Cryoanalgesia: freezing of peripheral nerves.
Explore the source record for details and available documents.
Analgesia↗
Biomedical subjects
A E Nehme
Publications and source records attributed to A E Nehme.
Constipation. An uncommon etiology.
An uncommon cause of chronic constipation is presented in a case report. The patient presented with chronic cough and constipation. Work-up revealed a loop of transverse colon herniated through a right diaphragmatic tear resulting from an old, blunt, abdominal injury. The diaphragmatic hernia was repaired through a right thoracotomy without complications. Diaphragmatic hernia should be ruled out in patients who present with chronic respiratory or vague abdominal symptoms, especially after a history of blunt abdominal trauma. Once the diagnosis is confirmed, expeditious surgical treatment should be undertaken to prevent the development of obstruction or strangulation and its grave consequences. Thoracotomy is the incision of choice, as it affords good exposure for lysis of adhesions, reduction of the hernia, and repair of the diaphragmatic defect.
Adult↗
Groin hernias in elderly patients. Management and prognosis.
In a 10 year period, 1,496 patients aged 65 years or older were treated for groin hernias. A total of 1,755 hernias were diagnosed, of which 243 were incarcerated and 1,279 were surgically repaired. Emergency operations were performed in 235 patients with a mortality rate of 7.5 percent, compared with 1.3 percent for the elective cases. The postoperative morbidity rate was 56 percent in emergency cases and 20 percent in the elective cases. Patients with cardiovascular and pulmonary diseases had the worst prognosis. Local anesthesia had the least sequelae. We conclude that groin hernias in elderly patients should be repaired under elective conditions in the properly prepared patient, preferably while under local anesthesia.
Age Factors↗
Kawasaki syndrome. An abdominal crisis.
Three new cases of hydrops of the gallbladder associated with mucocutaneous lymph node (Kawasaki) syndrome are presented. The increasing frequency of association of those two entities is emphasized. Ultrasonography is ideal for confirming the diagnosis of gallbladder hydrops and for follow-up. The preferred treatment is medical, and surgical intervention is indicated only for peritonitis and complications of acute acalculus cholecystitis.
Child↗
Nutritional support of the hospitalized patient. The team concept.
Two groups of patients receiving total parenteral nutrition (TPN) were compared in a prospective study for a period of 24 months. The TPN in one group of 211 patients was exclusively managed by a nutrition support team. A variety of physicians managed the TPN of 164 patients in the other group. The complication rate of both groups was compared. The second group had a much higher incidence of all complications. The study concludes that a protocol strictly adhered to by knowledgeable persons is necessary for the proper administration of TPN in the hospitalized patient.
Cardiac Catheterization↗
Swan-Ganz catheter: comparison of insertion techniques.
One hundred eighty-nine Swan-Ganz catheters were inserted in 165 critically ill patients with different techniques. Percutaneous catheterization through the subclavian, internal jugular, and antecubital veins and antecubital venous cutdown with or without fluoroscopy were compared. The antecubital approach, percutaneously or through a venous cutdown, was associated with most complications. We conclude that the method of choice is the percutaneous insertion of the balloon-tipped catheter through the subclavian or internal jugular veins and that fluoroscopy is unnecessary.
Catheterization↗
Intracranial bullet migrating to pulmonary artery.
A young male patient with a gunshot wound to the head is presented. The .22-caliber bullet initially lodged in the superior sagittal sinus migrated to the chest and permanently embolized in a branch of the left pulmonary artery. The patient is asymptomatic except for focal epilepsy.
Adolescent↗
Ciliated epithelial esophageal cyst: case report and review of the literature.
A brief review of the world literature on esophageal cysts is presented and a new case of ciliated esophageal cyst is reported. Emphasis is put on roentgenography and endoscopic examination as essential for diagnosis and on exploratory thoracotomy for definite diagnosis and treatment.
Cilia↗
Paget's disease of the male breast: a collective review and case report.
A brief review of the world literature is presented, of which 19 cases are accepted as genuine Paget's disease of the male breast, and one new case is reported. Emphasis is put on early diagnosis by biopsy, and definite treatment by radical mastectomy.
Aged↗
The impact of total parenteral nutrition on antithrombin III.
A prospective study was undertaken to elucidate the effect, if any, of total parenteral nutrition on plasma Antithrombin III levels. A total of 309 patients were included in the study. The patients suffered from cancer, or chronic illness, or major trauma which necessitated total parenteral nutrition. Each patient acted as his own control. Pre and postinfusion Antithrombin III levels were measured at regular intervals. Statistically, the results of the study have shown that total parenteral nutrition does not significantly alter Antithrombin III levels.
Adolescent↗
Repair of large incisional hernias with Marlex Mesh.
Explore the source record for details and available documents.
Abdominal Muscles↗
Arterial bullet embolism.
An arterial bullet embolus is reported in an asymptomatic patient. Emphasis is placed on the need for an aggressive search for any unaccounted-for bullets, confirmation of diagnosis by arteriography and early operative extraction of the embolus.
Adolescent↗