Richter's hernia through a Spigelian defect of the abdominal wall.

abstract：:Maximal anal pressures have been measured after proctoscopy in 145 patients with hemorrhoids, 48 patients with anal fissure, and 78 asymptomatic control subjects. Anal pressures in patients with hemorrhoids (106 +/- 40 cm H2O) and anal fissure (130 +/- 43 cm H2O) were very significantly higher than those of controls (...

journal_title：American journal of surgery

authors： Arabi Y,Alexander-Williams J,Keighley MR

更新日期：1977-11-01 00:00:00

abstract：:For 173 patients undergoing major leg amputations, the operative mortality was 13 per cent. The ratio of below-knee (BK) to above-knee (AK) amputations was approximately unity. Of the 150 patients who survived amputation, 93 were given prostheses. Amoung the latter group, 76 per cent of the unilateral AK amputees and ...

journal_title：American journal of surgery

authors： Couch NP,David JK,Tilney NL,Crane C

更新日期：1977-04-01 00:00:00

abstract：:An analysis of unsuccessful extractions of retained biliary calculi using basket catheters reveals more than half the failures are related to the selection, placement, and size of the T tube. A new T tube has been developed which will improve postoperative access to the common duct and facilitate removal of retained c...

journal_title：American journal of surgery

authors： Moss JP,Whelan JG Jr,Fry DE

更新日期：1978-06-01 00:00:00

abstract：BACKGROUND:In women undergoing breast conserving surgery (BCS), up to 60% can require re-excision. Our objective is to develop an optically based technology which can differentiate benign from malignant breast tissues intraoperatively through differences in tissue composition factors. METHODS:A prospective study of op...

journal_title：American journal of surgery

authors： Wilke LG,Brown JQ,Bydlon TM,Kennedy SA,Richards LM,Junker MK,Gallagher J,Barry WT,Geradts J,Ramanujam N

更新日期：2009-10-01 00:00:00

abstract：:Only 3 per cent of all melanomas arise in the mucosa of the head and neck region. Melanomas of mucosal origin in this series differed from their cutaneous counterpart in that size of the primary lesion did not influence prognosis. Regional lymph node metastases were infrequent and did not seem to influence prognosis. ...

journal_title：American journal of surgery

authors： Shah JP,Huvos AG,Strong EW

更新日期：1977-10-01 00:00:00

abstract：BACKGROUND:Alcohol use may alter mental status and vital signs in injured patients, leading to increased testing during emergency department (ED) evaluation. We hypothesized that alcohol use increases the hospital charges when caring for these injured patients. METHODS:The National Hospital Ambulatory Medical Care Sur...

journal_title：American journal of surgery

authors： O'Keeffe T,Rhee P,Shafi S,Friese RS,Gentilello LM

更新日期：2013-07-01 00:00:00

abstract：BACKGROUND:The aims of this study were to compare the effectiveness of percutaneous drainage between pyogenic hepatic abscesses with and those without biliary communication and to evaluate the role of endoscopic biliary stent placement in the treatment of communicating abscesses. METHODS:Sixty-one patients with hepati...

journal_title：American journal of surgery

authors： Sugiyama M,Atomi Y

更新日期：2002-02-01 00:00:00

abstract：BACKGROUND:During liver transplantation, an oversized graft or active bleeding in the hepatic area can make performance of the suprahepatic caval anastomosis extremely difficult or even impossible. In other instances, a brief as possible warm ischemia is desired to provide a marginal graft with maximum chances of good ...

journal_title：American journal of surgery

authors： Salizzoni M,Romagnoli R,Zamboni F

更新日期：2002-02-01 00:00:00

abstract：:Reoperation to remove an aortic graft was performed in 18 patients. The need for removal was infection in the majority. A changing flora was seen in aortic graft infection with gram-negative organisms predominating. Despite a standardized approach with total graft removal, aortic closure, and extraanatomic reconstruct...

journal_title：American journal of surgery

authors： Martin-Paredero V,Busuttil RW,Dixon SM,Baker JD,Machleder H,Moore WS

更新日期：1983-08-01 00:00:00

abstract：BACKGROUND:The aim of this analysis is to compare the postoperative outcomes of resection and enucleation of small pancreatic neuroendocrine tumors (PNETs). METHODS:The 2014-17 American College of Surgeons-NSQIP dataset was queried. Patients undergoing pancreatoduodenectomy (N = 297) or distal pancreatectomy (N = 712)...

journal_title：American journal of surgery

authors： Beane JD,Borrebach JD,Billderback A,Onuma AE,Adam MA,Zureikat AH,Pitt HA

