Primary Aspiration Research Articles

Laparoscopic Ablation of Symptomatic Renal Cysts

We report a laparoscopic approach to the drainage and ablation of symptomatic simple renal cysts. Ten patients with chronic pain, 6 of whom failed primary aspiration, underwent laparoscopic cyst ablation: 6 had solitary renal cysts, 3 had multiple cysts and 1 had a peripelvic cyst. The approach was transabdominal in 9 patients and extraperitoneal in 1. Intraoperatively, cyst fluid was obtained for cytological examination, and cyst walls were excised and sent for pathological examination. When possible, the remaining inner cyst walls were fulgurated to prevent recurrence. Mean total operating room time was 2hours 27minutes and blood loss was minimal. The sole complication was a postoperative retroperitoneal hematoma, which was managed conservatively. Malignancy was diagnosed in 2 patients, each of whom had a negative preoperative aspiration. These patients subsequently underwent radical nephrectomy. All remaining patients were asymptomatic at a mean followup of 10 months. Laparoscopic ablation of renal cysts is a safe and effective alternative to open surgery in patients who have failed conservative measures. Preoperative and intraoperative evaluation for malignancy should be performed.

Factors influencing fine-needle aspiration cytology in the management of recurrent gynecologic malignancies

Over a period of 6.5 years (January 1983 through August 1989) 124 fine-needle aspirations (FNAs) were performed on 95 patients with prior documented primary malignancies of the cervix, ovary, endometrium, and vulva. The significance of clinicopathologic factors which influenced the FNA results was analyzed by statistical methods. The factors studied included the initial patient clinical stage, the time interval between staging and disease recurrence, the treatment modalities, the neoplasm type, the aspiration site, the target lesion size, and the type of radiologic guidance. Primary aspiration sites were pelvic wall and organs (40%), lymph nodes (36%), and liver (21%); 64% were positive, 5% suspicious, 15% negative, and 16% unsatisfactory. The specificity was 100%; sensitivity, 96.3%; predictive value of a positive test, 100%; and predictive value of a negative test, 84.2%. Statistically significant clinicopathologic factors which influenced the FNA results included the target lesion size ( P = 0.026) and the aspiration site ( P = 0.033). The primary neoplasm type, the time interval between staging and disease recurrence, the initial patient clinical stage, the treatment modalities, and the type of radiologic guidance were not statistically significant. FNA is a reliable procedure in the management of gynecologic malignancy and its results are influenced by clinicopathologic factors.

Cerebral abscess in children.

During the period 1935 to 1976 200 patients with cerebral abscess were referred to the University Clinic of Neurosurgery, Rigshospitalet, Copenhagen. Among them 48 were children (less than 15 years), i.e. 24%. Fourteen of the children had multiple abscesses. Ear-, nose- or throat infections were the source of infection in 42% of the cases. Seven of the children had congenital heart disease. The clinical manifestations are described. The risk of lumbar puncture in these patients is emphasized by the fact, that three of them incarcerated during the procedure. Changing neuroradiological methods, affording limited differential diagnostic accuracy, have now been replaced by computed tomography. The most common surgical methods were primary excision or aspiration. The overall mortality rate was 33%.

Surgery of brain abscess (author's transl)

Sixty-seven cases of brain abscess including 52 cases of surgically verified brain abscess were experienced in our clinic during the 18 years from 1960 to 1978. Relationships between operative methods and operative mortality and morbidity were analyzed. Twelve out of 52 surgical cases died, and the surgical mortality was 22.2%. Among different methods of surgical treatment, such as total primary excision, aspiration alone and secondary excision following aspiration, secondary excision following aspiration revealed the lowest mortality. When the brain abscess did not become smaller and the capsule of the brain abscess did not become thicker in spite of repeated aspiration, the outcome was poor. As far as surgical mortality was concerned, aspiration alone appeared to be more favorable than other surgical methods. There were significant improvements in the survival rate and quality of survival with brain abscess in the post-CT era. The indication, methods and timing of surgical procedures on brain abscess were discussed with CT scan analysis.

