{"title":"Blow-out of the renal collecting system and extravasation of urine due to passage of calculi.","authors":"T K Donkervoort","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The clinical course of two patients who had peripelvic extravasation associated with passage of small calculi is reported, and clinical data of 65 similar case histories published in the literature since 1960 are reviewed for discussion of the clinical consequences of the condition. The occurrence of extravasation following sudden ureteral obstruction can be sufficiently explained by biophysical and urodynamic principles involved in the mechanism of blow-out of the elastic renal collecting system and this matter is discussed briefly. It appears that in renal pelves not obviously affected by disease, blow-out occurs oftenest in the fornix calices, but is generally an infrequent phenomenon. The condition often runs a benign clinical course provided the ureteral obstruction is relieved rapidly and the extravasated urine is sterile. Persisting ureteral obstruction and/or an infected extravasate will in general lead to serious clinical consequences requiring surgical intervention within one to several days.</p>","PeriodicalId":75557,"journal":{"name":"Archivum chirurgicum Neerlandicum","volume":"31 4","pages":"213-24"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11738702","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":"Professor Dr. H. Muller 24th October, 1917--8th November 1977.","authors":"H van Houten","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75557,"journal":{"name":"Archivum chirurgicum Neerlandicum","volume":"30 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11560258","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":"Experience in the surgical treatment of pheochromocytoma.","authors":"F R van Asperen de Boer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A report is presented on the experience gained in diagnosis and treatment of pheochromocytomas in a group of 41 patients, observed and treated in the surgical clinic of the University Hospital of Leyden. Two groups are distinguished: patients observed before and after 1969. Prior to that year, anti-adrenergic blockade with dibenzyline and propanolol was not available, so aortography was practically impossible in view of the danger of triggering a hyptertensive crisis. Since 1969, this blockade has been applied systematically, both for the aortography which is now a routine measure and for the operation. By using subtotal adrenergic blockade, the surgical treatment of pheochromocytomas may now be regarded as safe.</p>","PeriodicalId":75557,"journal":{"name":"Archivum chirurgicum Neerlandicum","volume":"30 1","pages":"7-14"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11857120","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":"Primary versus secondary nerve repair: a review of the literature.","authors":"P J Vuursteen, J J Bloem","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The pros and cons of primary and secondary neurorrhaphy are discussed on the basis of a study of the literature. The impression is gained that recently, many surgeons have come to prefer secondary restoration of the continuity of a severed peripheral nerve. However, the longer the delay, the more serious the problems and the worse the prognosis. The authors conclude therefore that repair of the nerve in the earliest possible stage should always be attempted. Provided the relevant conditions are fulfilled, primary neurorrhaphy should be seriously considered; the prognosis of primary repair is good, especially in children. If primary neurorrhaphy is contra-indicated, early secondary repair is to be preferred to further delay.</p>","PeriodicalId":75557,"journal":{"name":"Archivum chirurgicum Neerlandicum","volume":"30 1","pages":"21-8"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11422362","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":"Results of treatment of supracondylar fractures of the humerus in children with special reference to the cause and prevention of cubitus varus.","authors":"J Bender, C A Busch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Report and analysis of the results of treatment of 56 children who exhibited a typical supracondylar fracture of the humerus necessitating reposition and treatment by clinical methods. The functional results were good on the whole and they were not clearly dependent on the nature of the treatment. The treatment consisting in manual reposition followed by application of a plaster cast was followed in about 50% of the cases by disfiguring cubitus varus. The causes of this phenomenon are discussed. The typical endorotation of the distal fracture fragment in regard to the proximal fragment plays an important part in causing cubitus varus. Cubitus varus may be prevented by wire traction through the olecranon, even if the rotation displacement persists. For this reason, this treatment is recommended. If the rotation displacement persists in the course of the traction treatment, it is advisable to use Baumann's method of demonstrating and correcting a possible varus tilting during the course of the traction treatment. If development of cubitus varus is still suspected, surgical reposition and fixation are possible, a safe method which gives good results. The surgical treatment should achieve an anatomically correct position of the fragments.