Biomedical subjects
Publications and source records attributed to F A Evangelist.
A monofilament traction suture passed through the holes in a button provides safe and gentle but firm stabilization of the heart during right coronary grafting.
We began using the fiberoptic bronchoscope March 1, 1971, and after more than 2,800 examinations are convinced it is a highly useful diagnostic tool. We pass the open-end straight bonchoscope into the upper trachea under local anesthesia. Then, the fiberoptic bronchoscope is passed through this conduit. The advantages of the technique are discussed. The greatest advantage of fiberoptic bronchoscopy is the extended visibility it provides of peripheral lesions in the tracheobronchial tree. In this series, which includes more than 700 patients with primary bonchogenic carcinoma, the tumor was visible in one-third of the patients when only the straight bronchoscope was used while in two-thirds it was visible with the flexible bronchoscope. There were no deaths, and complications were rare and of little consequence. Thoracic surgeons are urged to use this instrument.
An operation employing the Nissen fundoplication performed about an undivided 5 cm gastroplasty tube created with a gastrointestinal anastomosing (GIA) stapler that was modified by elimination of the cutting blade has been devised and evaluated in 48 patients over a period ranging from 3 to 52 months (average, 27 months). Seventeen of these patients had severe esophageal strictures. Reflux control, evaluated by clinical appraisal and roentgenograms in all patients and by 24-hour esophageal pH monitoring in some, has been complete in all patients throughout the study. One patient with undetected subclinical achalasia continues to have mild dysphagia and represents the only unsatisfactory result in the series. Normal swallowing has been restored to all patients with strictures, and the others remain free of symptoms. The simplicity, reproducibility, and effectiveness of this operation warrant its continuing evaluation.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.