abstract：:Over a 10 year period, 54 patients presented with pancreatic trauma. During the first 5 years of the study, when pancreatography was not utilized for the assessment of pancreatic duct injury, 55 percent of the patients had major pancreatic complications. During the subsequent 5 years, suspected proximal duct injury wa...

journal_title：American journal of surgery

authors： Berni GA,Bandyk DF,Oreskovich MR,Carrico CJ

更新日期：1982-05-01 00:00:00

abstract：:Histologic material from 42 cases diagnosed as gastric lymphoma at Hartford Hospital was reviewed, confirming the diagnosis in 37. Three cases of pseudolymphoma were found. The incidence of gastric lymphoma has increased steadily over the past 50 years: 35 percent of cases occurred during the past decade. Most patient...

journal_title：American journal of surgery

authors： Orlando R 3rd,Pastuszak W,Preissler PL,Welch JP

更新日期：1982-04-01 00:00:00

abstract：:Despite the very high accuracy rate of imaging studies (ultrasound, computed tomography, liver-lung-spleen scans and gallium-67 scans) in detecting intraabdominal abscesses, our experience with 80 recent cases indicate that these techniques have not significantly altered traditional methods of decision-making about wh...

journal_title：American journal of surgery

authors： Wright HK,Dunn E,MacArthur JD,Pelliccia O

更新日期：1982-04-01 00:00:00

abstract：:Fifty-three patients with upper gastrointestinal bleeding and proven esophageal varices were treated by intravascular injection sclerotherapy of the varices using a mixture of ethanolamine oleate, bovine thrombin and cephalothin. An intraesophageal balloon was used to impede craniad flow during the injection. Except i...

journal_title：American journal of surgery

authors： Hedberg SE,Fowler DL,Ryan RL

更新日期：1982-04-01 00:00:00

abstract：:Abdominal muscular contractions may have a protective influence against the development of indirect inguinal hernia. A portion of the transversus abdominus muscles acts on the internal inguinal rings and produces a closure mechanism during voluntary abdominal muscular activity. It follows, therefore, that injury or in...

journal_title：American journal of surgery

authors： Arnbjörnsson E

更新日期：1982-03-01 00:00:00

abstract：:Forty-eight patients with acute cholangitis who presented with postcholocystectomy choledocholithiasis are reported on in this study. As soon as the general condition of the patients had improved, or as soon as the fluid balance was established, usually within 48 hours of admission, the patients were divided into two ...

journal_title：American journal of surgery

authors： Lygidakis NJ

更新日期：1982-03-01 00:00:00

abstract：:Gastric emptying was delayed preoperatively in 9 of 19 patients with duodenal ulcer disease, but all 9 patients with evidence of retention by scan were asymptomatic; gastric emptying was normal in the remaining 10 patients. A significant delay in gastric emptying was documented by scan in 17 of 19 patients immediately...

journal_title：American journal of surgery

authors： Horton JW,McClelland RN,Weger RV

更新日期：1982-01-01 00:00:00

abstract：:Experience with seven cases of pancreatic abscess is reviewed. All patients were treated with radical pancreatic debridement, large sump drainage with postoperative irrigation, gastrointestinal defunctionalization, antibiotic therapy and nutritional support. One patient died, for a mortality rate of 14 percent. We fee...

journal_title：American journal of surgery

authors： Chang FC,Van Houden CE

更新日期：1981-12-01 00:00:00

abstract：:Fourteen infants with intestinal stenosis as a late sequela of necrotizing enterocolitis were treated at Texas Children's and Ben Taub General Hospitals from 1972 to 1979. Barium enema studies are the keystone in making the diagnosis and should be performed in any infant with abdominal distention or poor feeding after...

journal_title：American journal of surgery

authors： Pokorny WJ,Harr VL,McGill CW,Harberg FJ

更新日期：1981-12-01 00:00:00

abstract：:The wire introducer method is a satisfactory technique for management of central venous catheters if bacteriologic monitoring of the removed catheter is used to determine whether the introduced catheter should be allowed to remain. The data indicate that when central venous catheters become infected, they do so throug...

