Showing papers by "Jason W. H. Wong published in 1983"
TL;DR: Results suggest that all easily accessible tuberculous lymph nodes should be removed and that persistent discharging sinuses should also be treated by surgery.
Abstract: Eighty consecutive cases of tuberculous lymphadenopathy confirmed by histological examination were reviewed. Fifty-five cases (69%) were followed up for more than two years. Excluding twelve cases with incomplete chemotherapy, the results of treatment by combined surgery and chemotherapy in the remaining 43 cases were analysed. Twelve cases had complete excision of all grossly involved lymph nodes; all did well. Twenty-one cases had only representative lymph nodes biopsied for diagnosis, five of them (24%) required a second operation – three for abscess formation and two for progressive enlargement of the residual lymph nodes. Seven cases of tuberculous abscesses were treated by a simple drainage procedure, and despite chemotherapy, all had persistent wound discharge for over one month which required a second operation to remove the underlying caseating lymph nodes. Results suggest that all easily accessible tuberculous lymph nodes should be removed and that persistent discharging sinuses should also be treated by surgery.
21 citations
TL;DR: Although all three patients recovered, the morbidity was considerable and they were subjected to surgery after the infection had been brought under control.
Abstract: Three cases of oesophago-pleural fistula are presented Two resulted from foreign body perforation of the oesophagus and one followed left lower lobectomy for bronchiectasis All three presented late; the time lapse ranged from 6 days to 2 months An initial course of conservative treatment was given to all three patients Alimentation via nasogastric tube feeding, gastrostomy or total parenteral nutrition was carried out The pleural fluid grew the anaerobe, Bacteriodies melaninogenicus, in all three cases Gram-negative aerobes, Escherichia coli and Proteus mirabilis, were also cultured Closed intercostal drainage and a course of appropriate antibiotics were instituted The patients were subjected to surgery after the infection had been brought under control Simple repair was performed in two patients Exclusion of the oesophageal leak with drainage and later reconstruction was carried out in the third patient Although all three patients recovered, the morbidity was considerable The duration of hospital stay ranged from 2 to 4 months
1 citations