Published in Surgery, gynecology & obstetrics
Despite the infrequent use in the United States, venous thrombectomy seems to have a beneficial effect in carefully selected patients with acute iliofemoral thrombosis. The final decision to proceed with venous thrombectomy should be based on a balanced analysis of two factors--the characteristics of the thrombus and the characteristics of the pati...
Published in Surgery, gynecology & obstetrics
This report is an analysis of 252 popliteal artery aneurysms (PAA) in 167 patients treated surgically at the University Hospital in Zurich during a 27 year period from 1965 to 1991. The predominance of male patients (95 percent) was consistent with that of other reports. PAA were bilateral in 51 percent of the patients and were associated with aneu...
Published in Surgery, gynecology & obstetrics
We report our experience with 28 patients using percutaneous endoscopic gastrostomy (PEG) for decompression of gastrointestinal obstruction as a result of carcinomatosis secondary to gynecologic malignancy. PEG could be performed successfully in 26 of the 28 patients. In two patients, intubation was not possible for technical reasons and the proced...
Published in Surgery, gynecology & obstetrics
The interstitial fluid space (IFS) response to hemorrhagic shock (HS)-induced metabolic acidosis is reported. Prenodal skin lymph was used as a mirror of IFS changes. Twenty-three conditioned dogs had a reservoir HS insult followed by resuscitation with shed blood, crystalloid solution containing a total of 6.5 milliequivalents of sodium per kilogr...
Published in Surgery, gynecology & obstetrics
Surgically placed inflatable vascular occluders temporarily increased or restricted the target volume for intra-arterial therapy for tumors in the liver and pancreas. Proximal occlusion of the common hepatic artery directed retrograde flow from the cannulated gastroduodenal artery into a variant left hepatic artery in one patient with carcinoma of ...
Published in Surgery, gynecology & obstetrics
We analyzed data on 423 Japanese patients with early carcinoma of the stomach with respect to clinicopathologic features and prognosis. All patients were treated in the clinics at which we work. The upper one-third of the stomach was less frequently involved. Therefore, partial gastrectomy was performed more often in patients with early carcinoma o...
Published in Surgery, gynecology & obstetrics
Hyskon (32 percent dextran-70) (Hyskon Division, Pharmacia) is used during hysteroscopy to help visualization of the uterine surfaces. Pulmonary edema of an uncertain cause has occurred in many patients. Because this study could not be conducted in humans, we determined if Hyskon caused cardiogenic or non-cardiogenic pulmonary edema in a dog model....
Published in Surgery, gynecology & obstetrics
In the present study, the effects of early isotonic fluid resuscitation on uncontrolled hemorrhage in rats under pentobarbital anesthesia were assessed. Forty-five female Sprague-Dawley rats, weighing between 230 and 295 grams, were anesthetized and cannulated. Uncontrolled hemorrhage was initiated by a 75 percent tail resection, and the rats were ...
Published in Surgery, gynecology & obstetrics
Small volume hypertonic saline solution has been suggested for initial effective resuscitation of hemorrhagic shock. The effect of hypertonic saline solution in controlled hemorrhagic shock was studied in rats subjected to dehydration or heat, or both. The rats were randomly divided into four groups--group 1 (n = 19), normal rats; group 2 (n = 21),...
Published in Surgery, gynecology & obstetrics
Thirty-five patients with gastroesophageal reflux (GER) proved on ambulatory esophageal hydrogen monitoring were surgically treated by a floppy Nissen fundoplication. Postoperatively, reflux and symptoms related to it were almost completely abolished. Transient bloating syndrome was observed in five instances. The operation significantly improved e...
