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The Netherlands journal of surgery最新文献

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Tubular colonic duplication: report of two cases. 管状结肠复制2例报告。
The Netherlands journal of surgery Pub Date : 1990-12-01
M A Cuesta, S Ekkelkamp, G Collet, R I Wesdorp
{"title":"Tubular colonic duplication: report of two cases.","authors":"M A Cuesta,&nbsp;S Ekkelkamp,&nbsp;G Collet,&nbsp;R I Wesdorp","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Colonic duplication is a rare congenital abnormality frequently associated with multisystemic malformations. Colonic duplication presents diagnostic and therapeutic difficulties especially in neonates. We report on two patients, a child and an adult with tubular duplication. Treatment consisted of using the duplicated loop for a pull-through procedure in the first patient and resection of the duplicated loop in the second. The results of the surgical treatment in these two patients have been satisfactory.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 6","pages":"147-50"},"PeriodicalIF":0.0,"publicationDate":"1990-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13434397","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 unreduced carpal dislocation: a concept of treatment. 未复位腕关节脱位:治疗概念。
The Netherlands journal of surgery Pub Date : 1990-10-01
J Vegter, B R de Witte
{"title":"The unreduced carpal dislocation: a concept of treatment.","authors":"J Vegter,&nbsp;B R de Witte","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The treatment of unreduced carpal dislocations and fracture dislocations is controversial. To obtain reduction, an extensive surgical soft-tissue dissection is usually required. The accompanying damage to vessels, ligaments and articular cartilage increases the risk of symptomatic arthritis of the wrist. To avoid this complication as much as possible, a closed technique of treatment has been developed. The method consists of radiocarpal distraction with an external fixator followed by percutaneous reduction and immobilization with the same external fixator. In five out of six patients with an unreduced carpal dislocation this method appeared successful.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 5","pages":"131-5"},"PeriodicalIF":0.0,"publicationDate":"1990-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13407081","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
Intraluminal Miller-Abbott tube stenting as treatment and prophylaxis of recurrent intestinal obstruction. 米勒-雅培管腔内支架置入术治疗和预防复发性肠梗阻。
The Netherlands journal of surgery Pub Date : 1990-10-01
C H Wittens, J D Munting, J Lens
{"title":"Intraluminal Miller-Abbott tube stenting as treatment and prophylaxis of recurrent intestinal obstruction.","authors":"C H Wittens,&nbsp;J D Munting,&nbsp;J Lens","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Chronic recurrent intestinal obstruction due to massive adhesions after abdominal surgery is a complication that is difficult to treat. The records were studied of 25 patients with acute intestinal obstruction due to massive adhesions. Since conservative measurements were unsuccessful, the patients were treated with internal intestinal splinting by means of a Miller-Abbott tube. These 25 patients underwent a total of 72 operations, 36 were performed for mechanical obstruction. Conservative treatment alone was effective during 25 admissions. The complaints of the patients lasted five years on an average. After lysis of adhesions the Miller-Abbott tube was introduced either via the nose, via a gastrostomy or via an enterostomy. The tube was left in situ for three weeks and then gradually withdrawn. There was no hospital mortality. There was one postoperative complication: a tube had to be removed under general anaesthesia. Long-term follow-up of the patients varied from 4.5 to 19 years with a mean of 11.3 years. One patient with recurrent intestinal obstruction due to adhesions, required surgical intervention after one year. A second patient with Peutz-Jeghers syndrome needed surgery because of an intestinal adenoma after six years. The mean symptom-free interval was 11.1 years in the cured patients.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 5","pages":"123-7"},"PeriodicalIF":0.0,"publicationDate":"1990-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13407079","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
Transscaphoid perilunate fracture dislocation and pseudarthrosis of the scaphoid. 经舟状骨月骨周围骨折脱位和舟状骨假关节。
The Netherlands journal of surgery Pub Date : 1990-10-01
A F Engel, J N Keeman
{"title":"Transscaphoid perilunate fracture dislocation and pseudarthrosis of the scaphoid.","authors":"A F Engel,&nbsp;J N Keeman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The results of conservative treatment of a perilunate fracture dislocation were retrospectively studied. In six patients, the treatment consisted of closed reduction and immobilization in a below the elbow cast for 12 to 16 weeks. Five patients had a compromised healing of the scaphoid fracture. The frail vascularization of the scaphoid, extensive ligamentous injury and possible mid-carpal instability in case of perilunate fracture dislocation as well as a non-anatomical reduction of a scaphoid fracture are causative factors in ensuing scaphoid pseudarthrosis. If anatomical reduction of a perilunate fracture dislocation cannot be obtained, open reduction and internal fixation should be considered. This will offer the scaphoid the best chance at fracture healing and will restore the stabilizing function on the mid carpus.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 5","pages":"128-30"},"PeriodicalIF":0.0,"publicationDate":"1990-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13407080","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
Friedrich's disease. 弗里德里希的疾病。
The Netherlands journal of surgery Pub Date : 1990-10-01
D M Kaulesar Sukul, R K Marti
{"title":"Friedrich's disease.","authors":"D M Kaulesar Sukul,&nbsp;R K Marti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Three patients are reported with Friedrich's disease, a rare deformity of the sternoclavicular joint. This clinical entity is a symptomatic expression of osteonecrotic changes of the medial inferior border of the clavicle, with a still unknown pathogenesis. In our own experience and according to that of others, conservative treatment for this rare condition may be advisable.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 5","pages":"140-1"},"PeriodicalIF":0.0,"publicationDate":"1990-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13407083","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-uterine testicular torsion. 子宫内睾丸扭转。
The Netherlands journal of surgery Pub Date : 1990-10-01
