abstract：:In an attempt to determine the late effects and associated morbidity of radiotherapy on normal tissue, patients with squamous carcinoma of the oral cavity and oropharynx were retrospectively reviewed. Between 1964 and 1975, 569 patients with cancer of the floor of the mouth, oral tongue, tonsil, and retromolar trigone...

journal_title：American journal of surgery

authors： Larson DL,Lindberg RD,Lane E,Goepfert H

更新日期：1983-10-01 00:00:00

abstract：:Various reports have demonstrated that the intraoperative utilization of the choledochoscope has significantly reduced the incidence of unsuspected retained common duct stones from approximately 10 percent to 0 to 2 percent. Our series revealed a 4 percent incidence of retained stones before choledochoscopy was utiliz...

journal_title：American journal of surgery

authors： King ML,String ST

更新日期：1983-09-01 00:00:00

abstract：:A technique for the repair of inguinal hernias in elderly patients with weak abdominal muscles has been presented. It consists of the overlapping of the flaps of the aponeurosis of the external oblique muscle according to the method previously proposed by Andrews. To date, the technique has given good results, even in...

journal_title：American journal of surgery

authors： Nano M

更新日期：1983-09-01 00:00:00

abstract：:Preoperative embolization of highly vascular soft tissue tumors was performed in four patients. Selective catheterization of branch vessels supplying the tumors successfully avoided inadvertent embolization of adjacent normal tissue. Operative blood loss was significantly less than anticipated, permitting an easier, m...

journal_title：American journal of surgery

authors： Kadir S,Ernst CB,Hamper U,White RI Jr

更新日期：1983-09-01 00:00:00

abstract：:Cardiac decompensation is clearly the major complication of aortic reconstructive surgery that leads to morbidity. Major changes in intravascular volume, third spacing, and increased systemic vascular resistance are extremely stressful to the diseased heart. Hemodynamic monitoring is readily available to provide an ac...

journal_title：American journal of surgery

authors： Cohen JL,Wender R,Maginot A,Cossman D,Treiman R,Foran R,Levin P,De Angelis J,Treiman G

更新日期：1983-08-01 00:00:00

abstract：:Forty-six infants and children with primary malignant liver tumors were studied. Thirty-three had hepatoblastomas, 9 hepatocellular carcinomas, and 4 had sarcomas. Thirty-eight patients underwent liver biopsy or excision of the tumor. Nineteen patients were treated between 1952 and 1971 (mean survival 5.5 months) and ...

journal_title：American journal of surgery

authors： Mahour GH,Wogu GU,Siegel SE,Isaacs H

更新日期：1983-08-01 00:00:00

abstract：:Reoperation to remove an aortic graft was performed in 18 patients. The need for removal was infection in the majority. A changing flora was seen in aortic graft infection with gram-negative organisms predominating. Despite a standardized approach with total graft removal, aortic closure, and extraanatomic reconstruct...

journal_title：American journal of surgery

authors： Martin-Paredero V,Busuttil RW,Dixon SM,Baker JD,Machleder H,Moore WS

更新日期：1983-08-01 00:00:00

abstract：:The insertion of pancreaticobiliary drains at the time of endoscopic retrograde cholangiopancreatography can provide access to the bile or pancreatic duct, decompress an obstructed biliary tree, and allow infusion of solubilizing agents to effect gallstone dissolution. Twenty-six patients underwent 32 attempts at drai...

journal_title：American journal of surgery

authors： Kozarek RA

更新日期：1983-08-01 00:00:00

abstract：:Thirty patients with carcinoid tumors of the ileum over a recent 10-year period have been analyzed. Seventeen patients were symptomatic and 13 others were found to have tumors incidentally at autopsy or celiotomy. Patients with symptoms almost invariably had metastatic disease, yet preoperative diagnosis was rarely ac...

journal_title：American journal of surgery

authors： Peck JJ,Shields AB,Boyden AM,Dworkin LA,Nadal JW

更新日期：1983-07-01 00:00:00

abstract：:Thymectomy was performed on 249 patients with myasthenia gravis between 1957 and 1981. During a follow-up period that ranged from 2 months to 24 years (mean 7.5 years), the remission rate for the entire group was 51 percent, and an additional 36 percent had improvement (87 percent benefited). In those 51 patients with...

