Showing papers in "Surgery in 1979"

TL;DR: The changes in adenine nucleotides observed in late sepsis (lpw-flow septic rats) are similar to those seen during early hemorrhagic shock and suggest inadequate perfusion associated with peritonitis as the cause.

TL;DR: The type of initial surgical treatment, in fact, did influence survival after other variables were taken into consideration, and the multifactorial analysis supports the observation that patients with intermediate thickness melanoma thickness had a 78% 8-year survival rate, while none survived more than 8 years if a melanoma of the same thickness was only widely excised.

TL;DR: The septic response in man appears to be a disease in which the infecting agent induces a state of disordered metabolic control in the host, reflected in the pattern of cardiorespiratory, vascular, and physiological compensation.

TL;DR: The data seriously question the necessity to maintain COP by using protein-containing solutions during acute hemodynamic resuscitation, as even large volumes of balanced salt solutions are tolerated well.

TL;DR: A technique for repair of incisions in small blood vessels in the rat is described using a Neodymium-YAG laser and is considered to be relatively safe, and the potential use of the application in human surgery is indicated.

TL;DR: These techniques permit the accurate detection of and the distinction between high-grade stenoses and occlusion, as well as the identification of many plaques which are not large enough to affect intracranial hemodynamics.

TL;DR: It appears that the PPG evaluation provides information comparable to venous pressure studies and does so more quickly and noninvasively, and holds promise in measuring results of direct venous reconstructive surgery as well as in venectomy procedures.

TL;DR: Patients with an objective response to chemotherapy on either treatment arm survived twice as long as the nonresponders, and long-term survival in one patient, 77 months, can occasionally be achieved in patients with hepatic metastases.

TL;DR: Nonaspirators significantly improved their clearance while in the supine position, emphasizing the protective effect of esophageal peristalsis against aspiration, and an antireflux procedure in five aspirators raised the DES pressure significantly and returned the reflux status to normal by 24-hour pH-monitoring standards.

TL;DR: Hemodynamic data from 100 consecutive endarterectomies allowed definition of three distinct postoperative blood pressure responses, and hypotension and hypertension appear to represent transient baroreceptor dysfunctions.

TL;DR: Injection sclerotherapy is proposed as the emergency treatment of choice for patients with proven bleeding esophageal varices who do not stop bleeding on initial conservative treatment.

TL;DR: The use of autogenous reconstructions within the infected field, including endarterectomy and replacement of the infected graft with arterial or venous autografts in 24 patients is described, believing that these techniques provide the maximal potential for salvage of life and limb in the management of this dreaded vascular complication.

TL;DR: The accelerated rate of alanine release from limbs of burn patients relates to the generalized catabolic effects of injury rather than to local inflammatory or metabolic events which may occur in the injured extremity.

TL;DR: The procedure allows detection of anomalies and disease processes that would prevent the use of one or both saphenous veins as arterial bypass grafts and identifies the best available venous segment thereby obviating unnecessary incisions and minimizing operating time.

TL;DR: The study revealed that most patients with TOS gave a history of neck trauma and had symptoms not only of paraesthesias of the hands and weakness of the arms, but also of neck pains and headaches, which led to scalenctomy as the first operation for all cases of persistent thoracic outlet syndrome.

TL;DR: Functionally significant, nonatherosclerotic, noninflammatory, concentric and tubular stenoses of the abdominal aorta, 4 to 16 cm in length, were encountered in five male and five female patients 11 to 49 years old and lent support to the developmental hypothesis.

TL;DR: The guiding principles of the management in these severe ischemic cases consist of early revascularization with emphasis on concurrent fasciotomy, alkalinization of the patient, reestablishment of acid-base balance, hemodialysis for renal shutdown, and often early amputation for better control of the metabolic omplications.

TL;DR: Clinical and bacteriological evidence of graft infection was present in seven of 11 patients with ADF who were seen over an 18 year period, suggesting that the etiology of ADF is primary low-grade infection.

TL;DR: Established doctrine dictating splenectomy for the traumatized spleen has come under considerable critism since the report of fatal postsplenectomy sepsis by King and Shumacher in 1952, and several reports have confirmed this concern, with a documented increase in morbidity and death of splenectomized patients.

TL;DR: In a series of 683 consecutive carotid endarterectomies, there were 16 postoperative myocardial infarctions which resulted in five deaths, and the management of the patient with stable heart disease undergoing carotids endarteretomy is discussed.

TL;DR: In this article, the authors reported that cessation of heparin therapy led to an immediate remission of the thrombohemorrhagic complications and thrombocytopenia, with no patient who was not already moribund dying.

TL;DR: Partial splenectomy is preferable to splenic autotransplantation because it is associated with higher antibody titers after immunization, better pneumococcal splenic uptake, and improved survival rates.

TL;DR: Although the two complete amino acid mixtures produced similar nitrogen preservation and muscle synthesis in the septic animals, the crystalline amino acid diet containing 50% branched chain amino acids resulted in the greatest preservation of total liver nitrogen and the highest fractional synthetic rate.

TL;DR: The distal splenorenal shunt is less likely to provoke encephalopathy than conventional shunting procedures, and it may offer a survival advantage for certain cirrhotic individuals, presumably because of its selective nature.

TL;DR: Treatment of patients with obstruction of SVC based on evaluation of signs, symptoms, and venography may provide extended palliation, and if the syndrome is mild, full-course mediastinal radiation is given.

TL;DR: A positive correlation has been found between the degree of adherence of the iliofemoral clot and the postoperative patency rate--and this usually can be predicted from the preoperative venographic findings.