更新日期：2020-12-08 00:00:00

abstract：BACKGROUND:This study was designed to evaluate the impact of changes made to our morbidity and mortality (M&M) conference. METHODS:A 23-item survey using corresponding Likert-type scales was created. Faculty and residents were asked to anonymously complete the surveys in June 1999. Based on this information, specific ...

journal_title：American journal of surgery

authors： Murayama KM,Derossis AM,DaRosa DA,Sherman HB,Fryer JP

更新日期：2002-03-01 00:00:00

abstract：BACKGROUND:Emergency surgical airway is a low frequency, high risk clinical scenario. Implementing a simulation-based curriculum may bridge the gap in surgical training and address quality assurance/performance improvement (QAPI) needs. METHODS:We designed and implemented an Advanced Surgical Airway Curriculum (ASAC) ...

journal_title：American journal of surgery

authors： Veenstra BR,Wojtowicz A,Walsh N,Velasco JM

更新日期：2019-03-01 00:00:00

abstract：BACKGROUND:The treatment of idiopathic anal ulcerations in AIDS patients is still evolving. These patients suffer with severe incapacitating anal pain. PATIENTS AND METHODS:Relief of pain was achieved with the use of intralesional steroid injections. Twenty-one patients from 1990 to 1993 presented with severe anal pai...

journal_title：American journal of surgery

authors： Modesto VL,Gottesman L

更新日期：1997-10-01 00:00:00

abstract：BACKGROUND:For locally advanced Siewert type II and III tumors we have performed total gastrectomy including resection of the distal 2/3 of the esophagus, through separate abdominal and right chest incisions (THX-ABD). The procedure involves wide lymphadenectomy in the abdomen/chest and a Roux-en-Y jejunostomy to the l...

journal_title：American journal of surgery

authors： Jeremiasen M,Walther B,Djerf P,Staël von Holstein C,Zilling T,Hermansson M,Falkenback D,Johansson J

更新日期：2019-08-01 00:00:00

abstract：:A procedure of tape-guided living donor left hepatectomy is described. A tape was placed along the anterior wall of the inferior vena cava for left liver with caudate lobe, and along Arantius' ligament for left liver without caudate lobe. The final step of liver transection was applied by dividing the liver parenchyma...

journal_title：American journal of surgery

authors： Takatsuki M,Kawashita Y,Eguchi S,Tajima Y,Kanematsu T

更新日期：2007-07-01 00:00:00

abstract：BACKGROUND:Training surgeons in vital decision-making skills remains unstructured. We aimed to map a process of care from the perspective of surgical decision making and test whether it could be deconstructed into an accessible format for trainees. METHODS:Semistructured interviews were conducted with 10 experienced s...

journal_title：American journal of surgery

authors： Jacklin R,Sevdalis N,Darzi A,Vincent C

更新日期：2008-05-01 00:00:00

abstract：:Appendicitis in preschool children is not uncommon. A duration of greater than 40 hours usually implied perforation. The most common findings were abdominal pain, tenderness, temperature elevation and vomiting. In the presence of perforation or abscess formation, appendectomy followed by copious wound irrigation, absc...

journal_title：American journal of surgery

authors： Graham JM,Pokorny WJ,Harberg FJ

更新日期：1980-02-01 00:00:00

abstract：:The effects of the intravenous bolus administration of famotidine versus the administration of Mylanta II liquid every 2 hours on the pH of the gastric antrum, body, and fundus for 24 hours were compared in 10 critically ill patients admitted to the intensive care unit with isolated cranial trauma. Patients received 3...

journal_title：American journal of surgery

authors： Wilson P,Clark GW,Anselmino M,Welch NT,Singh S,Perdikis G,Hinder RA

更新日期：1993-12-01 00:00:00

abstract：:Fifty-one cervical nodes from 19 patients with advanced head and neck cancer were stimulated with phorbol dibutyrate and ionomycin (PDBu + Io) to determine the effect of such stimulation on the generation of cytotoxic T cells and whether this stimulation could bypass the need for autologous tumor stimulation. Lymphocy...

journal_title：American journal of surgery

authors： McGrath PC,Hamby LS,Freeman JW

更新日期：1992-12-01 00:00:00

abstract：BACKGROUND:Teaching professionalism effectively to fully engaged residents is a significant challenge. A key question is whether the integration of professionalism into residency education leads to a change in resident culture. METHODS:The goal of this study was to assess whether professionalism has taken root in the ...

journal_title：American journal of surgery

authors： Hochberg MS,Berman RS,Kalet AL,Zabar SR,Gillespie C,Pachter HL,Surgical Professionalism and Interpersonal Communications Education Study Group.

