Evaluation of the necessity of the three-film abdominal series in the diagnosis of abdominal pain.

The routine plain-film abdominal series, consisting of supine and upright abdominal radiographs and upright chest radiograph of 246 patients, who presented with abdominal pain from the emergency room of Bangkok Metropolitan Administration Medical College and Vajira Hospital from January 2000 to May 2001 were reviewed. Each radiograph was independently interpreted to detect any radiographic abnormality. Radiographic abnormalities were detected in 35 per cent on abdominal films and 13 per cent on chest films.

Retroperitoneal mucinous cystadenocarcinoma: a case report and review of literature.

This is a case report of retroperitoneal mucinous cystadenocarcinoma which was operated on for a preoperative diagnosis of ovarian tumor. The tumor had no connection to other intra-abdominal organs including bilateral normal ovaries. Grossly, it was a well encapsulated, unilocular cyst containing mucous material.

Intra-operative "passive gliding" technique for de Quervain's disease: a prospective study.

An intra-operative "passive gliding" maneuver was performed to identify the extensor pollicis brevis tendon during surgical decompression for de Quervain's disease in 40 involved wrists. All the patients were relieved of their symptoms and no recurrence occurred after one year of follow-up. By performing this intra-operative maneuver surgeons can prevent incomplete decompression in de Quervain's disease, regardless of the anatomical variation of the first extensor compartment.

Palliative esophageal stent or surgery in advanced esophageal malignancy.

Esophageal malignancy is one of the most aggressive malignancies. Unfortunately, the majority of patients present with incurable disease. Then palliative treatment to relieve dysphagia is the mainstay of treatment.

Pre-arterialisation of the arterialised venous flap: an experimental study in the rat.

Arteriovenous fistulae cause haemodynamic and morphological changes to the local venous channels. We have used the concept of preformed arteriovenous fistulae to study the viability improvement of arterialised venous flaps. Five groups of flaps were created using the abdominal skin of the Wistar rat (n= 10 in each group) with a silastic sheet implanted underneath.

Pre-arterialisation of an arterialised venous flap: clinical cases.

Many factors affecting the survival of arterialised venous flaps have been elucidated, both experimentally and clinically. The survival of large arterialised venous flaps has been reported, with varying results. Large arterialised venous flaps with preformed arteriovenous fistulae at the donor sites have been successfully performed in experimental animals.

A randomized comparison of one single dose of vaginal 50 microg misoprostol with 3 mg dinoprostone in pre-induction cervical ripening.

Objective: To compare the efficacy and safety of one single dose of 50 pg misoprostol to one single dose of 3 mg dinoprostone administered vaginally for pre-induction cervical ripening in term-pregnant women, who had indications for induction of labor with unripe cervices.

Study Design: A randomized double-blind controlled trial.

Setting: Bangkok Metropolitan Administration Medical College and Vajira Hospital, Bangkok, Thailand.