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PubMed1976

[Indications and results of ileal neobladder during the development of cervix uteri cancer. Study of 32 cases].

32 uretero-ileoplasties were carried out during the course of carcinoma of the uterine cervix, where therapeutic complications required an urinary by-pass operation. A trans-ileal by-pass to the skin ensured better renal function and comfort than that provided by a skin ureterostomy. The operation carried out in 20 cases after curative radiotherapy,.remains possible with a reasonably low risk: 2 deaths. However, survival depends on the cancer. The operation is legitimate and advisable in urinary lesions due to treatment, but one wonders whether the operation is justified in cases where the carcinoma is inoperable. Present means of resuscitation made this surgery acceptable as far as the immediate risk is concerned and survival is undoubtedly comfortable. On may thus carry out again radical operations provided the lesions are limited and there is no fibropelvis after high dose cobalt-radiotherapy. But purely palliative trans-ileal urinary by-pass operations remain debatable. Their indications depend on the general condition of the patient, the desire of the surgeon to operate and the functional result of these palliative operations should not be lost by carrying out too radical an operation which will shorten survival time.

Dermatologic Surgical Procedures↗
PubMed1976

What the urine contains following athletic competition.

Forty-two of 369 athletes were found to have a positive Occultest on the first urine sample voided following athletic competition. This positive reaction could be due to the presence of either myoglobin or haemoglobin. The Occultest was most often positive in competitors in the longer duration events such as the marathon. Twenty-six of these 42 specimens with a positive Occultest contained over 10 red cells per mm3. The urine samples were also examined for white cells, casts, bacteriuria and the concentration of urea, creatinine, electrolytes and protein. Proteinuria was a frequent finding and increased with the severity of the exertion.

Bacteriuria↗
PubMed1975

Appendicitis complicating pregnancy.

Thirty-four pregnant women with acute appendicitis presented at Parkland Memorial Hospital during a 15-year period. Abdominal pain, usually accompanied by nausea with or without vomiting, was the most common presenting symptom. Anorexia was less constant, and its occurrence decreased with advancing gestation. Physical findings usually included direct abdominal tenderness and, less often, rebound tenderness. Leukocytosis and/or a "left shift" were common laboratory findings, and the urinalysis was normal in most cases. Diagnosis was increasingly difficult as gestation progressed. This was reflected both by the increasing severity of the disease process found at surgery and by increasing fetal loss. If the diagnosis of appendicitis is suspected in the gravid patient, immediate surgical intervention is indicated to prevent the catastrophic complications associated with procrastination in diagnosis and treatment.

Adolescent↗