Showing papers in "Surgery in 1978"

TL;DR: It is concluded that selective management, as prescribed, was responsible for a significant decrease in mortality rate with no corresponding increase in limb loss, and that high-dose heparin therapy ultimately may prove the initial treatment of choice in all cases of acute arterial ischemia.

TL;DR: It is suggested that aortoiliac endarterectomy is still the procedure of choice for a small group of patients with localized disease and superior long-term success of direct reconstructions, extraterritorial grafts are felt to be rarely indicated.

TL;DR: Of particular interest were the 26 patients in whom the pelvic fracture was the primary cause of death, and Mortality in these patients clearly resulted from ineffective control of pelvic hemorrhage and from the inability to prevent sepsis in the pelvic hematoma.

TL;DR: It is concluded that arginine has two roles in wounded animals: it is essential for the synthesis of the increased amounts of reparative collagen required for wound healing, and it decreases some of the negative aspects of the metabolic responses to injury.

TL;DR: A prospective, randomized clinical trial was performed to investigate the efficacy of external pneumatic compression of the calves as compared with results in a control group that received no specific form of prophylaxis for prevention of deep vein thrombosis (DVT).

TL;DR: A new method of eliminating the exocrine function of the pancreas by obstruction of pancreatic duct with neoprene was investigated in dogs and applied to three cases of human segmental pancreatic transplantation.

TL;DR: In this article, a chi-square analysis of 566 patients with peripheral arterial disease undergoing major vascular operations was carried out, where five risk factors (congestive heart failure, prior myocardial infarction, prior stroke, arrhythmia, and abnormal electrocardiogram) showed significant individual associations with postoperative cardiovascular complications.

TL;DR: It is suggested that the degree and duration of ampullary obstruction are important determinants for the severity of pancreatitis and relief of the obstruction is a critical factor for recovery.

TL;DR: Postoperative electromechanical activity of the gastric antrum, small bowel, right colon, and sigmoid colon was recorded in stumptail monkeys in response to retroperitoneal dissection and transient clamping of the renal pedicle.

TL;DR: The cause of postoperative spinal cord damage was ischemia resulting from the interruption of a critical radicular artery at the lower thoracic or high lumbar vertebral levels in the presence of anomalously located greater radicular or infrarenal radicular arteries.

TL;DR: Prophylactic removal or radiotherapy of draining lymph node areas in most adults with sarcomas does not appear to be worthwhile.

TL;DR: It is concluded that physical training is a good alternative to reconstructive surgery in the treatment of patients with intermittent claudication and does not interfere with the surgical possibility if operation becomes necessary in the immediate or later course of the disease.

TL;DR: The forces of mortality created by cancer of the breast have been examined utilizing data collected during the past 19 years by the Syracuse, N. Y., Upstate Medical Center Cancer Registry on 3,558 women.

TL;DR: Early evidence shows excellent correlation between the route of regional lymph node metastases and the direction of lymphatic flow to regional node groups, as demonstrated by gold colloid scanning.

TL;DR: Unless hypertension or pregnancy complicates the clinical picture, renal arterial aneurysms 1.5 cm or less in diameter can be observed safely by periodic angiography and surgical repair of an aneurYSm is recommended regardless of size if pregnancy cannot be avoided and hypertension is uncontrolled.

TL;DR: A prospective, randomized clinical trial in 83 patients undergoing open urological operations was performed to compare the relative prophylactic efficacy of low-dose heparin and external pneumatic compression of the calves in comparison to no treatment in the prevention of deep vein thrombosis (DVT).

TL;DR: Ten cases of inJIammatory aneurysm, so-called because of the densejbrosis which characteristically envelopes the aortic wall and adjacent viscera, which represent an uncommon but distinct pathological entity whose sigm$cance is that it can be identified at operation by its characteristic gross appearance.

TL;DR: The results suggest that significant simultaneous carotid and coronary atherosclerosis should be corrected in selected patients by staged operations when feasible, and in the presence of severe cardiac disease, a combined precedure may be performed in face of higher risk of intraoperative stroke.

TL;DR: In patients who had had a thorough and systematic exploration of the neck at their first operations, the success rate for reoperation was almost doubled when preoperative arteriography or venous sampling (or both) was employed.

TL;DR: Clinical observations were compared with objective physiological data in 54 technically successful aortoiliofemoral reconstructions for multilevel disease and neither the TPI nor the thigh to ankle pressure gradient was of value in predicting which extremities would respond poorly to aortoa femoral reconstruction.

TL;DR: In this paper, the authors evaluated the effects of oral and intravenous nutritional repletion on tumor growth and host immunocompetence in malnourished animals, 60 adult purified protein derivative (PPD) positive Buffalo rats were inoculated with Morris hepatoma 5123 and were fed a regular diet for 14 days.