abstract：:Two-hundred and fifty patients undergoing initial exploration for primary hyperparathyroidism were analyzed for differences in clinical presentation, biochemical status, pathology, and outcome of surgery. In patients less than 60 years of age (younger patients, n = 119) the most common preoperative symptoms and signs ...

journal_title：World journal of surgery

authors： Udén P,Chan A,Duh QY,Siperstein A,Clark OH

更新日期：1992-07-01 00:00:00

abstract：:This study assessed the results of surgical treatment for Graves' disease in our hospital and examined the relationship between the values of thyroid stimulating hormone (TSH) receptor antibodies and postoperative thyroid function. From 1983 to 1988, subtotal thyroidectomy was performed in 313 patients with Graves' di...

journal_title：World journal of surgery

authors： Mori Y,Matoba N,Miura S,Sakai N,Taira Y

更新日期：1992-07-01 00:00:00

abstract：:Worldwide, traffic deaths are 500,000 per year and growing. Four nations, China, India, Russia, and the United States of America, have reached levels of 45,000-50,000 traffic deaths per year, although the nature of the problem is quite different in fully motorized countries from what it is in motorizing countries. In ...

journal_title：World journal of surgery

authors： Campbell BJ

更新日期：1992-05-01 00:00:00

abstract：:Cancers of the distal rectum (less than 7.5 cm from the anal verge) that are freely mobile, moderately well or well differentiated, less than 4 cm in size, limited to the bowel wall, and without evidence of metastasis should be considered candidates for treatment with electrocoagulation for cure. Tumor cell ploidy and...

journal_title：World journal of surgery

authors： Eisenstat TE,Oliver GC

更新日期：1992-05-01 00:00:00

abstract：:From January, 1972 to June, 1989, 51 patients with liver hemangiomas (32 females and 19 males, mean age 35 years) were evaluated for surgical treatment. Diameters of the masses were 5 cm to 20 cm (median 8.5 cm). Nine of the patients had already been treated for cancer. Twenty-two (43.1%) of the 51 patients were sympt...

journal_title：World journal of surgery

authors： Lise M,Feltrin G,Da Pian PP,Miotto D,Pilati PL,Rubaltelli L,Zane D

更新日期：1992-05-01 00:00:00

abstract：:Node dissection for melanoma remains the most important therapeutic decision for the optimal management of the patient with melanoma. In Australia and in some parts of the United States, the majority of patients with intermediate thickness melanoma (1.6-4.00 mm) will undergo elective lymph node dissection. In Europe, ...

journal_title：World journal of surgery

authors： McCarthy WH,Shaw HM,Cascinelli N,Santinami M,Belli F

更新日期：1992-03-01 00:00:00

abstract：:Malignant melanoma is notoriously resistant to chemotherapy. Standard single agents include dacarbazine and the nitrosoureas, but most series treating patients with metastatic melanoma report response rates of about 20%. Occasional patients, however, achieve long term remission, amounting to cure, after such treatment...

journal_title：World journal of surgery

authors： Coates AS

更新日期：1992-03-01 00:00:00

abstract：:Lower esophageal sphincter pressure has been assessed pre-operatively, intra-operatively,and more than 6 months postoperatively in 34 patients having antireflux surgery for gastro-esophageal reflux disease. The sphincter pressures associated with the outcome in relation to pH measured reflux and the symptoms of recurr...

journal_title：World journal of surgery

authors： Jamieson GG,Myers JC

更新日期：1992-03-01 00:00:00

abstract：:From January, 1975 to December, 1987, 241 patients with rectal cancer underwent pre-operative irradiation and surgical resection. The radiation was delivered with 25 MeV photons, 5 days per week by 2.4 grays fractions up to a total dose of 36 grays. Surgery was curative in 195 patients; 57% had abdomino-perineal resec...

journal_title：World journal of surgery

authors： Izar F,Fourtanier G,Pradere B,Chiotasso P,Bloom E,Fontes-Dislaire I,Bugat R,Daly N

更新日期：1992-01-01 00:00:00

abstract：:The goal of fluid resuscitation in the burn patient is maintenance of vital organ function at the least immediate or delayed physiological cost. To optimize fluid resuscitation in severely burned patients, the amount of fluid should be just enough to maintain vital organ function without producing iatrogenic pathologi...

