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1.
Tetanus after a resection for a gangrenous perforated small intestine: Report of a case 总被引:1,自引:0,他引:1
Junichiro Furui Akihito Enjyoji Seiya Susumu Sadayuki Okudaira Kazuyuki Takayama Takashi Kanematsu 《Surgery today》1999,29(7):626-628
Clostridium tetani ; however, this was not identified by a culture. The diagnosis of tetanus was made only when opisthotonus in this patient
became evident and normal tetanus treatment proved to be successful.
(Received for publication on May 26, 1998; accepted on Nov. 6, 1998) 相似文献
2.
(Received for publication on May 12, 1999; accepted on Jan. 7, 2000) 相似文献
3.
(Received for publication on Dec. 18, 1996; accepted on July 8, 1997) 相似文献
4.
Sumio Inoue Takeshi Nagao Yuuichi Ishida Chikashi Wada Yoshifumi Beck Hisanori Uchida Masahiko Okudaira 《Surgery today》1995,25(11):974-977
Hepatoblastoma (HB) rarely occurs in adults, and very few cases of successful resection have been documented. We report herein the unusual case of a 22-year-old, otherwise healthy woman with no history of liver disease who presented with upper abdominal pain and hepatomegaly. Tests for hepatitis B virus (HBV) and hepatitis C virus (HCV) were negative, but the AFP was mildly elevated at 77 ng/ml, the normal being <20. There was no evidence of liver cirrhosis on either the laboratory or histologic examinations. A well-demarcated solid mass of 14cm in diameter, which was lobulated and partly necrotic, was detected in the liver by computed tomography (CT). The lesion was echogenic on ultrasound, slightly hypodense on CT, and mildly hyper-vascular on arteriogram. The entire tumor was resected by extensive hepatectomy preserving only the lateral segment and part of the posterior segment of the liver. Histologically, the neoplasm was diagnosed as a pure epithelial HB of the fetal type. Following the operation, the patient has been well and free of recurrence for 38 months, maintaining low alpha-fetoprotein (AFP) levels at around 5 ng/ml. To our knowledge, this is the longest reported survival of an adult following surgical resection of an epithelial HB. 相似文献
5.
A lab type is best described by its value as a result of its handcrafted uniqueness in small numbers. Logically, there is not one lab type like another, and the fact that it has been realized does not mean that this special effort can be easily reproduced. Furthermore, most lab types have undergone stand alone test runs revealing fingerprints rather than universal results at a 20% effort to 80% effect ratio. A product development, on the other hand, is best described by an 80% effort to 20% effect ratio in terms of measurable results. Products are producible and cost effective goods which are well documented and have undergone numerous test runs and test procedures assuring safety and quality, a basic requirement for market approval and cost effective marking. Based on the intravascular pump technology, comprising a sensorized axial flow pump with an integrated micromotor, the iterative dependence of the product development on lab types is demonstrated showing in particular the importance of having highly developed lab types before initiating the product development. By example, we demonstrated that high product quality has a greater impact on the reduction of blood damage than numerous redesigns. Reengineering issues are addressed, which are part of the product development process. Furthermore, the previously mentioned technology serves as a platform leading directly from the perioperative biventricular system to a 7 day pump as well as a miniaturized 12 Fr version. 相似文献
6.
Sandal G Uras N Akar M Oguz SS Erdeve O Dilmen U 《Journal of pediatric orthopedics. Part B》2012,21(5):404-406
Pelvis is a rare location of the hematogeneous osteomyelitis during the newborn period. Successful cure of osteomyelitis during the newborn period is dependent on a fast and true diagnosis and on sufficient treatment. In this case report, iliac osteomyelitis of a newborn that was clinically suspected on the fifth day, was diagnosed radiologically and was found to be caused by methicillin-sensitive Staphylococcus aureus, is presented. According to our knowledge, this is the youngest osteomyelitis case in the literature and the third presented iliac osteomyelitis case of the newborn period. 相似文献
7.
The patient was a 27-year-old man who was referred to a physical therapist because of persistent right wrist pain after a fall on an outstretched hand in a remote setting 3 months prior. Immediately after the injury, the patient was seen by a physician's assistant in a remote medical clinic, where right wrist radiographs were completed and interpreted as normal. Based on the history and physical exam, a potential scaphoid fracture was suspected. Therefore, the physical therapist ordered radiographs of the right wrist, which revealed a fracture through the waist of the right scaphoid with a band-like lucency. 相似文献
8.
