The risk of infection after colon injury.

Abstract:

:We reviewed 137 patients with colon injury and applied multiple regression analysis to determine the influence of various parameters on colon-related infection. The complications of intra-abdominal abscess, wound infection, and peristomal abscess occurred in 25% of patients. The mortality rate was 3.6%, and four of five late deaths were caused by infection. Multiple regression analysis identified the amount of blood transfused, patient age, number of associated injuries, and injury to the spleen as significantly associated with infection (p less than 0.05). In the absence of these risk factors, the likelihood of infection is low, suggesting that primary repair or resection and anastomosis are safe methods of management for colon injury. When these factors are present, the risk of infection is high, and colostomy is the preferred method of management.

journal_name

Surgery

journal_title

Surgery

authors

Dawes LG,Aprahamian C,Condon RE,Malangoni MA

subject

Has Abstract

pub_date

1986-10-01 00:00:00

pages

796-803

issue

4

eissn

0039-6060

issn

1532-7361

journal_volume

100

pub_type

杂志文章

相关文献

SURGERY文献大全
  • The role of calcium in acute pancreatitis.

    abstract::Until recently, it was unclear whether calcium is more than a bystander in the development of acute pancreatitis. Now important evidence has been accumulated supporting a pivotal role of intracellular levels of calcium in the early pathogenesis of the disease. A sustained increase of cytosolic calcium concentrations, ...

    journal_title:Surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.surg.2012.05.013

    authors: Frick TW

    更新日期:2012-09-01 00:00:00

  • Pentoxifylline inhibits interleukin-2-induced leukocyte-endothelial adherence and reduces systemic toxicity.

    abstract::Interleukin-2 (IL-2) mediates the regression of metastatic cancer, but clinical application has been limited by the induction of dose-dependent toxicities in normal tissues. The most clinically significant toxicities occur secondary to a vascular leak syndrome and include acute respiratory failure and hemodynamic inst...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Edwards MJ,Abney DL,Miller FN

    更新日期:1991-08-01 00:00:00

  • Laparoscopic distal pancreatectomy employing radical en bloc procedure for adenocarcinoma: Technical details and outcomes.

    abstract:BACKGROUND:Although laparoscopic distal pancreatectomy (LDP) has increasingly gained popularity, there are only a few reports mentioning application and outcomes of LDP for adenocarcinoma of the body and tail of the pancreas. The aim of our study is to demonstrate technical details of LDP employing radical en bloc proc...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2014.12.015

    authors: Kawaguchi Y,Fuks D,Nomi T,Levard H,Gayet B

    更新日期:2015-06-01 00:00:00

  • Chronic extrinsic denervation after small bowel transplantation in rat jejunum: Effects and adaptation in nitrergic and non-nitrergic neuromuscular inhibitory mechanisms.

    abstract:BACKGROUND:Extrinsic denervation of the transplanted small bowel could play a substantial role in motor dysfunction of the transplanted gut. We attempted to determine the effect of chronic extrinsic denervation on intestinal contractility. METHODS:Jejunal longitudinal muscle strips were obtained from rats 1 week and 8...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1067/msy.2001.112070

    authors: Balsiger BM,Ohtani N,Anding WJ,Duenes JA,Sarr MG

    更新日期:2001-04-01 00:00:00

  • Acute limb ischemia associated with type B aortic dissection: clinical relevance and therapy.

    abstract:BACKGROUND:The goal of the current study is to characterize the presentation, therapy, and outcomes of acute limb ischemia (ALI) associated with type B aortic dissection (AoD). METHODS:The prospective/retrospective International Registry for Acute Aortic Dissection (IRAD) database and a single institutional database w...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2006.06.019

    authors: Henke PK,Williams DM,Upchurch GR Jr,Proctor M,Cooper JV,Fang J,Nienaber CA,Isselbacher EM,Fattori R,Dasika N,Gemmete J,Stanley JC,Wakefield TW,Eagle KA

    更新日期:2006-10-01 00:00:00

  • Prognostic value of preoperative peripheral blood monocyte count in patients with hepatocellular carcinoma.

    abstract:BACKGROUND:The prognostic significance of the leukocyte subsets in peripheral blood has not yet been investigated in hepatocellular carcinoma patients. We sought to clarify the prognostic value of preoperative peripheral blood leukocyte subset counts, especially the absolute monocyte count, in HCC patients who have und...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2005.10.009

    authors: Sasaki A,Iwashita Y,Shibata K,Matsumoto T,Ohta M,Kitano S

    更新日期:2006-06-01 00:00:00

  • Upper extremity deep venous thrombosis after port insertion: What are the risk factors?

