Venous aneurysms.
We report the case of a large venous aneurysm of a 22-year-old white man. After evaluation and diagnosis, the aneurysm was resected without difficulty. Cause, diagnosis, treatment, and possible complications are discussed.
Adult↗
Biomedical subjects
M D Sarap
Publications and source records attributed to M D Sarap.
Anaerobic coverage for wound prophylaxis. Comparison of cefazolin and cefoxitin.
An experimental wound model has been used to evaluate the effectiveness of cefazolin and cefoxitin in the prevention of wound infection. Incisions were contaminated with Staph. aureus, E. coli, or a standardized fecal suspension. Regardless of the contaminant employed, the prophylactic use of either cefazolin or cefoxitin yielded lower wound bacterial concentrations and fewer infections compared with treatment with placebo. Cefazolin proved just as effective as cefoxitin in preventing infection when wounds were contaminated with Staph. aureus or E. coli. Although cefoxitin is the only cephalosporin that offers anaerobic coverage, its prophylactic administration when wounds were contaminated with a standardized fecal suspension did not significantly alter wound bacterial concentrations or infection rates compared with cefazolin. The data from our animal wound model suggest that prophylactic anaerobic coverage is not necessary.
Animals↗
Acute acalculous cholecystitis complicating aortic aneurysm repair.
In a series of 374 consecutive abdominal aortic aneurysmal repairs, the incidence of acute acalculous cholecystitis was 1.1 per cent. This complication occurred in only one of 352 patients (0.3 per cent) after elective aneurysmorraphy, as compared with three of 22 (13.6 per cent) after emergency repair of a ruptured aneurysm. This difference proved highly significant (p = 0.0001). All of the patients who had postoperative acute cholecystitis after aortic aneurysmal repair had acalculous disease. A mortality rate of 50 per cent was noted for this complication. Technetium cholescintigraphy proved the most valuable diagnostic study when acute cholecystitis was suspected.
Acute Disease↗