Journal of the Royal College of Surgeons of Edinburgh最新文献_第2页

Haematuria investigation based on a standard protocol: emphasis on the diagnosis of urological malignancy. 基于标准方案的血尿调查:强调泌尿系统恶性肿瘤的诊断。

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2002-12-01

N Ghanem

引用次数: 0

A novel idea for the treatment of fistula-in-ano. 一种治疗瘘管的新方法。

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2002-12-01

Singh-Ranger

引用次数: 0

The effects of desferrioxamin and vitamin E as supplements to antibiotics in the treatment of peritonitis in rats. 去铁胺和维生素E作为抗生素的补充对大鼠腹膜炎的治疗作用。

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2002-10-01

N Soybir, G Soybir, H Lice, K Dolay, A Ozşeker, F Köksoy

{"title":"The effects of desferrioxamin and vitamin E as supplements to antibiotics in the treatment of peritonitis in rats.","authors":"N Soybir, G Soybir, H Lice, K Dolay, A Ozşeker, F Köksoy","doi":"","DOIUrl":"","url":null,"abstract":"Aim: The aim of the study was to determine the effects of vitamin E and the iron chelating agent desferrioxamin (Dfx), supplemented by clindamycin and gentamycin therapy, on peritonitis caused by caecal ligation of a puncture wound in an experimental model.Materials and methods: One hundred and twenty Spraque Dawley rats were divided into eight groups. Three groups were used as controls; intraperitoneal (i.p.), subcutaneous (s.c.) and i.p. and s.c., respectively. Group 4 was treated with Dfx, Group 5 with vitamin E and Group 6 with antibiotics. Group 7 was treated with vitamin E in combination with antibiotics, and Group 8 with a combination of antibiotics and Dfx. The rats were studied for 14 days following treatment, and survivors then humanely dispatched. Post-mortem examination was undertaken on all the rats studied.Results: In the control groups, mortality at 14 days was 66%. Rats treated with antibiotics alone (Group 5) had a mortality rate of 40%. Those treated with a combination of antibiotics and vitamin E (Group 7), however, had a mortality rate of only 14%, and those treated with antibiotics and Dfx had a mortality rate of only 7%.Conclusion: This study suggests that treatment of peritonitis in rats with a combination of Dfx and antibiotics has a significant beneficial effect on survival, in comparison with treatment with antibiotics alone.","PeriodicalId":76058,"journal":{"name":"Journal of the Royal College of Surgeons of Edinburgh","volume":"47 5","pages":"700-4"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22139754","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}

引用次数: 0

Synchronous perforation of a Meckel's diverticulum and duodenal ulcer. 梅克尔憩室同时穿孔和十二指肠溃疡。

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2002-10-01

C Proye

引用次数: 0

The changing role of the apicectomy operation in dentistry. 根尖切除术在牙科中的作用变化。

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2002-10-01

N P Chandler, S Koshy

引用次数: 0

James IV Lecture. Epilepsy surgery, hypothalamic hamartomas and the quest for a cure. 詹姆斯四世演讲。癫痫手术，下丘脑错构瘤以及治疗方法的探索。

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2002-10-01

J V Rosenfeld

引用次数: 0

A retrospective review of transcatheter hepatic arterial embolisation for ruptured hepatocellular carcinoma. 经导管肝动脉栓塞治疗肝癌破裂的回顾性研究。

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2002-10-01

C S Leung, C N Tang, K H Fung, M K W Li

{"title":"A retrospective review of transcatheter hepatic arterial embolisation for ruptured hepatocellular carcinoma.","authors":"C S Leung, C N Tang, K H Fung, M K W Li","doi":"","DOIUrl":"","url":null,"abstract":"Background: Hepatocellular carcinoma (HCC) is a disease with a high prevalence in South East Asia. It is not uncommon to encounter rupture of the tumour in an emergency situation. Operative measures in this situation are often associated with high mortality rates. Transcatheter arterial embolisation (TAE) appears to be an effective alternative to surgery and is increasingly used by many centres. In this study, we have reviewed the outcome of our patients after receiving TAE and tried to identify prognostic indicator(s).Patients and methods: From 1996 to 2000, we had retrospectively reviewed the outcome of 31 patients who had undergone TAE for rupture of HCC and compared their survival with respect to different prognostic indicators.Results: The were 31 patients with a mean age of 53 years. At the time of rupture, 19 patients had Child's A, 5 Child's B and 7 of Child's C disease. The most common presentation was abdominal pain (14 patients). Bleeding was successfully arrested in all 31 patients. The most common complication was fever (13 patients). The overall mean survival was 126 days. Eight patients died within 30 days of admission, the major cause of death was liver failure, which occurred in 6 patients. In addition, we had also postulated several prognostic indicators for patients' survival. The results showed that only those with a bilirubin level below 50 umol/L and who presented with shock had a poor outcome.Conclusion: TAE should be considered in the initial management of patients with ruptured HCC. It is effective in arresting tumour bleeding and allows the patient to have subsequent definitive management.","PeriodicalId":76058,"journal":{"name":"Journal of the Royal College of Surgeons of Edinburgh","volume":"47 5","pages":"685-8"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22139751","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}

引用次数: 0

Contemporary management of renal calculus disease. 当代肾结石疾病的处理。

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2002-10-01

P Downey, D Tolley

引用次数: 0

Gastric adenocarcinoma missed at endoscopy. 胃镜检查未发现胃腺癌。

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2002-10-01

A Amin, H Gilmour, L Graham, S Paterson-Brown, J Terrace, T J Crofts

{"title":"Gastric adenocarcinoma missed at endoscopy.","authors":"A Amin, H Gilmour, L Graham, S Paterson-Brown, J Terrace, T J Crofts","doi":"","DOIUrl":"","url":null,"abstract":"Background and purpose: The diagnosis of gastric cancer is based on histological confirmation at endoscopy with the emphasis on early detection to improve prognosis. The aims of this study were to identify the proportion of patients with gastric adenocarcinoma in whom the diagnosis was missed at first endoscopy and the subsequent delay which occurred before the histological diagnosis was established.Methods: Retrospective review of 137 consecutive patients with biopsy-proven gastric adenocarcinoma presenting to one surgical unit over a five-year period.Results: Two patients with a biopsy diagnosis at laparotomy and 6 patients in whom case notes could not be traced were excluded from the study. Of the remaining 129 patients, the diagnosis of gastric adenocarcinoma was missed at first endoscopy in 18 (14%). The median delay to histological diagnosis in this subgroup of patients was 13 weeks (range 3-102).Conclusion: Delays in establishing the diagnosis of gastric adenocarcinoma following initial endoscopy occur in a number of patients. Greater suspicion and a more rigorous protocol for repeat endoscopy and biopsy must be implemented in order to reduce the number of missed diagnoses after initial endoscopy.","PeriodicalId":76058,"journal":{"name":"Journal of the Royal College of Surgeons of Edinburgh","volume":"47 5","pages":"681-4"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22139750","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}

引用次数: 0

Percutaneous extra-articular excision of femoral neck osteoid osteoma: report of a new method. 经皮股骨颈骨样骨瘤关节外切除一种新方法。

Journal of the Royal College of Surgeons of Edinburgh Pub Date : 2002-10-01

M W Chaarani

引用次数: 0