Sexual dysfunction after abdominoperineal resection.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to R R Babb.
Explore the source record for details and available documents.
Surgeons engaged in the practice of obstetrics and gynecology should have a clear understanding of the hepatitis B antigen (Australia antigen) serologic test. When positive, it serves as a marker either for the carrier state or for subclinical to overt hepatitis B (serum hepatitis). Patients or health personnel with a positive test are potentially infectious and appropriate precautions should be taken. Surgeons are at increased risk for hepatitis B and, when acutely exposed, should receive standard serum globulin, or perhaps high-titer hepatitis B immune globulin in the future. Infants born to mothers with a positive test may become hepatitis B antigen positive and develop chronic hepatitis.
Aneurysm of the splenic artery is found in up to 10% of the elderly. Usually, the lesion is discovered by change and does not produce symptoms unless rupture occurs. Although there is general agreement that surgery is required in symptomatic patients and in women of childbearing age, controversy persists as to management for the asymptomatic patient. Since rupture is uncommon, and surgical mortality low, those patients over the age of 60 can be followed up, and not operated on because of the diagnosis alone.
Due to the lack of randomized controlled studies comparing medical with surgical therapy, the role of surgery in acute pancreatitis is not clear. This is especially true in critically ill patients who are rapidly deteriorating with hemorrhagic or necrotizing pancreatitis. Surgical intervention may be of benefit in those patients who do not have a clearcut diagnosis of pancreatitis and may have a surgically correctable disorder, who have biliary or pancreatic duct disease, or who have developed a complication such as abscesses or a pseudocyst. The mortality rate of performing a laparotomy on patients with acute pancreatitis is not prohibitive.
Explore the source record for details and available documents.
The long-term effects of thorotrast administration include local granulomas, blood cell abnormalities, and cancer. To date, more than 100 cases of liver cancer have been reported in patients previously given this radioactive contrast material, with a latency period of approximately 22 years. We report such a case; the patient not only had a thorotrast-induced cholangiocarcinoma, but also showed striking morphologic changes in the red blood cells secondary to splenic dysfunction.
Antibotics are often used in the treatment of patients with biliary tract disease. Certain drugs are relatively contraindicated if there is preexisting liver dysfunction. Not all antibiotis achieve a high level in bile, and knowledge of their individual excretion rate is important for intelligent use.
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.
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.