journal_title：World journal of surgery

authors： Warden GD

更新日期：1992-01-01 00:00:00

abstract：:Burn patients develop a number of physiologic alterations among which is a markedly increased metabolic rate. Other metabolic changes include an increased rate of glucose production and utilization, a decreased rate of lipid metabolism, and an increased rate of both protein catabolism and anabolism. These alterations ...

journal_title：World journal of surgery

authors： Waymack JP,Herndon DN

更新日期：1992-01-01 00:00:00

abstract：:Parathyroid carcinoma is a rare cause of primary hyperparathyroidism. However, to our best knowledge, at least 163 cases of functioning parathyroid carcinoma appeared in the English literature from 1981 to 1989. We summarize the available information obtained from the reports of those patients and compare it with prev...

journal_title：World journal of surgery

authors： Obara T,Fujimoto Y

更新日期：1991-11-01 00:00:00

abstract：:Experience with screening for colorectal cancer has been disappointing. Prevention of this disease seems to be a more beneficial research direction. Although radical surgery presents the best treatment option, it is nonetheless an inadequate strategy by itself. A new dose intensive approach would temporally combine su...

journal_title：World journal of surgery

authors： Sugarbaker PH

更新日期：1991-09-01 00:00:00

abstract：:Fingertip injuries constitute a large portion of the traumatic injuries sustained to the hand and are frequently associated with significant disability for the patient. While many methods are available for the treatment of such injuries, quite often only certain procedures are appropriate for a particular digit in any...

journal_title：World journal of surgery

authors： Foucher G,Boulas HJ,Braga Da Silva J

更新日期：1991-07-01 00:00:00

abstract：:During the period 1979 to 1989, 0.1% of all cases of acute appendicitis at our institution occurred soon after another operative procedure. The interval between primary operation and appendectomy was 5 to 31 days (mean, 14 days). Signs and symptoms did not differ from those of classical acute appendicitis. Duration of...

journal_title：World journal of surgery

authors： Barr D,van Heerden JA,Mucha P Jr

更新日期：1991-07-01 00:00:00

abstract：:Among 26 patients with gallbladder carcinoma, 11 resected cases were studied retrospectively with respect to the preoperative imaging techniques and the operative procedures employed. Ultrasonography, endoscopic ultrasonography, and computed tomography were valuable in detecting gallbladder carcinoma preoperatively wh...

journal_title：World journal of surgery

authors： Chijiiwa K,Sumiyoshi K,Nakayama F

更新日期：1991-05-01 00:00:00

abstract：:The previous finding of an increased risk of premature death in a consecutive series of 896 patients operated on for primary hyperparathyroidism between 1953 and 1982 [1] raised the question of the role that surgery plays in relation to the risk of death. In the present study, undertaken to examine that issue, 3 facto...

journal_title：World journal of surgery

authors： Hedbäck G,Odén A,Tisell LE

更新日期：1991-05-01 00:00:00

abstract：:Necrotizing lesions of the soft tissues are grave entities not infrequently seen in daily surgical practice. They may occur with epidemic proportions after natural disasters, representing a serious challenge to the surgeon since they are characteristically associated with high mortality rates unless an early diagnosis...

journal_title：World journal of surgery

authors： Patiño JF,Castro D

更新日期：1991-03-01 00:00:00

abstract：:Mansonic schistosomiasis is an endemic disease in Brazil, with an estimated 10-12 million people infested. Among its clinical manifestations, the hepatosplenic form causes portal hypertension which, in turn, brings about severe digestive hemorrhage, the most serious complication of the disease. Normally, the patients ...

journal_title：World journal of surgery

authors： Raia S,Mies S,Alfieri Júnior F

更新日期：1991-03-01 00:00:00

abstract：:Surgical treatment of adenomas may become necessary when the base of the polyp is too wide for snaring, increasing the risk of incomplete removal or perforation of the bowel wall. Suspicion of malignancy may also indicate surgery. Multiple adenomas not controlled by snare polypectomy can be treated by colectomy. The d...