journal_title：American journal of surgery

authors： Graeve AH,Carpenter CM,Schiller WR

更新日期：1981-12-01 00:00:00

abstract：:Plasma fatty acid profiles of 33 critically ill surgical patients receiving fat-free parenteral nutrition were examined at weekly intervals up to 28 days. While plasma total fatty acid concentration remained relatively constant and within the normal range, marked compositional alterations were apparent. Levels of lino...

journal_title：American journal of surgery

authors： McCarthy MC,Cottam GL,Turner WW Jr

更新日期：1981-12-01 00:00:00

abstract：:The records of patients treated for upper gastrointestinal bleeding from 1974 through 1978 were reviewed. Five percent of this group (69 patients) had bleeding due to the Mallory-Weiss syndrome. Only 36 percent of patients had a correct admitting diagnosis. Esophagogastroscopy proved the most reliable diagnostic tool,...

journal_title：American journal of surgery

authors： Hastings PR,Peters KW,Cohn I Jr

更新日期：1981-11-01 00:00:00

abstract：:A retrospective study of 115 patients who presented to the University of Benin Teaching Hospital with intestinal gangrene over a 5 year period is presented. Although hernia is the most common cause of bowel gangrene, more patients with volvulus end up with gangrenous bowel. Because Nigerian patients present with late ...

journal_title：American journal of surgery

authors： Chiedozi LC

更新日期：1981-11-01 00:00:00

abstract：:From these data and data from the literature, our recommended treatment for well-differentiated cancer is as follows: For papillary cancer, resection should be adequate to encompass the entire tumor, which in most cases would be complete lobectomy and possibly isthmusectomy. Prophylactic neck dissection is of no value...

journal_title：American journal of surgery

authors： Wanebo HJ,Andrews W,Kaiser DL

更新日期：1981-10-01 00:00:00

abstract：:The technique of intraoperative autotransfusion utilizing the Haemonetics Cell Saver is described. This device separates and washes red blood cells removed from the surgical field. Advantages of this unit over others are (1) no systemic anticoagulation is required, (2) circulatory fibrin debris is removed, (3) plasma ...

journal_title：American journal of surgery

authors： Sharp WV,Stark M,Donovan DL

更新日期：1981-10-01 00:00:00

abstract：:The results of surgical treatment for chronic pancreatitis at our clinic and in the eight leading institutions of Japan were reviewed in a total of 328 cases. Abdominal pain disappeared or was alleviated in about 90 percent of the patients who survived more than 6 months after operation. There was no significant diffe...

journal_title：American journal of surgery

authors： Sato T,Noto N,Matsuno S,Miyakawa K

更新日期：1981-09-01 00:00:00

abstract：:During a 20 year period at the Johns Hopkins Medical Institutions, 17 patients were operated on for secondary aortoenteric fistula. The interval from initial operation to the onset of symptoms varied greatly and averaged 2.8 years. Symptoms included not only gastrointestinal bleeding but also sepsis and abdominal or b...

journal_title：American journal of surgery

authors： O'Mara CS,Williams GM,Ernst CB

更新日期：1981-08-01 00:00:00

abstract：:The relative roles of bacterial infection, fluid loss and myocardial failure were investigated in 24 patients in whom circulatory shock appeared as a complication of purulent peritonitis. The 13 acute survivors, including 6 hospital survivors, had strikingly lower initial plasma volumes and total blood volumes than th...

journal_title：American journal of surgery

authors： Vincent JL,Weil MH,Puri V,Carlson RW

更新日期：1981-08-01 00:00:00

abstract：:The traditional treatment of pneumothorax has been with a chest tube and hospitalization. A series of 35 patients with 41 pneumothoraces treated on an outpatient basis is presented here. A no. 12 chest tube connected to a Heimlich valve led to successful treatment in 88 percent of the cases. Failure of treatment requi...

journal_title：American journal of surgery

authors： Cannon WB,Mark JB,Jamplis RW

更新日期：1981-07-01 00:00:00

abstract：:(1) Emergency thoracotomy can be a lifesaving procedure in critically injured patients who present with no detectable pulse or blood pressure. (2) Emergency thoracotomy is nonproductive if cardiac electrical activity is absent. (3) Best results are achieved in patients with chest injuries and the worst results in thos...

