abstract：:Fibromuscular disease of the carotid artery was identified in 30 patients, which represented 3.2 percent of all patients who had cerebral angiography at Brooke Army Medical Center in the 6 year period from 1978 to 1984. Focal neurologic events were the presenting symptoms in 63 percent of the patients. The majority of...

journal_title：American journal of surgery

authors： Wesen CA,Elliott BM

更新日期：1986-04-01 00:00:00

abstract：:An improved technique is presented for placement of the upper arm graft fistula for hemodialysis. This approach brings the graft anteriorly across the front of the biceps muscle, thereby allowing easier puncture and greater comfort for the patient during dialysis treatment. ...

journal_title：American journal of surgery

authors： Gifford RM

更新日期：1986-03-01 00:00:00

abstract：:An experimental wound model has been used to evaluate the effectiveness of cefazolin and cefoxitin in the prevention of wound infection. Incisions were contaminated with Staph. aureus, E. coli, or a standardized fecal suspension. Regardless of the contaminant employed, the prophylactic use of either cefazolin or cefox...

journal_title：American journal of surgery

authors： Sarap MD,Scher KS,Jones CW

更新日期：1986-02-01 00:00:00

abstract：:Prophylactic bypass of the common duct and duodenum at the time of pancreatojejunostomy for chronic pancreatitis (triple bypass) has been recommended. If the subsequent development of parapancreatic obstruction were sufficiently frequent, such a recommendation would deserve more wide-spread application. In a group of ...

journal_title：American journal of surgery

authors： Bradley EL

更新日期：1986-02-01 00:00:00

abstract：:Between July 1973 and October 1984, we performed proctectomy either as part of a primary proctocolectomy or as a secondary staged procedure in 388 patients with ulcerative colitis and in 39 patients with Crohn's disease. The proctectomies were performed using a two-team synchronous approach. An intersphincteric or per...

journal_title：American journal of surgery

authors： Bauer JJ,Gelernt IM,Salk BA,Kreel I

更新日期：1986-01-01 00:00:00

abstract：:Previous studies of small bowel transplantation using a variety of animal models and immunosuppressive regimens have failed to demonstrate consistently prolonged survival of bowel allografts capable of maintaining a normal nutritional state. In the present study, total orthotopic small bowel transplantation was perfor...

journal_title：American journal of surgery

authors： Lee KK,Schraut WH

更新日期：1986-01-01 00:00:00

abstract：:Fifty-four patients receiving peripheral parenteral nutrition consisting of 3.5 percent amino acids in a 5 percent dextrose solution were randomly assigned in a double-blind fashion to receive this solution with or without an antiphlebitic mixture (1000 IU heparin, 5 mg hydrocortisone, and 1.8 mEq sodium hydroxide as ...

journal_title：American journal of surgery

authors： Makarewicz PA,Freeman JB,Fairfull-Smith R

更新日期：1986-01-01 00:00:00

abstract：:The presentation, surgical management, and clinical outcome in 153 patients with biliary pancreatitis has been reviewed. Only 37 percent of our patients demonstrated any of Ranson's 11 prognostic signs of severe pancreatitis, and only 3 percent had 3 or more signs. Fourteen patients underwent emergency operation withi...

journal_title：American journal of surgery

authors： Frei GJ,Frei VT,Thirlby RC,McClelland RN

更新日期：1986-01-01 00:00:00

abstract：:A hundred consecutive patients who underwent cholecystectomy and exploration of the common bile duct were studied. The traditional indications for exploration resulted in a yield of 55 percent positive explorations. There were nine patients with retained stones, three of whom died. The high mortality rate of patients ...

journal_title：American journal of surgery

authors： Rogers AL,Farha GJ,Beamer RL,Chang FC

更新日期：1985-12-01 00:00:00

abstract：:Over a 20 year period, 60 patients underwent 76 procedures for upper dorsal sympathectomy, usually with a transaxillary approach but occasionally with an anterior approach. Procedures in male patients and in those that were carried out on the right side were most frequent. There were few simultaneous procedures. The e...