journal_title：World journal of surgery

authors： Nicholls RJ

更新日期：1991-01-01 00:00:00

abstract：:Frequently, several multiple abdominal reexplorations are needed in patients with acute necrotizing hemorrhagic pancreatitis (ANP) or with persistent intraabdominal sepsis (PIAS). Residual undrained necrotic and septic foci lead to multiple organ failure. To provide wide-open drainage of the abdominal cavity, since 19...

journal_title：World journal of surgery

authors： Cuesta MA,Doblas M,Castañeda L,Bengoechea E

更新日期：1991-01-01 00:00:00

abstract：:The development of microsurgical techniques has supplied plastic surgery with a new chance to transfer tissue to nearly any recipient site of the body. Classical methods still have their value but also their limits in many circumstances. Free tissue transfer has proved its advantages, especially in covering defects in...

journal_title：World journal of surgery

authors： O'Brien BM,Kumar PA

更新日期：1990-11-01 00:00:00

abstract：:A semiquantitative assessment of multiple histological parameters was applied retrospectively to 66 patients with stage I and II squamous cell carcinoma of the floor of the mouth to determine if prognostic information relative to cervical node metastases could be obtained. Three parameters relating to the tumor cell p...

journal_title：World journal of surgery

authors： Nason RW,Castillo NB,Sako K,Shedd DP

更新日期：1990-09-01 00:00:00

abstract：:A wide range of clinical symptoms and signs are observed with venous thrombosis. Nonetheless, clinical diagnosis has been found to be unreliable and accurate diagnostic methods must be used before potent therapy such as anticoagulation is instituted, since the complications of treatment themselves can be life-threaten...

journal_title：World journal of surgery

authors： Bergqvist D,Bergentz SE

更新日期：1990-09-01 00:00:00

abstract：:A marked change toward a more conservative approach in the treatment of abdominal trauma has been noted, especially during the last decade. This change in regimen was first seen in the handling of splenic trauma, initiated by pediatric surgeons. Later, the concept of conservative management was also introduced among a...

journal_title：World journal of surgery

authors： Andersson R,Bengmark S

更新日期：1990-07-01 00:00:00

abstract：:Noninvasive diagnosis of cavernous hemangioma of the liver is an important step in the investigation of patients with focal hepatic lesions since biopsy may result in life-threatening hemorrhage. To determine the diagnostic accuracy of 99m-technetium red blood cell (99mTc-RBC) imaging with tomography, 50 patients with...

journal_title：World journal of surgery

authors： Farlow DC,Chapman PR,Gruenewald SM,Antico VF,Farrell GC,Little JM

更新日期：1990-07-01 00:00:00

abstract：:Distinguishing cellular follicular adenomas (FA) from minimally invasive follicular carcinomas (FC) continues to plague even experienced thyroid pathologists. DNA ploidy analysis has been promoted as a means of making this differentiation; however, the finding of DNA aneuploidy in FA has caused concern that they may d...

journal_title：World journal of surgery

authors： Grant CS,Hay ID,Ryan JJ,Bergstralh EJ,Rainwater LM,Goellner JR

更新日期：1990-05-01 00:00:00

abstract：:In 1947, a patient with metastatic islet cell tumor was treated for intractable ulcer disease at the University of Chicago Medical Center. Eight years later, in retrospect, it was recognized that he and another patient had the Zollinger-Ellison syndrome (ZE). From 1947 until the present, 30 patients with the ZE syndro...

journal_title：World journal of surgery

authors： Kaplan EL,Horvath K,Udekwu A,Straus F 2nd,Schark C,Ferguson DJ,Skinner DB

更新日期：1990-05-01 00:00:00

abstract：:Since the pathogenesis of endocrine ophthalmopathy is unclear, there has been little agreement on the treatment of the disease. The influence of thyroid surgery on endocrine ophthalmopathy is controversial. To evaluate the effect of thyroid surgery on the course of the disease, we developed a special ophthalmopathy in...

journal_title：World journal of surgery

authors： Frilling A,Goretzki PE,Grussendorf M,Erbslöh M,Röher HD

更新日期：1990-05-01 00:00:00

abstract：:Most of the work of host defense has been carried out in mixed patient populations. It is now clear that elective preoperative surgical patients have totally different host defense capabilities as compared to posttrauma patients or those suffering from peritonitis. Specific cell-mediated immune studies need to be repe...

