ABSTRACT
In Frederiksberg Hospital in Denmark the therapeutic procedure for acute cholecystitis requiring operation was altered in 1983. Since then, acute cholecystitis has constituted 15% of all cholecystectomies which corresponds to 15 per 100,000 of the population per annum. 12% of these cases were without stones in the gallbladder. Cases of a calculous cholecystitis do not differ from calculous cases as regards age, sex, clinical history in the month preceding operation and the histological findings.
Subject(s)
Cholecystectomy/statistics & numerical data , Cholecystitis/complications , Cholelithiasis/complications , Acute Disease , Adult , Aged , Cholecystitis/epidemiology , Cholecystitis/surgery , Cholelithiasis/epidemiology , Cholelithiasis/surgery , Denmark/epidemiology , Female , Humans , Male , Middle AgedABSTRACT
A controlled trial was set up to compare the treatment of wound abscesses, occurring after laparotomy, with either early secondary suture combined with cefuroxime and metronidazole given intravenously or by healing by second intention. The secondary suture was performed two days after wound drainage and resulted in a significant reduction (p less than 0.01) in healing time without complications. No reinfections occurred.
Subject(s)
Laparotomy/adverse effects , Surgical Wound Infection/surgery , Suture Techniques , Wound Healing , Abscess/surgery , Adult , Aged , Cefuroxime/administration & dosage , Cefuroxime/therapeutic use , Clinical Trials as Topic , Drainage , Drug Therapy, Combination , Female , Humans , Male , Metronidazole/administration & dosage , Metronidazole/therapeutic use , Middle Aged , Random Allocation , Reoperation , Surgical Wound Infection/drug therapy , Time FactorsABSTRACT
A clinical and "blind" histologic review of 82 cases of bronchial carcinoid tumour is presented. The malignant potential of the tumours was only partly predictable from their histologic appearance. Histologically 65 of the tumours were typical benign carcinoids. Regional metastases were found at operation in two of these patients. Fatal carcinoid syndrome with regional and distant metastases appeared in two patients about 1 and 3 years postoperatively. One of the patients with regional metastases at operation is clinically free from carcinoid 12 years later. Malignancy was histologically suspected in 17 cases, in ten of which regional metastases were found at operation. Three of these ten patients are alive 6 to 16 years postoperatively, but two without regional metastases at operation died of local recurrence and distant metastases after 3 to 4 years. Carcinoid syndrome was not seen in these 17 patients. There was one peroperative death. Altogether ten patients (12%) died of recurrence. Among the cases judged at the "blind" histologic review to be suspectedly malignant, the corresponding figure was 50%. For typical carcinoids, conservative resection, including lymph-node metastases, is the treatment of choice. Wedge or sleeve resection with or without pulmonary resection were employed in ten cases. Suspectedly malignant carcinoid tumours may require more extensive surgery.
Subject(s)
Bronchial Neoplasms/pathology , Carcinoid Tumor/pathology , Adolescent , Adult , Aged , Bronchial Neoplasms/diagnostic imaging , Bronchial Neoplasms/surgery , Bronchoscopy , Carcinoid Tumor/diagnostic imaging , Carcinoid Tumor/secondary , Carcinoid Tumor/surgery , Female , Follow-Up Studies , Humans , Lymphatic Metastasis , Male , Middle Aged , Neoplasm Recurrence, Local , RadiographyABSTRACT
In 101 patients with suspected or definite chronic pancreatitis a pancreatic function test, endoscopic retrograde pancreatography, and an interview with special regard to pain were performed. Decrease in pancreatic function was correlated to dilatation of the pancreatic duct system. However, no correlation between the duct morphology and the severity of pain was found. Patients with pancreatic pseudocysts were evenly distributed among the groups in accordance with pancreatic function, but they seemed to be concentrated in the groups with severe pain.
Subject(s)
Pain/physiopathology , Pancreatic Ducts/pathology , Pancreatitis/physiopathology , Adult , Aged , Cholangiopancreatography, Endoscopic Retrograde , Chronic Disease , Dilatation, Pathologic , Female , Humans , Male , Middle Aged , Pain/drug therapy , Pancreas/diagnostic imaging , Pancreas/physiopathology , Pancreatic Pseudocyst/physiopathology , Pancreatitis/diagnostic imagingSubject(s)
Obesity/therapy , Stomach/surgery , Adult , Body Weight , Female , Follow-Up Studies , Humans , Male , Middle Aged , Postoperative ComplicationsSubject(s)
Bile Ducts/abnormalities , Gallbladder/abnormalities , Aged , Cholangiography , Cholecystectomy/adverse effects , Female , Humans , Male , Middle Aged , Peritonitis/etiologyABSTRACT
Since Jan. 1, 1976 practically all new cases of germ cell tumours of the testis in Denmark have been included in the Danish Testicular Carcinoma Study (DATECA), permitting detailed registration of data concerning histology and stage at the time of diagnosis. The incidence of carcinoma of the testis in Denmark continues to be high with a crude rate of 8 to 9/100 000 males per year. During the past 5 years the size of the primary tumours has decreased. Parallel to this, the rate of metastatic spread has decreased for seminoma, while no such change has been observed for non-seminomatous tumours. Data are presented on histology and stage for 1058 consecutive patients.
Subject(s)
Neoplasms, Germ Cell and Embryonal/pathology , Testicular Neoplasms/pathology , Adolescent , Adult , Aged , Child , Choriocarcinoma/epidemiology , Choriocarcinoma/pathology , Denmark , Dysgerminoma/epidemiology , Dysgerminoma/pathology , Humans , Lymphatic Metastasis , Male , Mesonephroma/epidemiology , Mesonephroma/pathology , Middle Aged , Neoplasm Metastasis , Neoplasm Staging , Neoplasms, Germ Cell and Embryonal/epidemiology , Teratoma/epidemiology , Teratoma/pathology , Testicular Neoplasms/epidemiologySubject(s)
Athletic Injuries/diagnosis , Hernia, Inguinal/diagnosis , Muscles/injuries , Soccer , Sports , Adult , Diagnosis, Differential , Humans , Male , RuptureSubject(s)
Methadone/therapeutic use , Neoplasms/drug therapy , Pain/drug therapy , Palliative Care , Administration, Oral , Aged , Female , Humans , Male , Middle Aged , Terminal CareABSTRACT
The problems about the value of excretory urography as a preoperative diagnostic examination in patients with benign hypertrophy of the prostate are discussed. On the basis of IVPs, renal function, and absence of hematuria and/or infection in 500 consecutive patients who were to undergo prostatic surgery, it is concluded that IVP is a superfluous examination. In patients with impaired renal function (Se-creatinine greater than 1.5 mg%) IVP showed abnormalities in 41.3%. In patients with normal renal function and urinary tract infection IVP revealed abnormalities in 20.6%. In patients with normal renal function and microscopic hematuria IVP showed abnormalities in 19.2%. It is thus concluded that IVP should be undertaken in patients with impaired renal function (Se-creatinine greater than 1.5 mg%) and may be considered in patients with normal renal function with hematuria or infection.
