Rectal prolapse caused by blunt abdominal trauma.

We describe a case of incarcerated rectal prolapse caused by blunt abdominal trauma. Emergency treatment consisted of manual reduction with the patient under general anesthesia, proctosigmoidoscopy, and peritoneal lavage. Subsequent definitive surgical therapy was then performed after bowel preparation and consisted of anterior resection of the sigmoid colon with posterior (sacral) rectopexy.

Clinical use of nonautologous fibrin glue.

Nonautologous, highly concentrated human fibrinogen and clotting factors were used in the form of fibrin glue to treat three patients with varied surgical problems that were resistant to conventional treatment. Fibrin glue was used to occlude longstanding enterocutaneous fistulae, control liver hemorrhage in an alcoholic patient with coagulopathy, and perform a splenorrhaphy, following a gunshot wound to the spleen. Fibrin glue is effective in establishing hemostasis and sealing tissues; its use is a helpful adjunct in the care of surgical patients.

Selective management of posterior stab wounds.

Selective management of 473 patients with stab wounds limited to the posterior abdomen was reviewed. This group was composed of predominantly young, healthy men. Laporotomy was based primarily on clinical findings.

Comparison of measurements of cardiac output by bioimpedance and thermodilution in severely ill surgical patients.

In order to evaluate a new thoracic electrical bioimpedance (TEB) system for measurement of stroke volume based on the Sramek-Bernstein equation, 391 paired values of cardiac output were measured simultaneously with the standard thermodilution method. These values were obtained from 16 patients selected for having the most severe illness during a 6-month period; the intent was to evaluate the bioimpedance method in the worst possible situations. The correlation coefficient (r) was 0.

Carney's triad: radiographic diagnosis, natural history and importance of pulmonary chondromas.

We describe the radiographic findings and benign clinical course of a patient with two components of a triad of unusual neoplasms: pulmonary chondroma, gastric epithelioid leiomyosarcoma, and paraganglioma that may occur together in young women.