Pub Date : 2003-12-02DOI: 10.1080/110241598750004283
Giovanni Celoria, Alberto Nardini, Craig Rezac, Daniela Gianquinto, Emilio Falco
{"title":"Intraoperative assessment of mesh position during giant prosthetic reinforcement of the visceral sac","authors":"Giovanni Celoria, Alberto Nardini, Craig Rezac, Daniela Gianquinto, Emilio Falco","doi":"10.1080/110241598750004283","DOIUrl":"10.1080/110241598750004283","url":null,"abstract":"","PeriodicalId":100508,"journal":{"name":"European Journal of Surgery","volume":"164 6","pages":"465-466"},"PeriodicalIF":0.0,"publicationDate":"2003-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/110241598750004283","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20613698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mediastinal tracheostomy using a tubed pectoralis major myocutaneous flap for postoperative tracheal necrosis after cervical excision","authors":"Yasuaki Kamikawa, Yoshio Naomoto, Minoru Haisa, Fumiyuki Inoue, Noriaki Tanaka","doi":"10.1080/110241598750004292","DOIUrl":"10.1080/110241598750004292","url":null,"abstract":"","PeriodicalId":100508,"journal":{"name":"European Journal of Surgery","volume":"164 6","pages":"467-469"},"PeriodicalIF":0.0,"publicationDate":"2003-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/110241598750004292","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20613699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2003-12-02DOI: 10.1080/110241598750004409
Dag Arvidsson, Ulf Berggren, Ulf Haglund
Objective:
To explore the feasibility of laparoscopic techniques for the removal of common bile duct (CBD) stones.
Design:
Retrospective analysis.
Setting:
University hospital, Sweden.
Subjects:
39 patients who underwent laparoscopic common bile duct exploration, either by a transcystic technique or by choledochotomy, between September 1992 and April 1995.
Interventions:
Cholecystectomy, intraoperative cholangiography, and removal of CBD-stones by a transcystic technique (n = 22), laparoscopic choledocholithotomy (n = 11), or after conversion to open choledocholithotomy (n = 6).
Main outcome measures:
Stone clearance rates, operative time, complications, and postoperative hospital stay.
Results:
Stone removal was achieved in 32/39 patients (82%) by a laparoscopic approach. Reasons for failure were early in our experience, and the result of technical difficulties or stones that were too large for the transcystic approach, or with impacted stones at choledochotomy. Postoperative morbidity was low (n = 4, 10%) with no mortality.
Pub Date : 2003-12-02DOI: 10.1080/110241598750004265
Tom-Harald Edna, Tormod Bjerkeset
Objective:
To examine the association between blood transfusion and bacterial infective complications after resection for colorectal adenocarcinoma.
Design:
Retrospective cohort study.
Setting:
District hospital; Norway.
Subjects:
446 consecutive patients having resection of colorectal adenocarcinoma.
Main outcome measures:
Postoperative bacterial infective morbidity in hospital.
Results:
112 patients (25%) developed postoperative infections in hospital. Univariate analysis showed that the development of infection was significantly associated with increasing age (p = 0.02), rectal compared with colonic cancer (p = 0.002), preoperative radiotherapy (p = 0.005), blood loss during operation (p = 0.001), the extent of the primary tumour (T stage): T4 compared with T1–T3 (p = 0.004), the presence of regional lymph node metastasis (N stage): N1–N3 compared with N0 (p = 0.01), operating surgeon 1 (p = 0.009), operating surgeon 2 (p = 0.03), and blood transfusion (p < 0.001). Multivariate logistic regression analysis showed that the following variables were independent predictors of infection: age, rectal compared with colonic cancer, T stage, N stage, and blood transfusion. The corrected odds ratios for infection were 1.5 (95% CI 0.8 to 2.8) when 1–3 units of blood were given and 3.1 (95% CI 1.6 to 6.0) when more than three units were given. Storage time did not affect the rate of postoperative infections in patients given transfusions.
Pub Date : 2003-12-02DOI: 10.1080/110241598750004391
Andreas Paul, Michael Korenkov, Sabine Peters, Lothar Köhler, Stefan Fischer, Hans Troidl
Objective:
To evaluate the current practice of incisional hernia repair in Germany and analysis of the results of the Mayo duplication technique done in our hospital over a 10-year period.
Design:
Nationwide survey, retrospective analysis.
Setting:
University department, Germany.
Subjects:
Survey of most surgical departments and of 114 patients with 135 incisional hernias in our unit.
Intervention:
Mayo duplication repair incisional hernias.
Main outcome measures:
Common practice, recurrence rates, quality of life.
Results:
The Mayo overlap is the preferred technique in most surgical departments. The estimated failure rates (12% or less) in general practice are grossly underestimated. In our hospital the recurrence rate after Mayo duplication repair was 61/114 (54%) during a follow up time of 5.7 years with a follow-up-rate of 84%. Univariate and multivariate analyses failed to identify any predisposing factors. All patients with incisional hernias had limitations their physical function.
