{"title":"Idiopathic hyperlipemia; special reference to abdominal and coronary symptoms.","authors":"R J GAILITIS, W SCHREIBER","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":6876,"journal":{"name":"A.M.A. archives of surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1959-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"23255451","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 : 1959-07-01DOI: 10.1001/ARCHSURG.1959.04320070139022
R. Lowenberg
The surgery of the circulatory system has reached farther and farther into the vital structures of the body. Attempts have been made to operate on most parts of the human body. One of the limitations of concern to vascular surgery is the problem of reestablishing arterial continuity. Congenital, traumatic, and obliterative vascular lesions sometimes involve lengths of artery which cannot be readily bridged. In an attempt to fill such gaps, vascular tissues from adjacent, as well as distant, parts of the same or different bodies have been used. Segments of autologous vein are most readily available donor tissue, although they may not be the most desirable. Homologous and heterologous preserved arterial and venous segments are being used in some centers where a blood-vessel bank is available. These have been used with some success, although their supply is presently limited. Peritoneum-covered fascia has been used as vascular substitute and for vessel
{"title":"The splenic artery; its special anatomy in reference to use as a vascular graft.","authors":"R. Lowenberg","doi":"10.1001/ARCHSURG.1959.04320070139022","DOIUrl":"https://doi.org/10.1001/ARCHSURG.1959.04320070139022","url":null,"abstract":"The surgery of the circulatory system has reached farther and farther into the vital structures of the body. Attempts have been made to operate on most parts of the human body. One of the limitations of concern to vascular surgery is the problem of reestablishing arterial continuity. Congenital, traumatic, and obliterative vascular lesions sometimes involve lengths of artery which cannot be readily bridged. In an attempt to fill such gaps, vascular tissues from adjacent, as well as distant, parts of the same or different bodies have been used. Segments of autologous vein are most readily available donor tissue, although they may not be the most desirable. Homologous and heterologous preserved arterial and venous segments are being used in some centers where a blood-vessel bank is available. These have been used with some success, although their supply is presently limited. Peritoneum-covered fascia has been used as vascular substitute and for vessel","PeriodicalId":6876,"journal":{"name":"A.M.A. archives of surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1959-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88288213","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 : 1959-07-01DOI: 10.1001/ARCHSURG.1959.04320070133021
G. C. Freeman
Is the routine removal of all thyroid nodules justified? Is the size of a thyroid nodule significant? Are multiple nodules unlikely to mean carcinoma? Is the duration of the nodule of importance? Should the fact that an unsuspected lesion is found on routine examination influence the advice to the patient? Answers to these questions have been looked for in 155 lesions operated upon by me and 220 removed by the other members of the Surgical Department of the Straub Clinic since 1947. Terminology In this report, the term adenoma is meant to signify epithelial neoplasm as distinguished from a non-neoplastic thyroid nodule. In some instances this distinction is difficult, but it has been based on both the gross appearance of the lesion and the usual microscopic features that distinguish a true adenoma (Shields Warren5). Table 1 classifies histologically these 375 nodular thyroids. One hundred six were characteristic of nontoxic
{"title":"The thyroid nodule; a study of its significance as related to its size and known duration.","authors":"G. C. Freeman","doi":"10.1001/ARCHSURG.1959.04320070133021","DOIUrl":"https://doi.org/10.1001/ARCHSURG.1959.04320070133021","url":null,"abstract":"Is the routine removal of all thyroid nodules justified? Is the size of a thyroid nodule significant? Are multiple nodules unlikely to mean carcinoma? Is the duration of the nodule of importance? Should the fact that an unsuspected lesion is found on routine examination influence the advice to the patient? Answers to these questions have been looked for in 155 lesions operated upon by me and 220 removed by the other members of the Surgical Department of the Straub Clinic since 1947. Terminology In this report, the term adenoma is meant to signify epithelial neoplasm as distinguished from a non-neoplastic thyroid nodule. In some instances this distinction is difficult, but it has been based on both the gross appearance of the lesion and the usual microscopic features that distinguish a true adenoma (Shields Warren5). Table 1 classifies histologically these 375 nodular thyroids. One hundred six were characteristic of nontoxic","PeriodicalId":6876,"journal":{"name":"A.M.A. archives of surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1959-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83968511","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 : 1959-07-01DOI: 10.1097/00006534-195910000-00024
J. B. Erich, L. V. Kragh
Before 1920, few operations intended to cure carcinoma of the floor of the mouth were proposed. Because of the morbidity and the high mortality rates involved in radical surgical removal of malignant lesions in this location, early surgeons were led to search for more effective but less dangerous methods. Irradiation with radium and by external sources was being perfected and was looked on with high hope. After a thorough trial period, it became clear that the primary tumor often could be controlled by irradiation but that metastatic lesions of the cervical lymph nodes seldom were cured by irradiation alone. At some institutions, electrosurgical removal of the primary lesion was undertaken with some degree of success. Thus, for many years, the usual treatment for malignant tumors in the floor of the mouth consisted in eradicating the primary lesion by electrocoagulation or irradiation or both, and in treating lesions in the cervical
