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Biomedical subjects

A Halevy

Publications and source records attributed to A Halevy.

At least 109 records · Page 6Linked to original sources
PubMed1985

Bronchial adenoma: surgical experience with long-term follow-up (4-17 years).

Of 16 patients with bronchial adenoma who were operated on at Beilinson Medical Center from 1967 to 1980, only three presented the "triad" of cough, hemoptysis, and recurrent pulmonary infections. In two patients the tumor was diagnosed incidentally and in five patients histological evidence of adenoma was made during bronchoscopy. One patient died of myocardial infarction following reoperation for bleeding, and one patient was lost to follow-up. The remaining 14 patients were followed for 4 to 17 years without evidence of local recurrence or distant metastases. We conclude that the long-term prognosis of patients with bronchial adenoma is excellent, and limited surgical procedure should be the treatment of choice whenever possible.

Adenoma↗
PubMed1985

The role of the spermatic cord layers in the development of varicoceles.

The theory that insufficiency of the spermatic cord layers could be the etiological factor in the development of varicocele is reviewed critically. A prospective study of 40 patients operated upon for a left indirect inguinal hernia was done. The spermatic cord layers were excised as a routine part of the operation but combined manual and Doppler examinations revealed no postoperative reflux into the pampiniform plexus. We conclude that the spermatic cord layers probably do not have a major role in the pathogenesis of varicocele.

Adult↗
PubMed1985

Volvulus due to a tumor of Meckel's diverticulum.

Small-bowel obstruction in an old woman was the result of a twisted Meckel's diverticulum containing a large neoplasm. As neoplasms comprise only 1.2-1.4% of the complications of the diverticulum, and generally bleed or cause intussusception, we believe that the condition described is not common.

Aged↗
PubMed1984

Primary retroperitoneal soft-tissue sarcomas.

Of the 98 soft-tissue sarcomas treated between 1973-1978, 12 were retroperitoneal in origin. Fifty percent underwent one to three previous surgical procedures. All patients were operated on. In 75% (nine out of 12), the tumor was completely resected. The operative mortality for total tumor excision was 11%. There were five liposarcomas, three leiomyosarcomas, two neurofibrosarcomas, and one synovial sarcoma and one unclassified sarcoma. Six of the 12 patients survived five years and three (25%) were alive without evidence of disease at 5 years. Three of the completely resected group received no further treatment; 2/3 survived 5 years; three had postoperative chemotherapy; 3/3 survived; and three others had radiation and chemotherapy subsequent to surgery; all three have died. The two most important prognostic factors were tumor grade and surgical excision. Only one patient with high grade tumor survived. Total surgical excision of the tumor offers the only hope for cure. Aggressive surgery in treating retroperitoneal soft part sarcomas is strongly recommended.

Adult↗
PubMed1984

Varicocele and left renal vein compression.

Several current theories concerning the possible etiology of varicocele are critically reviewed. The possibility of arterial compression of the left renal vein, probably by the superior mesenteric artery is elaborated upon. Since direct experimentation is impossible because of the exclusively human character of this disease, a "triple indirect approach" is adopted. Three differently directed studies are conducted: intraoperative antegrade spermatic phlebography visualizing the left renal vein, anatomic dissection of the left renal vascular pedicle, and intraoperative marking of the superior mesenteric artery and the left renal vein for in vivo studies of their relationships. Because the outcomes of these three pathways converge and focus on the superior mesenteric artery compression of the left renal vein, it is concluded that this is a probable contributing mechanism in the etiology of varicocele.

Humans↗
PubMed1983

Carcinoma of lung with a solitary cerebral metastasis. Surgical management and review of the literature.

During the years 1975 to 1980, 10 male patients and 1 female, with ages ranging between 40 to 61 years, underwent combined resection of primary lung cancer and solitary brain metastasis. In 8 patients the lung cancer was diagnosed and treated first. In those patients, craniotomy for removal of a solitary brain metastasis was carried out 8 to 60 months (mean, 27 months) after excision of the lung tumor. In 3 patients, brain metastasis was diagnosed and treated first and lung excision followed, 2 to 4 weeks after craniotomy. The most common histologic type of the tumor was adenocarcinoma (63.6%). There were no operative deaths. Three patients survived less than 6 months after surgery and were considered as a failure of surgical treatment. Seven patients lived longer than 1 year and three of them are still alive with a follow-up period between 2 to 3 1/2 years after both operations. One of the patients underwent recently successfully second brain intervention for removal of recurrent histologically identical solitary brain metastasis and is well. Our results and those reported in literature encourage the combined surgical removal of primary lung cancer and a solitary brain metastasis.

Adenocarcinoma↗
PubMed1983

The use of thoracoabdominal staplers in ENT surgery.

Two patients, one with a Zencker diverticulum, the other with a large transglottic carcinoma, are presented to demonstrate the use of the thoracic abdominal (TA) automatic stapler for suturing the mucosal line. We found the method described to be very suitable for these cases, shortening significantly the operation time in laryngectomy and in resection of Zencker diverticulum. The instrument makes a perfect suture line, and convalescence is very short as well. An increased use for the TA automatic suture in future seems likely.

Aged↗
PubMed1983

Scapulectomy revisited: soft part sarcomas of the posterior shoulder.

Scapulectomy with muscle group resection and axillary lymphadenectomy for soft part sarcomas of the posterior shoulder is described. This rarely utilized procedure gives satisfactory tumor control and good functional results in carefully selected patients. The indications and technique for the procedure are discussed.

Aged↗
PubMed1980

Acute mastoiditis after a combined approach tympanoplasty operation.

Four of 112 ears on which a combined approach tympanoplasty (CAT) operation was performed had acute mastoiditis six to 24 months after operation. All four patients were younger than 13 years. This represents 12.5% of acute mastoiditis cases after CAT operations in this age group, or 3.5% of the total group. On reoperation, all four ears expressed pus under pressure in the mastoid cavity. There was also fibrosis and granulation tissue blocking the attic inlet. It is probable that the cause of the acute mastoiditis may be related to this partial or total stenosis. Two of the patients were found to have an aerated, noninflamed tympanic cavity, and only in two was the acute mastoiditis associated with residual cholesteatoma.

Acute Disease↗