journal_title：American journal of surgery

authors： Manart FD,Sadler TR Jr,Schmitt EA,Rainer WG

更新日期：1985-12-01 00:00:00

abstract：:Sixty-nine patients with pancreatic pseudocysts were reviewed. Chronic alcohol abuse was associated with pancreatitis in 78 percent of the patients. Presenting signs and symptoms were nonspecific. Ultrasonographic and computerized axial tomographic scans were most commonly used to established the diagnosis. Twenty pat...

journal_title：American journal of surgery

authors： O'Malley VP,Cannon JP,Postier RG

更新日期：1985-12-01 00:00:00

abstract：:The technique of regional pancreatectomy as detailed is divided into five phases. The procedure includes en bloc regional lymph node dissection, peripancreatic soft tissue resection, and resection with reconstruction of the pancreatic segment of portal vein. The pancreatic resection can be subtotal or total. ...

journal_title：American journal of surgery

authors： Fortner JG

更新日期：1985-11-01 00:00:00

abstract：:The dose response curves for acid and pepsin output to increasing intravenous doses of pentagastrin (0.01, 0.02, 2, 8, and 16 micrograms/kg per hour) were determined in six male patients with duodenal ulcer and six with type 1 corporeal gastric ulcer before and 3 to 6 months after selective proximal vagotomy and excis...

journal_title：American journal of surgery

authors： Emås S,Aly A

更新日期：1985-11-01 00:00:00

abstract：:DVT involving the lower extremities is a frequent (25-40 percent of patients) complication of major thoracic, abdominal, and pelvic surgery in patients beyond the age of 40 years. Herein, we have reported a recently completed large prospective, randomized multicenter investigation of the prophylaxis of postoperative D...

journal_title：American journal of surgery

authors： DiSerio FJ,Sasahara AA

更新日期：1985-10-08 00:00:00

abstract：:A combination of heparin and dihydroergotamine mesylate (Heparin-Dihydergot) has been shown to be more effective than either of these drugs alone in preventing postoperative venous thromboembolism. The possible mechanism for the synergistic effect of heparin and dihydroergotamine was assessed. Phlebograms obtained aft...

journal_title：American journal of surgery

authors： Kakkar VV,Welzel D,Murray WJ,Malone P,Jones D

更新日期：1985-10-08 00:00:00

abstract：:The intramandibular sliding myoosseous graft provides a new technique for reestablishment of mandibular continuity. It is well suited for immediate or remote reconstruction of midline or unilateral defects. Close attention to constructing smooth, confluent bone margins reduces the probability of mucosal fenestration. ...

journal_title：American journal of surgery

authors： Browne GA,McQuarrie DG

更新日期：1985-10-01 00:00:00

abstract：:A mock disaster at Orange County's John Wayne Airport provided a basis for examining correct triage of patients and their arrival time for definitive care. The ability to triage critically injured patients in a timely fashion was found to be only slightly better than chance routing. For most of the seriously and criti...

journal_title：American journal of surgery

authors： Eisner ME,Waxman K,Mason GR

更新日期：1985-09-01 00:00:00

abstract：:From 1941 through 1983, a total of 66 patients with sacrococcygeal teratoma were seen, representing 41 percent of the total of 162 patients with teratomas from all anatomic sites seen over this period. Forty-six (70 percent) of the patients with sacrococcygeal teratomas were female and 34 (52 percent) were neonates. Y...

journal_title：American journal of surgery

authors： Whalen TV Jr,Mahour GH,Landing BH,Woolley MM

更新日期：1985-09-01 00:00:00

abstract：:The purpose of this experimental study was to test the potential value of heat welding to cut the ends of knotted surgical sutures. This heat process resulted in knot security in a coated polyglactin suture with fewer throws than those needed for the same suture with knotted ends cut by scissors. Results of mechanical...

journal_title：American journal of surgery

authors： Masterson TM,Thacker JG,Rodeheaver GT,Edlich RF

更新日期：1985-09-01 00:00:00

abstract：:Computerized tomographic scanning is being used with increasing frequency for the detection of abdominal aortic prosthetic complications. Although computerized tomography remains a very precise method for direct imaging of the retroperitoneal space, the interpretation of a postoperative computerized tomographic scan i...

journal_title：American journal of surgery

authors： Qvarfordt PG,Reilly LM,Mark AS,Goldstone J,Wall SD,Ehrenfeld WK,Stoney RJ

