Abstract：
BACKGROUND:Adhesions to polypropylene mesh used for abdominal wall hernia repair may eventuate in intestinal obstruction or enterocutaneous fistula. A Seprafilm Bioresorbable Membrane translucent adhesion barrier has been shown to inhibit adhesions. This investigation was designed to determine if Seprafilm alters abdominal visceral adhesions to polypropylene mesh. METHODS:A 2.5-cm square abdominal muscle peritoneal defect was created and corrected with polypropylene mesh. Mesh alone was used in 17 rats. In another 17, the Seprafilm membrane was applied between the viscera and the mesh. Five animals had the bioresorbable membrane placed in the subcutaneous space and between the mesh and the viscera. Laparoscopy was performed 7, 14, and 28 days later to evaluate adhesions as a percentage of mesh surface involved. RESULTS:Polypropylene mesh alone was associated with adhesions in every rat. The average area involved was 90%, the minimum was 75%. Adhesions were present within 24 hours and progressed up to 7 days with no change thereafter. When the Seprafilm barrier was used, the mean area involved was 50%. In 16 such rats, the area involved was smaller than any control animal. No adhesions formed in 5 animals. Scanning electron microscopy demonstrated a mesothelial cell layer covering the mesh after 4 weeks. CONCLUSIONS:The use of the Seprafilm adhesion barrier resulted in a significant reduction of adhesion formation to polypropylene mesh (P <.001).
journal_name
Surgeryjournal_title
Surgeryauthors
Baptista ML,Bonsack ME,Delaney JPdoi
10.1067/msy.2000.106810subject
Has Abstractpub_date
2000-07-01 00:00:00pages
86-92issue
1eissn
0039-6060issn
1532-7361pii
S0039-6060(00)16664-4journal_volume
128pub_type
杂志文章相关文献
SURGERY文献大全abstract：:An expandable intraluminal graft mounted coaxially over an angioplasty balloon catheter was used in dog arteries. The graft, a wire mesh tube that has the ability to retain its expanded shape, opposes elastic recoil of the arterial wall after maximum balloon inflation. Eighteen grafts were placed in the abdominal aort...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1986-02-01 00:00:00
abstract：:Chronic granulomatous disease (CGD) is a disorder of polymorphonuclear leukocytes that can cause multiple recurrent hepatic abscesses in 40% of those patients with the disorder. The mortality rate from this complication of CGD is estimated at 27%. Treatment has consisted of extensive surgical debridement and drainage ...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1986-05-01 00:00:00
abstract：BACKGROUND:Sudden massive release of serotonin, histamine, kallikrein, and bradykinin is postulated to cause an intraoperative carcinoid crisis. The exact roles of each of these possible agents, however, remain unknown. Optimal treatment will require an improved understanding of the pathophysiology of the carcinoid cri...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2018.04.093
更新日期：2019-01-01 00:00:00
abstract：:Recent reports demonstrate that culture of thyroid allografts before transplantation results in prolonged and sometimes indefinite survival. The loss of passenger leukocytes during organ culture was discussed as a possible reason for these findings. Recent data from a genetically defined system in the mouse demonstrat...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1977-01-01 00:00:00
abstract：:Between January, 1965, and December, 1975, 204 patients (138 men and 66 women) underwent aortoiliac reconstruction for atherosclerotic occlusive disease. Eighteen patients (9%) had a hypoplastic aortoiliac segment and an analysis of these 18 patients constitutes the basis of this report. There were 17 women and one ma...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1978-01-01 00:00:00
abstract：BACKGROUND:Little is known about the value of sequential transcatheter arterial chemoembolization and portal vein embolization compared with portal vein embolization alone before major hepatectomy for large hepatocellular carcinoma. We aimed to compare early and long-term outcomes of these two strategies. METHODS:We i...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2019.09.023
更新日期：2020-02-01 00:00:00
abstract：BACKGROUND:Measuring patient work of breathing (WOBpt) has been suggested to provide safe, aggressive weaning from mechanical ventilation. We compared WOBpt and pressure-time-product (PTP) to routine weaning parameters [breath rate (f), tidal volume (VT), frequency/tidal volume ratio (f/VT)] at different levels of pres...
