abstract：:Stapling instruments have been used for gastrointestinal anastomoses and reconstruction with increasing regularity. A technique for loop colostomy closure employing a stapling device is described. This approach provides a secure closure while avoiding major contaimination. ...

journal_title：American journal of surgery

authors： Schwesinger WH,Levine BA,McFee AS

更新日期：1979-08-01 00:00:00

abstract：:1. A review of the immediate and long-term results of prophylactic carotid endarterectomy for asymptomatic lesions of 78 carotid arteries in 72 patients between 1961 and 1976 is presented. 2. The inhospital operative mortality was zero. Two patients experienced postoperative transient neurologic deficit with complete ...

journal_title：American journal of surgery

authors： Moore WS,Boren C,Malone JM,Goldstone J

更新日期：1979-08-01 00:00:00

abstract：:Despite immediate operation, patients with abdominal aortic injuries and profound hypovolemic shock do not respond to the usual methods of resuscitation and die soon after celiotomy, prior to control and repair of the aortic injury. The rate of aortic hemorrhage exceeds the ability to restore blood volume. Shock becom...

journal_title：American journal of surgery

authors： Myles RA,Yellin AE

更新日期：1979-08-01 00:00:00

abstract：:Recurrent, nodular necrotizing granulomatous mastitis in two patients is reported in detail. Pathologic, immunologic, and bacteriologic studies in one patient indicate that this entity is different from plasmas cell mastitis, fat necrosis, mammary ductal ectasia, and the usual infectious and puerperal mastitis. System...

journal_title：American journal of surgery

authors： Brown KL,Tang PH

更新日期：1979-08-01 00:00:00

abstract：:The type of endorectal pull-through described by Black was evaluated as an alternative method of anastomosis in 11 anterior resections in which anastomosis from above was impossible. The method is attractive from the standpoint of function because it preserves the distal rectum and leaves the anus intact. Technical po...

journal_title：American journal of surgery

authors： Garnjobst W,Sullivan ES

更新日期：1979-07-01 00:00:00

abstract：:Silver biopsies of the common bile duct were obtained from 15 patients with clinical and surgical evidence of cholangitis. The most pronounced histologic changes were edema, congestion, and marked mucous gland hypertrophy and hyperplasia. No ulceration, intramural abscess, or areas of necrosis were found. Clinical cho...

journal_title：American journal of surgery

authors： Schein CJ,Mahadevia P

更新日期：1979-06-01 00:00:00

abstract：:A new S-shaped cystic duct metal cannula was developed and used successfully in 200 cystic duct cholangiograms. It has the advantage of being easy to manipulate because the configuration does not obscure the vision and the resistance is less than that of plastic tubes, facilitating injection with lower pressure. It is...

journal_title：American journal of surgery

authors： Berci G,Shore JM

更新日期：1979-06-01 00:00:00

abstract：:A prospective study of 390 indwelling central venous catheters placed by way of the subclavian route identified bacteremia and tracheostomy as the only significant variables associated with the colonization of the catheters by pathogenic microorganisms. Catheter-related sepsis was likely in only 3 of 33 episodes of pr...

journal_title：American journal of surgery

authors： Michel L,McMichan JC,Bachy JL

更新日期：1979-06-01 00:00:00

abstract：:The first case of a carotid body chemodectoma that was diagnosed using dynamic radionuclide perfusion angiography and subsequently excised is presented. The value of this technic in the investigation of pulsatile tumors is emphasized. ...

journal_title：American journal of surgery

authors： Peters JL,Ward MW,Fisher C

更新日期：1979-05-01 00:00:00

abstract：:Significant salvage of patients with a wide variety of cysts and benign tumors of the liver and of some patients with biliary strictures can be achieved by hepatic resection in carefully selected clinical situations with a low operative mortality rate and an acceptable postoperative complication rate. Still to be dete...

journal_title：American journal of surgery

authors： Cady B,Bonneval M,Fender HR Jr

更新日期：1979-04-01 00:00:00

abstract：:The use of intraoperative autotransfusion provides a safe and cost-effective means of salvaging operative blood loss and reducing or eliminating the use of stored homologous bank blood with its inherent difficulties and risks. The risk of disease transmission or various reactions is minimized. Autotransfusion provides...