Takanori Yoshida Toshio Bandoh Koichi Ninomiya Toshifumi Matsumoto Dolgor Baatar Seigo Kitano 《Surgery today》1998,28(11):1188-1191
(Received for publication on May 14, 1997; accepted on Nov. 6, 1997) 相似文献
9.
Shunsuke Endo Fumio Murayama Tsutomu Yamaguchi Tsuyoshi Hasegawa Yasunori Sohara Katsuo Fuse Takeshi Fujii Ken Saito 《Surgery today》1998,28(12):1316-1318
(Received for publication on June 23, 1997; accepted on Jan. 6, 1998) 相似文献
10.
Sugato Nawa Eiji Ikeda Minoru Naito Katsuyoshi Kondo Ichiro Yuasa Keitaro Watanabe Yasufumi Fujita Tadayoshi Kunitomo Kokichi Otsuka 《Surgery today》1998,28(12):1300-1303
(Received for publication on June 11, 1997; accepted on Mar. 10, 1998) 相似文献
11.
Schott A Michel F Chaumoître K Merrot T Desjeux A Lagier P Martin C 《Annales fran?aises d'anesthèsie et de rèanimation》2008,27(5):438-441
Hepatic artery pseudoaneurysm and bilioma are rare complications of blunt abdominal trauma in children. We report a case in an 11-year-old patient after a hepatic and splenic blunt trauma following a car accident. The initial evolution was simple with haemodynamic stability. On Day 12, a pseudoaneurysm was discovered on an abdominal magnetic resonance imaging whereas the patient presented a major pain syndrome and an icteric cholestase. Embolisation was realised a few hours later in emergency because of a haemorrhagic shock. On Day 26, an endoscopic retrograde cholangiopancreatography highlighted two bilary leaks: one extrahepatic, the other intrahepatic. The first one was treated with a stent and the second one needed three drains: two peritoneal and one in the biloma. The characteristic of this case relies on the association of two complications. It underlines the need of multidiscipline and non-operative management of pediatric blunt hepatic trauma. 相似文献
12.
Presented here is a case of a pharyngocutaneous fistula which was closed primarily using a sternomastoid muscle flap, without skin coverage, thus obviating the need for a three-layered closure. Providing an intermediate cover was sufficient for the closure because the mucosal lining on the inside and the cutaneous covering on the outside grew using the muscle for support. 相似文献
13.
Richard B. Freeman 《American journal of transplantation》2019,19(10):2686-2691
Deceased donor research remains an elusive goal for improving organ utilization and function. Many working in this field have cited the barriers that impede the conduct of such trials. Recent reports from the Academy of Medicine and individual authors provide a general framework on which a National Donor Research Program could be built. This paper provides one observer's viewpoint on how such a program could be operationalized. 相似文献
14.
The benefits of a hernia service in a public hospital 总被引:1,自引:1,他引:0
Summary A Hernia Service (HS) was commenced in Derriford Hospital, Plymouth, UK in May 1996 to improve patient outcome following a poor star rating for overall hospital performance in daycase hernia surgery. Between 1996 and December 1998, 576 patients, median age 65 years (range 24–88) with unilateral or bilateral inguinal hernias underwent surgical repair on the HS. During the same time period on the General Surgical Service (GSS) 1722 patients underwent surgical repair. On the HS, patients operated under local anaesthesia (LA) increased from 78.0 to 90.5%, and on the GSS use of LA increased from 7.6 to 22.4%. The percentage of daycases on the HS increased from 53.0 to 81.4% and on the GSS from 2.9 to 28.0%. The actual number of inpatient hospital days saved by the HS was 236 days in 1997 and 284 days in 1998. The potential saving was greater: in 1998 if the GSS daycase rate (28.0%) had been the same as the HS daycase rate (81.4%) 605 inpatient days would have been saved. A hernia satisfaction questionnaire was sent to a ran dom sample of 50 patients who had had their hernia repaired by the HS and 50 patients who had been treated by the GSS. HS patients experienced a mean pain score of 4,7 (range 1–10) compared to 5.7 (range 0–10) (p=0.07) for the GSS. Similarly, HS patients required less post-operative analgesia (mean 2.8 days compared to 5.9 days for the GSS group, p<0.01) and resumed normal activity at an earlier stage (mean 10.8 days compared to 17.6 days for the GSS patients, p<0.01). Instigation of a dedicated HS has improved patient outcome and substantially increased the use of local anaesthesia and the number of daycase hernia repairs on both the HS and the GSS, with substantial cost savings. 相似文献
15.
