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The Netherlands journal of surgery最新文献

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In-situ saphenous vein bypass graft for popliteal artery aneurysm. 隐静脉原位旁路移植术治疗腘动脉动脉瘤。
The Netherlands journal of surgery Pub Date : 1991-01-01
B H Elsman, A B van Rijn
{"title":"In-situ saphenous vein bypass graft for popliteal artery aneurysm.","authors":"B H Elsman,&nbsp;A B van Rijn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Popliteal artery aneurysms are dangerous and limb threatening; they can present with various ischemic symptoms. Surgical treatment is advised to avoid thromboembolic complications. In most cases the aneurysm is bypassed with a tunnelled reversed saphenous vein or with a prosthetic graft followed by ligation of the popliteal artery. In the popliteal fossa, the close relation between the graft and the aneurysm may cause graft failure. Four patients with symptomatic popliteal artery aneurysms were treated with an extra-popliteal in-situ saphenous vein graft, so far without failures. An additional advantage of an in-situ graft is the better result in case of a distal anastomosis.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 1","pages":"14-6"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13184019","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
Severe, long-standing constipation in adults: indications for surgical treatment. 成人严重、长期便秘:手术治疗指征。
The Netherlands journal of surgery Pub Date : 1991-01-01
W R Schouten, E J de Graaf
{"title":"Severe, long-standing constipation in adults: indications for surgical treatment.","authors":"W R Schouten,&nbsp;E J de Graaf","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In recent years, new techniques for the investigation of colonic motility and defaecation mechanism have been developed. Based on the results of these studies it has been suggested that there might be an indication for a surgical approach to the distressing problem of constipation. Because this approach is still controversial, it seems to be appropriate to review the suggested indications for the use of surgery in the treatment of constipation and to discuss the results as reported in literature so far.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 6","pages":"222-9"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12975803","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
High-vacuum drainage and primary perineal wound closure in abdominoperineal excision of the rectum. 高真空引流及会阴切口缝合在腹会阴直肠切除术中的应用。
The Netherlands journal of surgery Pub Date : 1991-01-01
W H Brummelkamp, C W Taat, J F Slors
{"title":"High-vacuum drainage and primary perineal wound closure in abdominoperineal excision of the rectum.","authors":"W H Brummelkamp,&nbsp;C W Taat,&nbsp;J F Slors","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The result of perineal wound healing after rectal excision with primary perineal closure by high-vacuum drainage was studied prospectively. High vacuum drainage was performed via a wide-bore catheter (Ch. 27) placed through a stabwound on the thigh. The method was applied in 114 of 127 patients who had abdominoperineal excision of the rectum (89.7 per cent). Contra-indications were inadequate haemostasis and pre-existing massive perineal sepsis. Primary perineal wound closure was present in 85.9 per cent of patients, delayed healing in 12.3 per cent and a perineal sinus developed in two patients (1.8 per cent).</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 6","pages":"236-9"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12975805","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
Two unusual causes of venous obstruction of the arm. 手臂静脉阻塞的两种不同寻常的原因。
The Netherlands journal of surgery Pub Date : 1991-01-01
J W Van den Heuvel, F H Tuynman
{"title":"Two unusual causes of venous obstruction of the arm.","authors":"J W Van den Heuvel,&nbsp;F H Tuynman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Two patients with venous obstruction of the arm are reported. Obstruction in one patient was caused by a congenital web of the subclavian vein, in the second by granulomatous thrombophlebitis of the brachiocephalic vein. Both patients were successfully treated by operation. All obstructive symptoms subsided completely. Control phlebography one week and three months postoperatively showed patent reconstructions.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 1","pages":"6-9"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13184687","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
Defaecation problems in children: anatomy, physiology and pathophysiology of the defaecation mechanism. 儿童排便问题:排便机制的解剖学、生理学和病理生理学。
The Netherlands journal of surgery Pub Date : 1991-01-01
R A Langemeijer, J C Molenaar
{"title":"Defaecation problems in children: anatomy, physiology and pathophysiology of the defaecation mechanism.","authors":"R A Langemeijer,&nbsp;J C Molenaar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Disturbed defaecation mechanism in children is an underestimated problem. On the one hand because many are unaware that children too may have serious defaecation problems, on the other hand due to ignorance of the anatomy and the physiology of the congenital malformations of the defaecation mechanism, such as anorectal malformations and Hirschsprung's disease. The notion that after operative correction the defaecation mechanism will function normally again is incorrect, for the surgical techniques have their limitations, and at postoperative check-up subjective feelings often obscure correct observation. Objective registration methods, morphological and functional tests that may elucidate the defaecation problem, are not being used to their full advantage. Two case histories illustrate the correlations between the anatomical structures of the defaecation mechanism, the functions of these structures, the history and physical examination of the patient, and defaecography and anorectal manometry. History and physical examination should be considered subjective registration methods, defaecography and anorectal manometry objective methods. After scrupulous evaluation of the recorded data it will appear to be possible to decide on the most suitable treatment and guidance.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 6","pages":"208-12"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12973682","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
