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Biomedical subjects

B I Rees

Publications and source records attributed to B I Rees.

At least 37 records · Page 2Linked to original sources
PubMed1994

Laparoscopic cholecystectomy: laser or electrocautery?

Laparoscopic cholecystectomy is now an accepted part of general surgery. With the recent upsurge of interest in laparoscopic techniques, an optimum method of ensuring secure haemostasis is important particularly during dissection of the gall bladder from its mesenteric attachments. The use of laser to ensure haemostasis has been well practised in the treatment of peptic ulceration. Electrocautery is a time-honoured method of controlling local bleeding points by coagulation of tissue. The aim of this study was to assess whether one procedure showed any advantage over the other in terms of the length of operation time, postoperative drainage volume, time to dissect the gall bladder and length of the hospital stay.

Adult↗
PubMed1992

Evaluation of the Alvarado score in acute appendicitis.

Use of the Alvarado scoring system was assessed prospectively in a consecutive series of 215 patients with suspected appendicitis over a 12 month period at the University Hospital of Wales, Cardiff. In comparison the high negative appendicectomy rate during the year prior to the study was reduced considerably with the scoring system without increasing morbidity or mortality.

Adult↗
PubMed1992

Laparoscopic cholecystectomy: the first 155 patients.

Laparoscopic cholecystectomy has been attempted in 155 patients. Eight patients required conversion to open cholecystectomy (5%): three owing to lack of clear anatomical detail, two procedures were abandoned because of instrument failure, two had a dilated common bile duct on cholangiography, and one owing to a very adherent mucocele of the gallbladder. Cholangiography was performed selectively; successfully completed in 45 (22% of all patients). Common bile duct stones were found in two patients. All patients were drained, with two bile leaks, one requiring a laparotomy. There was one ductal injury. Most patients (85%) were discharged within 48 h. This initial experience suggests laparoscopic cholecystectomy is the procedure of choice for most patients with symptomatic cholelithiasis.

Adult↗
PubMed1990

Extrinsic duodenal obstruction and halitosis.

Two siblings with extrinsic duodenal obstruction caused by congenital peritoneal bands are reported. Attention is drawn to the unusual physical sign of halitosis as a presenting feature. It is suggested that this physical sign may be an indication for barium studies.

Adolescent↗
PubMed1990

Choledochal cysts: their management revisited.

A recent literature review of the rare anomalies of choledochal cysts is undertaken. Successful long-term outcome is dependent upon the operation performed. Cyst excision and hepaticojejunostomy is recommended to prevent the development of carcinoma and other serious complications.

Adolescent↗
PubMed1983

Complications of rectal suction biopsy.

Complications following use of the rectal suction biopsy technique in the diagnosis of Hirschsprung's disease, are rare. In a series of 1,340 consecutive biopsies, complications included three clinical perforations of the bowel, one resulting in death, and three rectal hemorrhages requiring transfusion. A plea is made for the use of greater care in this technique.

Biopsy↗
PubMed1983

Disseminated zygomycosis (mucormycosis) caused by Saksenaea vasiformis.

A 14-year-old child from Iraq presented with an acute febrile illness accompanied by large necrotic skin lesions and bronchopneumonia from which he subsequently died. The infection was caused by an unusual zygomycete fungus Saksenaea vasiformis. Previous reports of infection with this organism are rare and tissue invasion has usually followed traumatic injury. In the child reported here no predisposing abnormalities were apparent.

Adolescent↗