FLUID BALANCE--INTAKE AND OUTPUT CHARTS.
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Biomedical subjects
Publications and source records attributed to H PERELMAN.
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Large upper abdominal incisional hernias have always been a vexing problem to surgeons because of the rigidity of the costal arches. With the increasing longevity of our population and the constant improvement in ways to sustain older patients during operative procedures, incisional hernias, especially of the upper abdominal area, will undoubtedly become more prevalent.A new anatomical procedure for repair, which was used in 16 cases, eliminates the necessity of the use of various prosthetic materials: extrapleural sectioning of the costal cartilages from approximately the seventh to the tenth rib permits the directional pull of the attached musculature to narrow the defect, thus allowing repair of the hernia without tension. The procedure is technically a simple one and postoperative complications are minimal.
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Rupture of the small bowel with nonpenetrating abdominal trauma occurs in one-third to one-fourth of all abdominal injuries. Perforation of the bowel can result from injuries of crushing, bursting or tearing type. The symptoms are those associated with peritoneal irritation. Repeated observation and examination is necessary for diagnosis. Operative repair is mandatory. Two cases, one in a child, are reported.
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