American journal of surgery
-
True aneurysms of the abdominal aorta and its branches are at least in part due to defects in the structural integrity of the arterial wall. Whether the defect is isolated to the vascular wall is unclear. If the structural weakness involves other tissues, patients with aneurysmal disease should have a higher incidence of collagen and fascial defects, such as abdominal and inguinal hernias. ⋯ This study emphasizes the increased incidence of abdominal wall hernias in patients undergoing aortic surgery for aneurysm disease compared with aortoiliac occlusive disease. The size of the aneurysm and the association of an iliac artery aneurysm did not affect the incidence of hernias among these patients. Genetic and biochemical abnormalities are considered as possible explanations.
-
Comparative Study
Can Ringer's lactate be used safely with blood transfusions?
Blood bank recommendations specify that Ringer's lactate solution (LR) should be avoided while transfusing blood. However, there are few studies either evaluating or quantifying increased coagulation during rapid infusion of LR and blood. ⋯ A comparison of LR and NS with rapid infusion rates of blood showed no significant difference between infusion time, filter weight and clot formation. Blood bank guidelines should be revised to allow the use of LR in the rapid transfusion of PRBC.
-
Multicenter Study
Long-term results after curative resection for carcinoma of the gallbladder. French University Association for Surgical Research.
The surgical management of gallbladder carcinoma is controversial, especially as regards the indications for radical resection. The aim of this study was to evaluate the results of surgical treatment for gallbladder carcinoma with special reference to the extent of its histological spread. ⋯ In patients with stage I gallbladder carcinoma, outcome is good after cholecystectomy only. In stages II to IV, radical resection should only be considered in the absence of regional lymph node metastasis.