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The Netherlands journal of surgery最新文献

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Avulsion of profundus tendon insertion with a large bony fragment: misdiagnosis and delayed treatment. 深肌腱止点撕脱带大骨碎片:误诊和延误治疗。
The Netherlands journal of surgery Pub Date : 1991-10-01
J L van Niekerk, J H van Rappard
{"title":"Avulsion of profundus tendon insertion with a large bony fragment: misdiagnosis and delayed treatment.","authors":"J L van Niekerk, J H van Rappard","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 5","pages":"198-9"},"PeriodicalIF":0.0,"publicationDate":"1991-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12950162","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
A rare combination of fractures of the upper extremities: a diagnostic problem. 罕见的上肢骨折组合:一个诊断问题。
The Netherlands journal of surgery Pub Date : 1991-10-01
M M Tiel-van Buul, E J van Beek, A J Bakker, A H Broekhuizen
{"title":"A rare combination of fractures of the upper extremities: a diagnostic problem.","authors":"M M Tiel-van Buul,&nbsp;E J van Beek,&nbsp;A J Bakker,&nbsp;A H Broekhuizen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The rare case is reported of fractures concurrently of the bilateral proximal radius and the right proximal carpal row. Initial radiographs of the patient showed only fractures in the bilateral proximal radius and the right triquetral bone. In addition, the bone scan showed focal increased uptake in the right scaphoid bone and lunate bone as well, suggesting fractures. Fractures of the entire right proximal row were confirmed by computer tomography. The patient received functional treatment for the elbows and had a scaphoid plaster-of-Paris cast for the wrist. This resulted in a complete recovery after one year.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 5","pages":"189-91"},"PeriodicalIF":0.0,"publicationDate":"1991-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12950159","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
The pedicled omentoplasty: technical aspects in reconstructive and protective surgery. 带蒂网膜成形术:重建和保护手术的技术问题。
The Netherlands journal of surgery Pub Date : 1991-10-01
A N Van Geel, T Wiggers
{"title":"The pedicled omentoplasty: technical aspects in reconstructive and protective surgery.","authors":"A N Van Geel,&nbsp;T Wiggers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A pedicled omentoplasty is a simple and safe method to reconstruct soft-tissue defects. A pedicled omentoplasty can also be used as an adjuvant surgical procedure in preventing anastomotic leakage and radiation damage. The way a pedicled omentoplasty should be performed is described in detail with special attention to transposing techniques.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 5","pages":"150-3"},"PeriodicalIF":0.0,"publicationDate":"1991-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12951016","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
A future role for loop ileostomy in colorectal surgery? 回肠袢造口术在结直肠手术中的未来作用?
The Netherlands journal of surgery Pub Date : 1991-10-01
R J Welten, A Jansen, H D van de Pavoordt
{"title":"A future role for loop ileostomy in colorectal surgery?","authors":"R J Welten,&nbsp;A Jansen,&nbsp;H D van de Pavoordt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Thirty patients underwent a defunctioning loop ileostomy. Elective ileostomy was performed in 23 patients to protect a potentially vulnerable colorectal anastomosis and in one patient as a permanent faecal diversion for colonic atony. Six emergency loop ileostomies were performed; in four patients after colonic perforations and in two patients as a primary treatment secondary to colonic anastomotic leakage. Peri-operatively, none of the patients with an elective operation died. Four patients with an emergency operation, however, all died of irreversible peritoneal sepsis. Complications were a diversion colitis and an abdominal sepsis after anastomotic leakage in a second patient who required a re-operation. During follow-up (up to four years) one patient suffered from an episode of severe dehydration six months after operation. The ileal continuity was, without mortality, restored in 23 patients. Two patients had a wound infection with, in one of them, a late cicatricial hernia. In our experience, a defunctioning loop ileostomy is a relatively safe procedure and is, in our opinion, preferable to loop colostomy for temporary faecal diversion. The high mortality following emergency loop ileostomy reflects the bad prognosis of these patients and indicates the need for resection of the primary disease.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 5","pages":"192-4"},"PeriodicalIF":0.0,"publicationDate":"1991-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12950160","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
Rupture of the distal tendon of the biceps brachii muscle. 肱二头肌远端肌腱断裂。
The Netherlands journal of surgery Pub Date : 1991-10-01
C Sleeboom, M Regoort
{"title":"Rupture of the distal tendon of the biceps brachii muscle.","authors":"C Sleeboom,&nbsp;M Regoort","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Rupture of the distal tendon of the biceps brachii muscle is easy to diagnose. For functional and cosmetic reasons the tendon to the radial tuberosity should be re-inserted. Two patients had early treatment, and one was operated upon after four weeks, all three with a good result. After treatment consisted of immobilization in a plaster cast with the arm in flexion and full supination for four weeks. Physical therapy is recommended. Complete functional repair and full recovery of strength can be expected in most cases.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 5","pages":"195-7"},"PeriodicalIF":0.0,"publicationDate":"1991-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12950161","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
The greater omentum: physiology and immunological concepts. 大网膜:生理学和免疫学概念。
The Netherlands journal of surgery Pub Date : 1991-10-01
R H Beelen
