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Biomedical subjects

J H GIFFORD

Publications and source records attributed to J H GIFFORD.

9 recordsLinked to original sources

The repair of difficult inguinal hernias. Resection of the sspermatic cord.

A method of removing the cord structures from the inguinal canal and preserving the testis and the portion of the spermatic cord distal to the external ring was used in repair of large or recurrent hernias in 14 patients. Only one patient had pronounced testicular atrophy. In one case there was recurrence through the femoral canal. The procedure is simpler and shorter than removal of the testicle as well as the cord.

Atrophy↗

The syndrome of proximal jejunal loop obstruction following anterior gastric resection.

An occasional complication following subtotal gastric resection of the antiperistaltic, antecolic type is closed loop obstruction high in the intestine. Unless recognized and treated early, it causes death rather quickly. Prompt surgical intervention is life-saving. Symptoms which characterize the complication and distinguish it from other forms of high intestinal obstruction or stomal edema are (1) unrelenting epigastric or left upper quadrant pain and tenderness attended by clinical indication of shock, and (2) rather limited vomiting with absence of bile and small bowel contents in the vomitus. Five cases occurred in a series of some 500 anterior long loop anastomoses. In three cases the complication was not immediately recognized and the patients died. In the other two cases, recovery followed surgical intervention.

Humans↗