Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

This Month in Archives of Surgery

This Month in Archives of Surgery Little Gems To assist with your constant desire to improve clinical services, we offer a number of suggestions to mull over and perhaps apply to your current techniques in the way of modification. First, a Mayo Clinic studyArticleexamines intramural small-bowel hematoma, presenting in many instances as bowel obstruction. The series of cases emphasizes the benign nature of this entity and the conservative treatment following computed tomographic scan. Second, a randomized controlled studyArticleof the use of polymeric sealant as a means of rapidly stopping bleeding from suture holes at anastomotic sites of graft material in vascular surgery presents another interesting and time-saving idea. Third, a comparison of matrix excision and segmental phenolization is made for treatment of ingrown toenailsArticle. The authors point out their preference in treatment because the results indicate no real difference between arms of the protocol. View LargeDownload Finally, an interesting study of 40 patients has been performed to evaluate stapled vs excision hemorrhoidectomy. The benefits for the stapled group include shorter operating time, less postoperative pain, and earlier return to work with no overall difference in recurrence. The authors point out that if this is confirmed in a larger, longer study, stapling (Longo technique) may become the standard for treatment of third-degree hemorrhoid disease. See Article Melanoma Revisited Hetzer et al point out that thick melanomas (Breslow >4 mm) with no positive nodes have a reasonably favorable prognosis (median overall survival of 70 months and disease-free survival of 51 months) before the era of adjuvant chemotherapy. Thus, the authors conclude that thickness of the melanoma itself should not be used as a criterion for adjuvant therapy but that other factors of prognosis should be considered (150 patients, node negative). See Article Effective Prevention of Adhesions With Hyaluronic Sodium The surgical world is looking for relief from the consequences of adhesion formation after mesh is placed to bridge a peritoneal defect. Kramer et al have suggested a bioresorbant membrane of hyaluronic acid as a mesh covering to prevent intra-abdominal adhesions. In an animal series, a very significant difference was noted in both the number and severity of adhesions when the bioresorbant membrane was used to conceal the mesh in the course of laparoscopic hernia repair. Studies in humans initially support the animal conclusions. View LargeDownload See Article http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

This Month in Archives of Surgery

Archives of Surgery , Volume 137 (3) – Mar 1, 2002
Download PDF
1 page
Read Article

This Month in Archives of Surgery

Abstract

Little Gems To assist with your constant desire to improve clinical services, we offer a number of suggestions to mull over and perhaps apply to your current techniques in the way of modification. First, a Mayo Clinic studyArticleexamines intramural small-bowel hematoma, presenting in many instances as bowel obstruction. The series of cases emphasizes the benign nature of this entity and the conservative treatment following computed tomographic scan. Second, a randomized controlled...
Loading next page...
 
/lp/american-medical-association/this-month-in-archives-of-surgery-Yn7LiBkpFd
Publisher
American Medical Association
Copyright
Copyright © 2002 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.137.3.249
Publisher site
See Article on Publisher Site

Abstract

Little Gems To assist with your constant desire to improve clinical services, we offer a number of suggestions to mull over and perhaps apply to your current techniques in the way of modification. First, a Mayo Clinic studyArticleexamines intramural small-bowel hematoma, presenting in many instances as bowel obstruction. The series of cases emphasizes the benign nature of this entity and the conservative treatment following computed tomographic scan. Second, a randomized controlled studyArticleof the use of polymeric sealant as a means of rapidly stopping bleeding from suture holes at anastomotic sites of graft material in vascular surgery presents another interesting and time-saving idea. Third, a comparison of matrix excision and segmental phenolization is made for treatment of ingrown toenailsArticle. The authors point out their preference in treatment because the results indicate no real difference between arms of the protocol. View LargeDownload Finally, an interesting study of 40 patients has been performed to evaluate stapled vs excision hemorrhoidectomy. The benefits for the stapled group include shorter operating time, less postoperative pain, and earlier return to work with no overall difference in recurrence. The authors point out that if this is confirmed in a larger, longer study, stapling (Longo technique) may become the standard for treatment of third-degree hemorrhoid disease. See Article Melanoma Revisited Hetzer et al point out that thick melanomas (Breslow >4 mm) with no positive nodes have a reasonably favorable prognosis (median overall survival of 70 months and disease-free survival of 51 months) before the era of adjuvant chemotherapy. Thus, the authors conclude that thickness of the melanoma itself should not be used as a criterion for adjuvant therapy but that other factors of prognosis should be considered (150 patients, node negative). See Article Effective Prevention of Adhesions With Hyaluronic Sodium The surgical world is looking for relief from the consequences of adhesion formation after mesh is placed to bridge a peritoneal defect. Kramer et al have suggested a bioresorbant membrane of hyaluronic acid as a mesh covering to prevent intra-abdominal adhesions. In an animal series, a very significant difference was noted in both the number and severity of adhesions when the bioresorbant membrane was used to conceal the mesh in the course of laparoscopic hernia repair. Studies in humans initially support the animal conclusions. View LargeDownload See Article

Journal

Archives of Surgery – American Medical Association

Published: Mar 1, 2002

There are no references for this article.

You’re reading a free preview. Subscribe to read the entire article.

Try 2 weeks free now

DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

or browse the journals available

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$499/year

Save searches from
Google Scholar,
PubMed

Create folders to
organize your research

Export folders, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

Sign up
for free
Start 14 day
Free Trial