{"title":"The greater omentum: physiology and immunological concepts.","authors":"R H Beelen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In surgery, the omentum is used as a very potent tissue in wound healing. This suggests, besides a good vascularization pattern, an important immunological function in which milky spots might be involved. Therefore, we investigated the characteristics of the milky spots in the omentum of an animal model after several immunization procedures. Our results showed that milky spots must be regarded as strongly reactive structures originating from perivascular effusions in the omentum. Moreover, milky spots can firstly be a local source of potent immune effector cells i.e. peritoneal macrophages and secondly can, after specific immunization, be qualified as a lymphoid organ that is, produce a specific (lymphocyte) mediated response. This may shed new light on the reason why the omentum works so well in wound healing.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 5","pages":"145-9"},"PeriodicalIF":0.0,"publicationDate":"1991-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12951015","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
The role of the greater omentum in intrathoracic transposition. 大网膜在胸内移位中的作用。
The Netherlands journal of surgery Pub Date : 1991-10-01
D M Liebermann-Meffert, J R Siewert
{"title":"The role of the greater omentum in intrathoracic transposition.","authors":"D M Liebermann-Meffert,&nbsp;J R Siewert","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This review shows that the application of pedicled omental flaps or gastro-omental grafts with microvascular connection to the recipient is a reliable and safe means of reconstructing and protecting esophageal, pharyngeal and soft tissue defects and in problems related to sepsis. It has shown its usefulness in those patients who had high-dose radiation with tissue damage, in whom reconstruction otherwise would have required multiple stages or multiple flaps, or in whom other reconstructive options have failed. With the increasing use of radio- and chemotherapy as the treatment for various types of cancer, surgeons and radiotherapists are required to cope with the complications of this therapy. They should become familiar with the usefulness of the omentum in difficult problems. Despite the fact that omental transposition is usually undertaken in risky situations and in patients with poor health conditions, this technique is associated with a remarkably low morbidity and mortality.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 5","pages":"154-60"},"PeriodicalIF":0.0,"publicationDate":"1991-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12951017","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
Intra-operative ultrasonography of the liver: a prerequisite for surgery of colorectal cancer? 术中肝脏超声检查:结直肠癌手术的先决条件?
The Netherlands journal of surgery Pub Date : 1991-08-01
H Boutkan, S Meijer, M A Cuesta, W Prevoo, W J Luth, E P Van Heuzen
{"title":"Intra-operative ultrasonography of the liver: a prerequisite for surgery of colorectal cancer?","authors":"H Boutkan,&nbsp;S Meijer,&nbsp;M A Cuesta,&nbsp;W Prevoo,&nbsp;W J Luth,&nbsp;E P Van Heuzen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The results and consequences of intra-operative ultrasonography of the liver were studied in 50 patients who had laparotomy for colorectal cancer. Compared with preoperative imaging techniques like US, CT and MRI, intra-operative US had a higher sensitivity for intrahepatic lesions. Especially in case that adjuvant therapy could have been considered, intra-operative US gave relevant information in 10 patients (20%) by altering the stage of the primary tumour. Four of the 50 patients showed more liver metastases at intra-operative US than detected by preoperative imaging techniques. Resectional therapy of liver metastases could be prevented in these four patients. We advise intra-operative US as routine for all patients undergoing laparotomy for colorectal cancer especially if adjuvant chemotherapy is considered. When surgery is scheduled extensive preoperative liver examination can be avoided if intra-operative US is available.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 4","pages":"89-91"},"PeriodicalIF":0.0,"publicationDate":"1991-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13104508","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
Desmoid tumours of the abdominal wall. 腹壁硬纤维瘤。
The Netherlands journal of surgery Pub Date : 1991-08-01
P Vuylsteke, R Keus, J A van Dongen
{"title":"Desmoid tumours of the abdominal wall.","authors":"P Vuylsteke,&nbsp;R Keus,&nbsp;J A van Dongen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Desmoid tumours of the anterior abdominal wall are benign neoplasms arising from musculo-aponeurotic tissues. Desmoid tumours tend to be locally infiltrative resulting in a high local recurrence following surgical resection only. From 1980 to 1989, 10 patients with desmoid tumours of the anterior abdominal wall were treated. Two patients had only surgical resection, six patients received adjuvant radiation therapy after surgical resection and two patients had medical and/or chemotherapeutic treatment. At the time of analysis, all six patients with adjuvant radiation therapy after a microscopically incomplete resection showed no evidence of disease. Radiation therapy in adequate doses can achieve local tumour control after microscopically incomplete resection of a desmoid tumour of the anterior abdominal wall.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 4","pages":"117-20"},"PeriodicalIF":0.0,"publicationDate":"1991-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12996380","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
Angiosarcoma of the irradiated breast: a new problem after breast conserving therapy? 放疗后乳腺血管肉瘤:保乳治疗后的新问题?
The Netherlands journal of surgery Pub Date : 1991-08-01
J A Roukema, L P Leenen, M C Kuizinga, B Maat
{"title":"Angiosarcoma of the irradiated breast: a new problem after breast conserving therapy?","authors":"J A Roukema,&nbsp;L P Leenen,&nbsp;M C Kuizinga,&nbsp;B Maat","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Post-irradiation angiosarcoma of the breast is an uncommon neoplasm. The first patient with this disease after breast conserving therapy was reported in 1987 and only a few more patients can be traced in the literature since that time. Two more cases are presented in this paper: both women in the seventh decade of life. The tumour became apparent five and seven years after the primary treatment of breast cancer. The possible influence of irradiation and lymphoedema in inducing this malignancy is discussed.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 4","pages":"114-6"},"PeriodicalIF":0.0,"publicationDate":"1991-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12823992","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
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