更新日期：1985-08-01 00:00:00

abstract：:We have found that the venous pressure slope during minimal exercise is a sensitive measurement of venous disease. This parameter differed greatly in our two study populations. Due to increased venous pressure, venous insufficiency syndrome patients have a greater volume of pooled blood, which results in smaller press...

journal_title：American journal of surgery

authors： Taheri SA,Pendergast D,Lazar E,Pollack LH,Shores RM,McDonald B,Taheri P

更新日期：1985-08-01 00:00:00

abstract：:Breast symptoms of pain, tenderness, and engorgement correlate with objective findings of nodularity on physical examination. Like all other factors for breast disease, they are not a single determinant of diagnosis, as shown by the 3 X 3 contingency table, but they are a useful addition to our understanding. From the...

journal_title：American journal of surgery

authors： Goodson WH 3rd,Mailman R,Jacobson M,Hunt TK

更新日期：1985-08-01 00:00:00

abstract：:Familial visceral myopathy is a form of chronic intestinal pseudoobstruction in which fibrosis of the smooth muscle of the alimentary tract causes protean symptoms of disordered visceral motility. Based on our 8 year observation of six members of one family with familial visceral myopathy and review of the few well-do...

journal_title：American journal of surgery

authors： Shaw A,Shaffer HA,Anuras S

更新日期：1985-07-01 00:00:00

abstract：:Twenty-six patients with advanced melanoma metastases confined to the lower extremity underwent 28 therapeutic limb perfusions without a major complication or treatment-related death. A complete response to treatment occurred in 21 patients (81 percent). Of 16 patients, response persisted until death in 13 and was not...

journal_title：American journal of surgery

authors： Storm FK,Morton DL

更新日期：1985-07-01 00:00:00

abstract：:Twenty patients underwent placement of a jejunal catheter for early postoperative feeding at the time of upper abdominal operations, and a control group of 11 patients underwent operative procedures of similar magnitude without jejunostomy. Advancement of the rate of feeding to target intake over 6 to 7 days was attem...

journal_title：American journal of surgery

authors： Hayashi JT,Wolfe BM,Calvert CC

更新日期：1985-07-01 00:00:00

abstract：:Fixation of polypropylene (Marlex) mesh in the epigastrium and at the iliac crest can be ineffective because of insufficient local fascia; however, two techniques have been described to obtain firm and durable attachment of polypropylene grafts at these sites. Perichondral slips at the costal margin permit very satisf...

journal_title：American journal of surgery

authors： Merrell RC,Than-Trong T

更新日期：1985-06-01 00:00:00

abstract：:Dissatisfaction with time-consuming double layer anastomoses in intestinal surgery and with occasionally questionable stapled anastomoses prompted a review of available techniques for hand sewn suture lines. Single layer anastomoses have been used extensively and their integrity and safety have often been questioned. ...

journal_title：American journal of surgery

authors： Lafreniere R,Ketcham AS

更新日期：1985-06-01 00:00:00

abstract：:Recurrence of hyperparathyroidism after initially successful primary operation is usually caused by inadequate resection of diseased tissue or recurrent carcinoma. Since it is known that normal parathyroid tissue may be autotransplanted into a muscle bed, it is plausible that inadvertent implantation of parathyroid ti...

journal_title：American journal of surgery

authors： Rattner DW,Marrone GC,Kasdon E,Silen W

更新日期：1985-06-01 00:00:00

abstract：:Radionuclide lymphograms provide invaluable preoperative information on many truncal melanomas of the skin that require elective regional lymph node dissection. ...

journal_title：American journal of surgery

authors： Jones RF,Moe RE,Nelp W

更新日期：1985-05-01 00:00:00

abstract：:In this retrospective study, a cohort of gastric ulcer patients treated with antacids was compared with a well-matched group of patients treated with a combination of antacids and cimetidine. Cimetidine combined with antacids enhanced gastric ulcer healing, thereby significantly reducing the number of gastric ulcer op...

journal_title：American journal of surgery

authors： Haddad W,Kestenbaum DJ,Wang HS

更新日期：1985-05-01 00:00:00

abstract：:The cusps of valve-bearing segments of canine cephalic, femoral, and jugular veins were completely divided and were used in interposition grafts in the femoral and carotid arteries in the nonreversed position. Three control grafts had intact valves in the reversed position, and one control graft in the reversed positi...