journal_title：American journal of surgery

authors： Harnar TJ,Oreskovich MR,Copass MK,Heimbach DM,Herman CM,Carrico CJ

更新日期：1981-07-01 00:00:00

abstract：:Sequential intraarterial chemotherapy using bleomycin and methotrexate followed by high dose radiation and surgery was evaluated in 10 patients with stage III and IV squamous carcinomas of the maxillary sinus. Seven of 10 patients had extensive tumor necrosis in the surgical specimen, and no evidence of residual tumor...

journal_title：American journal of surgery

authors： Moseley HS,Thomas LR,Everts EC,Stevens KR,Ireland KM

更新日期：1981-05-01 00:00:00

abstract：:One hundred seven patients with pseudocyst managed during the past decade were reviewed. The mortality rate of 11.2 percent compares favorably with the rates in other recent series. Twenty-two percent of the patients were managed conservatively, and 76 underwent exploration. None of the nonoperative patients died from...

journal_title：American journal of surgery

authors： Sandy JT,Taylor RH,Christensen RM,Scudamore C,Leckie P

更新日期：1981-05-01 00:00:00

abstract：:Blunt trauma to the neck requires a systematic analysis of the laryngotrachea, the esophagus and the cervical spine in addition to general trauma considerations. Acute airway decompensation is best managed by tracheotomy, although if the situation permits, an orderly physical examination including indirect laryngoscop...

journal_title：American journal of surgery

authors： Sofferman RA

更新日期：1981-04-01 00:00:00

abstract：:A controlled prospective study was conducted to compare the results of kidney preservation and transplantation in regard to the type of perfusate used for perfusion preservation. Cryoprecipitated plasma, plasma protein fraction and serum albumin solution were used as perfusate. Between February 1979 and July 1980, 176...

journal_title：American journal of surgery

authors： Cho SI,Bradley JW,Garovoy MR,Nabseth DC

更新日期：1981-04-01 00:00:00

abstract：:Seventeen cases of carcinoma of the stomach occurring late after previous gastric operation are presented. In all instances, patients had undergone gastroenterostomy, with or without gastric resection. Most patients had undergone the initial operation for peptic ulcer disease an average of 18 years before presenting w...

journal_title：American journal of surgery

authors： Orlando R 3rd,Welch JP

更新日期：1981-04-01 00:00:00

abstract：:Consistent weight reduction by gastroplasty requires precise construction of an appropriately sized stoma that will not dilate. The technique described constructs such a stoma around a 32 French Hurst dilator with an external ring of Silastic tubing over polypropylene suture. ...

journal_title：American journal of surgery

authors： Laws HL

更新日期：1981-03-01 00:00:00

abstract：:Cholecystostomy in patients with noninflammatory disease of the biliary tract has rarely been evaluated. Our experience with 124 patients suggests that, in addition to being helpful in inflammatory conditions, cholecystostomy is helpful in performing cholangiography, in removing stones and in decompressing an otherwis...

journal_title：American journal of surgery

authors： Beart RW Jr,Mroz CT

更新日期：1981-03-01 00:00:00

abstract：:Feeding gastrostomy can be troublesome, inconvenient and painful to the patient, especially if the catheter is redundant, thereby causing deformity of the opening ad leakage of gastric juice and food around the tube. A skin level permanent feeding gastrostomy was fashioned in four patients with neurologic disease. The...

journal_title：American journal of surgery

authors： Cohen OM,Donner Y,Berlatzky Y

更新日期：1981-03-01 00:00:00

abstract：:The records of 104 patients with primary adenocarcinoma of the duodenum were reviewed. All patients were followed up to the date of this report, 91 for at least 5 years. Melena was an ominous preoperative finding. Survival was directly related to nodal status, the grade of the lesion, and the ability of the surgeon to...

journal_title：American journal of surgery

authors： Joesting DR,Beart RW Jr,van Heerden JA,Weiland LH

更新日期：1981-02-01 00:00:00

abstract：:Curettage of lymph nodes in 36 patients with cancer of the thoracic esophagus was performed in the bilateral supraclavicular, right intrathoracic and abdominal regions. The overall metastatic ratio in lymph nodes was 52.8 percent (19 of 36). It was particularly high in the right supraclavicular nodes (26.7 percent), t...

