Showing papers in "Surgical Clinics of North America in 1974"

TL;DR: Discussion of the problems and developmental possibilities of prostheses is based upon the search either for a truly satisfactory artificial flow surface or for means to accelerate healing by aiding the ingrowth of perigraft tissues and also, if possible, by using a healable, nonthrombogenic substance as the initial flow surface.

TL;DR: Preoperative evaluation will determine the type of operative procedure selected, but fewer than one in four patients have a single lesion that can be surgically excised with cure of the patient.

TL;DR: The explanation for the climb in the net "cure" rate from 25 to 41 per cent with epidermoid carcinoma of the tongue at Memorial Hospital seems to lie in the steady increase in the proportion of patients treated for less advanced disease.

TL;DR: The sequelae of acute pancreatitis may pose greater problems in management than the attack itself, and diagnostic and therapeutic measures for inflammatory masses that arise in the period of recovery from acute pancreatopathy are considered.

TL;DR: The vascular anatomy of muscles suitable for transposition fiaps in the leg and foot is described to aid the surgeon whose practice includes the care of patients with skin and soft tissue losses.

TL;DR: The clinical value of isotopic measurement of blood flow in the calf muscles and blood pressure in the skin is compared to that of other methods for measurement of flow and pressure distal to arterial occlusion.

TL;DR: The exstrophy-epispadias complex is a syndrome which can produce deformities as mild as spade penis or patulous rectum on the one hand, while involving severe, complex derangements of the urinary, genital, alimentary, and musculoskeletal systems on the other.

TL;DR: Certain clinical features in a patient with an apparently single endocrine tumor should serve to alert the physician to consider multiglandular involvement.

TL;DR: Vascular endoscopy has remarkable diagnostic advantages because it is done on open vessels, resulting in no waiting time and immediate secondary correction of the lumen.

TL;DR: In this paper, the authors have shown that radiation therapy and endocrine ablation are contraindicated for the treatment of primary inflammatory carcinoma (PIC) in patients.

TL;DR: Improvements in surgical management over the past decade have seen more aggressive surgical treatment for patients under 50 years of age, longer segments of bowel resected, and some progress in defining criteria for elective resections.

TL;DR: Better filtration of banked blood, good general pulmonary care, and precautions against aspiration are noted as important preventive measures.

TL;DR: General experience with a technique of retropubic implantation of 125 I in the management of selected patients with prostatic cancer indicates a low morbidity, limitations in the accuracy of clinical staging, a high incidence of at least early local tumor control, and a minimal degree of functional disturbance.

TL;DR: A review is presented of the clinical pattern of sepsis and pulmonary failure in relation to the morphologic abnormalities and the etiologic factors as they are presently understood.

TL;DR: Until recently, diagnosis or objective assessment of limb ischemia was dependent upon clinical examination, angiography, or the cumbersome technique of plethysmography.

TL;DR: Resection of pulmonary metastases when feasible has resulted in prolonged survival, even when these metastases were multiple or bilateral, and vigorous treatment with chemotherapeutic agents also has beneficial effects in sarcoma.

TL;DR: The incidence of abnormal location of the glands and the incidence of adenoma and primary hyperplasia were both greater than usually reported.

TL;DR: Management of aortic aneurysms should be characterized by a direct approach to the problem and knowledge that the condition is common, lethal, and unpredictable.

TL;DR: Preoperative radiation in moderate doses can improve the resectability rate and therefore influence favorably both survival and tumor control in apical lung cancer.

TL;DR: The authors believe it to be a real disease entity with an anatomic basis best described by the name vascular compression of the duodenum.

TL;DR: Because of the poor long-term results of reconstructions of the femoropopliteal trunk, especially in those in the fifth decade, the authors prefer to do a simple profundaplasty and avoid bypass grafting, if a stenosis is shown on lateral angiography.

TL;DR: Medullary carcinoma comprises 5 to 10 per cent of thyroid cancers and is of interest because of a number of distinctive properties including a familial form.

TL;DR: With proper placement of the catheter and careful technique in tapping the reservoir, the Ommaya device can be a useful and relatively safe adjunct in the treatment of carcinomatous and leukemic meningitis.

TL;DR: This operation should be the initial treatment in such diseases as high-lying soft part sarcomas of the lower extremity, melanoma, and squamous carcinoma of the skin of the distal extremity when nodal disease exists.

TL;DR: It is known that in at least some cases, sputum cytology provides a tool for detection of lung carcinoma at an earlier stage than has ever before been possible.

TL;DR: Any unselected series of patients with mesenteric infarction, based on either operative or postmortem examinations of the bowel, will be found to include cases in which there is no evidence of thrombosis, embolization, or vasculitis.

TL;DR: Positive end-expiratory pressure ventilation is frequently used to improve ventilation under circumstances when intermittent positive pressure breathing with a conventional respirator is not successful in maintaining a normal arterial arterial pressure.

TL;DR: Using the steps of the radical neck dissection as an outline, specific aspects of neck anatomy requisite to a complete and safe dissection are presented.

TL;DR: Two cases are described that presented specific problems, but that also demonstrated the specific value of the information obtained by percutaneous caval catheterization.

TL;DR: The authors discuss data available on 5392 patients over a 34-year period at Massachusetts General Hospital, finding that little progress has been made over the past 20 years in improving salvage.