Showing papers in "Surgery in 1992"

TL;DR: Risk factors for development of complications were determined, and the classification was also used to analyze the value of a modified APACHE II as a preoperative prognostic score, which supported the relevance of the proposed classification.

TL;DR: It is suggested that postoperative enteral nutrition with supplemental arginine, RNA, and omega-3 fatty acids instead of a standard enteral diet significantly improved immunologic, metabolic, and clinical outcomes in patients with upper gastrointestinal malignancies who were undergoing major elective surgery.

TL;DR: It is reaffirmed that papillary microcarcinoma has an excellent prognosis if managed initially by bilateral lobar resection and Routine radioiodine remnant ablation is not indicated.

TL;DR: The findings indicate that the increase in IL-6 triggered by a surgical procedure may function as a hepatocyte-stimulating factor and that monitoring of SIL-6 may be more helpful than monitoring of SCRP for estimation of inflammatory status and early detection of an acute-phase response.

TL;DR: It is concluded that an aggressive surgical approach to recurrent and metastatic disease should be adopted and that patients should be resected free of disease whenever possible.

TL;DR: Because interruption of hepatic blood flow in normothermia is safe for at least 60 minutes (up to 85 minutes in this study), vascular clamping is recommended for hazardous liver resections to minimize blood loss, which appears to be the main factor of death and morbidity.

TL;DR: Overall, in patients managed by a nonoperative approach, resolution of the pseudocyst occurred in 57% of the 24 patients with satisfactory radiographic follow-up, with 38% resolving more than 6 months after diagnosis.

TL;DR: This prospective randomized study shows that laparoscopic appendectomy is superior to open appendectomy in terms of hospital stay, postoperative complications, and return to normal activities and is recommended as the approach of choice in the management of acute appendicitis.

TL;DR: FTC, diagnosed on the basis of CI alone, did not result in either distant metastases or cancer-related death, and the dominant determinant of cause-specific mortality was the presence of distant metastase at diagnosis.

TL;DR: The presence of duodenoesophageal reflux increased the frequency and changed the histologic type of esophageaal cancer in nitrosamine-treated rats, indicating that duodanoesophages reflux plays a role in the development of esphageal adenocarcinoma.

TL;DR: In healthy humans, aging leads to delayed epithelialization, and no effect of age on collagen synthesis was noted, although accumulation of wound noncollagenous protein was decreased, which may impair the mechanical properties of scarring in aged human beings.

TL;DR: Age, extent of disease, aspect of the surgical resection, and type of hormonal secretion influenced survival in patients treated by the French Association of Endocrine Surgery.

TL;DR: This study documents that reoperations can be performed with minimal morbidity and patients should not be denied the chance to undergo removal of a persistent tumor or the remnant normal thyroid tissue because of the fear of complications.

TL;DR: Fractures of the distal radius as mentioned in this paper, Fractures in the Distal Radii, Fractures of Distal Ranges, Fracture of the Discriminative Radii

TL;DR: Roux-en-Y gastric bypass induces long-term changes in eating habits, independent of caloric intake, and iron continuously declines 6 to 8 years after surgery, depending on the eating behavior, but not on the caloric intake.

TL;DR: It is concluded that resection of intraabdominal carcinoid tumor masses can be performed in a high proportion of patients and it is not unreasonable to conclude that surgery has played a role in prolonging life in these patients.

TL;DR: Pressure perfusion of an FGF-1/FG suspension into 60 microns internodal-distance ePTFE grafts promotes endothelialization through capillary ingrowth and increased endothelial cell proliferation.

TL;DR: Infusion of 250 ml hypertonic saline solution in patients with severe hypovolemia was not related to any complications, nor did it affect mortality rates; it improved MAP significantly, acutely expanded plasma volume by 24%, and reduced significantly the volumes of crystalloids and blood required in their resuscitation.

TL;DR: Grafts composed of PGA or PGL biodegradable meshes combined with cultured fibroblasts vascularize in full-thickness wounds, resulting in formation of organized tissue beneath the epithelialized surface that resembles dermis.

TL;DR: In select patients MPET can be resected safely with a favorable outcome; most patients will experience recurrence, but some may be cured and resection of limited MPET should be considered as life-extending and potentially curative therapy.

TL;DR: The results emphasize the need for earlier referral and transplantation in patients with advanced liver disease and further studies are needed to refine identified risk profiles and devise strategies to decrease morbidity and mortality rates.

TL;DR: Gut-origin septic states during TPN or trauma may be caused by an increased escape of macromolecules from the gut, and BT may be an end result rather than a primary cause of such septic episodes.

TL;DR: Final data obtained before recovery of shock or death indicated that the survivors had higher arterial pressure, lower pulmonary artery pressure and right atrial pressure, higher stroke volume, and higher RV ejection fraction than had the patients who died.

TL;DR: The prognosis for patients with ductal adenocarcinoma in the distal pancreas who were treated with potentially curative distal Pancreatectomy is poor; however, the results are not substantially different from those reported after pancreaticoduodenectomy for malignant tumors of the proximal Pancreas.

TL;DR: A simple plication technique is described that avoids the introduction of any additional foreign material and that quantifies distal perfusion by means of intraoperative pulse volume recordings and identifies the minimal constriction that will resolve symptoms and preserve fistula flow.

TL;DR: The higher carcinogenic potential in Cirrhosis could be presumed to be the most likely reason for the poorer prognosis after surgery in the patients with HCC and cirrhosis.

TL;DR: An anatomic and extensive liver resection should be performed for mass-forming ICC, whereas a hepatectomy with excision of the extrahepatic bile duct and hilar lymph nodal dissection is recommended for infiltrating ICC.

TL;DR: The four main types of appendiceal neoplasms are carcinoid tumors (CT), mucinous cystadenocarcinomas, colonic adenoccarinomas (CAC), and adenOCarcinoid tumors, which have different clinical features and require different therapy.

TL;DR: Although many patients with primary hyperparathyroidism and MEN syndrome have multiple abnormal parathyroid glands, two populations of patients exist; one population has solitary or double adenomas and recurrence is uncommon, whereas the other population of patients has hyperplasia and persistent or recurrent disease is common.