Haemoperitoneum due to Meckel's diverticulum.
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Adult↗
Biomedical subjects
K D Vellacott
Publications and source records attributed to K D Vellacott.
Intramural haematoma of the duodenum.
Five cases of traumatic intramural haematoma of the duodenum occurring in children are presented. Four of the cases were treated conservatively with nasogastric aspiration and intravenous fluids and it is suggested that this should be the treatment of choice in the majority of cases. Two of the cases were diagnosed initially as having appendicitis and during the exploratory procedure in one of these cases the haematoma was evacuated.
Child↗
Is continued anal dilatation necessary after a Lord's procedure for haemorrhoids?
Forty patients with symptomatic haemorrhoids had a Lord's procedure performed under general anaesthetic. Anal pressures were recorded before and after the dilatation. The patients were then randomly allocated to one of two regimens. Group 1 was given only a bulk laxative and group 2 was given a bulk laxative and a large anal dilator to use over the next few months according to Lord's regimen. When reviewed at 3 months and 12 months there was no difference in the results between the two groups. We conclude that the use of an anal dilator does not improve the result after a Lord's procedure.
Adult↗
Colonic polyps complicating ureterosigmoidostomy.
Polypoid tumours of the small and large intestine have been recognized as a complication of the implantation of ureters into the bowel for many years. Some cases could be recurrences of the urothelial tumour which necessitated the original operation or alternatively others may be tumours arising from the bowel epithelium itself. Malignant and benign varieties of such bowel tumours have been reported, although the description of some of the latter have suggested that they were not true tumours but some variety of 'polyp'. We describe here two polyps arising in the colon some 22 years after ureterosigmoidostomy and discuss the probably mixed nature with elements of both juvenile polyp and tubular adenoma.
Adenoma↗
Exploration of the common bile duct: a comparative study.
The results of a retrospective comparative study of 122 patients who underwent explorations of the common bile duct in a district general hospital over a 5-year period are presented. Seventy-eight patients had a supraduodenal choledochotomy, 32 had a transduodenal spincterotomy and 12 had a combination of both procedures. Particular attention was paid to postoperative complications in relation to the grade of the surgeon performing the operation and also to the age of the patient. A total of 78 (64 per cent) patients had definite stones in the common bile duct. Of these patients, 7 (9 per cent) were subsequently shown to have retained stones, all having been operated on by registrars. Registrars also did more negative explorations than consultants. Nine patients (7.4 per cent) died, all but 1 of them being over the age of 70 and 4 of them having had a combined procedure. We conclude that transduodenal exploration should be avoided in patients over 70, particularly when added to a supraduodenal exploration.
Adult↗
Antibodies to Candida species after operations on the large intestine: observations on the association with oral and faecal yeast colonization.
The occurrence of agglutinating and precipitating antibodies to Candida species was determined in 50 patients undergoing operations on the large intestine. The number of patients with oral or faecal yeast colonization and the amount of faecal colonization increased during the period after operation. No patient developed overt fungal infection but 15 patients developed precipitins to mannan antigens and 9 patients developed percipitins to cytoplasmic antigens during this period. The association between the formation of precipitins and the extent of faecal colonization is discussed.
Adult↗