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Biomedical subjects

R Reiss

Publications and source records attributed to R Reiss.

184 records · Page 11Linked to original sources
PubMedDate not supplied

The sequential pneumatic compression device in surgery for lymphedema of the limbs.

A modified technique for operations for lymphedema of the limbs is presented and illustrated in three cases. The technique consists of using the Lympha-Press, a new sequential pneumatic compression apparatus, which was used before operation for reduction of lymphedema, facilitating the surgical procedure, during operation to enlarge the lymphatic vessels, making creation of the lymphatico-venous anastomosis easier, and after operation to avoid early occlusion of the anastomosis, serous accumulation, pain, wound infection and ugly scars.

Female↗
PubMedDate not supplied

Hemorrhoids: a plea for nonsurgical treatment.

There are numerous different forms of treatment for hemorrhoids. Conservative therapy with suppositories and stool softeners is usually effective. However, many patients still come to surgery and it is u nuclear which of the many methods of active treatment should be used. Surgery is still widely performed, but other possible methods include injection therapy, elastic band ligation, cryosurgery, anal dilatation and lateral subcutaneous sphincterotomy. The scanty literature on comparative controlled trials of these methods is reviewed. These studies indicate that formal hemorrhoidectomy should rarely be necessary, as results of elastic band ligation and anal dilatation compare very favorably with surgery. It is suggested that elastic band ligation and anal dilatation are very effective forms of treatment in patients not responding to conservative therapy.

Adult↗
PubMedDate not supplied

Incidental cholecystectomy in the over-70 age group. A 19-year retrospective, comparative study.

OBJECTIVES: To analyse the outcome of incidental cholecystectomy in the over 70 age-group during surgery for gastrointestinal malignancies. DESIGN: Nineteen-year retrospective, comparative study. SETTING: Department of Surgery B, Belinson Campus, Rabin Medical Center. SUBJECTS: The hospitalization records of 4,072 patients who underwent cholecystectomy between 1975 and 1994 were reviewed. The incidental cholecystectomy cases for this period were identified and those performed during surgery for gastrointestinal malignancy were analysed separately. A sex- and age-matched control group was identified for comparison. MAIN OUTCOME MEASURES: Postoperative complications, overall morbidity and mortality, postoperative hospitalization days. Statistical differences in gallbladder-related complications and mortality among groups. RESULTS: Mortality and overall morbidity were significantly increased in the no-cholecystectomy group. Hospitalization days were increased significantly in the group not under-going cholecystectomy and although it didn't reach statistical significance, there was a clear trend for increased number of pulmonary complication in this same group. Sepsis and multiorgan failure, as an expression of acutely, postoperative symptomatic gallbladder were the major cause of death in the no-incidental-cholecystectomy group. CONCLUSIONS: Incidental cholecystectomy is safe and should be considered in every case of abdominal surgery, regardless of the age of the patient. In the over 70 age group, complication and mortality rates increase significantly and dreadfully when the gallbladder is left in situ after surgery for gastrointestinal tumors. Incidental cholecystectomy is not warranted in patients undergoing palliative procedures or in whom life expectancy is less than 6 months.

Age Factors↗