Evaluation Of Operating Procedures Research Articles

An evaluation of operative procedures in the treatment of hammer toe.

Eighty per cent of 63 patients who had undergone 136 surgical corrections of hammer toes in the 6 years prior to this study were improved by operation. In adults proximal phalangectomy was the most successful procedure to relieve symptoms and is suggested as the operation of choice. Flexor to extensor tendon transfer was successful in children but not in adults. It is proposed that the operation be performed in an out-patient basis whenever possible.

Evaluation of lactate dehydrogenase isoenzyme patterns in serum of patients undergoing cardiac surgery

Serial determinations of serum lactate dehydrogenase (LD) isoenzymes were performed in 50 patients undergoing cardiac surgery for coronary artery bypass and heart valve replacement. A sequence of LD isoenzyme patterns was established in the patients with uncomplicated recovery. These patterns served as controls for the detection of abnormal patterns associated with clinical complications. Perioperative myocardial infarction was detected in seven patients by a characteristic reversal of the LD1:LD2 ratio. These studies established that accurate determination of LD isoenzymes improved their diagnostic specificity. These isoenzymes were determined by (1) using the same technique for tissues and for serum samples, (2) applying a volume of serum containing a standard amount of enzymatic activity, and (3) making a clear separation, which allows accurate quantitation. This test can provide useful information to the surgeon for the evaluation of operative procedures and to the clinician for the appropriate management of the patient undergoing cardiac surgery.

Knee analyser: An objective method of evaluating mediolateral stability in the knee

A machine is described which is capable of accurately determining the mechanical behaviour of the knee as it undergoes mediolateral bending under controlled conditions. This knee analyser applies a constant valgus and varus angular deflection rate to the knee up to a preset moment limit. The applied moment is sensed by a strain-gauged pillar and the angular deflection by a precision potentiometer. The resulting voltages are fed to an xy recorder yielding a plot of moment against angle. By monitoring distraction of the joint concurrently, the deformation characteristics of ligament and cartilage components can be evaluated. The machine should assist in the diagnosis of knee problems, follow-up of patients with rheumatoid arthritis, evaluation of operative procedures on the knee and should also provide fundamental information on the properties necessary for future knee replacements.

A Review and Evaluation of Operative Procedures Used for Chronic Duodenal Ulcer

No one operation has emerged as the one to be used for all patients requiring surgery for chronic duodenal ulcer, although currently the favorite appears to be truncal vagotomy with antrectomy. Selective and proximal gastric vagotomy may, however, assume an increasingly important position in the armamentarium of the surgeon.

A Clinical Evaluation of Operative Procedures for Congenital Talipes Equinovarus

A Clinical Evaluation of Operative Procedures for Congenital Talipes Equinovarus

Evaluation of operative procedures for achalasia.

Evaluation of operative procedures for achalasia.

The surgical correction of congenital aplasia of the vagina: An evaluation of operative procedures, end result, and functional activity of the transplanted epithelium

A LTHOIJGH congenital absence of the vagina has been recognized since earliest antiquity, its surgical correction began only a little over a century ago. Since the first reported attempt at surgical correction by Dupuytrenl in 1817, there have been many hectic years of trial and error, of weighing -the psychological evils of the anomaly against the risks of operation. Today, fortunately, all this has changed. There no longer appears to be any valid reason why girls with congenital aplasia of the vagina should not receive the benefit of modern surgical correction, and at a sufficiently early age to minimize psychological trauma. For these young women there are today satisfactory methods of treatment, but this was not always so. Indeed, the cycle through which their wheel of fortune has revolved represents a small, but interesting phase in gynecologic history. Steinmetz2 presented an interesting historical review of the subject in 1940. The incidence of vaginal aplasia is not definitely known, but Engstadt considers one in five thousand births a fair figure. Probably the condition is more common than was formerly believed because some afflicted individuals fail t.o seek treatment and many treated cases remain unreported. While the condition must have been recognized since earliest times, Burrage* states that the first reported case was described by Realdo Columbus in 1752. By 1895, however, Neugebauer had knowledge of one thousand collected cases. The condition represents an embryonal or developmental defect and may reveal itself as a partial OP complete absence of the vagina. Since the genital and urinary organs have a close embryonic origin, developmental anomalies of a,djacent urinary organs may also be encountered. This is an important point to remember since a pelvic mass found in connection with aplasia of the vagina may mean a pelvic kidney. One of our patients had only one kidney (Fig. 1). Counseller a.nd Sluder, Jr.,3 investigated 15 of their patients urologically and found only 6 had normal kidneys. Of the remaining 9, the left kidney was congenitally absent in 6. Two had ectopic pelvic left kidneys and one had a d.uplication of the left ureter.