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Biomedical subjects

H P Donders

Publications and source records attributed to H P Donders.

5 recordsLinked to original sources
PubMed1988

Thoracic outlet syndrome after corrective surgery for pectus excavatum.

Two patients are described who developed a thoracic outlet syndrome (TOS) after undergoing Ravitch's operation for the correction of pectus excavatum. In one case the syndrome developed a few days after surgery, whereas in the second patient it manifested more gradually. A third patient presented with latent TOS and pectus excavatum. It is recommended that prior to the correction of pectus excavatum, the patient should be examined to detect signs of neurovascular compression due to latent thoracic outlet syndrome. After surgery the possibility of this complication should be kept in mind to avoid permanent lesions of the cervicobrachial plexus.

Adolescent↗
PubMedDate not supplied

Long-term results of 44 cross-over bypasses.

Forty-four patients with an unilateral iliac obstruction were treated with a cross-over bypass. The ASPI at rest in the recipient leg was 0.53 +/- 0.16 pre-operatively and had increased to 0.82 +/- 0.13 3 months after operation (p less than 0.001). One patient died within 30 days of operation and in another graft thrombosis occurred within this period. In 2 patients above-knee amputation had to be performed owing to graft failure. During the follow-up period (3 months to 10 years) 9 patients died and 8 late graft failures (30 days) occurred without limb loss. The cumulative patency rate amounted to 73.7% after 5 years. A significant steal effect could not be demonstrated. The cross-over bypass is a procedure justified in unilateral iliac occlusion in high- and moderate risk patients with intermittent claudication and pain at rest or gangrene.

Aged↗
PubMedDate not supplied

Controlled hypothermia in carotid endarterectomy.

Successful carotid endarterectomy under controlled hypothermia, induced by shell cooling, is described. The patient, whose ipsilateral vertebral and contralateral internal carotid arteries were obstructed, and whose contralateral external carotid artery was stenosed, had presented with recurrent TIA's and amaurosis fugax. Some observations on the indication for and technique of hypothermia are made.

Arterial Occlusive Diseases↗
PubMedDate not supplied

Semi-closed thromboendarterectomy of the femoro-popliteal artery (results of 142 consecutive cases, 5 years after operation).

Semi-closed thromboendarterectomy with the aid of a ring stripper appears not yet to have been abandoned as a method of reconstruction in occlusions in the femoro-popliteal tract. In a series of 142 operations, 5 years postoperatively, 44% of the stripped vascular tracts were still patent and 41% were occluded. Eighteen patients, in whom 20 operations had been performed, had died less than 5 years after the operation. The surgical mortality rate was 0%. There is no significant difference between the results of the operations performed because of Fontaine stages II and III. The incidence of recurrent occlusion was not demonstrably influenced by diabetes mellitus, or by continuation versus cessation of smoking after the operation. A review is presented of the results of semi-closed thromboendarterectomy, open-thromboendarterectomy and venous bypass as reported in the literature.

Endarterectomy↗