Biomedical subjects
Publications and source records attributed to J L Sorg.
Examination of the distribution of vagus nerve fibers to the stomach in 100 cadavers revealed considerable individual variation. No single pattern shown in textbooks or published papers can be accepted as correct for all individuals. The variations encountered are discussed from the viewpoint of the surgeon who wishes to perform highly selective vagotomy.
Two cases of supravesical hernia are described. One was a rare posterior internal supravesical hernia discovered only at exploratory laparotomy after exhaustive but fruitless diagnostic procedures. The surgical anatomy of anterior and posterior internal supravesical hernia is discussed and a simplified terminology is proposed.
Hyperalimentation can be used safely on an infrequent basis by a physician who has once familiarized himself with the basic information, if he is willing to reread pertinent information with each use and is compulsive about following a good protocol and using flow sheets. Hyperalimentation can be used safely in a community hospital when there are interested nurses, willing to learn and apply the protocol. There should be some sort of warning system for a malfunctioning hyperalimentation line, be it a pump with a warning buzzer or an ever-present nurse. The hospital should have a pharmacy with one or two skilled people who can aseptically prepare the solution using closed techniques. A laboratory should be immediately available to run SMA-6, SMA-12, blood pH, and obtain in reasonable time a serum osolarity and serum magnesium reading.