Biomedical subjects
Publications and source records attributed to F T Lam.
Three cases of complicated oriental cholangiohepatitis are described in patients of Asian origin. The development of high biliary strictures in two patients required liver resection; in the third patient the process was complicated by a presumed bile duct malignancy. Oriental cholangiohepatitis may be expected in UK surgical practice given the increased frequency of migration from Asia.
This retrospective study has revealed that human cadaveric renal grafts preserved with hypertonic citrate solution have a significantly higher proportion with primary graft function compared with EuroCollins preserved grafts. Furthermore, Hypertonic citrate-preserved grafts have better early renal function. Those grafts with primary function show an improved graft survival at 12 months when compared with those grafts which had delayed function. There was no difference in renal graft function at 6 months following transplantation between the hypertonic citrate and EuroCollins-preserved grafts nor in the graft losses from rejection. Although the overall graft failure rate in the hypertonic citrate group is higher, this is due to patient mortality and not to rejection.
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A prospective survey of patients attending day case surgery was undertaken to determine patient satisfaction. In an eight-week prospective study, patients undergoing procedures in the day surgical unit were asked to fill in two questionnaires, the first before surgery and the second two weeks after surgery. One hundred and eighty-nine patients were recruited into the study; of these, 98 (52.4%) returned correctly completed forms. Most of the patients believed the information given them before surgery was adequate and the standard of care in the day unit was high. Only five patients needed to see their general practitioner because of continued problems. Twenty-one patients felt they were discharged too early. Our current practice in day case surgery inevitably leads to some patients being discharged early. Facilities must be provided for some patients to stay longer in the day unit. Day case surgery did not result in an unacceptable increase in the workload for GPs, nor did it compromise the quality of patient care.
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