journal_title：American journal of surgery

authors： Sannohe Y,Hiratsuka R,Doki K

更新日期：1981-02-01 00:00:00

abstract：:Five methods for preventing deep venous thrombosis in postoperative patients were evaluated and compared with a control group. Five hundred patients from five surgical specialties were studied. The incidence of deep venous thrombosis was 37.3 percent in the control group but significantly less within all treatment gro...

journal_title：American journal of surgery

authors： Borow M,Goldson H

更新日期：1981-02-01 00:00:00

abstract：:Late biopsy results in 53 patients after jejunoileal bypass were reviewed and compared with 1 year postoperative biopsies. Patients were divided into groups based on clinical course and liver function tests. Of 24 patients with normal liver function tests and no clinical symptoms of liver failure, 8 (33 percent) had n...

journal_title：American journal of surgery

authors： Hocking MP,Duerson MC,Alexander RW,Woodward ER

更新日期：1981-01-01 00:00:00

abstract：:Real-time ultrasound scanning was used during operations on the biliary tract and pancreas. The principal application in biliary surgery was to evaluate the common bile duct for presence of calculi. Our initial experience indicates that operative ultrasonography compares favorably with operative cholangiography. In pa...

journal_title：American journal of surgery

authors： Sigel B,Coelho JC,Spigos DG,Donahue PE,Wood DK,Nyhus LM

更新日期：1981-01-01 00:00:00

abstract：:A 5 year experience of 248 patients with isolated penetrating lower chest injury was reviewed. Twenty-two (15 percent) of the stab wounds and 46 (46 percent) of the gunshot wounds caused associated intraabdominal injury. Among those taken to the operating room for laparotomy, physical examination proved misleading in ...

journal_title：American journal of surgery

authors： Moore JB,Moore EE,Thompson JS

更新日期：1980-12-01 00:00:00

abstract：:Pediatric gastroesophageal reflux is common and its complications may be serious. The diagnosis is being suspected and confirmed with increasing frequency in children because of heightened awareness of the symptoms peculiar to pediatric patients. Thirty-one children who underwent Nissen fundoplication for gastroesopha...

journal_title：American journal of surgery

authors： Carson JA,Tunell WP,Smith EI

更新日期：1980-12-01 00:00:00

abstract：:To establish criteria for laparotomy, the records of 224 patients admitted with an acute pelvic fracture were reviewed. Forty-four patients underwent laparotomy; 2 had no intraabdominal injury. The mechanisms of injury was blunt trauma in 31 patients and gunshot wound in 13. All four patients who died had blunt trauma...

journal_title：American journal of surgery

authors： Zannis VJ,Wood M

更新日期：1980-12-01 00:00:00

abstract：:Esophageal transection with the EEA stapler was performed in five patients with bleeding esophageal varices. Bleeding from varices has not recurred in surviving patients during follow-up of up to 27 months. One death occurred during the postoperative period. Esophageal transection with the EEA stapler is an effective ...

journal_title：American journal of surgery

authors： Cooperman M,Fabri PJ,Martin EW Jr,Carey LC

更新日期：1980-12-01 00:00:00

abstract：:The effects of epinephrine on the vascular perfusion of solitary Walker tumors implanted in the liver were studied in Sprague-Dawley rats. Colored silicone rubber (Microfil) solutions were injected into the arterial and portal circulations in each animal, and specimens were studied under a stereomicroscope. Internal v...

journal_title：American journal of surgery

authors： Ackerman NB,Hechmer PA

更新日期：1980-11-01 00:00:00

abstract：:Spontaneous pneumothorax is rare among Nigerians, but our experience with olive oil confirms its advantages as a good agent for chemical pleurodesis. Clinical and supporting experimental data from rabbits are presented. In high risk patients with poor respiratory reserve, including some who have bronchopleural fistula...

journal_title：American journal of surgery

authors： Ofoegbu RO

更新日期：1980-11-01 00:00:00

abstract：:The care of patients with rhabdomyosarcoma has undergone significant change in the past decade. Careful staging and multidisciplinary treatment have improved the prognosis for patients with this neoplasm. A review of the medical literature of the past decade documents these changes in staging, therapy and prognosis. ...

journal_title：American journal of surgery

authors： Bizer LS

更新日期：1980-11-01 00:00:00