Crohn's disease of the appendix. 阑尾的克罗恩病
The Netherlands journal of surgery Pub Date : 1991-01-01
A L Wiesfeld, T J Kouwenhoven, J M Van Baalen, L P Bos, L G Engels
{"title":"Crohn's disease of the appendix.","authors":"A L Wiesfeld,&nbsp;T J Kouwenhoven,&nbsp;J M Van Baalen,&nbsp;L P Bos,&nbsp;L G Engels","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Two patients with Crohn's disease confined to the appendix are described. The condition may present as acute appendicitis or appendiceal infiltrate. Therapy of either manifestation includes appendectomy. Concurrent Crohn's disease elsewhere in the gastrointestinal tract may be found in 25 per cent of the patients. A recurrence rate of 10 to 15 per cent in the remaining patients justifies a follow-up of some three years.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"43 1","pages":"20-1"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13184686","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
Rapid evolution of a mycotic aneurysm of the abdominal aorta due to Salmonella. 沙门氏菌引起的腹主动脉真菌性动脉瘤的快速演变。
The Netherlands journal of surgery Pub Date : 1990-12-01
P H Rutgers, R K Koumans, J B Puylaert, P J Kitslaar
{"title":"Rapid evolution of a mycotic aneurysm of the abdominal aorta due to Salmonella.","authors":"P H Rutgers,&nbsp;R K Koumans,&nbsp;J B Puylaert,&nbsp;P J Kitslaar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The case history is presented of a patient admitted with a Salmonella infection and the development of a mycotic aortic aneurysm within two weeks. The patient could be successfully treated by resection of the aneurysm, primary prosthetic in-situ grafting and antibiotics.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 6","pages":"155-6"},"PeriodicalIF":0.0,"publicationDate":"1990-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13434398","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
Spontaneous rupture of the oesophagus. 食道自发破裂
The Netherlands journal of surgery Pub Date : 1990-12-01
C Sleeboom, J F Slors
{"title":"Spontaneous rupture of the oesophagus.","authors":"C Sleeboom,&nbsp;J F Slors","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Spontaneous rupture of the oesophagus or Boerhaave syndrome is a rare phenomenon which poses a surgical challenge. Without treatment a mortality has been reported of up to 100 per cent. Early diagnosis and treatment are therefore imperative. An aggressive surgical approach is described. Three patients were treated with good results by closure of the rupture, drainage of the mediastinum, a diverting oesophagostomy, gastric drainage and postoperative enteral feeding via a jejunal catheter.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 6","pages":"151-4"},"PeriodicalIF":0.0,"publicationDate":"1990-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13281578","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
Bilateral primary breast carcinoma in a man. 男性双侧原发性乳腺癌1例。
The Netherlands journal of surgery Pub Date : 1990-12-01
W F van Tets, L P Leenen, J A Roukema, P M Pijpers
{"title":"Bilateral primary breast carcinoma in a man.","authors":"W F van Tets,&nbsp;L P Leenen,&nbsp;J A Roukema,&nbsp;P M Pijpers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The case history is presented of a 56-year-old man, who had a second primary carcinoma in the contralateral breast after 13 years. Both times, he underwent a modified radical mastectomy. The axillary lymph nodes were free from tumour. The incidence in men is about 1 per cent being bilateral in 14 out of 1,000 of these cases. The therapy for men is the same as for women. Because of the smaller breast volume, tumours in men are earlier discovered and show infiltration. If metastases cannot be detected, the first choice of treatment is surgical. Radiotherapy is indicated in case surgical intervention has not been radical.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 6","pages":"158-60"},"PeriodicalIF":0.0,"publicationDate":"1990-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13331785","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 effects of negative regional lymph-node dissection on survival and disease-free interval of patients with stage-I malignant melanoma. 阴性区域淋巴结清扫对i期恶性黑色素瘤患者生存和无病间隔的影响。
The Netherlands journal of surgery Pub Date : 1990-12-01
A Jonk, B B Kroon
{"title":"The effects of negative regional lymph-node dissection on survival and disease-free interval of patients with stage-I malignant melanoma.","authors":"A Jonk,&nbsp;B B Kroon","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 6","pages":"161-2"},"PeriodicalIF":0.0,"publicationDate":"1990-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13434399","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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