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The Netherlands journal of surgery最新文献

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Fasciitis necroticans of the head: a rare localization. 头部坏死性筋膜炎:罕见的局部病变。
The Netherlands journal of surgery Pub Date : 1991-01-01
M Reynierse, C Ulrich
{"title":"Fasciitis necroticans of the head: a rare localization.","authors":"M Reynierse,&nbsp;C Ulrich","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 61-year-old diabetic woman was admitted with high fever, dehydration and acidosis caused by fasciitis necroticans of the forehead. The electrolytes and blood sugar level were corrected, broad spectrum antibiotics started and extensive débridement performed, followed by a second-look operation the next day. After the bacterial culture was known, the antibiotics were adapted. A split-skin graft gave an acceptable result.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 1","pages":"17-9"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13184685","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
Aortocaval fistulas. Aortocaval瘘管。
The Netherlands journal of surgery Pub Date : 1991-01-01
K Khargi, W A Bemelman, A Voorwinde, J N Keeman
{"title":"Aortocaval fistulas.","authors":"K Khargi,&nbsp;W A Bemelman,&nbsp;A Voorwinde,&nbsp;J N Keeman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The only effective treatment of an aortocaval fistula is the surgical closure of the fistula opening with insertion of an aortic prosthesis to restore the arterial continuity. The diagnosis of this distinct but infrequent clinical entity is often missed because of lack of suspicion. Proper preoperative evaluation facilitates the choice of surgical approach and reduces the morbidity. Three patients are presented with an aortocaval fistula: two with spontaneous rupture of an atherosclerotic abdominal aneurysm into the inferior vena cava and one with a traumatic fistula following intervertebral disk surgery 33 years before. All three patients suffered from pain in the abdomen and back, a palpable pulsatile abdominal mass and an audible continuous harsh bruit. Cardiac failure was present in two of them. Successful surgical closure could be accomplished in two patients although the perioperative course was complicated by ventricular arrhythmia, profuse blood loss and an inferior vena cava syndrome. One patient with a spontaneous aortocaval fistula passed away due to intraoperative exsanguination.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13184017","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
An unusual coin lesion in the lung. 肺内有不寻常的硬币状病变。
The Netherlands journal of surgery Pub Date : 1991-01-01
A H van der Veen, A N van Geel, R Slingerland
{"title":"An unusual coin lesion in the lung.","authors":"A H van der Veen,&nbsp;A N van Geel,&nbsp;R Slingerland","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Case report of a patient with a history of breast cancer. Routine chest x-ray showed an unusual coin lesion which proved to be a diaphragmatic hernia.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 6","pages":"261-2"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12833221","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
Functional constipation: results of application of the colorectal laboratory. 功能性便秘:结直肠实验室应用结果。
The Netherlands journal of surgery Pub Date : 1991-01-01
J H Kuijpers
{"title":"Functional constipation: results of application of the colorectal laboratory.","authors":"J H Kuijpers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Constipation and defaecation may be considered as the last taboo. The inability of defaecate or to achieve this only by digital evacuation has never been a popular topic among patients and doctors. Application of tests from the colorectal laboratory has made it possible to study the function of the different parts of the colon and the mechanism of continence. Two types of constipation can be distinguished: I slow transit, which is probably a systemic disease, and 2 functional colonic outlet obstruction due to abnormal pelvic floor function during defaecation straining, which is likely to be a behavioural disorder. Since 30 per cent of the patients with constipation have a normal total colonic transit time, constipation is not merely related to a low frequency of defaecation, but should be defined as a difficult and painful rectal evacuation which may even be impossible over several days.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 6","pages":"213-7"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12975801","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
Retroperitoneal sarcomas: pre-operative assessment and surgical therapy. 腹膜后肉瘤:术前评估和手术治疗。
The Netherlands journal of surgery Pub Date : 1991-01-01
R Blanken, S Meijer, M A Cuesta, C E Blomjous
{"title":"Retroperitoneal sarcomas: pre-operative assessment and surgical therapy.","authors":"R Blanken,&nbsp;S Meijer,&nbsp;M A Cuesta,&nbsp;C E Blomjous","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The clinical and pathological records of 22 patients treated for retroperitoneal sarcomas were retrospectively studied. The initial symptoms were pain and swelling of the abdomen in 11 patients. All tumours had a diameter of more than 10 cm. The pathological diagnosis was in 16 cases liposarcoma or leiomyosarcoma. Fourteen tumours were graded as high and eight as low. Sixteen of the 22 operated patients had complete resection of the tumour. Eleven patients had recurrence after five to 42 months, nine of them local recurrence and two distant metastases. Eleven patients needed repeated radical or palliative resections. Additional therapy (pre- or post-operative radiation or chemotherapy) was given to 11 patients. Radical resection of primary and recurrent tumours seems to give the best results in patients with retroperitoneal sarcomas but debulking of the tumour improves the quality of life in selected patients.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 6","pages":"245-8"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12975807","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
