{"title":"Congenital partial absence of the left pericardium.","authors":"S Kostiainen, T J Maamies","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 38 year old woman with congenital partial absence of the left pericardium is presented. The condition is fairly rare, usually diagnosed incidentally during intrathoracic operations or at autopsy. Eleven operatively corrected cases are reported in the literature. The present case was admitted because of transient attacks of chest pain, palpitation and dyspnoea. These attacks were brought on when she lay on her left side and were promptly relieved by a change of position. The chest radiograph revealed a prominence of the superior aspect of the left heart border and a slight laevo-position of the heart. A diagnostic pneumothorax on the left side confirmed the diagnosis of a pericardial defect. The defect was repaired by pericardioplasty. Operative correction of a partial left pericardial defect is indicated because of the danger of luxation of the heart out of the pericardium and sudden death. This has been reported, as well as a death caused by spreading of infection from the pleural cavity into the pericardium and heart.</p>","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"64 1","pages":"40-3"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12332945","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":"Ulcer simulating gastric carcinoma. I. Diagnostic considerations and treatment.","authors":"A Hakkiluoto, M Lempinen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Small ulcer-simulating carcinomas accounted for 3.9% (48 cases) of the 1324 patients with carcinoma of the stomach treated at the Second Department of Surgery, University Centtive of a malignant ulcer in 52% of the cases whereas gastroscopy combined with exfoliative gastric cytology gave 73% correct results. In spite of preoperative suspicion of malignancy most patients were operated on as for a benign ulcer. Partial distal gastrectomy without splenectomy was performed in 93% of the patients. There was no hospital mortality. The 5-year survival rate by the actuarial method was 63%.</p>","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"64 1","pages":"5-9"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12333652","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":"Non-traumatic chylous effusion in the thorax and abdomen.","authors":"H E Blomquist, A Palmu, M Wiljasalo, T V Kalima","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A female of 31 with chyloascites and bilateral chylothorax is presented. The thoracic duct was obstructed below the diaphragm. The lymph vessels in the left iliac and para-aortic areas were enlarged and there were lymphocysts. When the lymph loss was greatest the patient was in a state of grave malnutrition with marked hypoalbuminaemia and an absolute and relative lymphocytopenia in the blood. \"Malignant\" cells were demonstrated in the chylous fluid, but no malignancy could be found at laparotomy. It is possible that the cells were confused with immature lymphocytes. The lymphatic cysts were excised and the lymph vessels ligated. Decortication of the right lung was performed. The patient recovered. The follow up time has been over four years.</p>","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"64 4","pages":"227-32"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12367413","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":"Effect of irrigation of vas deferens on sperm analyses after vasectomy.","authors":"T Lehtonen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>70 men were operated for voluntary sterilisation by vasectomy alone and 20 men by vasectomy and irrigation of distal vasa with acid Kystosol solution. Postoperative semen analyses 2 weeks later showed azoospermia in only 2% of cases after vasectomy alone and in 25% of cases following vasectomy and irrigation, and 2 months postoperatively in 44% and 90%, respectively. Non-motile sperm cells in seminal analyses was the most common finding in both series 2 weeks after vasectomy. The problem whether the non motile sperm cells are viable or not is discussed. However, two azoospermic semen analyses must be obtained before sterility after vasectomy can be ascertained.</p>","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"64 4","pages":"224-6"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12367551","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":"Conservative surgery in acute pancreatitis.","authors":"G Fock, K Kyösola","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>During the years 1955-1970, 260 patients were treated for acute pancreatitis in the surgical department of the Maria Hospital. 62 of them were operated on, 44 electively, and 18 as emergency cases. The main conclusions from this series are as follows: 1) if laparotomy is required, efficient debridement and drainage are of great importance, 2) random operative decompression of the biliary duct system is statistically of little benefit, 3) in most cases purely conservative treatment or conservative surgery, taking into account individual conditions, gives good results, but obviously more radical measures are necessary for a favourable outcome in the most severe cases, as reported in the current literature, 4) in elective surgery it is important to postpone the curative operation by several weeks, preferably months, when possible, to avoid exacerbation or relapse of the disease.</p>","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"64 2","pages":"88-90"},"PeriodicalIF":0.0,"publicationDate":"1975-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12316262","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":"Spleno-pulmonary anastomoses in dogs.","authors":"H H Gruenagel","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"63 5","pages":"405-15"},"PeriodicalIF":0.0,"publicationDate":"1974-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15390087","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":"Comparison of abortion performed with prostaglandin F2 alpha and hysterotomy.","authors":"H Koeffler, L Tervilä","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"63 6","pages":"483-6"},"PeriodicalIF":0.0,"publicationDate":"1974-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15543229","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":"The prognosis in pregnancy after threatened abortion.","authors":"P Jouppila, M Koivisto","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"63 6","pages":"439-44"},"PeriodicalIF":0.0,"publicationDate":"1974-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15545921","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":"Carcinoid tumours and cylindromas of the tracheobronchial tree.","authors":"K Koikkalainen, E Keskitalo, R Luosto, E Taskinen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"63 4","pages":"332-41"},"PeriodicalIF":0.0,"publicationDate":"1974-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15475283","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":"Pulmonary resection and triple-drug regimen of long duration in the treatment of tuberculosis. A retrospective study of 356 patients over the 10-year period of 1959-1968.","authors":"E J Seppänen, T K Larmi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75496,"journal":{"name":"Annales chirurgiae et gynaecologiae Fenniae","volume":"63 4","pages":"326-31"},"PeriodicalIF":0.0,"publicationDate":"1974-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15516320","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}