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West Indian med. j ; 48(2): 91-2, Jun. 1999.
Artigo em Inglês | MedCarib | ID: med-1513


We present an operation never described before for dealing with abdominal aortic aneurysms by exclusion via a midline trans-abdominal approach. This breakthrough holds many advantages over conventional aneurysmorrahphy and requires further clinical trials (AU)

Humanos , Masculino , Idoso , Relatos de Casos , Aneurisma da Aorta Abdominal/cirurgia , Implante de Prótese Vascular/métodos , Países em Desenvolvimento , Trinidad e Tobago , Abdome/cirurgia , Anastomose Cirúrgica/métodos , Perda Sanguínea Cirúrgica/prevenção & controle , Aneurisma Ilíaco/cirurgia , Peritônio/cirurgia
West Indian med. j ; 44(4): 140-2, Dec. 1995.
Artigo em Inglês | MedCarib | ID: med-4791


One hundred and twelve patients with penetrating abdominal injuries seen at the Kingston Public Hospital, Jamaica, over a twelve month period from January 1 to December 31, 1992 were reviewed. Seventy-five (67 percent) patients had stab wounds and thirty-seven (33 percent) sustained gunshot wounds. There were 10 deaths (27 percent) from gunshot wounds, and seven deaths (9 percent due to stab wounds. Using a protocol of selective conservatism for stab wounds, 41 (60 percent) were observed, 27 (40 percent) explored and 5 (12 percent) patients had negative laparotomy. The male to female ratio was 10: with 88 percent in the age group 16-35 years. A decision to perform laparotomy was used and is recommended (AU)

Adulto , Criança , Feminino , Humanos , Masculino , Adolescente , Pessoa de Meia-Idade , Ferimentos Penetrantes/cirurgia , Abdome/cirurgia , Violência/estatística & dados numéricos , Ferimentos por Arma de Fogo/cirurgia , Ferimentos por Arma de Fogo/mortalidade , Ferimentos Penetrantes/mortalidade , Ferimentos Perfurantes/mortalidade , Ferimentos Perfurantes/cirurgia , Fatores Etários , Fatores Sexuais , Complicações Pós-Operatórias , Estudos Retrospectivos , Laparotomia
West Indian med. j ; 44(Suppl. 2): 39-40, Apr. 1995.
Artigo em Inglês | MedCarib | ID: med-5740


Most textbooks and ultrasound manuals describe the technique for doing transabdominal pelvic ultrasound as simply doing longitudinal and transverse scans through the pelvis in the midline and in the transverse plane, angling 15§ cephalad for the ovaries and caudal angulation for the pelvic musculature. To scan the right adnexa, moving the transducer to the right is described, and to the left for the left adnexa. Occasional mention is made of scanning obliquely. For longitudinal scans, the transducer from the midline is angled towards the right or left for the ovaries. An improved technique for scanning the adnexa is demonstrated, which consists of scanning through the bladder from the opposite side, angling acutely 45§ or less towards the side of interest. For instance, the left adnexa is scanned from the right side of the abdomen, the transducer being placed to the right of the right lateral edge of the bladder and then angled towards the left. This is done both for longitudinal and for transverse scanning of the adnexa. This technique routinely gives a clearer picture and should become part of the standard procedure used and taught by sonographers (AU)

Ultrassonografia de Intervenção/estatística & dados numéricos , Abdome/diagnóstico por imagem , Pelve/diagnóstico por imagem , Jamaica , Anexos Uterinos
Gut ; 30(5): 569-72, 1989.
Artigo em Inglês | MedCarib | ID: med-12080


Upper endoscopic and gastric acid output studies were done in 51 patients with homozygous sickle cell (SS) disease and recurrent epigastric pain. Twenty (39 percent) had abnormalities in the upper gastrointestinal tract including 18 (35 percent) with peptic ulcers. Mean bassal and maximum acid output were similar in patients with and without duodenal ulcer (DU). Because DU in SS disease does not appear to be associated with high acid outputs observed in other populations, it may reflect reduced mucosal resistance, possibly resulting from ischaemia. This hypothesis was supported by the significantly lower fetal haemoglobin level among SS-DU patients. (Summary)

Humanos , Adulto , Pessoa de Meia-Idade , Idoso , Masculino , Feminino , Abdome , Anemia Falciforme/complicações , Ácido Gástrico/metabolismo , Dor/etiologia , Úlcera Péptica/complicações , Anemia Falciforme/metabolismo , Anemia Falciforme/fisiopatologia , Duodenoscopia , Gastroscopia , Úlcera Péptica/fisiopatologia
West Indian med. j ; 37(3): 179-84, Sept. 1988.
Artigo em Inglês | MedCarib | ID: med-11694


Two cases are presented which illustrate the radiological drawbacks and advantages of air when it is present either around or within an organ of clinical interest. The physical principles underlying this anomaly are briefly discussed, particularly in relation to plain film radiology and ultrasonic imaging. The importance of recognising this phenomenon and the diagnostic difficulties which may arise are stressed (AU)

Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Abdome/diagnóstico por imagem , Tecnologia Radiológica , Ultrassonografia
West Indian med. j ; 37(suppl): 35, 1988.
Artigo em Inglês | MedCarib | ID: med-6602


Because McBurney's original description was clinical rather than anatomical and because one of us found that at most operations the appendix was not in fact at McBurney's point, it was thought valuable to examine the validity of this well-known landmark. A prospective study of 100 post-evacuation barium enemas was done. With the patient supine, films were centered on McBurney's point, with an opaque skin marker at that point. In one patient, the base of the appendix was at McBurney's point. In 67 percent, it was cephalad, and in 32 percent, it was caudal to this point. The limitations of McBurney's point as an anatomical landmark should be recognised. This needs to be highlighted in teaching anatomy, especially to surgical trainees. Planning the choice of surgical incisions could be based on an understanding of the relative frequency of these anatomical variations (AU)

Humanos , Abdome/anatomia & histologia , Apêndice/cirurgia , Enema , Sulfato de Bário
West Indian med. j ; 3(2): 137-40, June 1954.
Artigo em Inglês | MedCarib | ID: med-10381


The case of abdominal actinomycosis is, as far as we are aware, the first to be recorded from Jamaica. In addition, no reports on the occurrence of gangrene of the scrotum are known from this island. The presence of a member of the family, Pseudomonadaceae, which is at present under study is intriguing. Its possible role as the cause of the gangrene is discussed (AU)

Humanos , Adulto , Masculino , Actinomicose/diagnóstico , Actinomicose/etiologia , Gangrena/diagnóstico , Gangrena/etiologia , Abdome , Escroto/patologia , Pseudomonadaceae/patogenicidade