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At least 1,765 records · Page 98Linked to original sources
PubMed1983

One-stage reconstruction for pharyngolaryngectomy. Esophagectomy and pharyngogastrostomy without thoracotomy.

From 1969 to 1981, a total of 22 patients underwent laryngopharyngectomy and nonthoracotomy esophagectomy, with immediate pharyngogastrostomy, for hypopharyngeal or postcricoid carcinoma. Thirteen initially had been treated by high-dose radiotherapy, but the tumor had either persisted or recurred. Four patients underwent planned preoperative irradiation on the morning of the operation. Two patients had had previous high-dose local irradiation to the neck for other disease, and three patients had no irradiation. There was one operative death. Anastomotic leaks developed in four patients, but only one of the leaks was considered a serious problem. Three patients had transient dysphagia, but only one required dilatation. Transient delayed gastric emptying was a problem in three other patients. The average postoperative stay was 31 days, with 38% of patients being discharged by 21 days. All patients were discharged eating a normal diet. Fifty percent survived longer than 12 months, with an actuarial survival rate of 30% at 5 years. The patient surviving longest is disease free at 12 years. Palliation was considered excellent in all 21 operative survivors. Immediate pharyngogastrostomy via nonthoracotomy esophagectomy is a safe and excellent means of palliation in this group of patients, for whom palliation is often the only option.

Adult↗
PubMed1978

Routine subclavian vein catheterization in thoracic surgical practice.

A total of 101 routine subclavian vein catheterizations in patients with elective thoracic surgical procedures were performed at the Medical University of South Carolina Hospitals over a two-year period. This was done primarily to have ready access to large veins, particularly in the axial plane of the body and to free the patient's extremities from uncomfortable immobilization and the risk of superficial thrombophlebitis in the postoperative period. The procedure is very safe, and complications are rarely encountered if experienced personnel place and then care for the catheter.

Catheterization↗
PubMed1982

[Prognosis and treatment of tuberculosis in the pre-chemotherapeutical era].

After discovery of the agent, treatment of tuberculosis was carried out in a variety of ways, the main forms of approach including: 1. Direct action on the bacterium-failed. 2. Influencing the organism by rest and irradiation therapy. 3. Surgical intervention for cavity destruction. 4. Improvement of social conditions. Before surgical intervention was practiced on a large scale prospects for bacteria-excreting patients were very poor, two thirds of them dying within the first 3 years. Where de-bacillization was successful, more than 75 per cent of patients survived 10 years. Nevertheless, none of the forms of treatment had any decisive influence on the tuberculosis situation as a whole.

Disinfection↗