Surgery, gynecology & obstetrics
-
Surg Gynecol Obstet · Jun 1982
Technical considerations in the use of intraperitoneal chemotherapy administered by Tenckhoff catheter.
Technical aspects of the clinical management of 69 patients who had a Tenckhoff catheter implanted for chemotherapy infusion were reviewed. Catheter placement under local anesthesia was performed using a trochar. Three patients had intestinal perforation. ⋯ Intraperitoneal chemotherapy was thought to be a safe way in which to deliver high concentrations and large amounts of drug to the abdominal cavity. In selected tumors, there may be a significant pharmacologic advantage over conventional routes of administration. Proper catheter insertion and maintenance were required to keep complications of this treatment modality to a minimum.
-
Surg Gynecol Obstet · Jun 1982
Historical ArticleReflections on the military involvement of a medical school.
-
The present investigation was undertaken to compare the accuracy with which two clinical rules of thumb and an empirically derived quantitative index of burn severity classify burn victims into categories of risk to survival. all three assessment protocols correctly classified the majority of the survivors. However, the quantitative index of burn severity, the Abbreviated Burn Severity Index, was superior to the Baux and the modified Baux clinical rules of thumb in predicting fatalities. It was concluded that the Abbreviated Burn Severity Index was nearly as easy to use as the clinical rules of thumb, yet more accurate and specific in describing outcomes for the victims of a burn injury.
-
In a five year period, 62 patients aged 70 to 91 years underwent operative inguinal hernial repair. Other significant ailments were present in 46 of the 51 men and six of the 11 women. Postoperatively, complications occurred in 16 patients, four of whom died. ⋯ All cardiovascular complications and all deaths occurred in those receiving either general or spinal anesthesia. Inguinal herniorrhaphy can be safely performed in geriatric patients. Because of high morbidity and mortality associated with incarceration, elective repair of inguinal hernia under local anesthesia should be done whenever possible.