Subject(s)
AIDS-Related Opportunistic Infections/pathology , Cryptococcosis/pathology , Lung Diseases, Fungal/pathology , Opportunistic Infections/pathology , T-Lymphocytopenia, Idiopathic CD4-Positive/pathology , AIDS-Related Opportunistic Infections/immunology , AIDS-Related Opportunistic Infections/surgery , Aged , CD4-CD8 Ratio , Cryptococcosis/immunology , Cryptococcosis/surgery , Diagnosis, Differential , Humans , Lung/pathology , Lung Diseases, Fungal/immunology , Male , Opportunistic Infections/immunology , Opportunistic Infections/surgery , Pneumonectomy , T-Lymphocytopenia, Idiopathic CD4-Positive/immunology , T-Lymphocytopenia, Idiopathic CD4-Positive/surgeryABSTRACT
We present a patient who had a left thoracotomy 43 years previously. Since that surgery he experienced intermittent hemoptysis, and a recent thoracotomy revealed an intrapulmonary foreign body (retained sponge) in the left lower lobe. The liability potential of this case is discussed.
Subject(s)
Foreign Bodies , Lung , Surgical Sponges , Aged , Foreign Bodies/diagnosis , Foreign Bodies/diagnostic imaging , Humans , Lung/diagnostic imaging , Male , Radiography , Time FactorsSubject(s)
Asthma/complications , Carcinoma, Squamous Cell/complications , Goiter/complications , Respiratory Sounds/etiology , Tracheal Neoplasms/complications , Adult , Bronchoscopy/methods , Carcinoma, Squamous Cell/pathology , Goiter/surgery , Humans , Male , Middle Aged , Tracheal Neoplasms/pathologyABSTRACT
A rapid, simple palliative technique for treatment of pulmonary atresia with a one-stage pulmonary valvotomy and central aortopulmonary artery shunt is described.
Subject(s)
Heart Ventricles/abnormalities , Pulmonary Valve/abnormalities , Heart Ventricles/surgery , Humans , Palliative Care , Pulmonary Valve/surgeryABSTRACT
Arteriovenous malformations of the stomach are rare; blood loss may be manifested either by chronic anemia or by massive recurrent hemorrhage. We report a patient with massive upper gastrointestinal hemorrhage from a gastric arteriovenous malformation. Emergency operation to control hemorrhage precluded the performance of angiography; diagnosis was made from the appearance of the lesion and dilatation of the veins draining the involved area. Complete operative excision of the lesion was curative.
Subject(s)
Arteriovenous Malformations/complications , Gastrointestinal Hemorrhage/etiology , Stomach/blood supply , Angiography , Arteriovenous Malformations/diagnosis , Arteriovenous Malformations/surgery , Follow-Up Studies , Gastric Mucosa/pathology , Gastroscopy , Humans , Male , Middle Aged , Stomach/surgeryABSTRACT
The use of autologous muscle as a thromboplastic agent in operations upon the head and neck has proved to be a safe, cost effective means to accomplish hemostasis in an area where it is absolutely necessary.
Subject(s)
Hemostasis, Surgical , Muscles/surgery , Neck Muscles/surgery , Neck/surgery , Hemostasis , Humans , Thromboplastin/metabolismABSTRACT
This study analyzed a group of morbidly obese patients who underwent jejunoileal bypass over a 10 year period. Patients underwent either a Payne or Scott procedure. Weight loss was reported in terms of percent of excessive weight loss. Results showed that patients who had a Payne bypass had an average excess weight loss of 75 percent, whereas those with the Scott bypass had an average excess weight loss of 61 percent. All patients lost weight. Complications in this series were lower than what has been traditionally reported. The problem that occurred most often was kidney stones (8 percent of the patients). There has been only one death to date. The low incidence of complications can be attributed to the fact that the patients were evaluated, operated on, supervised, and followed by one doctor and his associated nurses. Thus, it is proposed that jejunoileal bypass, compounded with good patient care and careful patient selection, can produce positive results with a minimum number of problems.