journal_title：American journal of surgery

authors： Mulder DG,Herrmann C Jr,Keesey J,Edwards H

更新日期：1983-07-01 00:00:00

abstract：:Previous "blind" surgical intervention for recurrent, sustained ventricular tachycardia has been disappointing. Successful surgical intervention requires that a local arrhythmia circuit be interrupted, ablated, or disengaged from the adjacent healthy myocardium while incurring minimal injury to the remaining functiona...

journal_title：American journal of surgery

authors： Harken AH,Josephson ME

更新日期：1983-06-01 00:00:00

abstract：:Reports in the surgical literature are conflicting as to whether appendectomy "in passing" during laparotomy for trauma or for some other disease state does or does not significantly increase patient morbidity or mortality. A chart survey of all appendectomies (342 for acute appendicitis and 146 as incidental procedur...

journal_title：American journal of surgery

authors： Strom PR,Turkleson ML,Stone HH

更新日期：1983-06-01 00:00:00

abstract：:Ten patients with a discharging perineal sinus that developed after proctectomy were treated with a new fibrin adhesive system in order to close the sinus. Four of the patients also had a fistula that extended from the sinus to the vagina. Treatment was unsuccessful in two patients: one had retained foreign bodies in ...

journal_title：American journal of surgery

authors： Kirkegaard P,Madsen PV

更新日期：1983-06-01 00:00:00

abstract：:Over a 2 year period, 34 limbs were revascularized in 33 patients. The in situ saphenous vein technique was used. Improved instrumentation and patency rates have encouraged the use of this method. Eighteen patients were insulin-dependent diabetics. The indication for operation was limb salvage in 25 limbs (73 percent)...

journal_title：American journal of surgery

authors： Hallin RW

更新日期：1983-05-01 00:00:00

abstract：:Abnormal persistent of the embryonic axial blood supply to the leg, the sciatic artery, is a rare but often clinically important condition. The sciatic artery may vary from a small collateral in the upper thigh to a very large vessel that is the leg's sole arterial blood supply. The abnormal artery is prone to aneurys...

journal_title：American journal of surgery

authors： Williams LR,Flanigan DP,O'Connor RJ,Schuler JJ

更新日期：1983-05-01 00:00:00

abstract：:The use of percutaneous transluminal angioplasty as the primary treatment of renovascular stenosis in adults has recently been described. Previously, only three children have been reported to have undergone transluminal angioplasty for stenosis of the renal artery and hypertension. At our hospital, transluminal angiop...

journal_title：American journal of surgery

authors： Guzzetta PC,Potter BM,Kapur S,Ruley EJ,Randolph J

更新日期：1983-05-01 00:00:00

abstract：:After a biliary-enteric anastomosis, the development of cholangitis is usually assumed to be due to obstruction of the stoma. Six patients in whom this was not the case are described. Achlorhydria, duodenal diverticula, and foreign bodies are important predisposing factors. When bacterial contamination is severe in an...

journal_title：American journal of surgery

authors： Goldman LD,Steer ML,Silen W

更新日期：1983-04-01 00:00:00

abstract：:We believe that paragangliomas of the carotid body should be excised in all patients unless formidable medical conditions prohibit the use of general anesthesia. If these tumors are left unresected, they will eventually grow to invade the skull and kill the patient. With definitive diagnostic modalities available, in ...

journal_title：American journal of surgery

authors： Padberg FT Jr,Cady B,Persson AV

更新日期：1983-04-01 00:00:00

abstract：:Three patients who underwent 95 percent removal of the pancreas for chronic pancreatitis with autotransplantation of the body and tail of the gland to the femoral area are described. The follow-up periods are 18, 6, and 2 months. Pain lessened in all patients and none required exogenous insulin. Patency of the graft w...

journal_title：American journal of surgery

authors： Rossi RL,Braasch JW,Nugent FW,Silverman ML,Beckmann CF,Watkins E Jr

更新日期：1983-04-01 00:00:00

abstract：:The success of gastric restriction procedures for morbid obesity depends on a persistently small gastric pouch and stoma, an intact staple line, and, of equal importance, dietary compliance. Evaluation of patients with either excessive or inadequate weight loss should be directed at determining both the technical adeq...

