{"title":"Carcinoma of the esophagus.","authors":"C. B. Puestow, J. Cross","doi":"10.32388/c1f0m8","DOIUrl":"https://doi.org/10.32388/c1f0m8","url":null,"abstract":"","PeriodicalId":135277,"journal":{"name":"The Surgical clinics of North America","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131417138","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 : 2015-12-01DOI: 10.1097/SLA.0000000000001072
M. Tabrizi
Certain complications that arise after initial abdominal operation require abdominal reoperation. As the casualty progresses rearward along the medical evacuation chain, medical personnel must be ever vigilant in the early recognition of these complications. The U.S. Air Force, with its aeromedical evacuation responsibility, has a special interest and great experience in the recognition and treatment of these complications. During the Vietnam conflict, one of every six casualties with abdominal wounds removed from the air evacuation system at Clark Air Force Base required reoperation. Because of the severity of their abdominal wounds and the high frequency of associated injuries, these patients frequently present confusing findings The indications for reoperation are often not well defined. To make matters even more difficult, these complica tions may not develop until the postoperative patient arrives at a higher echelon hospital and comes under the care of surgeons who were not involved in the primary operation. On occasion, the medical records accompanying these patients may lack sufficient detail regarding the injury and the details of the first operative procedure to be helpful in subsequent evaluation. Given these circumstances, the surgeon must rely heavily on past experience for guidelines in reoperation of abdominal war wounds. The inherent problems of making a preoperative diagnosis in the most difficult group of patients should not deter an aggressive approach. This philosophy will prove much more rewarding than procrastination. Practical points gained from such experience follow.
初次腹部手术后出现的某些并发症需要腹部再手术。随着伤员沿医疗后送链向后方发展，医务人员必须时刻保持警惕，及早发现这些并发症。美国空军承担着航空医疗后送的责任，在识别和治疗这些并发症方面有着特殊的兴趣和丰富的经验。在越南战争期间，克拉克空军基地(Clark air Force Base)的空中疏散系统中，每六名腹部受伤的伤员中就有一人需要重新操作。由于腹部创伤的严重程度和相关损伤的高频率，这些患者经常出现令人困惑的结果，再次手术的适应症往往不明确。让事情变得更加困难的是，这些并发症可能要到术后患者到达更高级别的医院，接受没有参与原发手术的外科医生的治疗时才会出现。有时，伴随这些患者的医疗记录可能缺乏足够的关于损伤的细节和第一次手术的细节，以帮助随后的评估。考虑到这些情况，外科医生必须在很大程度上依赖过去的经验来指导腹部战伤的再手术。在最困难的患者群体中进行术前诊断的固有问题不应阻止积极的方法。事实将证明，这种哲学比拖延症更有益。以下是从这些经验中获得的实用要点。
{"title":"Reoperative abdominal surgery.","authors":"M. Tabrizi","doi":"10.1097/SLA.0000000000001072","DOIUrl":"https://doi.org/10.1097/SLA.0000000000001072","url":null,"abstract":"Certain complications that arise after initial abdominal operation require abdominal reoperation. As the casualty progresses rearward along the medical evacuation chain, medical personnel must be ever vigilant in the early recognition of these complications. The U.S. Air Force, with its aeromedical evacuation responsibility, has a special interest and great experience in the recognition and treatment of these complications. During the Vietnam conflict, one of every six casualties with abdominal wounds removed from the air evacuation system at Clark Air Force Base required reoperation. Because of the severity of their abdominal wounds and the high frequency of associated injuries, these patients frequently present confusing findings The indications for reoperation are often not well defined. To make matters even more difficult, these complica tions may not develop until the postoperative patient arrives at a higher echelon hospital and comes under the care of surgeons who were not involved in the primary operation. On occasion, the medical records accompanying these patients may lack sufficient detail regarding the injury and the details of the first operative procedure to be helpful in subsequent evaluation. Given these circumstances, the surgeon must rely heavily on past experience for guidelines in reoperation of abdominal war wounds. The inherent problems of making a preoperative diagnosis in the most difficult group of patients should not deter an aggressive approach. This philosophy will prove much more rewarding than procrastination. Practical points gained from such experience follow.","PeriodicalId":135277,"journal":{"name":"The Surgical clinics of North America","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126258761","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":"Abdominal aortic aneurysm.","authors":"S. Moore, G. Wantz","doi":"10.53347/rid-16155","DOIUrl":"https://doi.org/10.53347/rid-16155","url":null,"abstract":"","PeriodicalId":135277,"journal":{"name":"The Surgical clinics of North America","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127600971","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 : 2002-06-01DOI: 10.1007/978-0-387-68062-0_36
M. Gagner, R. Matteotti
{"title":"Laparoscopic biliopancreatic diversion with duodenal switch.","authors":"M. Gagner, R. Matteotti","doi":"10.1007/978-0-387-68062-0_36","DOIUrl":"https://doi.org/10.1007/978-0-387-68062-0_36","url":null,"abstract":"","PeriodicalId":135277,"journal":{"name":"The Surgical clinics of North America","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122989092","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 : 1997-09-01DOI: 10.1097/00003086-199709000-00002
A. Swanson
{"title":"Silicone rubber implants for replacement of arthritis or destroyed joints in the hand.","authors":"A. Swanson","doi":"10.1097/00003086-199709000-00002","DOIUrl":"https://doi.org/10.1097/00003086-199709000-00002","url":null,"abstract":"","PeriodicalId":135277,"journal":{"name":"The Surgical clinics of North America","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115512726","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 : 1977-12-01DOI: 10.1097/00003246-199402000-00040
G. Reinhardt, A. J. De Orio, M. Kaminski
Total parenteral nutrition has evolved as a distinct therapeutic reality within the past decade. Starvation or malnutrition need no longer be accepted as a necessary component of prolonged illness. Though current TPN techniques can be both safe and effective, the prevention of potential complications must always have a high priority. Changes in technique are to be anticipated as further knowledge and improved materials allow the pursuit of more basic clinical problems. The recent experience with the use of high caloric TPN solutions for prolonged gastrointestinal failure in 73 patients at the Loyola University Medical Center has been summarized. The need for the involvement of an experienced TPN team in the care of these patients cannot be overemphasized if the numerous and diverse potential complications of the TPN system are to be minimized.