Gastrocnemius muscle transposition for bony and soft-tissue defects. 腓肠肌移位治疗骨及软组织缺损。
The Netherlands journal of surgery Pub Date : 1991-01-01
M A Tellier, M Kon
{"title":"Gastrocnemius muscle transposition for bony and soft-tissue defects.","authors":"M A Tellier,&nbsp;M Kon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>For patients with chronic osteomyelitis, extensive scarring or soft tissue defects around the knee joint, transposition of the gastrocnemius muscle should be considered, because of its constant anatomy, easy dissection, versatility and moulding features combined with an excellent immunocompetence related to the high oxygen environment. Three patients were treated with transposition of the medial gastrocnemius muscle. Follow-up (12-15 months) showed a good result without recurrence of infection.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 1","pages":"10-3"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13184018","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
Non-surgical treatment for constipation in adults: the place of biofeedback. 成人便秘的非手术治疗:生物反馈的地方。
The Netherlands journal of surgery Pub Date : 1991-01-01
J H Kuijpers, G Bleijenberg
{"title":"Non-surgical treatment for constipation in adults: the place of biofeedback.","authors":"J H Kuijpers,&nbsp;G Bleijenberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The treatment of slow-transit constipation consists of dietary measures combined with a regime of laxatives and enemas. Surgery should only be considered when intractable constipation persists despite these measures. Results, however, are moderate. Functional outlet obstruction, the spastic pelvic floor syndrome, is caused by an abnormal use of a normal pelvic floor muscle. Procedures aiming at weakening pelvic floor function give no long-term good results and may lead to faecal incontinence. Biofeedback treatment, relearning normal muscle function by monitoring pelvic floor EMG and simulating defaecation, gives excellent results.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 6","pages":"218-21"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12975802","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
Congenital malformation of the enteric nervous system: history, immunohistodiagnosis and experimental approaches. 先天性肠神经系统畸形:病史、免疫组织诊断和实验方法。
The Netherlands journal of surgery Pub Date : 1991-01-01
J H Meijers, J C Molenaar
{"title":"Congenital malformation of the enteric nervous system: history, immunohistodiagnosis and experimental approaches.","authors":"J H Meijers,&nbsp;J C Molenaar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hirschsprung's disease is characterized by the absence of enteric neurons from the distal colon and rectum. We reviewed the history of Hirschsprung's disease from its first description till the experimental approaches of its pathogenesis today. In our laboratory we introduced the use of monoclonal antibodies directed against neurofilament epitopes as useful tools in the diagnosis of Hirschsprung's disease and allied disorders. One particular monoclonal antibody (2FII) enables to distinguish between classical Hirschsprung's disease, long segment aganglionosis, hypoganglionosis, hyperganglionosis and chronic constipation. We also used monoclonal antibodies in experimental studies concerning the formation and malformation of the enteric nervous system in murine and chicken embryos. One particular antibody (HNK-I) was found to be a marker for very early precursors of enteric neurons in chicken (and human) embryos. In chicken embryos HNK-I visualizes cephalic neural crest cells, the area in the embryo that gives rise to all neurons in the gut. Using a microsurgical technique, we developed a model for Hirschsprung's disease in the chicken embryo.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 6","pages":"230-5"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12975804","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
Surgical arthrolysis for posttraumatic stiffening of elbow and knee joints. 手术关节松解术治疗创伤后肘关节和膝关节僵硬。
The Netherlands journal of surgery Pub Date : 1991-01-01
G J van Eijck, J J Poets, C van der Werken
{"title":"Surgical arthrolysis for posttraumatic stiffening of elbow and knee joints.","authors":"G J van Eijck,&nbsp;J J Poets,&nbsp;C van der Werken","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Arthrolysis can be performed for posttraumatic stiffening of elbow and knee joints if all conservative treatment has failed. The mobility gained during the operative procedure is partly lost during the first two to three postoperative weeks. Intensive physical therapy is essential to maintain the mobility. In a follow-up study all 19 patients, who underwent arthrolysis from 1983 up to 1989, were re-examined. Considering the relative increase of motion the result was good in nine patients, moderate in six and poor in four patients. Arthrolysis is not an innocent procedure. However, if strict pre-operative conditions are considered, good results can be obtained.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 6","pages":"252-7"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12975809","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
Which approach for femoral head replacement? 股骨头置换术采用哪种入路?
The Netherlands journal of surgery Pub Date : 1991-01-01
J W Juttmann, J Quist, J H Kroesen
{"title":"Which approach for femoral head replacement?","authors":"J W Juttmann,&nbsp;J Quist,&nbsp;J H Kroesen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A total of 80 femoral head replacements for recent fractures were reviewed with special attention to local complications. In 50 cases a posterior approach was used by one surgeon, in 30 an anterolateral approach by the other surgeon. As there were no serious local complications in either group, we found no differences between the two approaches.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 6","pages":"258-60"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12975810","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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