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Biomedical subjects

C J BERNE

Publications and source records attributed to C J BERNE.

At least 19 recordsLinked to original sources
PubMed1964

SEVERE COLONIC BLEEDING.

Patients requiring emergency operation for severe acute colonic hemorrhage usually arrive in the operating room inadequately studied and the point of bleeding not known. A well planned procedure for making an operative diagnosis is lacking. The fact that diverticular disease is the most common cause of massive colonic bleeding, dominates the surgical management of this problem. A critical interpretation of the color and the consistency of the stools must be made by the surgeon. Since the bleeding lesion is usually otherwise clinically silent, the character of the stools may be the only indication of the level of bleeding and the rate and the amount of the blood loss. A proctoscopic examination, followed by an emergency barium enema study if possible, is always done before subjecting a patient to laparotomy. The indications for emergency operation include acute exsanguinating hemorrhage, less severe but persistent colonic bleeding and recurrent colonic bleeding. The steps for the operative diagnosis and the surgical procedure utilized for a specific situation are discussed.

Colonic Diseases↗
PubMed1961

Oliguria in surgical patients.

The correction of the various causes of diminished urinary flow is of utmost importance in the preparation of patients with acute surgical conditions for operation. It has been demonstrated that adequate evaluation and correction of these factors are effective in reducing the high mortality accompanying severe trauma, late intestinal obstruction, rupture of an abdominal viscus and other surgical emergencies. The proper use of whole blood, plasma and saline is essential in the correction of hypovolemic states encountered in these conditions. This must be accomplished in most instances before surgical correction of the underlying disease is undertaken. Urinary flow is a valuable guide as to the effectiveness of replacement therapy. Oliguria after operation may result from a continuation of the factors causing the diminution of urinary flow before operation. The treatment used in the correction of the hypovolemia, as well as the surgical procedure, may contribute additional factors productive of a diminished urinary flow in the postoperative period.

Anuria↗
PubMed1953

Traumatic pancreatitis.

Traumatic pancreatitis should be considered as a diagnostic possibility when trauma to the epigastrium is followed by phenomena suggestive of intra-abdominal injury. The presence or absence of hyperamylasemia should be established immediately. Even when traumatic pancreatitis is believed to exist, any suggestion of injury to other viscera should indicate laparotomy. Retroperitoneal rupture of the duodenum may simulate traumatic pancreatitis in all respects, including hyperamylasemia. X-ray studies may be of value in differentiation.Non-complicated traumatic pancreatitis is best treated conservatively. Gunshot and knife wounds of the pancreas should be drained.

Abdominal Injuries↗