journal_title：American journal of surgery

authors： Donovan TJ,Lowe R

更新日期：1985-04-01 00:00:00

abstract：:Four hundred seventy-eight patients with hand burns (786 hands) were treated at the burn service of the Massachusetts General Hospital. Long-term evaluation showed that early incision and immediate autografting of deep second degree, mixed second and third degree, and third degree full-thickness hand burns resulted in...

journal_title：American journal of surgery

authors： Frist W,Ackroyd F,Burke J,Bondoc C

更新日期：1985-04-01 00:00:00

abstract：:In a 2 year period, 60 consecutive feeding enterostomies were placed in malnourished patients. The major complication rate was 1.6 percent. Total complications were 8 percent. Thirty day mortality was 13 percent. Nearly all patients were given isosmotic nonelemental diets. The incidence of diarrhea was 2 percent with ...

journal_title：American journal of surgery

authors： Hinsdale JG,Lipkowitz GS,Pollock TW,Hoover EL,Jaffe BM

更新日期：1985-03-01 00:00:00

abstract：:A lethal gastric perforation occurred after a gastric banding procedure, which was complicated with splenectomy. Prompted by this incident, an experimental study was undertaken in which regional blood flow in the stomach was measured in anesthetized cats after gastric banding or splenectomy or both. A fatal course wit...

journal_title：American journal of surgery

authors： Skarstein A,Lekven J

更新日期：1985-03-01 00:00:00

abstract：:A new technique has been described for the placement of an implantable percutaneous triple-lumen catheter. This procedure eliminates the need for a large bore introducer. It also provides a mechanism to change these catheters over a wire if necessary. This cannot be accomplished with the Hickman or Broviac catheters. ...

journal_title：American journal of surgery

authors： Geiss AC,Montefusco PP

更新日期：1985-03-01 00:00:00

abstract：:The effects of ranitidine, a new H2-receptor antagonist, on liver regeneration were investigated using a protocol described previously. The animals in Group I had standard two-thirds hepatectomy. In Group II, the rats received an 8 mg/kg intramuscular dose of ranitidine immediately and 24 and 48 hours after two-thirds...

journal_title：American journal of surgery

authors： Kanashima R,Nagasue N,Sakato K

更新日期：1985-02-01 00:00:00

abstract：:A new, improved drainage system has been specifically designed to provide either closed suction drainage for the ambulating patient or sump drainage for the patient confined to bed. This drainage system is made of silicone that has a hydrogel coating with a low coefficient of friction. This coating facilitates removal...

journal_title：American journal of surgery

authors： Edlich RF,Haines PC,Pearce RS,Thacker JG,Rodeheaver GT

更新日期：1985-02-01 00:00:00

abstract：:Twenty-five patients were identified with non-pituitary, nonadrenal ACTH-secreting tumors (bronchial carcinoid, bronchial small cell carcinoma, pancreatic islet cell carcinoma, medullary thyroid carcinoma, thymic carcinoids, metastatic adenocarcinoma, and pancreatic cystadenoma). Clinical features were weakness, hyper...

journal_title：American journal of surgery

authors： Jex RK,van Heerden JA,Carpenter PC,Grant CS

更新日期：1985-02-01 00:00:00

abstract：:Feeding gastrostomy and jejunostomy provide effective access for long-term enteral nutrition. Traditional operative techniques for the performance of these procedures requires laparotomy and often, general anesthesia. This report describes our experience with two relatively new methods, percutaneous endoscopic gastros...

journal_title：American journal of surgery

authors： Ponsky JL,Gauderer MW,Stellato TA,Aszodi A

更新日期：1985-01-01 00:00:00

abstract：:A number of factors are known to be related to increased mortality of surgery in obstructive jaundice, yet precise identification of patients at greatest risk is difficult. We have studied the elimination of the minor analgesic antipyrine as a dynamic measure of hepatic metabolic function in patients with obstructive ...

journal_title：American journal of surgery

authors： McPherson GA,Benjamin IS,Boobis AR,Blumgart LH

更新日期：1985-01-01 00:00:00