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Risk factors associated with sphincter-preserving resection in patients with low rectal cancer.
We collected rectal cancer patients for SPR and APR observation between 2005 and 2007. The patient-related, tumor-related, and surgery-related variables of the SPR and APR groups were analyzed by using logistic regression techniques. The mean distance from the anal verge (DAV) of cancer is significa...
The effectiveness of a rapid-access flexible sigmoidoscopy clinic in a district hospital.
We aim to determine the effectiveness of our rapid-access flexible sigmoidoscopy clinic, and the adherence to the referral guidelines for suspected bowel cancer by general practitioners. We performed a 3-month retrospective audit to evaluate (1) the proportion of patients seen within 2 weeks, (2) th...
A mortality risk assessment model for cardiac valve replacement surgery and its application in the use of prophylactic extracorporeal membra...
We retrospectively reviewed the medical records of 4482 patients who underwent cardiac valve replacement from January 1994 to December 2004, at Anzhen Hospital, Beijing, China. A total of 158 patients were going to receive heart valve replacement. Associations between mortality and the demographic,...
Sequential bypass on the beating heart can be achieved without compromising patient safety or regional myocardial blood flow.
We have used, in addition to an internal mammary artery (IMA) graft to the left anterior descending (LAD) coronary artery, a sequential reversed saphenous vein graft (rSVG) to revascularize the lateral, inferior, and posterior myocardium with a single proximal aortic anastomosis. In this report, we...
The use of the radial recurrent fasciocutaneous flap in interposition arthroplasty of elbow ankylosis case report and review of literature.
We report the use of the regional radial recurrent fasciocutaneous flap of the arm as an interposition material for an ankylosed elbow after excision of the bone block, with no donor site morbidity and improved range of elbow motion. At 4 years postoperatively, patient is very satisfied with functio...
Visceral fat volume and surgical outcomes of colorectal resection.
As the impact of visceral fat volume on surgical outcomes in colorectal resection had not previously been assessed, this study was designed to compare the surgical outcomes of colorectal resection in obese and nonobese patients. From 2004 to 2007, 79 operative patients with colorectal cancer were ex...
Free jejunal autograft reconstruction after total pharyngolaryngeal resection.
We retrospectively studied the efficacy and outcome. Nine patients (M/F, 8/1) underwent a total of 10 free jejunal autograft reconstructions. The median age was 58.6 years (range, 48-78 years). The median hospital stay was 32 days (range, 13-67 days) and the graft failure rate was 10% (1/10), 9/10 s...
Methotrexate-induced hepatic necrosis requiring liver transplantation in a patient with rheumatoid arthritis.
MTX-induced hepatic injury and liver enzyme elevations have been demonstrated after treatment of leukemia, gestational disease and during treatment of psoriasis and rheumatoid arthritis. A 40-year-old man with a long standing history of rheumatoid arthritis was treated with MTX over a 6 month period...
A prospective study comparing vertical banded gastroplasty versus laparoscopic adjustable gastric banding in the treatment of morbid and sup...
We present our prospective comparative study on 60 patients subjected to two types of gastric restrictive procedures, i.e. Vertical Banded Gastroplasty (VBG) and Laparoscopic Adjustable Gastric Banding (LAGB) at King Abdul Aziz University Hospital, Jeddah, Saudi Arabia. The aim of our study was to c...
Sigmoid perforation, an exceptional late complication of peritoneal prosthesis for treatment of inguinal hernia.
Two cases of sigmoid perforation and fistula occurred as late complications after insertion of a nonresorbable prosthesis by the open preperitoneal inguinal route. These infrequent complications are favoured by peritoneal defects and use of materials which can cause extensive sclerous reactions. Ind...