Biomedical subjects
Publications and source records attributed to J C Nicholls.
Duplication of the vermiform appendix is uncommon; however appendicectomy is frequently performed. Failure to recognize this condition may have serious clinical and medicolegal consequences. A case is reported and the classification reviewed; medico-legal aspects are discussed. A greater awareness of the condition amongst junior surgical staff is recommended.
Two examples of the clinical importance of the marginal artery are given. They should alert the colorectal surgeon to the possibility of anatomical abnormalities leading to major complications in this surgical field.
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A small series of patients with amoebiasis presenting to the surgical service in Seychelles is described. The varied nature of the symptomatology indicates that this may be a local pattern of the disease process. The value of specific clinical features and the use of a therapeutic trial for diagnosis is emphasised. The features of common 'Third-World' diseases should be well known to all surgeons wherever they practise in view of the rapidity with which people can now travel from country to country.
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A policy of using local anaesthesia whenever possible for the repair of inguinal hernias was adopted in Seychelles primarily because a constant supply of anaesthetic gases could not be depended upon. The technique adopted is described and the results obtained over an 18-month period are reported. Experience has shown that local anaesthesia for this operation has many advantages and few disadvantages and is now preferred to general anaesthesia except when contraindicated by special circumstances.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.