The circadian rhythms of plasma cortisol levels are studied extensively. Frequent sampling techniques are used to examine the effects of surgical trauma on the circadian pattern of plasma cortisol in man. Five patients were studied, 48 hours before and 48 hours after major surgery. The normal preoperative cortisol rhythms of these patients did not disappear after surgical trauma but they were significantly phase-shifted. In addition, the mean cortisol concentrations were significantly elevated and the intracircadian cycles suffered complex changes in the postoperative period.

Adult↗

PubMedDate not supplied

[Physiopathology and prevention of infections in patients with multiple trauma].

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Anti-Bacterial Agents↗

PubMedDate not supplied

[Wounds of the superior vena cava: report on 9 surgically treated cases].

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Adolescent↗

PubMedDate not supplied

[Isolated lesion of the gallbladder caused by closed abdominal trauma. Case report].

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Accidents, Traffic↗

PubMedDate not supplied

[Natural history and risk factors of traumatic diaphragmatic hernias].

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Accidents, Traffic↗

PubMedDate not supplied

Homologous dura mater used to close thoracic wall and diaphragmatic defects.

We have reported the successful use of homologous dura mater preserved in glycerin at room temperature to repair large defects of the thoracic wall or diaphragm in five patients. The surgical technic involved the use of autologous bone grafts in order to stabilize the thoracic cage in one case, but in the other four the dural blade was sufficient. The postoperative course was uneventful regarding the structure and function of the dural implant in each case.

Adult↗