    abstract:BACKGROUND:Totally implantable venous access devices (ports) are widely used, especially for cancer chemotherapy. Although their use has been associated with upper extremity deep venous thrombosis, the risk factors of upper extremity deep venous thrombosis in patients with a port are not studied adequately. METHODS:Th...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2017.02.020

    authors: Tabatabaie O,Kasumova GG,Kent TS,Eskander MF,Fadayomi AB,Ng SC,Critchlow JF,Tawa NE,Tseng JF

    更新日期:2017-08-01 00:00:00

  • Prospective evaluation of clinical and pathologic detection of axillary metastases in patients with carcinoma of the breast.

    abstract::Complete axillary dissection was performed in 287 patients undergoing modified radical mastectomy between 1984 and 1987 to identify patterns of axillary node metastases, as well as discontinuous axillary node ("skip") metastases. Positive pathologic findings were compared with preoperative clinical examinations in 266...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Chevinsky AH,Ferrara J,James AG,Minton JP,Young D,Farrar WB

    更新日期:1990-10-01 00:00:00

  • Highly selective vagotomy in the treatment of duodenal ulcer in a teaching hospital. A one-to-three year follow-up relating results to the number of operating surgeons, their surgical experience, and training conditions.

    abstract::In the present series, highly selective vagotomy (HSV) was used in the treatment of duodenal ulcer and the patients were followed up 1 to 3 years after operation. Three months after operation, 57% of the patients had positive insulin tests (early and late positive). Ulcer recurrence rate was approximately 6.5%, wherea...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Solhaug JH,Bjerkeset T,Halvorsen JF

    更新日期:1977-08-01 00:00:00

  • In utero supplemental fetal feeding in an animal model: effects on fetal growth and development.

    abstract::That the fetus swallows amniotic fluid and has the capability of intestinal absorption of protein and carbohydrate is known, but its significance in fetal nutrition is not clear. We have infused nutrient solutions of dextrose and amino acids intra-amniotically in a chronic third-trimester fetal rabbit model and examin...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Mulvihill SJ,Albert A,Synn A,Fonkalsrud EW

    更新日期:1985-09-01 00:00:00

  • Teaching suturing and knot-tying skills to medical students: a randomized controlled study comparing computer-based video instruction and (concurrent and summary) expert feedback.

    abstract:BACKGROUND:We carried out a prospective, randomized, 4-arm study including control arm, blinding of examiners to determine effectiveness of computer-based video instruction (CBVI) and different types of expert feedback (concurrent and summary) on learning of a basic technical skill. METHODS:Using bench models, partici...

    journal_title:Surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.surg.2006.09.012

    authors: Xeroulis GJ,Park J,Moulton CA,Reznick RK,Leblanc V,Dubrowski A

    更新日期:2007-04-01 00:00:00

  • Biliary granular cell tumor: a little-known curable bile duct neoplasm of young people.

    abstract::Two granular cell tumors of the biliary tree are described, one in a 37-year-old black woman with obstructive jaundice and the other in a 26-year-old white woman with abdominal pain. These are rare soft tissue tumors that have an excellent prognosis when surgically excised. Almost all reported cases have been in young...

    journal_title:Surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Butterly LF,Schapiro RH,LaMuraglia GM,Warshaw AL

    更新日期:1988-03-01 00:00:00

  • Capsaicin-sensitive nerves mediate esophageal mucosal protection.

    abstract::The esophageal mucosa is exposed to damaging agents both by ingestion and reflux. Using our in vivo rabbit model of esophagitis, we have observed that acute luminal exposure (within 1 to 5 minutes) to potentially harmful agents, such as acid, bile, or ethanol, induces a rapid increase in mucosal blood flow; whereas pr...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Bass BL,Trad KS,Harmon JW,Hakki FZ

    更新日期:1991-08-01 00:00:00

  • Thyroid carcinoma in Graves' disease.

    abstract::The prevailing hypothesis of thyroid carcinogenesis is that thyroid-stimulating hormone (TSH) is a prime factor in the growth and possibly the genesis of thyroid carcinoma. On the other hand, Graves' disease is a hyperthyroid state caused presumably by human thyroid-stimulating immunoglobulin (HTSI), not TSH. However,...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Farbota LM,Calandra DB,Lawrence AM,Paloyan E

