Abstract：
:Computed tomography was used to evaluate 25 hemodynamically stable patients with suspected leaking abdominal aortic aneurysms. Of 10 patients found to have the presence of free retroperitoneal blood, six underwent immediate operation and five survived (83%). Delay in operation uniformly resulted in death. There was one false-positive study. Twelve patients demonstrated no extravascular fluid on initial computed tomography interpretation. Unsuspected nonvascular problems were found in six patients (40%). There was one false-negative study that resulted in a death. Clinical findings at initial examinations were similar in both groups. We conclude that in the hemodynamically stable patient, combining prompt computed tomography evaluation and immediate operation optimizes outcome in patients with leaking abdominal aortic aneurysms.
journal_name
Surgeryjournal_title
Surgeryauthors
Zarnke MD,Gould HR,Goldman MHsubject
Has Abstractpub_date
1988-06-01 00:00:00pages
638-42issue
6eissn
0039-6060issn
1532-7361pii
0039-6060(88)90328-5journal_volume
103pub_type
杂志文章相关文献
SURGERY文献大全abstract：:A patient with an uncommon cause of portal venous hypertension, pancreatitis, is depicted. The patient had an equally uncommon pattern of symptoms and signs consisting of abdominal pain and lower gastrointestinal hemorrhage caused by colonic varices. A unique treatment, with angiographic placement of an expandable int...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1992-05-01 00:00:00
abstract：BACKGROUND:In patients with esophageal cancer and a history of gastric surgery, colonic interposition is the treatment of choice. Our aim was to review our experience with this technique and to identify possible predictors of the clinical outcome. METHODS:Between 1986 and 2006, 43 patients underwent esophageal reconst...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2009.10.045
更新日期：2010-04-01 00:00:00
abstract：BACKGROUND:Although intracellular protease activation is thought to be an early event in acute pancreatitis, factors determining progression from edematous to necrotizing pancreatitis are largely unknown. With enterokinase as a probe and an immunoassay quantifying free trypsinogen activation peptides (TAP), we sought e...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1994-09-01 00:00:00
abstract：:The specific susceptibility of the intestinal mucosa to low blood flow states is related to the "physiologic" makeup of the intestinal milieu. Pancreatic proteases appear to play a crucial role in the ischemic autodigestion of the intestinal mucosa. Moreover, trypsin can activate the conversion of xanthine dehydrogena...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1986-01-01 00:00:00
abstract：BACKGROUND:From a post hoc analysis a hypothesis was generated that women deposit more collagen in a surrogate test wound than men. The purpose of this study has been to verify this hypothesis prospectively in a controlled study. METHODS:Post hoc analyses were done on 37 volunteers (study A). The prospective trial inc...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1067/msy.2002.119986
更新日期：2002-03-01 00:00:00
abstract：OBJECTIVE:We attempted to assess liver ischemia/reperfusion injury under a mild decrease in core liver temperature of 10 degrees C by in situ hypothermic perfusion during ischemia. METHODS:Liver ischemia was induced in pigs by total hepatic vascular exclusion with concomitant in situ perfusion with hypothermic (4 degr...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/s0039-6060(03)00125-9
更新日期：2003-11-01 00:00:00
abstract：BACKGROUND:An ongoing debate exists regarding the relative merits of full versus limited neck exploration in the surgical management of parathyroid adenomata. The aim of this study was to assess the impact of localization studies on the subsequent surgical management of hyperparathyroidism. METHODS:The accuracy of com...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/s0039-6060(96)80093-6
更新日期：1996-11-01 00:00:00
abstract：:The term big data has been popularized over the past decade and is often used to refer to data sets that are too large or complex to be analyzed by traditional means. Although the term has been utilized for some time in business and engineering, the concept of big data is relatively new to medicine. The reception from...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2018.06.022
更新日期：2018-10-01 00:00:00
abstract：BACKGROUND:Laparoscopy in patients with intra-abdominal malignancy remains controversial. This study evaluates the incidence of tumor recurrence at the port site after laparoscopy in patients with intra-abdominal malignancy. METHODS:The medical records of all patients with nongynecologic malignancies who underwent lap...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
abstract：BACKGROUND:Wound complications after lower extremity arterial reconstruction can range from a minor lymphatic leak that causes minimal disability to a severe infection that jeopardizes the limb and life of the affected patient. This study was designed to define more clearly the incidence, severity, and the cost of thes...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/s0039-6060(96)80135-8
更新日期：1996-04-01 00:00:00
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
更新日期：2001-10-01 00:00:00
abstract：:The incidence and management of complications of injection sclerotherapy are reviewed in 304 consecutive patients with esophageal varices followed up prospectively for a 10-year period. The 304 patients were injected on 1336 occasions. Three hundred eleven local esophageal complications occurred in 140 patients (compl...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1989-02-01 00:00:00
abstract：BACKGROUND:Long-term outcomes after face transplantation are rarely reported in the scientific literature. Here we present outcome data of a partial face allograft recipient 10 years after transplantation. METHODS:Medical records were reviewed for functional and psychosocial outcomes as well as complications. Histopat...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2020.01.010
更新日期：2020-06-01 00:00:00
abstract：:In this study we evaluated the capacity of selective angiography to reduce the number of exploratory procedures with negative results for suspected peripheral vascular injury. During the 4-year period ending December 1982, 316 trauma patients were evaluated for possible vascular injuries of the extremities. Exploratio...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1983-10-01 00:00:00
abstract：INTRODUCTION:Although frequently used as an adjunct to cytology in patients with differentiated thyroid cancers, interpretation of thyroglobulin washout remains unclear. We aim to compare the utility of different analytic tools to develop recommendations for use in post-total thyroidectomy follow-up. METHODS:This is a...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2019.05.083
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:The United States population is aging, and the number of older adults requiring operative care is increasing at a rapid rate. In order to address this issue, the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society created best practice guidelines sur...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2020.08.033
更新日期：2021-02-01 00:00:00
abstract：:In a prospective study, patients undergoing abdominal cancer surgery were randomly allocated to receive either general anesthesia with fentanyl intravenously and postoperative analgesia with parenteral morphine (GA group) or general anesthesia combined with epidural bupivacaine and epidural morphine for postoperative ...