journal_title：Surgery
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0039-6060(97)90081-7
更新日期：1997-10-01 00:00:00
abstract：BACKGROUND:The heterogeneous nature of carcinoid tumors makes it difficult to develop a standardized treatment strategy for the primary tumor itself and for probable liver metastases. However, prolongation of the 5-year survival rate (5-ysr) and amelioration of the incapacitating symptoms after resection of the primary...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1067/msy.2001.110426
更新日期：2001-02-01 00:00:00
abstract：BACKGROUND:Difficult cephalad exposure during carotid endarterectomy in patients with high plaque (HP) may lead to increased incidence of complications after carotid endarterectomy. We report on our experience of carotid endarterectomy in patients with HP. METHODS:This is a retrospective review of 1,233 consecutive pa...
journal_title：Surgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.surg.2019.06.017
更新日期：2019-10-01 00:00:00
abstract：BACKGROUND:The importance of cigarette smoking in the etiology of peripheral arterial occlusive disease is well known, but there have been few studies that have quantified this relationship. METHODS:A case-control study design was used in which the case subjects were men with a history of claudication for at least 1 y...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1993-10-01 00:00:00
abstract：HYPOTHESIS:If (1) 3-hydroxy-3-methylglutaryl-coenzyme reductase inhibitors (statins) block the rate-limiting step in cholesterol synthesis and promote the expression of low-density lipoprotein receptors, (2) "Gram-negative sepsis" results from an abundant systemic response to bacterial lipopolysaccharide (endotoxin), (...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2005.08.029
更新日期：2006-03-01 00:00:00
abstract：BACKGROUND:The aim of this study was to clarify whether the types of portal vein (PV) occlusion during hepatectomy affect the long-term outcome in patients with hepatocellular carcinoma (HCC). METHODS:Eighty-six patients who had undergone curative hepatic resection for HCC were divided on the basis of the type of PV o...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2005.02.008
更新日期：2005-06-01 00:00:00
abstract：BACKGROUND:Metastatic neuroendocrine tumors (NETs) can present with complications of gastrointestinal tract obstruction or ischemia and carcinoid syndrome (CS). The purpose of this study was to assess whether aggressive surgical intervention of metastatic NETs provides effective palliation from these symptoms. METHODS...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2008.06.008
更新日期：2008-10-01 00:00:00
abstract：BACKGROUND:Complex anal fistulas are unsuitable for fistulotomy because of the risk of fecal incontinence. The anal fistula plug (AFP) has demonstrated fistula healing without sphincter division. This study aims to evaluate the cost-effectiveness of the AFP compared to the endoanal advancement flap (EAAF) as an alterna...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2009.05.018
更新日期：2010-01-01 00:00:00
abstract：:Eleven patients with previous esophageal atresia repair (TEF) underwent esophageal motility studies and were compared to 10 normal patients. The upper sphincters (UES) in the two groups did not differ in resting pressure, contraction pressure, or coordination. UES relaxation, was 100% in normal patients and 83+/-8% in...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1977-07-01 00:00:00
abstract：BACKGROUND:There is not enough evidence to establish an appropriate surveillance strategy after operative resection for intraductal papillary mucinous neoplasm. METHODS:This study included 257 consecutive intraductal papillary mucinous neoplasm patients who underwent operative resection between July 1999 and March 201...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2016.04.007
更新日期：2016-08-01 00:00:00
abstract：:A new technique for endarterectomy of the aorta, iliac, femoropopliteal, and three distal vessels of the lower leg is a safe and predictable method of endarterectomy that has proved to be effective. By the use of this technique the superficial femoral artery and its collateral branches are opened, considerably increas...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1985-05-01 00:00:00