</p>","PeriodicalId":75557,"journal":{"name":"Archivum chirurgicum Neerlandicum","volume":"30 1","pages":"29-41"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11857116","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":"Tube-inlay graft for abdominal aortic aneurysms. Technique and results.","authors":"J M van Vroonhoven","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The usefulness of the tube-inlay graft technique for abdominal aortic aneurysms has been tested in 74 consecutive patients. The operative technique is described. In nearly half of the patients this technique could be used. The other patients received a conventional bifurcation prosthesis. Especially in the patient with a ruptured abdominal aortic aneurysm the tube-inlay-graft technique, because of its simplicity, shorter operating time and less blood loss is to be preferred. Since introduction of the method, the mortality in ruptured cases decreased from 46 to 24 percent.</p>","PeriodicalId":75557,"journal":{"name":"Archivum chirurgicum Neerlandicum","volume":"30 3","pages":"164-8"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11908825","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":"Results of routine tests for the detection of dispersers of Staphylococcus aureus.","authors":"A G Huijsmans-Evers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article describes the routine for the detection of dispersers in relation to the contamination of the air in operating rooms and postoperative wound infections during 1968 through 1972. Out of 3,039 persons, submitted to a dispersal test, ,22 were dispersers (4%). Staph. aureus was found in scalp hair (21.5%) and beards (15.5%). Persons with skin lesions proved to be the heaviest dispersers. After taking measures to prevent dispersers from attending, we still found 18 dispersers in operating rooms. The number of Staph. aureus showed a sharp increase during their attendance. Dispersal in the air of the operating room by 9 dispersers was the cause of 19 postoperative wound infections. Two workers in the operating room, whose dispersal tests were negative, later caused two wound infections (temporary dispersers?). A continuous checking of operating rooms by sedimentation plates is definitely necessary in combination with dispersal tests.</p>","PeriodicalId":75557,"journal":{"name":"Archivum chirurgicum Neerlandicum","volume":"30 3","pages":"141-50"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11908959","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":"Costochondritis of the costal arch.","authors":"P Leguit, W H Brummelkamp","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Costochondritis is a rare and symptom-poor affliction which often remains unrecognized for a long time. The diagnosis depends upon the patient's history and the physician's acquaintance with the disease. Body temperature, X-ray examination including sinography, WBC count and bacterial examination may be non-informative. Local resection of the affected cartilage, excochleation, cauterisation, irrigation and antibiotic treatment most often lead only to recurrence of the ailment. The definitive treatment consists of total resection of one or both costal cartilaginous arches. The cases of two patients are described.</p>","PeriodicalId":75557,"journal":{"name":"Archivum chirurgicum Neerlandicum","volume":"30 4","pages":"245-50"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11936366","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":"Ankylosis of the temporomandibular joint.","authors":"K G van der Wal, C A Merkx","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With the aid of 22 cases of mandibular ankylosis, the classification, aetiology, radiography, clinical symptoms and the operative procedures are discussed. By means of condylectomy (four patients), or a condylotomy (14 patients) or a horizontal ostectomy in the ascending ramus (performed in two patients with a relapse of condylotomy) in which a triangular bone fragment is removed in the dorsocaudal region, bone contact is prevented during mouth-opening. Considering the number of relapses (three of the 18 operated patients) the results as compared with those in the literature may be described as satisfactory.</p>","PeriodicalId":75557,"journal":{"name":"Archivum chirurgicum Neerlandicum","volume":"30 2","pages":"101-12"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11888096","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":"Spontaneous hematoma of the abdominal wall.","authors":"B C Eikelboom, R Sybrandy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the differential diagnosis of the acute abdomen, the possibility should be considered of a hematoma in the anterior abdominal wall, especially if the patient is a woman of advanced age with abdominal scars, with a chronic cough and on anticoagulant treatment. Cystography is valuable as a supplementary method of examination.</p>","PeriodicalId":75557,"journal":{"name":"Archivum chirurgicum Neerlandicum","volume":"30 1","pages":"15-9"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11367276","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}