abstract：:To evaluate the patency of PTFE (Gore-tex) as a femoropopliteal bypass, a prospective randomized trial was performed between PTFE and saphenous vein. Forty-nine consecutive patients with intermittent claudication, rest pain, or tissue loss due to an occlusion of the superficial femoral artery entered the study. Random...

journal_title：Annals of surgery

authors： Tilanus HW,Obertop H,Van Urk H

更新日期：1985-12-01 00:00:00

abstract：:Patients under the age of 40 with colorectal cancer (29 females, 18 males) were compared with similar patients in our general hospital population and analyzed for patterns of presentation, stage at diagnosis, degree of tumor differentiation, and survival. There was a higher incidence of poorly differentiated tumors in...

journal_title：Annals of surgery

authors： Behbehani A,Sakwa M,Ehrlichman R,Maguire P,Friedman S,Steele GD Jr,Wilson RE

更新日期：1985-11-01 00:00:00

abstract：:Eighty-five (23%) of 375 patients undergoing surgery for primary hyperparathyroidism were found to have enlargement (greater than 50 mg) of two or three parathyroid glands. Of 76 patients followed from 12 to 140 months after surgery, eight (10.5%) developed hypercalcemia at 1, 4, 45, 64, 74, 79, 84, and 133 months. In...

journal_title：Annals of surgery

authors： Wells SA Jr,Leight GS,Hensley M,Dilley WG

更新日期：1985-11-01 00:00:00

abstract：:The management of impaired respiratory gas exchange in patients with nonuniform posttraumatic and septic adult respiratory distress syndrome (ARDS) contains its own therapeutic paradox, since the need for volume-controlled ventilation and PEEP in the lung with the most reduced compliance increases pulmonary barotrauma...

journal_title：Annals of surgery

authors： Siegel JH,Stoklosa JC,Borg U,Wiles CE 3rd,Sganga G,Geisler FH,Belzberg H,Wedel S,Blevins S,Goh KC

更新日期：1985-10-01 00:00:00

abstract：:The efficacy of supplemental fresh frozen plasma (FFP) therapy after massive packed red cell (PRBC) replacement for hemorrhagic shock was studied in 22 conditioned dogs. Ten dogs were randomized to received FFP, balanced electrolyte solution (BES), and PRBC, while 12 dogs received BES and PRBC. Coagulation factor acti...

journal_title：Annals of surgery

authors： Martin DJ,Lucas CE,Ledgerwood AM,Hoschner J,McGonigal MD,Grabow D

更新日期：1985-10-01 00:00:00

abstract：:Current treatment modalities for thrombotic thrombocytopenic purpura (TTP) include plasmapheresis (PP), splenectomy, steroids, dextran, other antiplatelet agents, and vinca alkaloids. Prior to the development of PP and use of multimodality treatment for TTP, mortality rates exceeded 50%. This report reviews 11 patient...

journal_title：Annals of surgery

authors： Schneider PA,Rayner AA,Linker CA,Schuman MA,Liu ET,Hohn DC

更新日期：1985-09-01 00:00:00

abstract：:The purpose of this report is to review the results of mitral valve replacement since a first report in the Annals of Surgery in 1961, in order to determine the relative importance of new valve designs versus other surgical variables. The continued use of the silastic ball valve in its 1966 configuration (Model 6120),...

journal_title：Annals of surgery

authors： Cobanoglu A,Grunkemeier GL,Aru GM,McKinley CL,Starr A

更新日期：1985-09-01 00:00:00

abstract：:A series of patients showing a previously unrecognized type of sliding hiatus hernia is presented and analyzed. This type of hernia is characterized by reflux of the mucous membrane of the Hiss angle into the lumen of the esophagus. The occurrence of mucosal prolapse is a secondary phase of gastroesophageal reflux. Th...

journal_title：Annals of surgery

authors： Myllärniemi H,Saario I

更新日期：1985-08-01 00:00:00

abstract：:Fibronectin exists in a soluble form in plasma and in an insoluble form in tissues. Plasma fibronectin can modulate phagocytic function as well as incorporate into the tissue matrix where it is believed to influence microvascular integrity and tissue repair. The temporal alterations in plasma and lung lymph fibronecti...

journal_title：Annals of surgery

authors： Cohler LF,Saba TM,Lewis EP

更新日期：1985-08-01 00:00:00

abstract：:From 1979 to 1983, 1726 carotid endarterectomies were performed at the Cleveland Clinic. During this period, 39 men (mean age, 60 years) and 22 women (mean age, 63 years) required 65 reoperations (3.8%) for correction of recurrent carotid stenosis occurring 3 to 194 months (mean, 42 months) after previous endarterecto...