Needle aspiration of breast cysts.

A total of 149 breast cysts have been treated with primary aspiration. Findings were abnormal in 36 patients, 30 of whom underwent excision of the breast cyst with cancer being found in four. Careful examination of the breast after aspiration and follow-up are necessary, but, provided these precautions are observed, this type of treatment is simple, safe, and cheap besides often giving the patient relief at the first consultation.

Principles of treatment of different types of parotid tumors.

AbstractThe prerequisite for an adequate treatment of a parotid tumor is a correct diagnosis — a diagnosis based on well delimited histological types of tumor. A classification with a clear delimitation between benign and malignant types of tumor is presented. The prognosis, relation to the facial nerve and the radiosensitivity of the different types of tumor in this classification have been studied in a series of about 2,000 parotid tumors. The extent of the surgical intervention — subtotal or total parotidectomy, radical neck dissection, sacrificing of the facial nerve — and the decision to perform preoperative irradiation are determined by the type of tumor; therefore, a correct diagnosis of the tumor before treatment is important as the primary diagnostic method aspiration biopsy has been routinely employed during the last decade.

Myth and Mysticism: A Study of Objectification and Interiorization in Religious Thought

Previous articleNext article No AccessMyth and Mysticism: A Study of Objectification and Interiorization in Religious ThoughtHans JonasHans Jonas Search for more articles by this author PDFPDF PLUS Add to favoritesDownload CitationTrack CitationsPermissionsReprints Share onFacebookTwitterLinkedInRedditEmail SectionsMoreDetailsFiguresReferencesCited by The Journal of Religion Volume 49, Number 4Oct., 1969 Article DOIhttps://doi.org/10.1086/486190 Views: 138Total views on this site Citations: 4Citations are reported from Crossref Copyright 1969 The University of ChicagoPDF download Crossref reports the following articles citing this article:Zhuo Job Chen, Janki Patel Spiritual Experiences in Soulmate Relationships: Qualitative and Network Analysis of the Mystical Bond, The International Journal for the Psychology of Religion 31, no.33 (Jul 2021): 176–188.https://doi.org/10.1080/10508619.2021.1899638Fabrizio Vecoli Différencier l’indifférencié: Culture et religion. Une réflexion appliquée au cas du monachisme primitif 1, Studies in Religion/Sciences Religieuses 47, no.44 (Nov 2018): 566–585.https://doi.org/10.1177/0008429818778881Malcolm Angelucci Not Enough of an Artist? Myth, Pedagogy and Rhetoric in Carlo Michelstaedter's Poem I Figli del Mare, Forum Italicum: A Journal of Italian Studies 46, no.22 (Sep 2012): 342–360.https://doi.org/10.1177/001458581204600204Robert A Segal Jung and Gnosticism, Religion 17, no.44 (Oct 1987): 301–336.https://doi.org/10.1016/0048-721X(87)90057-1

Survival of bacteria in amoebic hepatic pus in vitro.

1. Bacterial infection of amoebic hepatic abscess is a relatively uncommon event.2. Investigations to demonstrate a possible bactericidal effect of liver pus in vitro indicated that small inocula, especially of young cultures, of Sh. sonnei, Staph. pyogenes and an organism of pseudomonas species were rendered sterile. Organisms such as Esch. coli, Saim. typhi, Saim. typhimurium, Sh. boydii and Strep.faecalis showed a drop in viable count during the first few hours of incubation followed by a logarithmic increase. The strain of A. aerogenes, on the other hand, was not decreased in numbers during the first few hours of incubation and showed a prolonged lag phase followed by a logarithmic increase in numbers. Shigella sonnei, Staph. pyogenes, Sh. boydii and Strep. fascalis attained to maximum population densities which were less than those obtained in control broth tubes and less than those of other organisms in liver pus.3. It is suggested that secondary bacterial infection of amoebic liver abscess is often endogenous in origin, occurring after primary aspiration due to disinte gration of the lining wall of the cavity, allowing the entrance of portal blood containing organisms from the damaged bowel.