journal_title：American journal of surgery

authors： Halverson JD,Koehler RE

更新日期：1983-03-01 00:00:00

abstract：:Seven patients with carcinoma in a thyroglossal duct cyst have received treatment over a 15 year period. Findings in all of these patients reflect the likelihood of carcinoma arising within thyroglossal duct tissue. In each patient there was sufficient histologic evidence of the presence of a thyroglossal duct cyst an...

journal_title：American journal of surgery

authors： Roses DF,Snively SL,Phelps RG,Cohen N,Blum M

更新日期：1983-02-01 00:00:00

abstract：:Transplantation of adult kidneys into very small children is not performed in most centers because of concerns regarding the technical difficulty of the procedure. Advantages of the procedure include the possibility of living related donor transplantation and the increased availability of adult donor kidneys as compar...

journal_title：American journal of surgery

authors： Miller LC,Lum CT,Bock GH,Simmons RL,Najarian JS,Mauer SM

更新日期：1983-02-01 00:00:00

abstract：:The clinical course of 39 patients on HPN for 5.5 years at The Cleveland Clinic Foundation were reviewed. Rehospitalization and mortality rates were relatively low in this group of patients who had significant disease processes. Rehospitalization and mortality were usually due to the primary underlying disease process...

journal_title：American journal of surgery

authors： Steiger E,Srp F

更新日期：1983-01-01 00:00:00

abstract：:The hospital and office records of 86 patients who underwent proctectomy for cancer of inflammatory bowel disease with primary closure of the perineal wound were reviewed. Almost one fourth of all patients suffered a significant perineal wound complication, the majority of which were infections. The incidence of posto...

journal_title：American journal of surgery

authors： Manjoney DL,Koplewitz MJ,Abrams JS

更新日期：1983-01-01 00:00:00

abstract：:Experiments were designed to examine the functional characteristics of lymphocytes harvested from the human intestine. Lymphocytes were harvested from the intestines of patients undergoing intestinal resection for a variety of gut disorders. The mitogenic and allogeneic responses of gut lymphocytes were found to be co...

journal_title：American journal of surgery

authors： Smith EB,Leapman SB,Filo RS,Jesseph JE,Smith PG

更新日期：1983-01-01 00:00:00

abstract：:Much of the confusion surrounding the repair of asymptomatic abdominal aortic aneurysms related to inaccuracies in their measurement, both preoperatively and intraoperatively. Multiple measurements of aneurysms at operation have convinced us that the largest and least variable diameter is the anteroposterior diameter ...

journal_title：American journal of surgery

authors： Graeve AH,Carpenter CM,Wicks JD,Edwards WS

更新日期：1982-12-01 00:00:00

abstract：:Splenectomy results in a lifelong risk of overwhelming infection in the adult as well as the child. This has prompted our current enthusiasm for splenic salvage in trauma patients. A number of alternatives to total splenectomy exist; however, the complications that result from splenic salvage must not exceed the risk ...

journal_title：American journal of surgery

authors： Millikan JS,Moore EE,Moore GE,Stevens RE

更新日期：1982-12-01 00:00:00

abstract：:Surgical experience with adrenal disease from 1970 to 1979 was reviewed in 315 patients. The pathologic conditions that were encountered were hypercortisolism (74 patients), hyperaldosteronism (46 patients), adrenocortical carcinoma (35 patients), pheochromocytoma (77 patients), and nonfunctioning adenoma (47 patients...

journal_title：American journal of surgery

authors： Hamberger B,Russell CF,van Heerden JA,ReMine WH,Northcutt RC,Sheedy PF 2nd,Edis AJ,Ilstrup DM

更新日期：1982-11-01 00:00:00

abstract：:Two courses of triple-agent chemotherapy were given to 47 patients with advanced head and neck cancer. All but one patient with a nasopharyngeal carcinoma had resectable stage III and IV squamous cell carcinoma. Eighty-eight percent of the patients responded to the chemotherapy with a 50 percent or greater decrease in...

journal_title：American journal of surgery

authors： Spaulding MB,Kahn A,De Los Santos R,Klotch D,Loré JM Jr

更新日期：1982-10-01 00:00:00

abstract：:The difficulties created by an unsuccessful initial operation can usually be avoided by choosing experienced surgeons, identifying four glands, and selectively excising grossly abnormal parathyroid tissue. Patients with multiple endocrine adenomatosis or familial hyperparathyroidism should have a subtotal parathyroide...