journal_title：Annals of surgery

authors： Das MB,Hertzer NR,Ratliff NB,O'Hara PJ,Beven EG

更新日期：1985-07-01 00:00:00

abstract：:Peripheral vascular disease of the extremities causes ischemic pain and, at times, skin ulcerations and gangrene. It has been suggested that epidural spinal electrical stimulation (ESES) could improve peripheral circulation. Since 1978 we have used ESES in 34 patients with severe limb ischemia; all had resting pain an...

journal_title：Annals of surgery

authors： Augustinsson LE,Carlsson CA,Holm J,Jivegård L

更新日期：1985-07-01 00:00:00

abstract：:Appendicitis is more common in developed than in developing societies and appendiceal fecaliths are thought to have an etiologic role in the disease. The geographic distribution of appendiceal fecaliths was investigated by systematic, intraoperative palpation of the appendix in patients in Toronto, Canada and Johannes...

journal_title：Annals of surgery

authors： Jones BA,Demetriades D,Segal I,Burkitt DP

更新日期：1985-07-01 00:00:00

abstract：:Although survival from primary breast cancer has improved with earlier diagnosis and treatment, the management of the opposite breast is still in question. The risk factors for bilaterality are known, and preoperative mammography is occasionally helpful, but identification of early second breast cancer is very limited...

journal_title：Annals of surgery

authors： Wanebo HJ,Senofsky GM,Fechner RE,Kaiser D,Lynn S,Paradies J

更新日期：1985-06-01 00:00:00

abstract：:Gallbladder contraction in response to a fatty meal is thought to be caused by release of cholecystokinin (CCK). We have previously demonstrated a close correlation between circulating concentrations of CCK and contraction of the gallbladder in normal humans and in gallstone patients. Recent studies in animals, howeve...

journal_title：Annals of surgery

authors： Walker JP,Khalil T,Wiener I,Fagan CJ,Townsend CM Jr,Greeley GH Jr,Thompson JC

更新日期：1985-06-01 00:00:00

abstract：:Neurologic events following carotid reconstructive surgery for symptomatic cerebral occlusive disease are generally reported to be one to two per cent. One of the events leading to this incidence is thrombosis of the endarterectomized internal carotid artery (ICA) after surgery. Since antiplatelet drugs have been foun...

journal_title：Annals of surgery

authors： Edwards WH,Edwards WH Jr,Mulherin JL Jr,Jenkins JM

更新日期：1985-06-01 00:00:00

abstract：:From 1980 to 1984, 326 patients requiring splenectomy or splenorrhaphy were treated at one urban trauma center. Splenic injuries were graded in severity from one to five at the time of celiotomy. Splenorrhaphy was attempted in all patients, except when the spleen was shattered or avulsed or when multiple injuries were...

journal_title：Annals of surgery

authors： Feliciano DV,Bitondo CG,Mattox KL,Rumisek JD,Burch JM,Jordan GL Jr

更新日期：1985-05-01 00:00:00

abstract：:One hundred and forty patients with an intractable ascites complicating a chronic liver disease received a peritoneovenous shunt (PVS) using the LeVeen valve. Operative mortality was ten per cent but was 25% in patients with severe liver failure. Intraoperative drainage of ascites sharply decreased postoperative compl...

journal_title：Annals of surgery

authors： Smadja C,Franco D

更新日期：1985-04-01 00:00:00

abstract：:Estrogen (ER), progesterone (PgR), and androgen (AR) receptors were measured in two simultaneous or subsequent specimens taken each from 259 patients with breast cancer. We studied in 182 patients results from receptor assays, either from one tumor or from the primary tumor, and a lymph node metastasis, and in 77 sequ...

journal_title：Annals of surgery

authors： Jakesz R,Dittrich C,Hanusch J,Kolb R,Lenzhofer R,Moser K,Rainer H,Reiner G,Schemper M,Spona J

更新日期：1985-03-01 00:00:00

abstract：:We have demonstrated previously that oxygen-derived free radicals are important mediators of tissue injury following ischemia (total venous occlusion) and reperfusion in small (3 cm X 6 cm) island skin flaps in rats. In this study, we evaluated extension of this concept to regional ischemia in large (8 cm X 8 cm) acut...

journal_title：Annals of surgery

authors： Im MJ,Manson PN,Bulkley GB,Hoopes JE

更新日期：1985-03-01 00:00:00

abstract：:The healing of 3-cm longitudinal colotomies closed with either Czerny-Lembert suture lines (CLSL) or TA-30 staple lines (SSL) were studied in 28 mongrel dogs using bursting strength (BS) measurements. Dogs from each group were sacrificed on postoperative days (POD) 1 through 7. Mean BS for the SSL in all 14 dogs was 1...