Pub Date : 2003-12-02DOI: 10.1080/110241598750004418
Thomas Zilling, Lars Hansson, Roger Willén, Berit Sternby
Objective:
To compare the effect of restoration of duodenal continuity by a Roux-en-Y oesophagojejunostomy with or without a pouch on nutritional state, growth, and morphology after total gastrectomy in pigs.
Design:
Experimental study.
Setting:
Teaching hospital, Sweden.
Material:
60 Swedish domestic pigs.
Interventions:
54 pigs underwent total gastrectomy and 6 had sham operations. 20 pigs had reconstruction by a Roux-en-Y oesophagojejunostomy, 21 had a jejunal loop interposed between the oesophagus and the duodenum, as 13 had a oesophagojejunostomy with jejunal pouch on a Roux-en-Y loop.
Main outcome measures:
Weight, laboratory indicators of nutritional state, and histological appearance of the gut.
Results:
Growth was significantly retarded in those pigs that had had gastrectomies (p < 0.001) but there were no differences among the experimental groups. Haemoglobin, albumin, and calcium concentrations were significantly lower in the experimental groups than in the control group (p = 0.006, 0.02, and 0.002, respectively). Histological examination showed subtotal villous atrophy in the experimental groups, most obvious in the pouch group. Colonic mucosal height was reduced in the experimental groups.
Pub Date : 2003-12-02DOI: 10.1080/110241598750005831
Giancarlo Torre, Giacomo Borgonovo, Alberto Arezzo, Massimo Costantini, Emanuela Varaldo, Gian Luca Ansaldo, Francesco Paolo Mattioli
Objective.
To find out by studying a homogeneous group of patients whether euthyroidism is achievable by surgical treatment of diffuse toxic goitre.
Design.
Retrospective study
Setting.
Teaching hospital, Italy.
Subjects.
128 of the 152 patients operated on for diffuse toxic goitre during the period January 1971–December 1994 and followed up for a median of 83 months (range 6–289).
Intervention.
Standard subtotal thyroidectomy.
Main outcome measures.
Operative mortality, recurrence, hypothyroidism and late complications.
Results.
There were no operative deaths. After 10 years follow up, 11 patients (9%) had developed recurrences and 61 (48%) were euthyroid. In the univariate analysis the risk of hypothyroidism was significantly associated with the year of operation (p = 0.04), the duration of symptoms (p < 0.01), and the degree of lymphocytic infiltration (p < 0.01). The last two were confirmed by multivariate analysis.
Pub Date : 2003-12-02DOI: 10.1080/110241598750005868
K.-J. Paquet, H. A. Gad, A. Lazar, P. Koussouris, M. A. Mercado, W.-D. Heine, V. Jachman-Jahn, W. Ruppert
Objective:
To review our policy of screening patients at risk of developing hepatocellular carcinoma (HCC), and to present 10 years' experience of hepatic resection for small HCC (<5 cm).
Design:
Retrospective study.
Setting:
Teaching hospital, Germany.
Subjects:
861 patients with hepatic cirrhosis and oesophageal varices of whom 151 (18%) had HCC confirmed histologically; 30 of these tumours (20%) were less that 5 cm in diameter and suitable for resection.
Interventions:
Segmentectomy (n = 14) bisegmentectomy (n = 10), and oncologically defined wedge resection (n = 6).
Main outcome measures:
Mortality, morbidity, and survival.
Results:
4 patients died within 30 days of liver failure and sepsis (n = 2), liver failure (n = 1), and bronchopneumonia (n = 1). The main beneficial prognostic factors were Child classification, donation of autologous blood, and an encapsulated tumour. The main indicators of a poor prognosis were invasion of the liver, venous invasion, invasion of the resection margin, and the presence of microsatellite tumours and nodules. 12 of the 26 survivors developed recurrences during the first five years postoperatively (46%). Kaplan-Meier survival curves showed that survival at 1 year was 80%, at 3 years 65%, and 5 years 50%, and at 10 years 30%.
Pub Date : 2003-12-02DOI: 10.1080/110241598750004229
Markus A. Röthlin, Othmar Schöb, Hanspeter Klotz, Daniel Candinas, Felix Largiadèr
Objective:
To find out whether small-bore catheters (7 F) are as effective as the 14F sump drains generally used for drainage of abdominal abscesses.
Design:
Retrospective review.
Setting:
University hospital, Switzerland.
Subjects:
64 patients with intra-abdominal abscesses.
Interventions:
40 were drained with 7F pigtail catheters and 24 by 14F sump drains.
Results:
Drainage was successful in 34/40 (85%) and 20/24 (83%), respectively. There were 3 recurrences in the small-bore and 1 in the large-bore group (p = 0.4). Mean drainage time was 8 (SD 5) days and 11 (SD 11) days, respectively (p = 0.29). One patient (3%) developed a complication in the small-bore group and 2 (8%) in the large-bore group. 4/6 failures in the small-bore group and 1/4 failures in the large-bore group were pancreatic abscesses.
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号