RESUMEN
Despite its relative rarity, transient osteoporosis of the hip deserves to be better known since it must be distinguished from more severe conditions, such as monarthritis or neoplastic bone disease, and its prognosis is always good. The typical symptoms are illustrated from two personally observed cases. This syndrome is characterized by hip pain, limping and osteoporosis of the femoral head with preservation of the joint space. The authors stress the benign development of the syndrome and warn against aggressive therapy.
Asunto(s)
Articulación de la Cadera/diagnóstico por imagen , Osteoporosis/diagnóstico por imagen , Adulto , Humanos , Masculino , Osteoporosis/tratamiento farmacológico , Fenilbutazona/uso terapéutico , RadiografíaRESUMEN
During a follow-up study we examined 85 patients (34 children) with perforated appendicitis. The operating procedure is shortly sketched. The very favourable early and late results of our patients confirm the findings of other authors [2, 4, 5] that an intraperitoneal drainage is unnecessary in patients with perforated appendicitis. We take a thick Penrose drain for any abscess within a capsule.
Asunto(s)
Apendicitis/cirugía , Drenaje , Anciano , Apendicitis/complicaciones , Apendicitis/mortalidad , Niño , Drenaje/efectos adversos , Femenino , Estudios de Seguimiento , Humanos , MasculinoRESUMEN
A prospective, controlled, randomized trial on the value of mediastinoscopy was performed during a 12-month period (1969-1970) on 130 patients with a bronchogenic carcinoma. Patients to be admitted to the study had to meet the criteria of being clinically operable. 126 patients could be followed up for the following 5 years. Of these patients 62 had a mediastinoscopy previous to the thoracotomy (Group A) and 64 had directly a thoracotomy (Group B). A curable resection was possible in Group A in 56.4% and in 73.5% in Group B. The perioperative mortality (30 days) is 8% for Group A and 16% for Group B. The mean survival rate is for patients with a positive mediastinoscopy which did not underwent thoracotomy with 6.8 months better than for patients which underwent directly an exploratory thoracotomy (2.7 months). The 5-year survival rate is despite the high perioperative mortality for Group B (16%)higher than for Group A(10%). Mediastinoscopy is with its low mortality and its better short surviving rate of great value for high risk patients and inoperable patients with bronchogenic carcinomas, but reduces the overall resectability and the 5-year survival rate.
Asunto(s)
Carcinoma Broncogénico/diagnóstico , Neoplasias Pulmonares/diagnóstico , Mediastinoscopía , Cirugía Torácica , Tórax/cirugía , Carcinoma Broncogénico/mortalidad , Carcinoma Broncogénico/cirugía , Ensayos Clínicos como Asunto , Estudios de Seguimiento , Humanos , Neoplasias Pulmonares/mortalidad , Neoplasias Pulmonares/cirugía , Pronóstico , Estudios ProspectivosAsunto(s)
Neumonectomía/efectos adversos , Adulto , Anciano , Empiema/etiología , Empiema/microbiología , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
Between 1961 and 1974 a total of 29 patients have been treated for empyema after lung resection. Pneumonectomy for bronchus carcinoma had been previously performed in 19 patients, partial resection of the lung in ten. In the majority of cases a technical insufficiency was at last partially responsible for appearance of empyema. Differentiation between empyema after pneumonectomy and empyema in patients with residual lung parenchyma has proved to be of advantage. As to predisposing factors, treatment and prognosis of empyema in cases with residual parenchyma is comparable to regular pulmonary empyema. Empyema after pneumectomy however is different in treatment and prognosis. Irrigation of the infected thoracic cavity either by repeated punction and/or by continous through-drainage is helpful and improves the otherwise poor prognosis.