    更新日期:1985-12-01 00:00:00

  • Dual hepatic artery reconstruction in living donor liver transplantation using a left hepatic graft with 2 hepatic arterial stumps.

    abstract:BACKGROUND:A left hepatic graft in living donor liver transplantation (LDLT) often has 2 thin and short hepatic arterial stumps, which makes hepatic artery (HA) reconstructions much more difficult to perform. Consequently, some investigators regard using a left graft as a contraindication to LDLT, whereas others report...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2009.06.028

    authors: Uchiyama H,Harada N,Sanefuji K,Kayashima H,Taketomi A,Soejima Y,Ikegami T,Shimada M,Maehara Y

    更新日期:2010-06-01 00:00:00

  • Primary closure of complicated perineal wounds with myocutaneous and fasciocutaneous flaps after proctectomy for Crohn's disease.

    abstract:BACKGROUND:The purpose of this study is to detail the use of advanced tissue transfer techniques to achieve primary closure of the perineal wound after proctectomy for Crohn's disease. METHODS:Between October 1984 and March 2000, we performed proctectomy with permanent intestinal stoma in 97 patients with Crohn's dise...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1067/msy.2001.117100

    authors: Hurst RD,Gottlieb LJ,Crucitti P,Melis M,Rubin M,Michelassi F

    更新日期:2001-10-01 00:00:00

  • Stimulation of vasoactive intestinal peptide and neurotensin secretion by pentagastrin in a patient with VIPoma syndrome.

    abstract:BACKGROUND:Pancreatic endocrine tumors (PETs) may secrete a variety of peptide hormones, either alone or in combination, and intravenously administered provocative agents have been used to stimulate hormone release to aid in the diagnosis and localization in suspected cases. These features of PETs led us to perform det...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Brunt LM,Mazoujian G,O'Dorisio TM,Wells SA Jr

    更新日期:1994-03-01 00:00:00

  • Laparoscopic-assisted cecectomy is associated with decreased formation of postoperative pulmonary metastases compared with open cecectomy in a murine model.

    abstract:BACKGROUND:It was shown in a murine model that sham laparotomy is associated with a higher incidence of postoperative lung metastases when compared with results seen after carbon dioxide pneumoperitoneum. Using the same tumor model, the present study was undertaken to determine if the addition of bowel resection to the...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1067/s0039-6060(03)00136-3

    authors: Carter JJ,Feingold DL,Kirman I,Oh A,Wildbrett P,Asi Z,Fowler R,Huang E,Whelan RL

    更新日期:2003-09-01 00:00:00

  • Hemostasis in minimally invasive liver surgery.

    abstract::Two cases are reviewed here that highlight the utility of minimally invasive surgery (MIS) techniques in major surgery procedures involving the liver. They also demonstrate specific operative procedures once thought beyond the scope of the MIS surgeon, but they are now standard in expert hands. Improved methods for at...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2007.08.008

    authors: Saxton ML

    更新日期:2007-10-01 00:00:00

  • The pattern of metastatic lymph node dissemination from adenocarcinoma of the esophagogastric junction.

    abstract:BACKGROUND:The incidence of adenocarcinoma of the esophagogastric junction is rapidly increasing, and the extent of lymphadenectomy for such tumors remains controversial. The aim of this study was to identify the pattern of dissemination by examination of all lymph nodes retrieved from resected tumors of the esophagoga...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1067/msy.2001.110024

    authors: Dresner SM,Lamb PJ,Bennett MK,Hayes N,Griffin SM

    更新日期:2001-01-01 00:00:00

  • Immunomodulators in the treatment of peritonitis in burned and malnourished animals.

    abstract::Deficiencies in the immune system that lead to increased morbidity and mortality from infectious complications have been well documented in patients suffering from trauma, malnutrition, sepsis, and thermal injuries. We investigated the potential benefit of immune stimulation for preventing infection in such conditions...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Waymack JP,Miskell P,Gonce SJ,Alexander JW

    更新日期:1984-08-01 00:00:00

  • Heat-shock gene expression excludes hepatic acute-phase gene expression after resuscitation from hemorrhagic shock.

    abstract:BACKGROUND:To determine whether the gene expression of both acute-phase reactants (APR) and the major heat-shock protein (hsp-72) can occur simultaneously, transcriptional rates were measured during shock and resuscitation. METHODS:A nuclear runoff technique was applied to hepatic biopsy specimens obtained from pigs b...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Schoeniger LO,Reilly PM,Bulkley GB,Buchman TG

