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The Surgical clinics of North America最新文献

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Surgical repair of hypospadias. 尿道下裂的外科修复。
Pub Date : 1950-10-01 DOI: 10.1097/00006534-195110000-00027
L. Byars
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引用次数: 15
The management of vesicovaginal fistula. 膀胱阴道瘘的治疗。
Pub Date : 1950-06-01 DOI: 10.1097/00006254-195106000-00054
E. E. Ewert
Objective: To document our experience with management of Vesicovaginal Fistula Study Design: Case Series Study Place and Duration: Dept of Urology, DHQ hospital, Rawalpindi from 2005 to 2010 Materials and Methods: Nineteen cases of urogenital fistula developing after delivery, hysterectomy, and obstetric procedures were treated. Depending on site, size, etiology and associated anomalies, fistulas were repaired through vaginal or transabdominal route. Results: The most common etiology was abdominal hysterectomy for benign conditions in 10 (53%) patients. Second most common cause was obstructed labor in 8 (42%) patients while cesarean section was the cause in 1 (5%) patient. Spontaneous closure occurred in 1 case of vesicovaginal fistula. Eighteen patients (95%) were managed surgically. In 15 (83%) patients fistulas were repaired through abdominal approach. Out of these 15 patients extraperitoneal transvesical technique was used in 11 while retrovesical (O'Connor) technique was used in 4 patients. Ureteric reimplantation required in two patients. In 3 (17%) patients fistula was repaired through vaginal approach. There was no mortality following operative procedures. Our success rate was 95%. Conclusion: Any vesicovaginal fistulas irrespective of their size if easily accessible should be repaired transvaginally. High lying small fistula repaired through transvesical and large fistula through retrovesical approach without interposition of omentum or peritoneum gave excellent results.
研究设计:病例系列研究地点和时间:2005年至2010年拉瓦尔品第DHQ医院泌尿科材料和方法:对19例分娩、子宫切除术和产科手术后出现泌尿生殖瘘的患者进行治疗。根据部位,大小,病因和相关异常,瘘通过阴道或经腹途径修复。结果:10例(53%)患者最常见的病因是腹部子宫切除术。第二常见的原因是8例(42%)患者难产,1例(5%)患者剖宫产。膀胱阴道瘘自行愈合1例。18例(95%)采用手术治疗。15例(83%)患者通过腹腔入路修复瘘管。在这15例患者中,11例采用腹膜外经膀胱技术,4例采用后膀胱(O’connor)技术。2例患者需要输尿管再植术。3例(17%)患者通过阴道入路修复瘘管。手术后无死亡。我们的成功率是95%。结论:膀胱阴道瘘不论大小,只要易触及,均应经阴道修复。高位小瘘经膀胱修复,大瘘经膀胱后入路修复,不经网膜或腹膜介入,效果良好。
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引用次数: 2
Volvulus of the colon. 结肠扭转。
Pub Date : 1950-04-01 DOI: 10.1001/ARCHSURG.1950.01250010742008
W. H. Gerwig
THE NOUN volvulus has its origin from the Latin verb "volvere" which means "to turn about" or "to roll." During the past one hundred years physicians have created and firmly established the word "volvulus" as a vernacularism common to their profession and without meaning if employed in any other manner. The term is interpreted as describing a process in which a torsion or twisting of a segment of bowel results in an obstruction to the lumen and a disturbance in circulation to the wall of the intestine. Even though volvulus may occur almost anywhere in the gastrointestinal tract, this paper is designed primarily to deal with lesions of the colon. Eight cases of volvulus of the colon, encountered during the past ten years, form a basis for this study. A personal interest in volvulus of the colon was inspired by the rather unique experience of observing 5 of the 8
名词volvulus起源于拉丁语动词“volvere”,意思是“翻转”或“滚动”。在过去的一百年里,医生们创造并牢固地确立了“扭转”这个词,作为他们职业中共同的俗语,如果在任何其他方式下使用,它就没有意义了。该术语被解释为描述肠段的扭转或扭曲导致管腔阻塞和肠壁循环紊乱的过程。尽管肠扭转几乎可以发生在胃肠道的任何地方,但本文主要是针对结肠的病变。在过去十年中遇到的8例结肠扭转形成了本研究的基础。我个人对结肠扭转的兴趣来自于观察8个中的5个的独特经历
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引用次数: 35
The differential diagnosis and treatment of vulvar lesions. 外阴病变的鉴别诊断与治疗。
Pub Date : 1950-02-01 DOI: 10.1097/00006254-195104000-00037
M. E. Davis
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引用次数: 2
The treatment of uterine fibromyomas. 子宫肌瘤的治疗。
Pub Date : 1950-02-01 DOI: 10.1097/00006254-195104000-00052
E. Allen
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引用次数: 1
Venous thrombosis in obstetrics and gynecology. 产科和妇科静脉血栓形成。
Pub Date : 1949-06-01 DOI: 10.1097/00006254-194906000-00038
J. Lynch
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引用次数: 0
Excision of cysts of Bartholin's gland. 切除巴氏腺囊肿。
Pub Date : 1949-06-01 DOI: 10.1097/00006254-194904060-00077
R. Cattell
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引用次数: 1
Treatment of prolapse of the uterus. 子宫脱垂的治疗。
Pub Date : 1949-06-01 DOI: 10.1097/00006254-195002000-00066
B. P. Colcock
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引用次数: 2
Cutis grafts for repair of incisional and recurrent hernias. 皮肤移植修复切口疝和复发性疝。
Pub Date : 1949-03-01 DOI: 10.1097/00006534-194903000-00012
H. May, R. Spann
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引用次数: 0
Hormonal alteration of advanced cancer of the breast. 晚期乳腺癌的激素变化。
Pub Date : 1948-08-01 DOI: 10.1097/00006254-194808000-00038
I. Nathanson
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引用次数: 1
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The Surgical clinics of North America
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