- Cerebrovascular and Carotid Artery Diseases
- Intracranial Aneurysms: Treatment and Complications
- Gallbladder and Bile Duct Disorders
- Appendicitis Diagnosis and Management
- Acute Ischemic Stroke Management
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiovascular Health and Disease Prevention
- Peripheral Artery Disease Management
- Pancreatitis Pathology and Treatment
- Aortic aneurysm repair treatments
- Diverticular Disease and Complications
- Gastrointestinal disorders and treatments
- Pediatric Hepatobiliary Diseases and Treatments
- 2D Materials and Applications
- Intraperitoneal and Appendiceal Malignancies
- Venous Thromboembolism Diagnosis and Management
- Infectious Aortic and Vascular Conditions
- Amoebic Infections and Treatments
- Vascular Procedures and Complications
- Aortic Disease and Treatment Approaches
- Renal and Vascular Pathologies
- Medical History and Innovations
- Biliary and Gastrointestinal Fistulas
- Pancreatic and Hepatic Oncology Research
- Vascular anomalies and interventions
University of Ottawa
2015-2024
University of Central Florida
2019-2023
A.T. Still University
2021-2023
University of Kentucky
2022
The University of Texas Southwestern Medical Center
1954-2018
Gordon College
2013
University of California, Los Angeles
1989-2012
University of California, San Diego
2009
Baylor University Medical Center
1983-2008
Washington University in St. Louis
2008
During 20 years (1957–1977), 1286 carotid endarterectomies were performed on 1022 private patients with cerebrovascular insufficiency. Included 132 undergoing 167 for asymptomatic cervical bruits. Ages ranged from 42 to 82 (mean: 64.7). Operative mortality was zero. There two transient and permanent operation-related neurologic deficits. Complete follow-up achieved, extending 184 months. postoperative follow-up, six (4.5%) developed TIA's appropriate the unoperated artery, three had strokes...
By using optimum sampling, transport, and culture techniques in patients with gangrenous or perforated appendicitis, we recovered larger numbers of bacteria a more diverse flora than has previously been reported. Thirty older 12 years histologically documented appendicitis had peritoneal fluid, appendiceal tissue, abscess contents (if present) cultured. Appendiceal tissue was obtained so as to exclude the lumen. A total, 223 anaerobes 82 aerobic faculatative were recovered, an average 10.2...
Although laparoscopic cholecystectomy (LC) is known to be safe in the treatment of acute cholecystitis (AC), optimal timing intervention remains controversial. The objective this study prospectively compare safety and cost effectiveness early versus delayed LC AC. Our population consisted 43 patients presenting with AC (localized tenderness, white blood cell count >10.0 or temperature >38.0° C, ultrasound confirmation) who were randomized during their first admission. Exclusion...
THOMPSON, JESSE E. M.D.; HOLLIER, LARRY H. PATMAN, R. DON PERSSON, ALFRED V. M.D. Author Information
Diverticular disease of the colon in patients under age 40 years is uncommon. Between 1975 and 1985, 58 (31 men 27 women) were admitted for pathologically or radiographically proven acute diverticulitis. Seventeen (29.3 percent) younger than years. Fifteen 17 (88.2 required urgent emergent surgery complications diverticular disease. This represents a significantly (P<0.02) larger proportion that group those older (17/41 41.5 percent). Twelve (70.6 had their symptoms 72 hours less, 13, was...
Mesenteric vascular problems are infrequent, but may be catastrophic. During a 26-year period, 55 private patients were treated for the following disorders: (1) 12 with visceral artery aneurysms, (2) 8 celiac compression syndrome, (3) 13 chronic mesenteric ischemia, (4) acute and (5) 10 ischemia associated aortic reconstructions. Splenic aneurysms managed by excision splenectomy, while hepatic had graft replacement. Patients syndrome underwent lysis of artery. Two both superior (SMA). One...
Ninety episodes of acute cholangitis in 66 patients have been analyzed. In 71% the episodes, an operation was performed. Eight deaths occurred, for a patient mortality rate 12%. Sixty-seven per cent operations were performed after at least 72 hours antibiotic therapy, whereas only 17% had to be done as life-threatening emergencies within 24 admission hospital. Although 86% operative occurred group operated on more than admission, this not statistically significant. However, death did...
CAROTID endarterectomy continues to play an increasingly important role in the definitive management of patients with cerebrovascular insufficiency syndromes when obstructing lesions are located extracranial vasculature. If atherosclerotic plaque is only partially occlusive and distal internal carotid patent on arteriogram, restoration cerebral blood flow by surgical reconstruction almost uniformly successful. This not case, however, if totally occluded.<sup>1</sup>A considerable difference...
Under the stress of acute hypertonic salt loading, hypertensives excrete sodium at a much greater rate than normotensives. Immediately following splanchnicectomy, excretion is markedly reduced in hypertensive, but after several months it returns toward preoperative levels. There appears to be rough correlation between maximum and mean blood pressure. Normotensives by contrast exhibit insignificant differences pre- postoperatively.
The surgical management of porcelain gallbladder is based on studies performed in 1931 and 1962, which indicated a correlation between carcinoma. We sought to evaluate the characteristics patients with risk for medical records 10,741 cholecystectomies 1955 1998 were reviewed recorded. pathology slides evaluated evidence calcification Fifteen (0.14%) specimens gallbladders. Ten (67%) had symptoms suggestive biliary colic or cholecystitis. Five (33%) asymptomatic diagnosed incidentally. All...
Bacteria recovered from appendiceal specimens 20 patients with acute appendicitis were compared those 19 complicated (gangrenous or perforative) appendicitis. Specimens of both peritoneal fluid and tissue yielded smaller numbers fewer species bacteria in culture than did more disease (2.3 strains per specimen for the former; 9.9 latter). all 13 cultures 18 obtained gangrenous perforative appendicitis; however, only eight 17 seven bacteria. These findings suggest that some traverse intact...
The clinical presentation of 48 patients with amebic liver abscess was no different than that reported in earlier studies. However, most were from countries endemic for parasitic disease. Failure to consider this diagnosis resulted potentially avoidable surgery six patients. Although metronidazole successful primary therapy 85% 41 so treated, four seven ruptured abscesses occurred cases where treatment failed. For assessment factors might predict failures, multiple parameters analyzed. Of...
PATMAN, R. DON M.D., F.A.C.S.; THOMPSON, JESSE E. PERSSON, ALFRED V. M.D. Author Information