{"title":"Total parenteral nutrition.","authors":"G. Reinhardt, A. J. De Orio, M. Kaminski","doi":"10.1097/00003246-199402000-00040","DOIUrl":"https://doi.org/10.1097/00003246-199402000-00040","url":null,"abstract":"Total parenteral nutrition has evolved as a distinct therapeutic reality within the past decade. Starvation or malnutrition need no longer be accepted as a necessary component of prolonged illness. Though current TPN techniques can be both safe and effective, the prevention of potential complications must always have a high priority. Changes in technique are to be anticipated as further knowledge and improved materials allow the pursuit of more basic clinical problems. The recent experience with the use of high caloric TPN solutions for prolonged gastrointestinal failure in 73 patients at the Loyola University Medical Center has been summarized. The need for the involvement of an experienced TPN team in the care of these patients cannot be overemphasized if the numerous and diverse potential complications of the TPN system are to be minimized.","PeriodicalId":135277,"journal":{"name":"The Surgical clinics of North America","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1977-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130539576","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 : 1975-02-01DOI: 10.1097/00005373-197509000-00019
R. Baker
Effective management of the severely injured requires an experienced, knowledgeable, and thoughtful physician who has a rational approach to both evaluation and treatment firmly in mind. When in doubt, access to a Trauma Registry (computerized) can be exceedingly valuable to assist in selecting the most effective treatment for a given clinical problem. The evaluation of the patient centers about general metabolic considerations, including acid-base disequilibrium, respiratory insufficiency, fluid volume monitoring, tissue perfusion (urine output), and osmolality. Diagnostic efforts to identify organ injury include infusion pyelography, paracentesis, radionuclide scanning, and angiography. The most critical diagnostic evaluation, however, remains frequent, careful examination of the injured patient, meticulously noting and interpreting all changes in physical findings.
{"title":"Newer Techniques in evaluation of injured patients.","authors":"R. Baker","doi":"10.1097/00005373-197509000-00019","DOIUrl":"https://doi.org/10.1097/00005373-197509000-00019","url":null,"abstract":"Effective management of the severely injured requires an experienced, knowledgeable, and thoughtful physician who has a rational approach to both evaluation and treatment firmly in mind. When in doubt, access to a Trauma Registry (computerized) can be exceedingly valuable to assist in selecting the most effective treatment for a given clinical problem. The evaluation of the patient centers about general metabolic considerations, including acid-base disequilibrium, respiratory insufficiency, fluid volume monitoring, tissue perfusion (urine output), and osmolality. Diagnostic efforts to identify organ injury include infusion pyelography, paracentesis, radionuclide scanning, and angiography. The most critical diagnostic evaluation, however, remains frequent, careful examination of the injured patient, meticulously noting and interpreting all changes in physical findings.","PeriodicalId":135277,"journal":{"name":"The Surgical clinics of North America","volume":"211 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1975-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116146052","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 : 1974-06-01DOI: 10.1097/00132586-197406000-00060
T. C. Tinstman, D. E. Dines, R. A. Arms
{"title":"Postoperative aspiration pneumonia.","authors":"T. C. Tinstman, D. E. Dines, R. A. Arms","doi":"10.1097/00132586-197406000-00060","DOIUrl":"https://doi.org/10.1097/00132586-197406000-00060","url":null,"abstract":"","PeriodicalId":135277,"journal":{"name":"The Surgical clinics of North America","volume":"142 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1974-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127557665","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 : 1973-08-01DOI: 10.1097/00132586-197406000-00034
R. Miller
Current methods of anesthesia and intensive postoperative care allow major operations to be performed in the presence of significant pulmonary impairment. For predicting pulmonary ability to tolerate surgery, the most important ventilatory tests are measures of maximum air flow.
{"title":"Preoperative pulmonary evaluation of the dyspneic surgical candidate.","authors":"R. Miller","doi":"10.1097/00132586-197406000-00034","DOIUrl":"https://doi.org/10.1097/00132586-197406000-00034","url":null,"abstract":"Current methods of anesthesia and intensive postoperative care allow major operations to be performed in the presence of significant pulmonary impairment. For predicting pulmonary ability to tolerate surgery, the most important ventilatory tests are measures of maximum air flow.","PeriodicalId":135277,"journal":{"name":"The Surgical clinics of North America","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1973-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133449062","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 : 1971-10-01DOI: 10.1097/00132586-197210000-00033
J. Viljoen, M. Gindi
Internal mammary artery implantation is fraught with far more dangers than the direct approach to revascularization, and emphasis here is on complications during and after operation. The major problems associated with venous autograft procedures relate to prolonged cardiopulmonary bypass.
{"title":"Anesthesia for coronary artery surgery.","authors":"J. Viljoen, M. Gindi","doi":"10.1097/00132586-197210000-00033","DOIUrl":"https://doi.org/10.1097/00132586-197210000-00033","url":null,"abstract":"Internal mammary artery implantation is fraught with far more dangers than the direct approach to revascularization, and emphasis here is on complications during and after operation. The major problems associated with venous autograft procedures relate to prolonged cardiopulmonary bypass.","PeriodicalId":135277,"journal":{"name":"The Surgical clinics of North America","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1971-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128100796","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}
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