ABSTRACT
Non-Leydig cell gonadal stromal tumors of the testis are rare and most are benign. Criteria for determining malignancy are poorly defined. A gonadal stromal tumor of spindle fibroblastic cells presented in a 34 year old male. The patient remains alive and well with no evidence of metastasis 3 years following surgery. Light and electron microscopical features of the tumor are described.
Subject(s)
Testicular Neoplasms/pathology , Adult , Cell Differentiation , Fibroblasts , Humans , Immunohistochemistry , Male , Microscopy, Electron , Testicular Neoplasms/chemistry , Vimentin/analysisABSTRACT
Since 1974, 70 morbidly obese patients who had failed to respond to conservative management have been treated by gastric surgery. Results of treatment are described. Important developments in the programme included more satisfactory weight loss resulting from standardisation of pouch and stoma size, and a decrease in morbidity resulting from better case selection and the use of the gastric stapler during the bypass procedure.
Subject(s)
Obesity/therapy , Stomach/surgery , Acute Disease , Adolescent , Adult , Body Weight , Female , Humans , Male , Middle Aged , Obesity/psychology , Postoperative Complications/etiology , Risk , Surgical Staplers , Vomiting/etiologyABSTRACT
A retrospective survey was carried out on all patients undergoing operations for parenchymal disease of the liver in the Auckland area in the 10 year period 1968--1977. Biopsies were not included. There were 172 patients, the largest group being 118 with hepatic trauma. There were 11 resections for tumour, 25 patients treated surgically for hydatid disease, 15 abscesses and three miscellaneous cysts. Results of operation are presented and the relevant aspects of the diagnostic and treatment policies are discussed.
Subject(s)
Liver Diseases/surgery , Liver Neoplasms/surgery , Liver/surgery , Cysts/surgery , Drainage , Echinococcosis, Hepatic/surgery , Hepatectomy , Hepatic Artery/surgery , Humans , Ligation , Liver/injuries , Liver Abscess/surgery , New Zealand , Retrospective StudiesABSTRACT
Failure of conservative methods of control of gross obesity has led to the adoption of surgical measures. In our experience intestinal bypass, though resulting in significant weight loss, is associated with a number of unpleasant complications. For this reason our programme now involves the use of 90% gastric bypass. The results in our first 39 patients undergoing this operation are presented, with a six-month to three-year follow up. Weight loss has been satisfactory. Although it is a more major procedure than intestinal bypass, the lack of major metabolic sequelae makes gastric bypass the more acceptable form of management.
Subject(s)
Jejunum/surgery , Obesity/therapy , Stomach/surgery , Adult , Body Weight , Female , Humans , Male , Middle Aged , Postoperative Care , Postoperative Complications/epidemiology , Postoperative Complications/surgeryABSTRACT
Failure of conservative methods of control of gross obesity has led to the adoption of surgical measures. The operation of intestinal bypass, may be associated with the number of unpleasant complications. As a result there has been recent interest in the operation of gastric bypass involving an 80 to 90 percent gastric exclusion procedure. We report on the results of our first 19 patients undergoing this operation, a six to 15 month follow-up. The early results would suggest that gastric bypass in the treatment of morbid obesity is likely to prove superior to the various forms of intestinal bypass.
Subject(s)
Jejunum/surgery , Obesity/therapy , Stomach/surgery , Adult , Body Weight , Chronic Disease , Humans , Middle Aged , Postoperative Complications/epidemiologyABSTRACT
Three out of 24 patients undergoing intestinal bypass in the treatment of morbid obesity have developed acute pancreatitis in the postoperative period. All three had undergone end-to-end jejunoileal bypass. This serious postoperative complication has been infrequently recorded. Its significance and possible aetiological factors are discussed.