abstract：BACKGROUND:We have previously shown minimal evidence of neutrophil infiltration during early reperfusion of porcine ischemic ileum. However, we noted marked neutrophil infiltration 6 to 18 hours after ischemia during mucosal repair. We postulated such neutrophil infiltration would disrupt restituting epithelium. METHO...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1067/msy.2002.125320
更新日期：2002-09-01 00:00:00
abstract：BACKGROUND:Gastroparesis is characterized by delayed gastric emptying in the absence of obstruction. Common symptoms include nausea, vomiting, and abdominal pain. Severe gastroparesis can result in recurrent hospitalizations, malnutrition, and even death. Gastric electrical stimulation (GES) is a low morbidity treatmen...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2008.06.024
更新日期：2008-10-01 00:00:00
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
更新日期：2019-03-01 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:As payment shifts toward bundled reimbursement, decreasing unnecessary inpatient care may provide cost savings. This study examines the association between discharge status, hospital duration of stay, and cost for colorectal operation patients without complications and uses risk factors to predict the need f...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2016.10.015
更新日期：2017-04-01 00:00:00
abstract：BACKGROUND:The present study evaluates 111In-pentetreotide scanning as a method for detection of gastrinomas. Operative findings serve as the benchmark for comparison of the efficacy of 111In-pentetreotide versus conventional imaging studies. METHODS:Twelve patients (seven female and five male; age, 37 to 80 years) wi...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/s0039-6060(05)80121-7
更新日期：1995-12-01 00:00:00
abstract：BACKGROUND:Recent evidence suggests that gadolinium ethoxybenzyl diethylenetriamine penta acetic acid-enhanced (Gd-EOB-DTPA) magnetic resonance imaging may be used to evaluate liver function. The aim of this study was to assess whether the signal intensity of Gd-EOB-DTPA magnetic resonance imaging may be used to predic...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2020.04.041
更新日期：2020-09-01 00:00:00
abstract：INTRODUCTION:Policies that mandate colorectal screening coverage by private insurers are associated with increased use of screening procedures. We seek to understand whether such mandates have improved access to care and short-term operative outcomes for patients undergoing operations of the colon and rectum (OCR). ME...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2013.04.037
更新日期：2013-08-01 00:00:00
abstract：BACKGROUND:Giant duodenal ulcer (GDU) is generally thought to require surgical intervention. Proton pump inhibitors have beneficial effects in peptic ulcer disease, but their role in GDU disease is unknown. We examined the use of omeprazole in GDU management. METHODS:Twenty-eight patients were diagnosed with GDU. One ...
journal_title：Surgery
pub_type： 临床试验,杂志文章
doi：
更新日期：1999-10-01 00:00:00
abstract：:We have reported on a patient with isolated metachronous renal artery emboli. The second embolus was treated successfully surgically 12 hours after the onset of symptoms. A review of the literature shows that emboli to the renal arteries occur more frequently than realized and that late embolectomy often is successful...
journal_title：Surgery
pub_type： 杂志文章,评审
doi：
更新日期：1976-01-01 00:00:00
abstract：:Teratomas were observed in 85 infants and children. Fifty-eight (68%) were girls and 27 (32%) boys. Site of origin was sacrococcygeal in 55 patients (64.8%), mediastinal in ten (11.7%), gonadal in ten (11.7%), presacral in four (4.8%), retroperitoneal in three (3.5%), and cervical in three (3.5%). Sixty-seven (78.8%) ...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1976-09-01 00:00:00
abstract：BACKGROUND:Although pentoxifylline has been shown to improve tissue oxygenation and restore hepatocellular function after hemorrhagic shock, its effect on hepatic ischemia and reperfusion injury has not been fully clarified. The purpose of this study was to determine whether pentoxifylline exerted beneficial effects on...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/s0039-6060(97)90106-9
更新日期：1997-05-01 00:00:00
abstract：:Measurement of serum ionized calcium has been shown to be more sensitive a method of diagnosing primary hyperparathyroidism than total calcium in patients with subtle or intermittent elevations of total calcium. The measurement of ionized calcium, however, is technically difficult. The measurement of serum ultrafiltra...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1988-12-01 00:00:00