更新日期：2012-01-01 00:00:00

abstract：:Acute recurrent pancreatitis in the absence of alcoholism and gallstones is a frustrating illness for both the patient and the physician. Over a 10 year period, 33 patients were operated on and found to have a duct of Wirsung entering the duodenum through the fibers of the sphincter of Oddi. Recurrent pancreatitis of ...

journal_title：American journal of surgery

authors： Carey LC

更新日期：1987-02-01 00:00:00

abstract：:We have found that the venous pressure slope during minimal exercise is a sensitive measurement of venous disease. This parameter differed greatly in our two study populations. Due to increased venous pressure, venous insufficiency syndrome patients have a greater volume of pooled blood, which results in smaller press...

journal_title：American journal of surgery

authors： Taheri SA,Pendergast D,Lazar E,Pollack LH,Shores RM,McDonald B,Taheri P

更新日期：1985-08-01 00:00:00

abstract：BACKGROUND:The tension-free hernioplasty as introduced by Lichtenstein has gained increasing acceptance during the last decade although the technique has not been evaluated in a randomized trial. METHODS:This randomized study compares the 2-year follow-up results after 102 tension-free hernioplasties with implantation...

journal_title：American journal of surgery

authors： Friis E,Lindahl F

更新日期：1996-10-01 00:00:00

abstract：:Enhanced recovery after surgery (ERAS) is a multimodal protocol applied towards perioperative patient care. ERAS programs are implemented by a multidisciplinary team centered around the patient, incorporating outpatient clinical staff, preoperative nurses, anesthesiologists, operative nurses, postoperative recovery st...

journal_title：American journal of surgery

authors： Smith TW Jr,Wang X,Singer MA,Godellas CV,Vaince FT

更新日期：2020-03-01 00:00:00

abstract：BACKGROUND:It has been suggested that division of the short gastric vessels (SGV) provides a more floppy Nissen fundoplication, for the treatment of reflux disease. The aim of the study was to assess whether Nissen fundoplication with division of SGV is associated with improved clinical outcome and laboratory findings....

journal_title：American journal of surgery

authors： Chrysos E,Tzortzinis A,Tsiaoussis J,Athanasakis H,Vasssilakis J,Xynos E

更新日期：2001-09-01 00:00:00

abstract：BACKGROUND:Outpatient surgery is cost effective and convenient. The aim of this study was to determine the safety and feasibility of outpatient thyroidectomy. METHODS:Retrospective review was performed of all thyroidectomy patients from a tertiary care center between January 2004 and March 2010. RESULTS:One hundred f...

journal_title：American journal of surgery

authors： Hessman C,Fields J,Schuman E

更新日期：2011-05-01 00:00:00

abstract：BACKGROUND:The successful excision of a renal cell carcinoma (RCC) invading the inferior vena cava (IVC) remains a technical intraoperative challenge and requires a careful preoperative surgical management planning. Although a radical operation remains the mainstay of the therapy for RCC, the optimal management of the ...

journal_title：American journal of surgery

authors： Kaplan S,Ekici S,Doğan R,Demircin M,Ozen H,Paşaoğlu I

更新日期：2002-03-01 00:00:00

abstract：:The efficacy of photodynamic therapy tumor destruction is dependent upon both the interruption of the tumor vasculature and the resultant production of unstable oxygen species causing cellular oxidation and death. Chloroaluminum sulfonated phthalocyanine (CASP) is a recently developed photosensitizer. In order to stud...

journal_title：American journal of surgery

authors： Stern SJ,Flock ST,Small S,Thomsen S,Jacques S

更新日期：1990-10-01 00:00:00

abstract：OBJECTIVE:To assess the oncologic effectiveness of the selective neck dissection (SND) in patients with both clinically and pathologically proven regional metastases. METHODS:A 4-year retrospective medical chart review was conducted in an academic tertiary care referral center. Twenty-nine patients with a newly diagno...

journal_title：American journal of surgery

authors： Traynor SJ,Cohen JI,Gray J,Andersen PE,Everts EC

更新日期：1996-12-01 00:00:00

abstract：BACKGROUND:Surgery is a vital component of a comprehensive health system, but there are often personnel limitations in resource constrained areas. Zambia provides post graduate surgical training through two systems to help address this shortage. However, no studies have analyzed surgical trainees' perceptions of these ...

journal_title：American journal of surgery

authors： Freitas DM,Munthali J,Musowoya J,Ismail H,Herbst A,Chikoya L,Dhage S,Hopkins MA

更新日期：2018-04-01 00:00:00