journal_title：Annals of surgery

authors： Ballantyne GH,Burke JB,Rogers G,Lampert EG,Boccia J

更新日期：1985-03-01 00:00:00

abstract：:During the 5-year period from January 1978 through December 1982, 196 patients with blunt trauma to the small bowel, colon, or mesentery were treated at the Maryland Institute for Emergency Medical Services Systems (MIEMSS) Shock Trauma Center. More than 80% of these patients were the victims of motor vehicle accident...

journal_title：Annals of surgery

authors： Dauterive AH,Flancbaum L,Cox EF

更新日期：1985-02-01 00:00:00

abstract：:As a consequence of an experience with 175 patients undergoing reoperation for persistent or recurrent hyperparathyroidism, the authors have evolved an approach to management. The emphasis is on the confirmation of the diagnosis; the critical evaluation of invasive and noninvasive localization tests, techniques of int...

journal_title：Annals of surgery

authors： Brennan MF,Norton JA

更新日期：1985-01-01 00:00:00

abstract：:The etiology of hepatic insufficiency associated with the multiple systems organ failure (MSOF) syndrome is unclear. The authors have investigated the possibility that a macrophage/Kupffer cell mediated modulation of hepatocyte function may play a role in this phenomenon. Isolated rat hepatocytes were cultured, and th...

journal_title：Annals of surgery

authors： Keller GA,West MA,Cerra FB,Simmons RL

更新日期：1985-01-01 00:00:00

abstract：:In an attempt to prevent portoprival malcirculation after distal splenorenal shunt (DSRS), a splenic hilar renal shunt (HRS) with proximal flush ligation of splenic vein was designed. To accomplish this procedure, two methods were compared: HRS alone (Group A) and HRS plus proximal flush ligation of the splenic vein (...

journal_title：Annals of surgery

authors： Inokuchi K,Beppu K,Koyanagi N,Nagamine K,Hashizume M,Sugimachi K

更新日期：1984-12-01 00:00:00

abstract：:Successful long-term limb salvage using cephalic vein bypass grafts was attained in 70 limbs of 67 patients over the past 11 years. The saphenous vein was absent in 76% and inadequate in 24% of the cases. Revascularization for limb salvage was carried out in 83%. Ninety per cent of the grafts were extended to the infr...

journal_title：Annals of surgery

authors： Harris RW,Andros G,Dulawa LB,Oblath RW,Salles-Cunha SX,Apyan R

更新日期：1984-12-01 00:00:00

abstract：:Pancreas divisum is an anatomic duct variant, which may predispose to pancreatitis. Most patients are managed conservatively, but some patients justify attempts to improve drainage. The correct surgical approach is not yet established, and there has been no series published concerning pancreatic resection in this cont...

journal_title：Annals of surgery

authors： Blair AJ 3rd,Russell CG,Cotton PB

更新日期：1984-11-01 00:00:00

abstract：:Release of pancreatic polypeptide (PP) after a meal is biphasic, with an early transient peak believed to be under cholinergic control, and a secondary, prolonged intestinal phase thought to be mediated by hormones. Endogenous release of PP was stimulated by intraduodenal oleate (6.8 mmol/hr) or by intravenous adminis...

journal_title：Annals of surgery

authors： Fried GM,Ogden WD,Greeley GH Jr,Thompson JC

更新日期：1984-11-01 00:00:00

abstract：:Of 531 patients admitted to the Duke Coronary Care Unit with unstable angina (UA) from June 1981 to September 1982, 100 had persistent angina despite optimal medical therapy of nitrates, propranolol, and nifedipine. At catheterization, 70% of the refractory patients had left main (LM) or three-vessel disease (TVD), 68...

journal_title：Annals of surgery

authors： Rankin JS,Newton JR Jr,Califf RM,Jones RH,Wechsler AS,Oldham HN Jr,Wolfe WG,Lowe JE

更新日期：1984-10-01 00:00:00

abstract：:Low mortality rates for elective surgical treatment of abdominal aortic aneurysms justify an aggressive approach in most patients. However, in high-risk patients with small aneurysms and no symptoms, the decision to operate remains a delicate balance of risk and benefit. Our observations include 99 high-risk patients ...

journal_title：Annals of surgery

authors： Bernstein EF,Chan EL

更新日期：1984-09-01 00:00:00

abstract：:Transcutaneous tissue oxygen tension (PtcO2) was evaluated as a noninvasive diagnostic test for peripheral arterial insufficiency; PtcO2 was measured at rest, during exercise, and following exercise at three leg sites in 36 controls and 138 patients with exercise-induced leg pain. Resting foot PtcO2 differed significa...

