[Letter: Results of bypass surgery in femoral artery occlusion].
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Biomedical subjects
Publications and source records attributed to C Mouritzen.
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Acute changes of lung function and morphology were studied in 3 groups of dogs: after bilateral hilar stripping by ipsilateral approach (group 1), after right-side hilar stripping and left pneumonectomy by left-sided approach only (group 2) and in a control group. All dogs of group 1 showed a syndrome corresponding to functional hilar stripping with absent Hering-Breuer and cough reflex, slow respiration with increased tidal volume and discharge of fluid from the airways. Alveolar ventilation and oxygen tension, dead space/tidal volume ratio and pulmonary shunting did not change. Cardiac output and arterial oxygen tension were decreased. The lungs were heavy and histological examination showed lymphostasis and interstitial edema. The dogs of group 2 did not show significant changes in comparison to the control group.
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68 males were studied retrospectively after reconstructive surgery on the aorto-iliac segment with regard to sexual function pre- and postoperatively. The parameters used to evaluate the sexual dysfunctions were: penile-brachial-index (PBI), urethral pressure profile, rectal-urethral-temperature-gradient (RUTG), and urinary flow. Furthermore, in all patients a preoperative arteriogram was available and all patients were carefully interviewed on their sexual functions before and after surgery. It is concluded that PBI is a good parameter of the perfusion pressure of the internal iliac artery, which is a significant factor for erectile function. The urethral pressure profile has no relation to erectile function, but the results indicate that peroperative damage of the sympathetic nerves do have a significant influence on retrograde ejaculation postoperatively.