[Mechanical sutures in digestive surgery. I. Experimental application of surgical technique. Contribution of experience (author's transl)].
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Biomedical subjects
Publications and source records attributed to V Saba.
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In examining some procedures of general evaluation of the operative risk the Authors direct their attention to the performance of cell-mediate reactivity skin tests and consider a set of 42 patients (of whom 11 as controls, and 31 "high risk"). The results obtained are interesting and evidence the high reliability of these tests in evaluation of infective morbidity and mortality in neoplastic and non-neoplastic patients: in fact a negative response means high morbidity and mortality while a positive response corresponds to normal surgical healing. In tumoral patients, moreover a relationship between skin tests and clinical stage of the disease is observed: negativity of the test means a terminal stage and hence absolute inoperability: positivity corresponds to an advanced stage and hence relative operability (exploratory laparatomy and thoracotomy). The Authors conclude by stressing that the tests have a practical utility and prognostic value higher than those of other methods.
The AA. intend to study the healing process of digestive sutures in dog that have been made with mechanical instruments that have metal agraphes. The used instruments are the American models of United Surgical Corporation in New York that have: --LDS pliers; --GIA pliers; --TA mod 90, 55, 30, pliers. They had made 15 operations of digestive surgery: gastric resections sec. Billroth II, anastomoses of ileum, colic anastomoses. In total they have made 45 sutures. After an established period the same animals were operated on again for controlling the results of made operations and the macro and microscopic evolution of sutures. The study of healing has shown a quick and exact repairing process for first intent, different from sutures that are made manually with threads that, notoriously, develop slowly for second intent.
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The Authors present 38 cases of surgical revascularization for arteriosclerosis obliterans of the lower extremities, operated in Clinica Chirurgica of Ancona during the space of three Years, from 1974-1977. The morphological profile of the sphygmic wave and pressures of occlusion or Travis Winsor's index were studied pre and postoperatively with Doppler ultrasonic flowmeter. The patency of vascular grafts and after thromboendarterectomy was shown by T.W.'s index. With this method, besides establishing a program for postoperative arteriography, a lesser use of the latter was shown.
AA. performed an experimental trial on rats in order to demonstrate damages derived from organ perfusion (kidney) with endo- and extracellular electrolitic solutions. M/E values of structural alterations of the cells allowed the standardisation of renal perfusion methods for transplantation.
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Results with modified heterologous artery prostheses in reconstructive artery surgery.
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The American Nurses Association (ANA) Cabinet on Nursing Practice mandated the formation of the Steering Committee on Databases to Support Clinical Nursing Practice. The Committee has established the process and the criteria by which to review and recommend nursing classification schemes based on the ANA Nursing Process Standards and elements contained in the Nursing Minimum Data Set (NMDS) for inclusion of nursing data elements in national databases. Four classification schemes have been recognized by the Committee for use in national databases. These classification schemes have been forwarded to the National Library of Medicine (NLM) for inclusion in the Unified Medical Language System (UMLS) and to the International Council of Nurses for the development of a proposed International Classification of Nursing Practice.