journal_title：Annals of surgery

authors： Byrne P,Provan JL,Ameli FM,Jones DP

更新日期：1984-08-01 00:00:00

abstract：:Spectral analysis was used to examine 257 carotid arteries in 227 patients who had undergone carotid endarterectomy at 1, 3, 6, and 12 months after surgery and annually thereafter. Routine intraoperative completion angiography ensured that the operations were technically satisfactory. Postoperative restenoses were ide...

journal_title：Annals of surgery

authors： Thomas M,Otis SM,Rush M,Zyroff J,Dilley RB,Bernstein EF

更新日期：1984-07-01 00:00:00

abstract：:Celiotomy in cirrhotic patients is reported to bear a high risk of operative morbidity and mortality. We reviewed 100 consecutive, cirrhotic patients who underwent nonshunt celiotomy. Thirty patients died and major complications occurred in another 30 patients. Hospital mortality rate was 21% in 39 biliary operations,...

journal_title：Annals of surgery

authors： Garrison RN,Cryer HM,Howard DA,Polk HC Jr

更新日期：1984-06-01 00:00:00

abstract：:This report reviews the experience of the Hepatobiliary Unit, Royal Postgraduate Medical School, Hammersmith Hospital, London with 16 patients having proximal extrahepatic bile duct malignancy who underwent resection and a comparable group of 15 patients who had surgical bypass. The purposes of the review were to eval...

journal_title：Annals of surgery

authors： Beazley RM,Hadjis N,Benjamin IS,Blumgart LH

更新日期：1984-06-01 00:00:00

abstract：:Five-year survival after resection of hepatic metastases from colorectal cancer is 25%. Although resection palliates some patients who do not live that long, 50% of patients so treated are not helped at all. Until ignorance of a cancer's real stage is resolved by improved techniques, the evaluation and choice of thera...

journal_title：Annals of surgery

authors： Wagner JS,Adson MA,Van Heerden JA,Adson MH,Ilstrup DM

更新日期：1984-05-01 00:00:00

abstract：:Despite the rarity of chronic relapsing pancreatitis in children, in the last 15 years at Vanderbilt University Medical Center and its Children's Hospital we have used longitudinal pancreaticojejunostomy in treatment of eight patients whose symptoms began in childhood. Duration of symptoms ranged from 2 to 36 years. S...

journal_title：Annals of surgery

authors： Scott HW Jr,Neblett WW,O'Neill JA Jr,Sawyers JL,Avant GS,Starnes VA

更新日期：1984-05-01 00:00:00

abstract：:This prospective study evaluated host resistance in a surgical population who walked into the hospital for elective surgery. Patients were stratified into Hospital Reactive (HR, n = 19) if they reacted to two or more of five recall skin test antigens and Walk-in Anergic (WA, n = 26) if they did not react to the antige...

journal_title：Annals of surgery

authors： Christou NV,Rode H,Larsen D,Loose L,Broadhead M,Meakins JL

更新日期：1984-04-01 00:00:00

abstract：:Resting energy expenditure (REE), nutritional parameters, and substrate levels were measured using a technique to minimize artifacts in 11 control patients, nine patients with localized, and four patients with diffuse neoplastic disease. Patients with diffuse disease had significantly increased percentage preillness w...

journal_title：Annals of surgery

authors： Arbeit JM,Lees DE,Corsey R,Brennan MF

更新日期：1984-03-01 00:00:00

abstract：:Forty-nine patients with chronic ulcerative colitis refractory to medical therapy and four with multiple polyposis have undergone total colectomy, mucosal protectomy, and endorectal ileal pull-through with ileoanal anastomosis at the UCLA Medical Center during the past 12 years (mean age, 19.4 years). Thirty-eight pat...

journal_title：Annals of surgery

authors： Fonkalsrud EW

更新日期：1984-02-01 00:00:00

abstract：:Esophageal leiomyoma, while rare, is the most common benign tumor of the esophagus. Nine cases from a large teaching hospital are reviewed with long-term follow-up. Steps in the diagnosis and management of this lesion are discussed. ...

journal_title：Annals of surgery

authors： Solomon MP,Rosenblum H,Rosato FE

更新日期：1984-02-01 00:00:00

abstract：:Analysis of experience with chronic bleeding peptic ulcer in 504 patients, admitted from 1960 to 1971, shows a hospital mortality of 12%. This retrospective review suggested that early endoscopic diagnosis, adequate resuscitation and a policy of early selective surgery was necessary if mortality was to be reduced. Wit...

journal_title：Annals of surgery

authors： Hunt PS

更新日期：1984-01-01 00:00:00