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Biomedical subjects

M Dintsman

Publications and source records attributed to M Dintsman.

173 records · Page 10Linked to original sources

Fertility and sexual development after bilateral orchiopexy for cryptorchidism.

Data were collected on 27 patients operated on for bilateral undescended testes. The information included age at operation, reoperations, testis size and location at first operation, testis size in adulthood, sexual behavior and presence of secondary sexual characteristics. The data were related to fertility, as assessed on the basis of spermatograms. A fertility rate of 33.3% was found. The ideal age for operation could not be established, but it was concluded that operation should not be delayed beyond the age of 12 years and that reoperation significantly reduced eventual fertility. It was found that the initial size and location of the testes had no influence on fertility, but that there was a higher rate of infertility in adults with small testes. Despite the high rate of infertility, all patients showed normal sexual development and behavior.

Adolescent↗

Complications of splenectomy. Comparative study of elective, urgent and incidental splenectomy.

In 160 patients who had undergone elective, urgent or incidental splenectomy, an assessment was made of the possible relationship between the reason for splenectomy and the postoperative course. In patients who had incidental splenectomy, the postoperative complication rate (56.6%), the hospitalization time (20.8 days), and the mortality rate (10%) were higher than among those who had elective or urgent surgery. Our results indicate that splenic injury sustained during abdominal surgery should be treated conservatively, by topical hemostasis or by suturing, in order to avoid complications related to splenectomy.

Adolescent↗

The postoperative appearance of the liver on scanning following omentopexy of the hydatid cyst.

Six patients were operated on for hydatid disease of the liver by the omentopexy method. On repeated scans of the liver performed respectively one and four years after the operation, it was seen that the scanning defect at the site of the cyst still remained, without being replaced by normal liver tissues. The patients recovered fully and had no complaints.

Echinococcosis, Hepatic↗

Factors influencing delay in treatment of cancer of rectum and colon in Israel.

One hundred cases of malignant tumor of the colon and rectum were reviewed to determine the delay interval from onset of symptoms to operation and the factors contributing to the delay. The mean overall delay interval was 7.43 months, which is relatively long as compared with findings reported in the Western literature during recent years. In 35%, there was a mean delay of six months because of failure of the patient to consult a physician in the early stages of the disease. More serious was the finding in 62% of the patients of a doctor-caused delay of six months, because of hasty, erroneous diagnosis made without comprehensive investigation. Administrative factors caused a delay of about two months in 24% of the patients. Our findings indicated a direct correlation between duration of the delay and spread of the malignancy, with an evident tendency for a shorter delay interval among patients with carcinoma classified as Dukes' stage A. Both the public and the general physician must be educated as to the importance of early consultation and careful consideration of the patient's complaints so as to reach the correct diagnosis as soon as possible.

Adult↗