{"title":"Treatment of squamous-cell carcinoma of the floor of the mouth.","authors":"J. B. Erich, L. V. Kragh","doi":"10.1097/00006534-195910000-00024","DOIUrl":"https://doi.org/10.1097/00006534-195910000-00024","url":null,"abstract":"Before 1920, few operations intended to cure carcinoma of the floor of the mouth were proposed. Because of the morbidity and the high mortality rates involved in radical surgical removal of malignant lesions in this location, early surgeons were led to search for more effective but less dangerous methods. Irradiation with radium and by external sources was being perfected and was looked on with high hope. After a thorough trial period, it became clear that the primary tumor often could be controlled by irradiation but that metastatic lesions of the cervical lymph nodes seldom were cured by irradiation alone. At some institutions, electrosurgical removal of the primary lesion was undertaken with some degree of success. Thus, for many years, the usual treatment for malignant tumors in the floor of the mouth consisted in eradicating the primary lesion by electrocoagulation or irradiation or both, and in treating lesions in the cervical","PeriodicalId":6876,"journal":{"name":"A.M.A. archives of surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1959-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83163244","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 : 1959-07-01DOI: 10.1001/archsurg.1959.04320070053009
K WELCH
{"title":"Subdural hematoma following spinal anesthesia.","authors":"K WELCH","doi":"10.1001/archsurg.1959.04320070053009","DOIUrl":"https://doi.org/10.1001/archsurg.1959.04320070053009","url":null,"abstract":"","PeriodicalId":6876,"journal":{"name":"A.M.A. archives of surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1959-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archsurg.1959.04320070053009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"23255453","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 : 1959-07-01DOI: 10.1001/archsurg.1959.04320070145023
J E STRODE
{"title":"Postoperative wound infections.","authors":"J E STRODE","doi":"10.1001/archsurg.1959.04320070145023","DOIUrl":"https://doi.org/10.1001/archsurg.1959.04320070145023","url":null,"abstract":"","PeriodicalId":6876,"journal":{"name":"A.M.A. archives of surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1959-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archsurg.1959.04320070145023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"23255467","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":"Metastatic chordoma use of mechlorethamine (nitrogen mustard) in chordoma therapy.","authors":"A J McSWEENEY, P R SHOLL","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":6876,"journal":{"name":"A.M.A. archives of surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1959-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"23255471","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 : 1959-07-01DOI: 10.1001/archsurg.1959.04320070160028
B G STREETE, F E STULL
{"title":"Kartagener's syndrome.","authors":"B G STREETE, F E STULL","doi":"10.1001/archsurg.1959.04320070160028","DOIUrl":"https://doi.org/10.1001/archsurg.1959.04320070160028","url":null,"abstract":"","PeriodicalId":6876,"journal":{"name":"A.M.A. archives of surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1959-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archsurg.1959.04320070160028","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"23255472","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 : 1959-07-01DOI: 10.1001/archsurg.1959.04320070162029
C E ANDREWS, W F ANDE
{"title":"Choledochal cyst treated by sphincterotomy.","authors":"C E ANDREWS, W F ANDE","doi":"10.1001/archsurg.1959.04320070162029","DOIUrl":"https://doi.org/10.1001/archsurg.1959.04320070162029","url":null,"abstract":"","PeriodicalId":6876,"journal":{"name":"A.M.A. archives of surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1959-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archsurg.1959.04320070162029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"23255473","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 : 1959-07-01DOI: 10.1097/00006254-196002000-00048
W. Glas
Rectovaginal fistula following a combined radiological-surgical attack upon carcinoma of the endometrium or following radium therapy of the cervix is a complication of infrequent occurrence,1but of considerable significance. This complication is particularly unfortunate when the patient is cured of the carcinoma. It is generally agreed that rectovaginal fistulas are rare following treatment for carcinoma of the corpus. A technical error in irradiation or a posthysterectomy pelvic abscess is the most frequent cause of fistula following the treatment for carcinoma of the corpus. Rectovaginal fistula is a more frequent complication following treatment for carcinoma of the cervix, due to neoplastic invasion of the rectovaginal septum. Many procedures have been described for the surgical treatment of this complication.2,3All of these procedures depend upon mobilization of intensely irradiated tissues which are fibrotic and extremely hard to dissect, in addition to which there is poor healing. Recurrences following surgical intervention
{"title":"Sigmoid colon pull-through procedure for rectovaginal fistula.","authors":"W. Glas","doi":"10.1097/00006254-196002000-00048","DOIUrl":"https://doi.org/10.1097/00006254-196002000-00048","url":null,"abstract":"Rectovaginal fistula following a combined radiological-surgical attack upon carcinoma of the endometrium or following radium therapy of the cervix is a complication of infrequent occurrence,1but of considerable significance. This complication is particularly unfortunate when the patient is cured of the carcinoma. It is generally agreed that rectovaginal fistulas are rare following treatment for carcinoma of the corpus. A technical error in irradiation or a posthysterectomy pelvic abscess is the most frequent cause of fistula following the treatment for carcinoma of the corpus. Rectovaginal fistula is a more frequent complication following treatment for carcinoma of the cervix, due to neoplastic invasion of the rectovaginal septum. Many procedures have been described for the surgical treatment of this complication.2,3All of these procedures depend upon mobilization of intensely irradiated tissues which are fibrotic and extremely hard to dissect, in addition to which there is poor healing. Recurrences following surgical intervention","PeriodicalId":6876,"journal":{"name":"A.M.A. archives of surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1959-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82537289","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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