The origin of the Internet as I imagine it to be loosely based on history.
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Biomedical subjects
Publications and source records attributed to B Stamler.
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Partial drainage of a hepatic hydatid cyst into a pericystic blood vessel caused anaphylactic shock following minimal blunt abdominal trauma in a child. A case report including diagnostic procedures and treatment is presented.
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A widely opened internal ring and weakness of the transversalis fascia are the major defects in adult indirect inguinal hernia. Reducing the size of the ring and reinforcement of the transversalis fascia prevent hernial recurrence. During the repair, introduction of a Foley catheter into the internal ring and inflation of its balloon displaces the inferior epigastric vessels medially and the spermatic cord laterally. This position of the balloon enables a safe reconstruction of the internal ring without injury to the epigastric vessels and prevents tightening of the cord. This technique was successfully employed on 75 adult patients who underwent repair of an indirect inguinal hernia without complications.
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Five uremic patients with hemodynamically significant pericardial effusion, which did not respond to conservative treatment (intractable effusion) or tamponade, were treated with instillation into the pericardial sac of a nonabsorbable steroid, triamcinolone hexacetonide, and with intermittent drainage. This was done by insertion of a drainage catheter into the pericardial space under direct vision by subxiphoid pericardiotomy performed under local anesthesia. All patients responded well to the procedure, and immediate relief of the symptoms was achieved. No complications of the procedure were observed, and the drainage catheters were removed 48 to 72 h thereafter. Two patients died of unrelated causes--1 month and 3 years after the events. Two other patients are still alive and on a hemodialysis program, and one has a functioning kidney graft. During the 3 to 8 years of follow-up, no recurrent pericarditis was observed, and no constrictive pericarditis developed in any patient.
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A case of a 35-yr-old woman with the characteristics of pseudo-Hirschsprung's disease is presented. The diagnosis was based on the following criteria: a history of chronic constipation since early infancy, a largely distended abdomen and an adynamic distal colon. The patient had a normal anosphincteric relaxation reflex and normal rectal myenteric ganglion cells. Resection of the distended large bowel failed to relieve the symptoms and was followed by distention of the entire small bowel. Complete cure was achieved after a Duhamel procedure. This patient is an adult, unlike the previously reported cases. Of special interest is the occurrence of true Hirschsprung's disease in one of her children.
Accidental ingestion of trichlorofluoromethane (Freon 11) by a healthy adult male resulted in necrosis and multiple perforations of the stomach. The patient recovered after surgical intervention, the excision of necrotic tissue and the reestablishment of gastrointestinal continuity. The freezing action of Freon 11 is postulated as the cause of tissue necrosis.