Surgical Club of South West England
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چکیده
out ascending bifemoral reconstruction in order to bypass the peritoneal cavity as described by R. J. Baird. In both cases, the femoral arteries were exposed first, to ascertain the adequacy of the run off. This being satisfactory, the ascending aorta was exposed through a median sternotomy. An 8 mm preformed axillo-bifemoral knitted Dacron Graft was pre-clotted and having applied a side occluding clamp to the ascending aorta, a small (1 cm) wedge was excised and the anastomosis carried out. The graft was tunnelled down in front of the posterior rectus sheath on the left side to the linea semilunaris where a small, vertical 2.5cm incision was made through the rectus muscle so that each limb of the graft could be tunnelled to the femoral vesssels to complete the anastomoses. In one case, the route was over the inguinal ligament and in the other, an extraperitoneal tunnel was made beneath the inguinal ligament. Both cases are doing well at four years follow-up. This approach is recommended in cases where an abdominal approach to the aorta may be hazardous, such as known peritoneal adhesions, previous multiple operations, incisional hernia and in cases of horseshoe kidney and previously failed aortic grafts.
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The Surgical Club of South West England
s of Papers given at the Autumn Meeting 1982 at Bath, October 22-23 INTERVENTIONAL RADIOLOGY IN A DISTRICT
متن کاملMr. R. G. Paul
was a graduate of Edinburgh University in 1927. He became a Fellow of the Royal College of Surgeons in Edinburgh, and was very proud when he was elected Fellow of the Royal College of Surgeons of England (ad eundem) in 1959. In addition, Mr. Paul became a Fellow of the Association of Surgeons of Great Britain, and a member of the council. He was a member and past president of the Moynihan Chiru...
متن کاملHydration Monitoring in the Long-Term Prophylaxis of Nephrocalcinosis *Paper presented at a meeting of the South West Urologists Club
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South West Surgeons Club
South West Surgical Club were the guests of Professor Michael Brady and the Department of Surgery at Cork Regional Hospital, Wilton, Cork on 1st-2nd May 1981. The following are abstracts of papers read to the meeting. THE FROME EXPERIMENT VALUE OF SCREENING FOR COLORECTAL CANCER
متن کاملEditorial Board of the West of England Medical Journal AGM
at the Forte Posthouse Hotel in Deane Gate Avenue, Taunton. Twelve members of the Editorial Board were at the meeting. Readers will know from previous editorial material of the parlous financial plight of the Journal and that only one more issue of the Journal will be possible with our current finances. Many attempts have been made to obtain financial stability and viability for the future. Thi...
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