The American surgeon
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The American surgeon · Aug 1977
Comparative StudyAbdominoperineal resection for carcinoma in the community hospital.
Stimulated by a report in 1974, we have reviewed all abdominoperineal resections in a Univeristy-affiliated community hospital. From 1964--1973, 67 such procedures were performed. There were 65 adenocarcinomas, one squamous cell cancer, and one carcinoid tumor. ⋯ Postoperative complications occurred in 55.1% of patients. Late complications occurred in 22% of patients. Five-year follow-up was possible in 34 patients with an overall survival of 50%.
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The American surgeon · Jul 1977
Case ReportsAxillo-axillary bypass for complications of an axillary arterial aneurysm: a case report.
A case of peripheral embolization from an axillary aneurysm is presented. This was successfully treated by thromboembolectomy, ligation of the axillary artery distal to the aneurysm and an axillo-axillary bypass graft. The patient has resumed full activity and his normal upper extremity pulses and pressures.
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Controversy still exists regarding the proper approach to patients with penetrating torso injuries. Mandatory immediate celiotomy and selective observation both have associated risks. ⋯ Complications are minimal. The use of these two procedures in evaluating penetrating torso injuries has led to improved patient care and produced major lowering of medical and socioeconomic costs.