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Biomedical subjects

R Camprodon

Publications and source records attributed to R Camprodon.

At least 19 recordsLinked to original sources

Endoscopic sympathectomy in the treatment of facial blushing.

INTRODUCTION: Bilateral endoscopic thoracic sympathectomy (BETS) has been shown to be an effective, permanent, and safe treatment for severe upper limb hyperhydrosis. More recently, the possibility of using BETS to treat facial blushing, a redness of the face bought on by emotional or social stress, has been raised. This followed incidental reports from patients of relief from their blushing following this procedure for hyperhydrosis. At King's College Hospital, 120 patients underwent BETS over a 3-year period for both upper limb hyperhydrosis and facial blushing. In this study we report our results in relation to facial blushing. PATIENTS AND METHODS: The outcome was evaluated by questionnaire and symptoms assessed using the visual analogue scale. Questions on postoperative complications and overall quality of life were included. RESULTS: A total of 80 patients responded to our questionnaire of whom 59 (74%) experienced facial blushing. In 12 patients, this was their only symptom. Severity of facial blushing was reduced from a mean score of 78 before operation to 26 after BETS (P < 0.001); 29% reported complete resolution of their facial blushing. There was no mortality or conversion to open surgery. Quality of life was reported to be much better in 63% of facial blushers following the procedure. CONCLUSIONS: This study demonstrates both a statistically significant reduction in severity of facial blushing as well as a clear improvement in quality of life following a safe procedure with few complication rates. Facial blushing can, therefore, be considered as an indication for BETS on its own merit when not associated with hyperhydrosis.

Adolescent↗

Current status in the management of proximal bile duct carcinoma.

The confluence of the biliary duct constitutes the most common location of the bile duct neoplasms. Resection of the tumor is the only procedure which has met with long-term survival rates (more than 5 years). An enhanced exposure of the tumor in surgical intervention contributes to increasing the number of resectable cases. The transhepatic approach through the principal incision offers the best possibility to explore the tumors of the proximal bile duct confluence, using this approach the resection rate is higher than that of other routes. The surgical management of confluence biliary duct carcinoma can be curative if the diagnosis is made in early stages of the disease and if at that time resection is possible.

Adenoma, Bile Duct↗

Use of the renal pelvis as exocrine drainage in segmental pancreatic transplantation. A preliminary report.

A new technique for exocrine drainage in segmental pancreatic transplantation has been developed in which the renal pelvis is anastomosed to the pancreatic capsule in an end-to-end fashion, after nephrectomy. This technique can be used only in uraemic patients without renal function. The procedure was performed on a uraemic patient who was free of major problems until his death due to an intracranial haemorrhage, 41 days after transplantation. The procedure described here would appear as a new form of drainage of the pancreatic secretions in segmental grafting, with advantages over techniques previously described.

Adult↗

Successful long-term results with resection of pancreatic carcinoma in children: favorable prognosis for an uncommon neoplasm.

Carcinoma of the pancreas is increasing in incidence and affecting a younger population. However, pancreatic carcinoma in children under 15 years of age is a rarity. Only 28 cases were reported in the literature from 1885 to 1981. All of the known patients who have undergone resection of the tumor are alive at the present time. The differential diagnosis of abdominal masses has been further elucidated by abdominal tomography. Pancreaticoduodenectomy or distal pancreatic resections may be fitted to the individual case with reasonable expectations of patient survival.

Adolescent↗

Intrahepatic vascular division in the pig: basis for partial hepatectomies.

Transplantation of resected hepatic fragments, with the attendant vascular and biliary tract reconstruction, presents difficulties. We have studied the intraparenchymal vascular division in the pig with a view to performing partial hepatectomies with the greastest possible anatomical support. Forty-six molds of the various vascular territories were obtained from the 31 porcine livers. Each segment of the median lobe is dependent on the adjacent lateral lobe. Its intersegmental fissure is the obligatory site for parenchymal section to be continued through horizontal portion of portal vein, hepatic artery, and left hepatic duct. A right hemihepatectomy unfailingly results in the devitalization of the left side of the liver. If the goal of a hepatectomy is the transplantation of the resected fragment, it is recommended that the right side of the liver be utilized, as its more convenient extrahepatic vascular and biliary calibre will permit pedicular conservation and anastomosis.

Animals↗

Giant diverticula of the colon.

A case of a gas-filled intra-abdominal abscess cavity is reported. The literature is reviewed for similar cases and with reference to the cause and differential diagnosis of abdominal air cysts.

Aged↗

Shortened small bowel syndrome. Mackby's operation.

Intestinal infarction is a condition with a high rate of mortality. Progress in the fields of anesthesia, maintenance of electrolyte balance, and intensive postoperative care has made survival possible in a number of patients subjected to extensive resection of the small intestine. Many of these patients, however, later succumb to the effects of malabsorption. In this paper we report on a patient who has undergone massive intestinal resection, because of venous intestinal infarction, and Mackby's operation, with favorable results twelve months postoperatively.

Adult↗