 00:00:00

abstract：BACKGROUND:blood loss during liver resection and the need for perioperative blood transfusions have negative impact on perioperative morbidity, mortality, and long-term outcomes. METHODS:a randomized controlled trial was performed on patients undergoing liver resection comparing hemihepatic vascular inflow occlusion, ...

journal_title：American journal of surgery

authors： Fu SY,Lau WY,Li GG,Tang QH,Li AJ,Pan ZY,Huang G,Yin L,Wu MC,Lai EC,Zhou WP

更新日期：2011-01-01 00:00:00

abstract：:The effect of preoperative irradiation on the healing of low colorectal anastomoses was studied experimentally. In 12 dogs in whom preoperative irradiation of 4,000 rads was given before low colorectal stapled anastomosis was performed, anastomotic leakage occurred in 66 percent. More than half of the anastomotic leak...

journal_title：American journal of surgery

authors： Morgenstern L,Sanders G,Wahlstrom E,Yadegar J,Amodeo P

更新日期：1984-02-01 00:00:00

abstract：:When dense hemiparesis has developed appropriate to the operated vessel after carotid surgery, the patient has been immediately returned to the operating room for reexploration of the vessel and thrombectomy. Over a 5-year period, we identified four patients who developed dense hemiparesis in the recovery room postope...

journal_title：American journal of surgery

authors： Dooner J,Kuechler P

更新日期：1990-05-01 00:00:00

abstract：BACKGROUND:The unpredictability of prosthetic vascular access thrombosis precludes the scheduling of elective graft thrombectomy. This results in inconsistent dialysis for patients, as well as logistical challenges for dialysis clinics and surgeons, and increased cost. In an effort to solve this problem a community-wid...

journal_title：American journal of surgery

authors： Cull DL,Taylor SM,Russell HE,Langan EM,Snyder BA,Sullivan TM

更新日期：1999-08-01 00:00:00

abstract：:Infectious complications within 1 year of cadaveric kidney transplantation were compared in 45 patients treated with azathioprine, prednisone, and antilymphocyte globulin and 38 patients treated with cyclosporine and prednisone. Although there was no difference in the 1 year patient or graft survival rate, cyclosporin...

journal_title：American journal of surgery

authors： Shaffer D,Hammer SM,Monaco AP

更新日期：1987-04-01 00:00:00

abstract：:Real-time ultrasound scanning was used during operations on the biliary tract and pancreas. The principal application in biliary surgery was to evaluate the common bile duct for presence of calculi. Our initial experience indicates that operative ultrasonography compares favorably with operative cholangiography. In pa...

journal_title：American journal of surgery

authors： Sigel B,Coelho JC,Spigos DG,Donahue PE,Wood DK,Nyhus LM

更新日期：1981-01-01 00:00:00

abstract：BACKGROUND:To prevent hepatic failure after major hepatectomy, it is important to assess preoperative factors related to liver failure. METHODS:We examined 80 patients who underwent right-sided hepatectomy. Hyperbilirubinemia, uncontrolled ascites, and prolonged postoperative hospital stay were defined as liver failur...

journal_title：American journal of surgery

authors： Hirashita T,Ohta M,Iwashita Y,Iwaki K,Uchida H,Yada K,Matsumoto T,Kitano S

更新日期：2013-09-01 00:00:00

abstract：:Prophylactic bypass of the common duct and duodenum at the time of pancreatojejunostomy for chronic pancreatitis (triple bypass) has been recommended. If the subsequent development of parapancreatic obstruction were sufficiently frequent, such a recommendation would deserve more wide-spread application. In a group of ...

journal_title：American journal of surgery

authors： Bradley EL

更新日期：1986-02-01 00:00:00

abstract：BACKGROUND:This study defines the entity of the hypertensive lower esophageal sphincter (HLES) and its treatment, including surgical implications. METHODS:Esophageal manometry was performed on 1,300 patients. Of these, 53 (4%) had HLES with resting pressure > 26.5 mm Hg, defined as the upper limit of normal resting LE...

journal_title：American journal of surgery

authors： Katada N,Hinder RA,Hinder PR,Lund RJ,Perdikis G,Stalzer RA,McGinn TR

更新日期：1996-11-01 00:00:00

abstract：BACKGROUND:Postoperative complications including intrahepatic calculi may develop after the complete excision of a choledochal cyst. Since congenital stenoses of the intrahepatic bile ducts are more likely the cause of intrahepatic calculi, operative procedures for intrahepatic stenoses are reported. METHODS:There wer...

journal_title：American journal of surgery

authors： Ando H,Kaneko K,Ito F,Seo T,Ito T

更新日期：1997-06-01 00:00:00

abstract：BACKGROUND:Computed tomography (CT) is an important diagnostic modality in the evaluation of blunt head and abdominal injuries, but it has not been routinely used to evaluate blunt chest trauma. METHODS:One hundred seventy stable patients with blunt thoracic trauma were evaluated with chest x-ray (CXR), and subsequent...

journal_title：American journal of surgery

authors： Marts B,Durham R,Shapiro M,Mazuski JE,Zuckerman D,Sundaram M,Luchtefeld WB

更新日期：1994-12-01 00:00:00

abstract：:Although the incidence of anastomotic false aneurysms decreased precipitously with the cessation of usage of silk sutures for vascular anastomoses, the prevalence of these aneurysms has undoubtedly increased in keeping with an ever-increasing volume of peripheral vascular operations. Most aneurysms occur at femoral an...

journal_title：American journal of surgery

authors： Briggs RM,Jarstfer BS,Collins GJ Jr

更新日期：1983-12-01 00:00:00

abstract：BACKGROUND:Ductal carcinoma in situ (DCIS) accounts for nearly 20% of new breast cancer diagnoses and ductal carcinoma in situ with microinvasion (DCIS-MI) is found in 5% to 10% of DCIS. Controversy exists regarding the appropriate local treatment as well as whether or not examination of the axilla should be performed ...

journal_title：American journal of surgery

authors： Adamovich TL,Simmons RM

更新日期：2003-08-01 00:00:00

abstract：:The traditional treatment of pneumothorax has been with a chest tube and hospitalization. A series of 35 patients with 41 pneumothoraces treated on an outpatient basis is presented here. A no. 12 chest tube connected to a Heimlich valve led to successful treatment in 88 percent of the cases. Failure of treatment requi...

journal_title：American journal of surgery

authors： Cannon WB,Mark JB,Jamplis RW

更新日期：1981-07-01 00:00:00

abstract：:Over a 10 year period, 54 patients presented with pancreatic trauma. During the first 5 years of the study, when pancreatography was not utilized for the assessment of pancreatic duct injury, 55 percent of the patients had major pancreatic complications. During the subsequent 5 years, suspected proximal duct injury wa...

journal_title：American journal of surgery

authors： Berni GA,Bandyk DF,Oreskovich MR,Carrico CJ

更新日期：1982-05-01 00:00:00