Yoichi Matsui Hidesuke Yanagida Hideyuki Yoshida Atsushi Imamura Yasuo Kamiyama Hiroshi Kodama 《Surgery today》1998,28(6):669-672
(Received for publication on Feb. 17, 1997; accepted on July 8, 1997) 相似文献
16.
Kazuhiko Ishihara Kikuko Fukumoto Hideki Miyazaki Nobuo Nakabayashi 《Artificial organs》1994,18(8):559-564
Abstract: To improve surface hemocompatibility on cellulose hollow fibers for hemodialysis, newly designed hemocompatible polymers with a phospholipid polar group, 2–methacryloyloxyethyl phosphory[choline (MPC) polymers, were introduced on the surface through two different methods: direct grafting of MPC on the surface, or coating of a water–soluble cellulose grafted with MPC. The MPC was polymerized using cerium ion as an initiator in the cellulose hollow fibers, and the poly(MPC) chains were grafted directly on the surface. Another modification of the cellulose hollow fibers was attempted by coating them with a water–soluble graft copolymer composed of a poly(MPC) side chain and a cellulose backbone. The coating process from an aqueous solution of the graft copolymer was very convenient, and the graft copolymer on the surface was not detached even after water circulated into the hollow fibers. These cellulose hollow fibers modified with MPC polymers displayed excellent hemocompatibility such as prevention of blood cell adhesion and aggregation after contact with blood without an anticoagulant. The permeability of the hollow fibers did not decrease as a result of these modifications. From these results, it is clearly suggested that introduction of the MPC units was effective for improving the hemocompatibility of the hollow fibers for hemodialysis. 相似文献
17.
Y Okamoto T Hayashi K Harada K Shojima H Utsunomiya F Maehara M Yamamoto 《No shinkei geka. Neurological surgery》1986,14(7):857-863
A seven-year-old boy who was admitted for surgical treatment for intractable epilepsy was found to have a ganglioglioma in his left parietal lobe. Since four years old, he had been suffering from the seizure and treated with various anticonvulsants without satisfactory effects. As its frequency increased, the dose had to be increased. Thus, it was sought for the possible surgical approach. On the CT scans, an egg size low density zone without contrast enhancement was observed in the subcortical region of his parietal lobe. There was marked thinning on inner table of the skull immediately above the zone. He was operated under fronto-temporo-parietal craniotomy. When the dura matter was opened, pale cerebral cortex protruded. Complete removal of the tumor was not possible, since there was not clear boundary between the mass and normal tissue. Based on histological study, it was diagnosed as ganglioglioma, because its main body contained increased number of glia which had deeply stained ununiform size nuclei. After the operation, he showed neither motor paralysis nor sensory disturbance and was able to sustain his activity with less amount of anticonvulsant. 相似文献
18.
Yamamoto H Okada M Kanehira A Tachibana S Saito H Maniwa Y Sakata K Shibagaki F Matsuda S Kawamura M 《Surgery today》2000,30(3):241-243
(Received for publication on Dec. 28 1998; accepted on Sept. 17 1999) 相似文献
19.
Junya Katoh Shinpei Yoshii Shigeru Hosaka Shoji Suzuki Kazushige Furuya Yusuke Tada 《Surgery today》1998,28(2):217-218
(Received for publication on Oct. 24, 1996; accepted on May 12, 1997) 相似文献
20.
Gastric outlet syndrome caused by a gallstone: Report of a case 总被引:1,自引:0,他引:1
Seietsu Nyui Hiroyuki Osanai Hideji Masuoka Shigeri Ohba Toshiaki Ebata Yukinari Yoshida 《Surgery today》1998,28(4):412-415
(Received for publication on Nov. 5, 1996; accepted on May 12, 1997) 相似文献