Helvetica chirurgica acta
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Helvetica chirurgica acta · May 1992
[Emergency surgery of a case of perforated gastroduodenal ulcer].
Surgical treatment of acute perforated gastric and duodenal ulcer is connected to high postoperative lethality. By emergency procedure it has to be decided between performing a simple closure or performing initially a definitive operation to control the peptic disease. The therapeutic options at our institution are based on a severity score which includes patient's age, associated pathology, grade of the peritonitis, delay between the onset of symptom and surgery, history of ulcer disease. ⋯ Based on our scoring system, 87.9% of all the patients underwent definitive operation. The lethality rate of this series of nonselected patients (52% were older than 70 years) was low: 6.3%. The use of the severity score help to choose patients to be treated by simple closure and patients which may be submitted to definitive emergency operation with low operative risk.
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Helvetica chirurgica acta · May 1992
[Breast cancer: locoregional recurrence and subsequent disease course].
The survival of 409 patients with breast cancer treated by surgery +/- adjuvant therapy is controlled in a retrospective study. 65 (15.9%) patients subsequently suffered from loco-regional recurrences. 41 (63.1%) of these patients showed either simultaneously with the loco-regional recurrence or at the latest within 2 1/2 years after the diagnosis of the loco-regional recurrence distant metastasis. The incidence of the distant metastasis is the more probable the shorter the interval between the primary treatment and the occurrence of the loco-regional recurrence. More prognostic factors for the survival after the diagnosis of the loco-regional recurrence are discussed.