    更新日期:1992-08-01 00:00:00

  • Practicality of using galvanic skin response to measure intraoperative physiologic autonomic activation in operating room team members.

    abstract:BACKGROUND:Physiologic and psychological stress are commonly experienced by operating room (OR) personnel, yet there is little research about the stress levels in OR teams and their impact on performance. Previously published procedures to measure physiologic activation are invasive and impractical for the OR. The purp...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2015.04.009

    authors: Phitayakorn R,Minehart RD,Pian-Smith MC,Hemingway MW,Petrusa ER

    更新日期:2015-11-01 00:00:00

  • Hemorrhagic shock inhibits lipopolysaccharide-induced myelopoiesis in both germ-free and conventional rats.

    abstract:BACKGROUND:Bacterial translocation has been implicated in the alteration of the immune response after shock and trauma. This study examined the effect of bacterial translocation on myelopoiesis after hemorrhagic shock in germ-free and conventional rats. METHODS:Awake, unrestrained germ-free and conventional rats were ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Livingston DH,Wang MT,Hsieh J,Murphy TF,Rush BF Jr

    更新日期:1992-10-01 00:00:00

  • Neuroendocrine ampullary tumors: spectrum of disease including the first report of a neuroendocrine carcinoma of non-small cell type.

    abstract::Primary neuroendocrine tumors of the ampulla of Vater are rare. These tumors, like those of the respiratory tract and remainder of the gastrointestinal tract, appear along a histologic spectrum of increasing malignancy from low-grade carcinoid tumors to high-grade small cell undifferentiated cancers. We herein describ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Emory RE Jr,Emory TS,Goellner JR,Grant CS,Nagorney DM

    更新日期:1994-06-01 00:00:00

  • Dexamethasone for postoperative hyperbilirubinemia in patients after liver resection: An open-label, randomized controlled trial.

    abstract:BACKGROUND:Although prophylactic glucocorticoids have been used before liver resection to minimize liver dysfunction, it is unknown whether treatment with glucocorticoids will accelerates recovery from hyperbilirubinemia after liver resection. METHODS:In this open-label, randomized, controlled trial, patients with hyp...

    journal_title:Surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.surg.2018.09.002

    authors: Huang C,Zhu XD,Shi GM,Shen YH,Ding GY,Cai JB,Zhou J,Fan J,Sun HC

    更新日期:2019-03-01 00:00:00

  • Venous thromboembolism and transfusion after major abdominopelvic surgery.

    abstract:BACKGROUND:Thromboprophylaxis aims to reduce venous thromboembolism but has the potential to increase bleeding. We sought to evaluate the risk of venous thromboembolism and transfusion after major abdominopelvic procedures and to quantify the association of the procedure with venous thromboembolism. METHODS:The Americ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2019.05.050

    authors: McAlpine K,Breau RH,Knee C,Carrier M,Violette PD,van Walraven C,McIsaac DI,Mallick R,Cagiannos I,Morash C,Lavallée LT

    更新日期:2019-12-01 00:00:00

  • Carcinoid tumors of the duodenum.

    abstract:BACKGROUND:Carcinoid tumors of the duodenum are rare, and their natural history has not been defined. Consequently, there is no consensus on the optimal extent of surgical treatment. METHODS:The authors reviewed the records of all patients with primary carcinoid tumors of the duodenum treated at their institution from...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2005.09.016

    authors: Mullen JT,Wang H,Yao JC,Lee JH,Perrier ND,Pisters PW,Lee JE,Evans DB

    更新日期:2005-12-01 00:00:00

  • Correlation between telomerase reverse transcriptase messenger RNA expression and survival of patients with papillary thyroid carcinoma.

    abstract:BACKGROUND:Telomerase reverse transcriptase promoter mutations were recently found to be associated with poorer prognosis in patients with papillary thyroid carcinoma. Correlation between telomerase reverse transcriptase messenger RNA expression and survival of patients with papillary thyroid carcinoma has not been det...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2020.04.054

    authors: Kwon JH,Yi JW

    更新日期:2021-01-01 00:00:00

  • Age, poverty, acculturation, and gastric cancer.

    abstract:BACKGROUND:Gastric cancer is an aggressive disease, and overall changes in incidence rates have been noted. There are conflicting data on whether young patients have worse outcomes than older patients; the roles of tumor biology and access to care are critical to answering this question. Our objectives were to explore ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2013.05.017

    authors: Nguyen DK,Maggard-Gibbons M

    更新日期:2013-09-01 00:00:00