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Biomedical subjects

F L Weakley

Publications and source records attributed to F L Weakley.

At least 55 records · Page 3Linked to original sources

Intraoperative angiography and the localization of bleeding from the small intestine.

A technique of intraoperative angiography involving the use of metallic clips and a comparison with preoperative vascular anatomy has proved quite useful in localizing the site of bleeding from the small intestine. This safe, relatively simple technique, can be a valuable adjunct to the diagnosis of the source of obscure, major bleeding from the small intestine.

Adolescent↗

Pullthrough operation with delayed anastomosis for rectal cancer.

The technique of pullthrough resection with delayed anastomosis for carcinoma of the rectum as performed at the Cleveland Clinic is described. A series of 84 cases of rectal cancer treated in this way is reported. The average tumour diameter was 4.5 cm, the average margin of resection was 4.1 cm and the average distance of the tumour from the anus was 7.6 cm. The incidence of necrosis of the pullthrough was 1.2 per cent. The overall 5-year survival was 63 per cent with 100 per cent, 57 per cent and 53 per cent for Dukes' A, B and C tumours respectively. The quality of bowel function following surgery is described in detail. It is felt that this procedure has an important place in sphincter conservation in carcinoma of the middle third of the rectum.

Adult↗

The Ripstein procedure: a 16-year experience.

A retrospective study was undertaken, evaluating 54 patients who underwent 57 Ripstein procedures at the Cleveland Clinic Foundation during the years 1963-1978. The patients were evaluated for their preoperative characteristics as well as early and late postoperative results. Patients who experience procidentia are generally middle-aged women who have had previous gynecologic and anorectal surgery and who generally had significant disorders of bowel function. Although the operative mortality was zero, and the majority of patients were satisfied with the results of their Ripstein procedure, there was significant operative morbidity (26 per cent). Twelve and one-half per cent of patients had recurrent rectal prolapse, and 18 per cent of patients had significant long-term obstructive symptoms. The Ripstein procedure still remains the treatment of choice for rectal prolapse.

Adolescent↗