journal_title：American journal of surgery

authors： Brewster DC,Ambrosino JJ,Darling RC,Davison JK,Warnock DF,May AR,Abbott WM

更新日期：1979-04-01 00:00:00

abstract：:Exposed bone, even in conjunction with a fracture, will cover spontaneously with granulation tissue followed by epithelium, or will sequestrate and then cover, providing there is adequate circulation at the wound site. The healing process is lengthy but need not interfere with the reestablishment of function of the wo...

journal_title：American journal of surgery

authors： Brown PW

更新日期：1979-04-01 00:00:00

abstract：:Two patients with coexisting neurofibromatosis and hyperparathyroidism are described, bringing the total number of such cases in the world literature to seven. Other more classic examples of the association of tumorous conditions of neuroectodermal and entodermal origin are discussed to support the suggestion that the...

journal_title：American journal of surgery

authors： Chakrabarti S,Murugesan A,Arida EJ

更新日期：1979-03-01 00:00:00

abstract：:A total of ninety three patients with biliary tract disease were studied to determine the concentration of the pancreatic enzymes, amylase and lipase, in bile obtained from the gallbladder and/or common bile duct. Of seventy gallbladder bile samples, amylase levels were higher than actual or predicted serum levels in ...

journal_title：American journal of surgery

authors： Anderson MC,Hauman RL,Suriyapa C,Schiller WR

更新日期：1979-03-01 00:00:00

abstract：:Forty-one patients with significant pulmonary emboli were reviewed. The presence of heart disease and obesity was found with relatively constant frequency throughout the groups presented. Postoperative infections (wounds or abscess) were frequently associated with fatal or significant pulmonary embolism, particularly ...

journal_title：American journal of surgery

authors： West B,Garrison RN,Flint LM Jr

更新日期：1979-03-01 00:00:00

abstract：:A new instrument for the placement of U tubes through malignant and benign biliary strictures consists of a 3 mm Bakes dilator modified by a circumferential groove and a small hole through its tip. ...

journal_title：American journal of surgery

authors： Tatarchuk TW,White TT

更新日期：1979-03-01 00:00:00

abstract：:Twenty-five patients were treated for retained, recurrent, or primary common duct stones by permanent drainage of the biliary tract with external choledochoduodenostomy. Twenty-one patients had common duct stones which became evident two to fifty years after the initial biliary tract procedure and which may represent ...

journal_title：American journal of surgery

authors： Kaminski DL,Barner HB,Codd JE,Wolfe BM

更新日期：1979-02-01 00:00:00

abstract：:The results of the present study emphasize the importance of minimizing the time delay between a significant elevation in CEA and a second-look operation. Equally important are the frequency of serial determinations, a thorough understanding of the limitations of the assay, and careful evaluation of the clinical condi...

journal_title：American journal of surgery

authors： Martin EW Jr,Cooperman M,King G,Rinker L,Carey LC,Minton JP

更新日期：1979-02-01 00:00:00

abstract：:To determine whether the use of pedicled full-thickness gastric patches would be feasible and safe in esophageal reconstruction, studies were undertaken in eleven dogs. The results demonstrate that patches containing parietal cell mucosa are likely to produce localized adjacent esophagitis. Patches containing antral m...

journal_title：American journal of surgery

authors： Hugh TB,Lusby RJ,Coleman MJ

更新日期：1979-02-01 00:00:00

abstract：:A case of massive air embolus secondary to use of an intravenous infusion pump is presented. The pump is unable to detect air entering the intravenous line if the air enters distal to the air detection device. A simple solution is presented. ...

journal_title：American journal of surgery

authors： Abernathy CM,Dickinson TC

更新日期：1979-02-01 00:00:00

abstract：:Between 1971 and 1976, ninety-three patients with a clinical diagnosis of pseudocyst confirmed by ultrasonography were identified from a group of 923 patients admitted for pancreatic disease. Uncertainties in diagnosis and/or rapid progression of underlying pancreatitis led to urgent laparotomy and drainage in eleven ...