C H Dejong, A M van den Heuvel, M F von Meyenfeldt, G Kootstra
{"title":"Intra-uterine testicular torsion.","authors":"C H Dejong,&nbsp;A M van den Heuvel,&nbsp;M F von Meyenfeldt,&nbsp;G Kootstra","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Two cases of intra-uterine testicular torsion of the intravaginal type are presented. Orchiectomy of the affected testicle and contralateral orchidopexy were performed in both cases, followed by an uneventful postoperative course. Classification, clinical presentation, pathogenesis and treatment are discussed.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 5","pages":"142-5"},"PeriodicalIF":0.0,"publicationDate":"1990-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13407084","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
Traumatic posterior luxation of the hip. 外伤性髋后脱位。
The Netherlands journal of surgery Pub Date : 1990-10-01
L P Leenen, C van der Werken
{"title":"Traumatic posterior luxation of the hip.","authors":"L P Leenen,&nbsp;C van der Werken","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The long-term outcome of treatment of posterior hip dislocations was studied in 60 patients. Thirty-two patients had concomitant fractures of the acetabular rim and seven had also femoral head fractures. Treatment consisted of immediate reduction, followed by gentle traction during one week and progressive weight-bearing over six weeks. Thirteen patients needed internal fixation of the acetabular fracture. Fourty-six patients could be followed for a median of 6.5 years. Fifteen patients, all with associated fractures, had late complications: peri-articular ossifications (5), avascular necrosis of the femoral head (1), mild osteo-arthrosis (5) and pain of unknown origin (4). No complications were noted in patients with simple posterior dislocation of the hip. Simple traumatic posterior hip dislocation has an excellent prognosis. Poor results only occur in case of associated fractures.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 5","pages":"136-9"},"PeriodicalIF":0.0,"publicationDate":"1990-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13407082","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
Antibiotic prophylaxis in biliary tract surgery--current practice in The Netherlands. 胆道手术中的抗生素预防——荷兰目前的做法。
The Netherlands journal of surgery Pub Date : 1990-08-01
W S Meijer
{"title":"Antibiotic prophylaxis in biliary tract surgery--current practice in The Netherlands.","authors":"W S Meijer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A questionnaire about the current practice of antibiotic prophylaxis in biliary tract surgery was sent to the chairmen of the departments of surgery of 175 hospitals in The Netherlands. The Dutch hospitals are classified into three categories depending on the type of residency in general surgery. Overall, 80 per cent replied. Antibiotic prophylaxis in elective cholecystectomy is given in 76 per cent of the clinics (100/132), and single-dose prophylaxis is employed in 28 per cent of the clinics (28/100). In patients with acute cholecystitis, emergency surgery is the treatment of choice in 108 hospitals (82%). Differences in antibiotic prophylaxis between the three categories of hospitals include the omission of prophylaxis in elective cholecystectomy in 31 per cent of the C-clinics (vs. 10% in A-clinics and 16% in B-clinics), and the use of single-dose prophylaxis in 13 per cent of the B-clinics (vs. 30% of the A-clinics and 31% of the C-clinics). Since prophylaxis for more than 24 hours has no additional effect and peri-operative prophylaxis in acute cholecystitis is mandatory, antibiotic prophylaxis in biliary tract surgery is inappropriate in at least 31 hospitals in The Netherlands (23%).</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 4","pages":"96-100"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13367470","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
Acute mesenteric embolism: an appeal for a pro-active diagnostic approach. 急性肠系膜栓塞:呼吁采取积极主动的诊断方法。
The Netherlands journal of surgery Pub Date : 1990-08-01
W K de Roos, R H Geelkerken, J H van Bockel
{"title":"Acute mesenteric embolism: an appeal for a pro-active diagnostic approach.","authors":"W K de Roos,&nbsp;R H Geelkerken,&nbsp;J H van Bockel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Acute mesenteric ischaemia can be caused by arterial embolism. The initial aspecific symptoms mostly lead to late recognition of acute mesenteric ischaemia which leads to intestinal infarction. Intestinal infarction with signs of peritonitis has a very high mortality. Since 1982, a pro-active approach is followed in our department. After thorough exclusion of other causes, patients with serious acute abdominal complaints undergo an emergency angiography and/or emergency laparotomy. After confirmation of the diagnosis, primary vascular reconstructive surgery is performed if possible. We have treated eight patients with acute mesenteric embolism according to this policy. Per- and post-operatively, three patients died of extensive intestinal infarction. The five surviving patients were on a normal diet and had normal bowel functions at the time of discharge from the hospital. This limited experience shows that a pro-active approach in patients with acute mesenteric embolism can result in survival and preservation of a normally functioning alimentary tract.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 4","pages":"110-2"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13367467","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
Left external iliac artery dissection and bilateral renal artery aneurysms secondary to fibromuscular dysplasia: a case report. 左髂外动脉夹层及双侧肾动脉瘤继发于纤维肌肉发育不良1例。
The Netherlands journal of surgery Pub Date : 1990-08-01
K S Patel, J H Wolfe, C Mathias
{"title":"Left external iliac artery dissection and bilateral renal artery aneurysms secondary to fibromuscular dysplasia: a case report.","authors":"K S Patel,&nbsp;J H Wolfe,&nbsp;C Mathias","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case of acute lower limb ischaemia due to spontaneous dissection of the left external iliac artery and coincidental bilateral renal artery aneurysms is reported. Histopathological examination of the resected iliac artery showed features of fibromuscular dysplasia. Dissection of the external iliac artery without involvement of the aorta is extremely rare with only two previously reported cases. The aetiology and management of fibromuscular dysplasia is discussed.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 4","pages":"118-20"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13367469","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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