journal_title：Surgery
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1988-07-01 00:00:00
abstract：BACKGROUND:Major hepatic resection in patients with unrelieved obstructive jaundice carries an increased risk of postoperative liver failure. We hypothesized that cholestasis induces hepatocyte apoptosis and impairs hepatic regeneration by inhibiting up-regulation of the known immediate-early response genes, nuclear fa...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1067/msy.2002.122375
更新日期：2002-05-01 00:00:00
abstract：BACKGROUND:The process of extrinsic reinnervation after small bowel transplantation is poorly understood. METHODS:Jejunal and ileal specimens, obtained from the dogs that underwent intestinal autotransplantation by an end-to end (E-E) or end-to-side arterial reconstruction, were analyzed at 1 (n = 7), 3 (n = 6), 6 (n ...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1998-01-01 00:00:00
abstract：BACKGROUND:Patient-reported outcomes are measured in chronic disease states to inform intervention and management decisions while minimizing negative outcomes. We hypothesized that health-related quality of life in patients with multiple endocrine neoplasia type 2A would be worse than the general US population but simi...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2018.04.036
更新日期：2018-09-01 00:00:00
abstract：:In many cases of digital gangrene, limited amputation to preserve the majority of the foot is possible. In the absence of invasive infection, forefoot perfusion pressure is the single most important factor in determining outcome of minor amputation. At ankle pressures of less than 35 mm. Hg, salvage of the foot appear...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1976-12-01 00:00:00
abstract：:The risks of transfusion-associated infectious disease have made increased efforts to avoid homologous transfusion imperative. Little attention has been focused on efforts to accelerate erythropoiesis as a method of reducing homologous blood use. Recombinant human erythropoietin (rHuEPO) has been shown to enhance eryt...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1989-08-01 00:00:00
abstract：:A patient's condition was initially diagnosed as constrictive pericarditis, but an echocardiogram revealed the presence of an intracardiac tumor. The tumor was a slow-growing leiomyosarcoma that originated in the left internal iliac vein, extended into the inferior vena cava, and reached the right ventricle. This tumo...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1981-05-01 00:00:00
abstract：:Lymphocytes from melanoma patients more frequently inhibited the growth of human melanoma cells in the hamster cheek pouch than did lymphocytes from normal donors. Growth inhibition was accomplished with a much lower ratio of target cells to lymphocytes than in in vitro assays. The hamster cheek pouch assay can be use...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1977-03-01 00:00:00
abstract：:The incidence of fascial disruption after major abdominal operations is 1% to 3%, and dehiscence is associated with a mortality rate of 15% to 20%. Although several systemic factors (e.g., malnutrition, increased age, male sex, and chronic treatment with steroids) have been associated with an increased risk of wound d...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1985-06-01 00:00:00
abstract：BACKGROUND:Common anastomotic complications after pancreatoduodenectomy (PD) are leakage from the pancreaticojejunostomy or hepaticojejunostomy. Leakage from the gastroenteric anastomosis has rarely been described. We evaluated the incidence of gastroenteric leakage after PD and described its presentation, treatment, a...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2014.03.044
更新日期：2014-07-01 00:00:00
abstract：BACKGROUND:We sought to compare the impact of sequential and contemporaneous revascularizations of portal vein and hepatic artery on biliary complications in patients undergoing liver transplantation. METHODS:We reviewed 184 patients who underwent liver transplantation in our center, and categorized them into differen...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2013.06.056
更新日期：2014-01-01 00:00:00
abstract：BACKGROUND:A laparoscopic approach to adrenalectomy has become the procedure of choice for most adrenal resections. We hypothesized that laparoscopic adrenalectomy is less likely to result in intensive care unit (ICU) level complications or death than open adrenalectomy, despite baseline comorbidity mix. METHODS:Using...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2012.08.020
更新日期：2012-12-01 00:00:00
abstract：BACKGROUND:Although systems of 3-dimensional image-guided surgery are a valuable adjunct across numerous procedures, differences in organ shape between that reflected in the preoperative image data and the intraoperative state can compromise the fidelity of such guidance based on the image. In this work, we assessed in...
journal_title：Surgery
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.surg.2017.04.020
更新日期：2017-09-01 00:00:00
abstract：BACKGROUND:Obese patients can develop a large lower abdominal panniculus (worsened by significant weight loss). Patients with advanced chronic kidney disease (CKD) affected by this obesity-related sequela are not infrequently declined for kidney transplantation because of the high risk for serious wound-healing complic...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2015.12.001
更新日期：2016-06-01 00:00:00