journal_title：American journal of surgery

authors： Bradley EL,Clements JL Jr,Gonzalez AC

更新日期：1979-01-01 00:00:00

abstract：:In a prospective randomized clinical trial, whole gut lavage was evaluated against conventional mechanical cleansing for colonic operations. The lavage took less time to perform, was better tolerated by patients, and resulted in more satisfactory preparation as judged by frequency of collapsed intestines. There was no...

journal_title：American journal of surgery

authors： Chung RS,Gurll NJ,Berglund EM

更新日期：1979-01-01 00:00:00

abstract：:During a fourteen year period, diagnostic peritoneal lavage was 98.5 per cent accurate in determining the presence or absence of blunt intraabdominal injuries among 2,586 patients. Of these, 69.4 per cent had a negative lavage and 29.2 per cent a positive lavage. Six patients (0.2 per cent) had a false-positive lavage...

journal_title：American journal of surgery

authors： Fischer RP,Beverlin BC,Engrav LH,Benjamin CI,Perry JF Jr

更新日期：1978-12-01 00:00:00

abstract：:One hundred thirty-four patients suspected of having pancreas cancer successfully underwent gray scale ultrasound examination of the pancreas. The prospective ultrasound findings were correlated with the final diagnoses, laparotomy findings, and pathology findings. Fifty-four patients had pancreas cancer, confirmed by...

journal_title：American journal of surgery

authors： Mackie CR,Bowie J,Cooper MJ,Kunzmann A,Moossa AR

更新日期：1978-11-01 00:00:00

abstract：:A discussion of congenital arteriovenous malformation of the head and neck based on five patients followed from three to twenty years is presented. Definition of the lesion and its progression as followed by angiography is described. The poor response to surgery is ascribed to the ischemic nature of the area of involv...

journal_title：American journal of surgery

authors： DesPrez JD,Kiehn CL,Vlastou C,Bonstelle C

更新日期：1978-10-01 00:00:00

abstract：:Evaluation of postoperative swallowing ability in thirty-eight patients having had partial laryngectomy indicates that there are marked differences in the degree of dysphagia among individuals with similar surgical defects. This variation in swallowing disability, however, appears to have definable limits. Rehabilitat...

journal_title：American journal of surgery

authors： Weaver AW,Fleming SM

更新日期：1978-10-01 00:00:00

abstract：:A technic of esophagogastrostomy is described for constructing an end-to-side, back-to-front anastomosis using stapling devices. Twelve consecutive cases are reported with no deaths and no anastomotic leaks. ...

journal_title：American journal of surgery

authors： Chassin JL

更新日期：1978-09-01 00:00:00

abstract：:These experimental studies provide an explanation for the therapeutic value of proteolytic enzymes as adjuncts to antibiotic treatment of contaminated wounds. After wounding, a fibrinous coagulum develops on the wound surface. This coagulum surrounds the bacteria and protects them from contact with sustemically or top...

journal_title：American journal of surgery

authors： Rodeheaver GT,Rye DG,Rust R,Marsh D,Edgerton MT,Edlich RF

更新日期：1978-09-01 00:00:00

abstract：:The relationship between platelet count and aggregability was serially evaluated after splenectomy in patients with normosplenism and hypersplenism, and the results were compared with those found in patients undergoing only upper abdominal surgery. The preoperative count and aggregability of platelets were significant...

journal_title：American journal of surgery

authors： Nagasue N,Inokuchi K,Kobayashi M,Kanashima R

更新日期：1978-08-01 00:00:00

abstract：:Experience with fifty-three femorofemoral grafts performed as the initial operation for iliac occlusive disease over a ten year period is reviewed. There was one operative death (2 per cent). There were two early and three late graft failures, for a five year cumulative graft patency rate of 80 per cent. Of the twenty...

journal_title：American journal of surgery

authors： Mannick JA,Maini BS

更新日期：1978-08-01 00:00:00

abstract：:The effects of ischemia on the electrical and contractile activites of the small bowel were studied in dogs. Ischemia due to arterial occlusion abolished the contractile activity and made the regular rhythm of the pacesetter potential (PP) irregular. Revascularization within 3 hours restored the contractile activity a...

