Showing papers by "Kenneth L. Campbell published in 1997"
TL;DR: Results of the modelling show men to have a consistently higher risk of crash involvement per mile driven than women for all six combinations of crash severity and light condition examined, consistent with the idea that women's typically low average annual mileage is a factor in their observed higher non-fatal crash involvement rates.
155 citations
TL;DR: A new role for stenting in colonic obstruction is defined and an extension of its applicability to the right colon is demonstrated, allowing postponement of a particularly high-risk laparotomy.
Abstract: PURPOSE: The increased mortality of emergencyvs.elective colonic surgery applies equally to the right and left colon. Recent interest has surrounded the application of expandable metal stenting in acute obstruction but has been confined to the left colon. We describe successful application of stenting in the right colon, allowing postponement of a particularly high-risk laparotomy. METHODS: A patient with acute bilateral iliofemoral thromboses simultaneously developed complete obstruction of the proximal transverse colon. After heparinization and under fluoroscopic control, a 10-cm-long, self-expanding Wallstent®(Schneider, Bulach, Switzerland), 22 mm in diameter, was manipulated across the obstruction. RESULTS: Immediate decompression with symptomatic relief ensued. The stent prevented obstruction during a 10-week period of anticoagulation, and repeat duplex scanning showed resolution of iliac thrombus. An elective right hemicolectomy was then performed. Postoperative course was uncomplicated, and histopathology confirmed a Dukes B carcinoma. CONCLUSIONS: This case, in which a potentially hazardous laparotomy was delayed until the operative risk improved, defines a new role for stenting in colonic obstruction and demonstrates an extension of its applicability to the right colon. Literature review found no other report of stent application in the right colon.
43 citations