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The Netherlands journal of surgery最新文献

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Effect of preoperative risk factors on the outcome after surgery for complicated diverticular disease. 术前危险因素对复杂性憩室病术后预后的影响。
The Netherlands journal of surgery Pub Date : 1990-08-01
J Konsten, D J Gouma, H Obertop, P B Soeters
{"title":"Effect of preoperative risk factors on the outcome after surgery for complicated diverticular disease.","authors":"J Konsten,&nbsp;D J Gouma,&nbsp;H Obertop,&nbsp;P B Soeters","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The influence of age and severity of peritonitis was studied in 111 (16%) out of a total of 694 patients treated for diverticular disease. These 111 patients had complications of the disease and were operated upon by four different approaches. The outcome after surgery was expressed as 30 days mortality, number of operations and postoperative complications per patient, overall hospital stay and number of permanent colostomies in surviving patients. The overall hospital stay lasted significantly longer for patients older than 70 years compared to the younger patients (64 versus 41 days). The complications per patient increased significantly from 1.0 to 1.9 and from 1.1 to 2.7 respectively for an age above 70 years and for peritonitis. Preoperative risk factors as age and peritonitis adequately predict the outcome after surgery for complicated diverticular disease. The type of surgery employed seems more dependent on the perioperative findings than on the superiority of one of the procedures.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 4","pages":"101-4"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13368482","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
Early complications after surgery for Crohn's disease. 克罗恩病手术后的早期并发症
The Netherlands journal of surgery Pub Date : 1990-08-01
M Simi, S Leardi, S Minervini, R Pietroletti, M Schietroma, V Speranza
{"title":"Early complications after surgery for Crohn's disease.","authors":"M Simi,&nbsp;S Leardi,&nbsp;S Minervini,&nbsp;R Pietroletti,&nbsp;M Schietroma,&nbsp;V Speranza","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A group of 212 patients operated upon for Crohn's disease were studied and the early postoperative complications with related problems were assessed. The morbidity was 28.3 per cent, 60 patients had at least one complication, mainly of septic nature. The mortality was 3.3 per cent (7 patients), sepsis and deep vein thrombosis with pulmonary embolism were the most common causes of death. Postoperative complications were significantly higher (39.7%) (p less than 0.001) in patients with a pre-operative nutritional deficit and in those who had urgent surgery (44.4%) (p less than 0.001). Among patients with pre-operative sepsis, the morbidity was also higher (34.6%), but was not significant. Peri-anastomotic complications (dehiscence, abscess, fistula, bleeding) were apparently more frequent (45.4%) in patients with histological residual Crohn's disease at macroscopically free resection margins although this contrasts with previous series. A proper pre-operative diagnostic approach, adequate peri-operative protein-caloric repletion, antibiotic therapy, prevention of thromboembolism and elective surgery, are still the primary tools in reducing the morbidity and mortality after surgery for Crohn's disease.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 4","pages":"105-9"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13368483","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
Haemodynamics and 'optimal' hydration in aortic cross clamping. 主动脉交叉夹持的血流动力学和“最佳”水合作用。
The Netherlands journal of surgery Pub Date : 1990-08-01
A J Pull ter Gunne, H A Bruining, H Obertop
{"title":"Haemodynamics and 'optimal' hydration in aortic cross clamping.","authors":"A J Pull ter Gunne,&nbsp;H A Bruining,&nbsp;H Obertop","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The effect of optimal hydration on haemodynamics and renal function during infrarenal aortic cross clamping was studied in 26 consecutive patients operated on because of an infrarenal aortic aneurysm. The patients were randomly divided over two groups. The patients of group B (n = 13) were optimally hydrated before the operation. The Starling curve was used as standard. Patients of group A (n = 13) served as control. The pre-operative and postoperative renal functions of both groups were compared, as were the haemodynamic parameters. The haemodynamic parameters were measured at five minutes intervals during the entire procedure. During aortic clamping the heart rate was significantly lower in patients of group B, indicating a lower myocardial oxygen consumption. Neither the haemodynamic parameters nor the renal function showed other beneficial effects on optimal hydration.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 4","pages":"113-7"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13367468","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 non-palpable, radiographically suspicious breast lesion: an analysis of 101 cases. 乳腺不可触及、影像学可疑病变101例分析。
The Netherlands journal of surgery Pub Date : 1990-06-01
C I Perre, A A Hoynck van Papendrecht, H D Sierink, J W Muller
{"title":"The non-palpable, radiographically suspicious breast lesion: an analysis of 101 cases.","authors":"C I Perre,&nbsp;A A Hoynck van Papendrecht,&nbsp;H D Sierink,&nbsp;J W Muller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Analysis of 94 patients with 101 non-palpable, radiographically suspicious, breast lesions revealed 46 malignancies (46%). Comparison of the malignant lesions with 225 palpable carcinomas (221 patients) removed surgically during the same period, showed a higher incidence of carcinoma in situ. Contrary, lymph-node metastases and distant metastases were, at the time of operation, distinctly less than in the patients with non-palpable malignant lesions. A breast-conserving therapy was more often feasible in patients with nonpalpable malignant lesions.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 3","pages":"69-71"},"PeriodicalIF":0.0,"publicationDate":"1990-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13317799","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 Brooker-Wills interlocking nail in the treatment of femoral fractures. Brooker-Wills交锁钉治疗股骨干骨折。
The Netherlands journal of surgery Pub Date : 1990-06-01
H Boxma, P V Pahlplatz, A H Broekhuizen
