W W Harkrider | PubMed Health

PubMed1989

Duplex venous scanning: a case report.

Duplex venous scanning is a new noninvasive modality useful in the diagnosis of deep vein thrombosis. Its use is demonstrated in a case study. The mobility of this technique allows the patient to be studied at his bedside even while in traction. The development of deep vein thrombosis and the course of its progression can be monitored utilizing the duplex scan. The course of treatment can be altered if necessary. A Greenfield vena caval filter was inserted following identification of a clot in the common femoral vein to prevent a pulmonary embolus. The accuracy of venous duplex scanning, together with its many advantages over other diagnostic techniques and its few disadvantages, makes this procedure the noninvasive study of choice for the diagnosis and management of acute deep vein thrombosis.

Femoral Fractures↗

PubMed1977

Review of abdominoperineal resections for cancer.

One hundred eighty-six consecutive abdominoperineal resections for primary carcinoma of the anus, rectum, or sigmoid colon performed at Charity Hospital of Louisiana at New Orleans between January 1, 1963 and December 31, 1974 were reviewed. The operative mortality was 16 per cent. Complications during the same hospitalization occurred in 70 percent of the patients. Although most of the complications were minor, 22 percent did require some form of surgical intervention. Twenty-nine percent of the patients who were discharged developed late mechanical or cancer-caused complications which required surgical correction. A history of congestive heart failure or a significant weight loss were the most consistent preoperative findings in the operative mortality group. The overall five year survival rate was 25 percent. White females with no history of weight loss had the best long-term prognosis. Better survival in white patients can be accounted for by the less advanced lesions in these patients. No such difference between male and female patients could be demonstrated. Better selection of surgical candidates with alternate forms of therapy for poor risk patients have probably been the most significant factors in decreasing the operative mortality from 21 percent in the first six years of the study to 9 percent in the last six years. Primary closure of the perineal wound would appear to be of value in decreasing operative morbidity.

Abdomen↗