journal_title：American journal of surgery

authors： Palmer JA,Rosen IB

更新日期：1982-10-01 00:00:00

abstract：:Extralaryngeal branches of the recurrent laryngeal nerve have been noted in the literature, but frequently the researchers fail to indicate with accuracy the site of bifurcation. The current study was undertaken to designate the exact level of bifurcation of the recurrent laryngeal nerve, with more precise localizatio...

journal_title：American journal of surgery

authors： Nemiroff PM,Katz AD

更新日期：1982-10-01 00:00:00

abstract：:The relative merits of the anterior and posterior approaches to the adrenal gland were assessed in a series of 103 patients with bilateral cortical hyperplasia or unilateral cortical adenoma (less than 25 g). In none of the patients was additional concomitant surgery planned. Sixty-four patients were operated on throu...

journal_title：American journal of surgery

authors： Russell CF,Hamberger B,van Heerden JA,Edis AJ,Ilstrup DM

更新日期：1982-09-01 00:00:00

abstract：:Twenty-eight consecutive patients with tibial or peroneal artery injury are reported. Of these, eight underwent direct arterial repair, eight received vein graft reconstruction, and the involved artery was ligated in the remainder, with amputation required for various reasons in four. Tibial or peroneal artery injury ...

journal_title：American journal of surgery

authors： Holleman JH Jr,Killebrew LH

更新日期：1982-09-01 00:00:00

abstract：:Limb ischemia due to blunt trauma, dissecting hematoma, and cardiac dysfunction jeopardizes limbs and lives more than is generally appreciated. Delay in diagnosis after blunt trauma led to major amputation in 21 percent of our patients. Current principles avoid those hazards. Five patients presented with acute limb is...

journal_title：American journal of surgery

authors： Babu SC,Shah PM,Clauss RH

更新日期：1982-08-01 00:00:00

abstract：:One hundred thirty-six patients meeting our criteria for one or more of eight clinical conditions were prospectively observed for the development of the adult respiratory distress syndrome. A high risk population was identified, including those with sepsis syndrome (38 percent), documented aspiration of gastric conten...

journal_title：American journal of surgery

authors： Pepe PE,Potkin RT,Reus DH,Hudson LD,Carrico CJ

更新日期：1982-07-01 00:00:00

abstract：:A significant amount of red blood cells were conserved with use of the Cell Saver in cardiac surgery patients and in some orthopedic and vascular surgery patients. No major complications have been associated with its use in our cases. Our results are similar to those of others who have reported on the use of this devi...

journal_title：American journal of surgery

authors： Young JN,Ecker RR,Moretti RL,Iverson LI,Ennix CL Jr,Etheredge SN,Webb RL,Jackson WS,May RD,May IA

更新日期：1982-07-01 00:00:00

abstract：:Careful intraoperative surgical staging should be considered routine for all patients undergoing thoracotomy for lung cancer. In addition, conservative resection is indicated for T1N0 lesions. Surgical adjuvant immunotherapy has not proved as effective as originally hoped. However, the advent of more effective combina...

journal_title：American journal of surgery

authors： Holmes EC

更新日期：1982-06-01 00:00:00

abstract：:The survival of 103 patients operated on for advanced carcinoma of the stomach other than the cardia was assessed. The median duration of survival for patients subjected to palliative partial gastrectomy, total gastrectomy, gastrojejunostomy, and biopsy only was 24, 22, 11, and 10 weeks, respectively. All of these pat...

journal_title：American journal of surgery

authors： Choi TK,Koo J,Wong J,Ong GB

更新日期：1982-06-01 00:00:00

abstract：:The correlation between serum amylase and pancreatic amylase secretion was studied in two patients. Both patients underwent sphincterotomy, and the pancreatic duct was cannulated with a polyethylene tube. The tube was left in place for 15 to 21 days. The rate of amylase secretion over 7 days was studied in response to...

journal_title：American journal of surgery

authors： Lezoche E,Carlei F,Vagni V,Rossini S,De Masi E,Passaro E Jr,Speranza V

更新日期：1982-05-01 00:00:00

abstract：:Fifty men with hernias were operated on as outpatients: 42 went home the evening after surgery. The best results were obtained in patients with unilateral indirect hernias; those with direct hernias did not do quite as well. No patient required readmission to the hospital for complications. The cost was significantly ...

journal_title：American journal of surgery

authors： Rockwell E

更新日期：1982-05-01 00:00:00