journal_title：American journal of surgery

authors： Cabot RM,Kohatsu S

更新日期：1978-08-01 00:00:00

abstract：:Ten cases of giant lung abscess were treated by one-stage closed tube drainage after initial medical therapy. Sepsis or hemorrhage was relieved in all patients. There were no operative deaths, serious complications, or late recurrences. Three patients have subsequently died from bronchogenic cancer. ...

journal_title：American journal of surgery

authors： Lawrence GH,Rubin SL

更新日期：1978-07-01 00:00:00

abstract：:The histopathology, clinical features, treatment, and results are reported in twenty-nine patients with thymoma. Benign and malignant thymomas are differentiated by their invasive characteristics. Surgical excision is recommended for benign lesions. Surgical excision and postoperative irradiation are recommended for m...

journal_title：American journal of surgery

authors： Gerein AN,Srivastava SP,Burgess J

更新日期：1978-07-01 00:00:00

abstract：:A retrospective study of colostomy closures was prompted by recent reports detailing frequent postoperative complications. In a series of 125 intraperitoneal colostomy closures there was a low incidence of complications. There were no anastomotic breakdowns, fistulas, or deaths. We conclude that closure of a well heal...

journal_title：American journal of surgery

authors： Garnjobst W,Leaverton GH,Sullivan ES

更新日期：1978-07-01 00:00:00

abstract：:An analysis of unsuccessful extractions of retained biliary calculi using basket catheters reveals more than half the failures are related to the selection, placement, and size of the T tube. A new T tube has been developed which will improve postoperative access to the common duct and facilitate removal of retained c...

journal_title：American journal of surgery

authors： Moss JP,Whelan JG Jr,Fry DE

更新日期：1978-06-01 00:00:00

abstract：:A stainless steel wire mesh prosthesis was used as a primary mandibular replacement in 102 patients after resection of malignant neoplasms arising in the head and neck. In sixty-seven patients the prosthesis was considered successful. Failure of the host to tolerate the prosthesis was associated with a history of prev...

journal_title：American journal of surgery

authors： Terz JJ,Bear SE,Brown PW,Watkins J,Lawrence W Jr

更新日期：1978-06-01 00:00:00

abstract：:A safe and rapid technic for internal jugular vein cannulation is described. The success rate is almost as high and the serious complication rate is much lower than subclavian vein cannulation. ...

journal_title：American journal of surgery

authors： Stevens JC,Hamit HF

更新日期：1978-05-01 00:00:00

abstract：:Noninvasive screening of the lower extremities for deep vein thrombosis was performed bilaterally on 1,118 patients. Impedance plethysmography alone was used in 868. Venography in 135 revealed an accuracy of 88%, with a false-negative rate of 5.3% and a false-positive rate of 18.6%. A combined ultrasonic Doppler and m...

journal_title：American journal of surgery

authors： Lepore TJ,Savran J,Van De Water J,Harrower HW,Yablonski M

更新日期：1978-04-01 00:00:00

abstract：:Between August 1967 and January 1977, 699 cadaver kidneys were preserved and transplanted in our hospital after continuous perfusion with cryoprecipitated plasma. Overall graft survival of primary transplants was 55 +/- 2 per cent at one year and 41 +/- 2 per cent at four years. The results with ninety-six second tran...

journal_title：American journal of surgery

authors： Feduska NJ,Belzer FO,Stieper KW,Duca RM,Mitchell JW,Vincenti F,Cochrum KC,Salvatierra O Jr

更新日期：1978-03-01 00:00:00

abstract：:The results achieved by liver resection for metastatic cancer in more than 400 patients have been studied in a collected review. Certain conclusions seem justified: The liver is no longer the surgeon's "no-man's-land," and local excision of metastatic tumor can achieve clinical cure in some patients. The risk-benefit ...

journal_title：American journal of surgery

authors： Foster JH

更新日期：1978-03-01 00:00:00