Prompting patients when taking a history may reduce error.
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Aged↗
Biomedical subjects
A L Vercoutere
Publications and source records attributed to A L Vercoutere.
Carcinoma of the male breast. An update.
The majority of reports in the literature that have documented poor survival in men with breast cancer have originated from major cancer centers and military hospitals. In contrast, we reviewed 45 men with breast cancer from seven community-based medical centers. Of the patients who were seen, 55% had localized disease (stage I), 39% had disease that was confined to the axilla (stage II), and 6% had metastatic disease (stage III). The survival data was compared with that of 2,620 women treated during the same time interval. The comparison showed a survival advantage for the men. This variance in survival data obtained from previously published reports may be due to a generally early stage of disease seen in community hospitals as compared with major referral centers.
Adult↗
Improved method for intra-abdominal drainage.
It has been shown that, by the addition of both suction and sump to straight drainage, the efficiency of the drain can be improved. A drain is described herein which uses these principles by combining a Jackson-Pratt drain, urethral catheter and Penrose drain. The combination drain has been used clinically and has proved to be both efficient and safe.
Abdomen↗
Ruptured mycotic salmonella aortic aneurysm treated with combined cefotaxime antibiotic and staged surgical management.
A case of salmonella infrarenal aortic aneurysm that ruptured and was treated with staged operative procedures and a highly effective antibiotic is reported and analyzed. An emergency situation with a ruptured abdominal aortic aneurysm required prompt surgical intervention with an aortobifemoral graft insertion. In the immediate postoperative period it was realized that a prosthetic graft was placed in the bed of a mycotic aneurysm. The patient had significant arteriosclerotic occlusive disease limiting the distal anastomotic site to the common femorals. Interoperatively the superficial femorals were noted to be occluded chronically. Consequently, revascularization via an extra-anatomical bypass after aortobifemoral graft removal was more complex. This was managed in a staged delayed fashion, while suppressing the infecting organism with Cefotaxime. The details of this complex situation are described within.
Aneurysm, Infected↗