{"title":"The Brooker-Wills interlocking nail in the treatment of femoral fractures.","authors":"H Boxma,&nbsp;P V Pahlplatz,&nbsp;A H Broekhuizen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Interlocking nails have expanded the indication for intramedullary fixation to almost any type of fracture of the shaft of the femur. Distal locking with the Brooker-Wills femoral nail is obtained by a wing fixator. This simplifies the operative technique and diminishes exposure to radiation. Adequate control of angulation, shortening and rotation could be achieved in a first series of 25 patients, thus leading to firm bone healing and to early functional recovery.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 3","pages":"78-82"},"PeriodicalIF":0.0,"publicationDate":"1990-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13514859","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 transcatheter embolization of symptomatic renal angiomyolipomas: a report of four cases. 经皮经导管栓塞治疗症状性肾血管平滑肌脂肪瘤4例报告。
The Netherlands journal of surgery Pub Date : 1990-06-01
J G van Baal, P Lips, W Luth, P Bakker, G Davis, P Karthaus, A Voorwinde, N F Dabhoiwala, P Fleury, W H Brummelkamp
{"title":"Percutaneous transcatheter embolization of symptomatic renal angiomyolipomas: a report of four cases.","authors":"J G van Baal,&nbsp;P Lips,&nbsp;W Luth,&nbsp;P Bakker,&nbsp;G Davis,&nbsp;P Karthaus,&nbsp;A Voorwinde,&nbsp;N F Dabhoiwala,&nbsp;P Fleury,&nbsp;W H Brummelkamp","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Successful percutaneous transcatheter embolization of renal angiomyolipoma is reported in four female patients. The angiomyolipomas measured more than 4 cm in diameter. Three patients had severe haemorrhage and one patient had a growing angiomyolipoma in a solitary kidney. This patient had percutaneous transcatheter embolization to prevent further deterioration of kidney function. Three patients had multiple renal angiomyolipomas as part of tuberous sclerosis. Two of them had selective transcatheter embolization of more than one angiomyolipoma. After embolization, one patient had partial loss of kidney function and one patient developed an abscess that could successfully be drained percutaneously under ultrasound guidance. The following conclusions can be drawn. All patients with tuberous sclerosis should be screened for renal angiomyolipomas. All symptomatic renal angiomyolipomas and all angiomyolipomas that measure more than 4 cm in diameter require treatment. Embolization should be considered as a primary therapeutic modality for multiple angiomyolipomas.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 3","pages":"72-7"},"PeriodicalIF":0.0,"publicationDate":"1990-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13514858","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
Giant synovial cyst of the hip joint presenting with femoral vein compression. 髋关节巨大滑膜囊肿表现为股静脉压迫。
The Netherlands journal of surgery Pub Date : 1990-06-01
H W Bolhuis, T S Van der Werf, T Tjabbes, R J Ponsen, R A Van de Loo
{"title":"Giant synovial cyst of the hip joint presenting with femoral vein compression.","authors":"H W Bolhuis,&nbsp;T S Van der Werf,&nbsp;T Tjabbes,&nbsp;R J Ponsen,&nbsp;R A Van de Loo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A patient is presented with signs mimicking deep venous thrombosis of the leg, which proved to be compression of the femoral vein, without thrombosis, caused by a large cyst from the adjacent hip joint. Clinical presentation, diagnostic imaging procedures and therapy are presented with a review of the literature.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 3","pages":"88-91"},"PeriodicalIF":0.0,"publicationDate":"1990-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13515474","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
External fixation and vascular damage: report of a case. 外固定架与血管损伤1例报告。
The Netherlands journal of surgery Pub Date : 1990-06-01
A H Schuurman, A H Broekhuizen, K E Bos
{"title":"External fixation and vascular damage: report of a case.","authors":"A H Schuurman,&nbsp;A H Broekhuizen,&nbsp;K E Bos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The case history is presented of a patient in whom the anterior tibial artery was clearly perforated by the distal pin of an external fixation device. This necessitated a dorsal pedis free flap instead of transposition of the flap to cover a degloved heel and sole. Review of the literature showed only a few case reports on vascular damage, suggesting that this complication is uncommon. In most cases, secondary erosion seems to be the cause, but as noticed by us direct arterial and/or venous damage is possible.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 3","pages":"92-3"},"PeriodicalIF":0.0,"publicationDate":"1990-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13515476","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
Prevention of pulmonary embolism by caval interruption with a Greenfield vena cava filter: a report of four cases. 格林菲尔德腔静脉滤器阻断腔静脉预防肺栓塞:附4例报告。
The Netherlands journal of surgery Pub Date : 1990-06-01
C H Wittens, J D Munting, J Lens
{"title":"Prevention of pulmonary embolism by caval interruption with a Greenfield vena cava filter: a report of four cases.","authors":"C H Wittens,&nbsp;J D Munting,&nbsp;J Lens","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Interruption of the vena cava is the treatment of choice for patients with thrombosis of the femoral or iliac vein in whom anticoagulants have to be discontinued or cannot prevent recurrent pulmonary embolism. The technique of interruption of the vena cava is outlined and illustrated by the case history of four patients, treated with a Greenfield vena cava filter.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 3","pages":"83-7"},"PeriodicalIF":0.0,"publicationDate":"1990-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13514861","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 case of iliac vein obstruction: pelvic lipomatosis. 髂静脉梗阻1例:盆腔脂肪增多症。
The Netherlands journal of surgery Pub Date : 1990-04-01
L W van Heurn, A P Varekamp
{"title":"A rare case of iliac vein obstruction: pelvic lipomatosis.","authors":"L W van Heurn,&nbsp;A P Varekamp","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The case history is presented of a patient with recurrent deep venous thrombosis and subsequent iliac vein obstruction as a result of pelvic lipomatosis. The incidence and the variety of clinical symptoms in relation to this rather unknown pathological condition are described.</p>","PeriodicalId":77640,"journal":{"name":"The Netherlands journal of surgery","volume":"42 2","pages":"58-60"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13497484","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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