The American surgeon
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The American surgeon · Sep 1996
Review Case ReportsSpermatic cord hematoma: case report and literature review.
Spermatic cord hematoma is a rare diagnosis. The etiology may be idiopathic, traumatic, secondary to anticoagulation therapy, or as an extension of a retroperitoneal hemorrhage. ⋯ An additional case is presented here as a complication of anticoagulation therapy after aortic valve replacement. Risk factors for a spermatic cord hematoma may warrant an ultrasound examination.
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The American surgeon · Sep 1996
ASA physical status and age are not factors predicting morbidity, mortality, and survival after pancreatoduodenectomy.
To evaluate the effects of age and physical status on postoperative complications, American Society of Anesthesiologists-Physical Status score (ASA score) and age were analyzed in patients undergoing pancreatoduodenectomy (PD). Medical records and follow-up results of 69 patients who had undergone PD from 1980 to 1993 at one institution were examined. Clinical variables affecting morbidity and mortality rates were analyzed, and compared between two-aged groups (> or = 70 years (n = 18) and < 70 (n = 51)). ⋯ The morbidity, mortality, and cumulative survival rates were statistically similar in the two age groups. The results suggest that ASA-physical status and age are not limiting factors for PD and do not predict survival. The procedure is safe and worthwhile even in patients more than 70 years of age with the ASA score up to III.