journal_title：World journal of surgery

authors： Christou NV

更新日期：1990-03-01 00:00:00

abstract：:Clinical, endoscopic, and laboratory data were collected prospectively in 701 patients with bleeding peptic ulcer. The overall rebleeding rate was 16.1% and increased the risk of a fatal outcome by 17 fold (1.2% versus 20.6%, p less than 0.001). Rebleeding was documented in more than 75% of the group who did not survi...

journal_title：World journal of surgery

authors： Branicki FJ,Coleman SY,Fok PJ,Pritchett CJ,Fan ST,Lai EC,Mok FP,Cheung WL,Lau PW,Tuen HH

更新日期：1990-03-01 00:00:00

abstract：:In 141 patients with chronic pancreatitis and an inflammatory enlargement of the head of the pancreas, a duodenum-preserving resection of the head of the pancreas was performed within a 16-year period. The hospital mortality was 0.7%; the late mortality was 5%. Seventy-seven percent of the patients were completely fre...

journal_title：World journal of surgery

authors： Beger HG,Büchler M

更新日期：1990-01-01 00:00:00

abstract：:Chronic alcoholism is the etiologic factor initiating most instances of chronic pancreatitis and its complications in the United States of America. The goal of operative intervention is to relieve incapacitating abdominal and back pain, while preserving as much endocrine and exocrine function as possible. Ultrasound a...

journal_title：World journal of surgery

authors： Greenlee HB,Prinz RA,Aranha GV

更新日期：1990-01-01 00:00:00

abstract：:Fifty patients reoperated for failed Nissen fundoplication are presented; 29 patients (group 2) were operated between 1983 and 1988 while 21 patients (group 1) were operated before 1983. In group 1, the "slipped Nissen" had been the most frequent cause of reoperation (48%). In group 2, the most frequent causes for the...

journal_title：World journal of surgery

authors： Siewert JR,Isolauri J,Feussner H

更新日期：1989-11-01 00:00:00

abstract：:The radiological features of common benign conditions of the breast and the radiological procedures used in the investigation of benign breast disorders are presented. ...

journal_title：World journal of surgery

authors： Gravelle IH,Lyons K

更新日期：1989-11-01 00:00:00

abstract：:Those benign breast disorders that are amenable to improvement by aesthetic surgery are discussed from the points of view of indications, techniques, and results. ...

journal_title：World journal of surgery

authors： Carlson G,Bostwick J 3rd

更新日期：1989-11-01 00:00:00

abstract：:One hundred years ago, Edoardo Bassini said: "L'ernia é una malattia meccanica." Before that, Ambroise Paré (1598) and Joseph-Pierre Desault (1798) asserted the mechanical nature of strangulation. Beside strangulation, the most serious of all complications even today, I have studied huge hernias, which are natural com...

journal_title：World journal of surgery

authors： Stoppa RE

更新日期：1989-09-01 00:00:00

abstract：:Trends are changing in the management of infants and children with indirect inguinal hernias. Advances in neonatal intensive care have resulted in the survival of many small premature infants who have a high incidence of inguinal hernia. The rate of incarceration, strangulation, and gonadal infarction in these babies ...

journal_title：World journal of surgery

authors： Grosfeld JL

更新日期：1989-09-01 00:00:00

abstract：:Herniographic examinations were performed on more than 4,000 patients. The method was found to be of great value in patients with obscure symptoms in the groin or pelvis. Herniography shows not only hernial sacs but also the general condition and tissue strength of the inguinal part of the abdominal wall. The differen...

journal_title：World journal of surgery

authors： Gullmo A

更新日期：1989-09-01 00:00:00

abstract：:Treacher Collins Syndrome is a rare bilateral congenital deformity occurring in 1 in 10,000 births. It is also known, in the European literature, as Franceschetti Syndrome, and is additionally known as mandibulofacial dysostosis. It is a syndrome with a very wide spectrum of manifestations characterized by distortions...

journal_title：World journal of surgery

authors： Argenta LC,Iacobucci JJ

更新日期：1989-07-01 00:00:00