The Keio Journal of Medicine
Online ISSN : 1880-1293
Print ISSN : 0022-9717
ISSN-L : 0022-9717
Volume 28, Issue 1
Displaying 1-5 of 5 articles from this issue
  • TETSUO KATO, EISUKE OHASHI, F. HÖPNER, G. HOLLMANN, W. CH. HECKER
    1979 Volume 28 Issue 1 Pages 7-17
    Published: 1979
    Released on J-STAGE: March 27, 2009
    JOURNAL FREE ACCESS
    The so-called Rehbein's method was proposed in 1971 for reconstruction of esophagus as alternative procedure of bowel substitution in congenital esophageal atresia with a long gap. We developed a new instrument in order to perform the Rehbein's method without thoracotomy. Experimental esopha-geal atresia was produced in 4 dogs. Eight weeks post-operatively a nylon thread was passed between the esophageal pouches with the instrument in-serted through the mouth and gastrostomy, thus avoiding thoracotomy. There-after the animals were successfully treated according to the Rehbein's method. Further, the instrument was successfully applied to an infant with esophageal atresia Type-A and another infant with esophageal stricture. The recon-structed esophagus was functionally satisfactory in all of them. A short gap between esophageal pouches is better indication for the non-operative esopha-geal reconstruction of congenital esophageal atresia.
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  • HISAO TACHIBANA, TAKAO SEKI, MASAHARU NARA
    1979 Volume 28 Issue 1 Pages 19-26
    Published: 1979
    Released on J-STAGE: March 27, 2009
    JOURNAL FREE ACCESS
    A total of 179 cases with various intracranial disorders was treated by intravenous administration of 10 to 15% glycerol solution in an attempt to con-trol cerebral edema.
    Hemoglobinuria was noted in 9 cases as a clinical side-effect.
    However, it was transient and no patient developed serious renal function. Liver dysfunction was observed although it could not be attributed directly to the administration of glycerol. Histopathologic assessments were made of the kidneys, liver and spleen in 20 cases of death among the 179 glycerol-treated patients. The microscopic findings in these cases were essentially the same as those observed in cases not receiving glycerol treatmnt.
    Thus there was no evidence of significant adverse findings attributable to the administration of glycerol.
    The results of the present clinical trials indicate that the dosage and administration procedure employed, i.e. intravenous infusion of 10 to 15% glycerol at a rate of 15-25 gm per hour, is appropriate when viewed from the standpoint of minimizing adverse side-effects.
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  • YU MARUYAMA, HIDEO NAKAJIMA, MICHITAKA WADA, JUNICHIRO KUBOTA, TOYOMI ...
    1979 Volume 28 Issue 1 Pages 27-31
    Published: 1979
    Released on J-STAGE: March 27, 2009
    JOURNAL FREE ACCESS
    We experienced an unusual case of replantation of an amputated finger, in which one digital artery was reanastomosis but no suitable veins for anasto-mosis could be found during a prolonged search. For the venous drainage, the opposite side wound to the re-anastomosis side was left open, and milking procedure continued every 6 hours for 7 days.
    We have salvaged of the amputated distal segment without venous anasto-mosis in the case of a digit replantation. We described a case herein.
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  • FUMIO MOCHIMARU
    1979 Volume 28 Issue 1 Pages 33-48
    Published: 1979
    Released on J-STAGE: March 27, 2009
    JOURNAL FREE ACCESS
    Until today, the number of patients who became pregnant following arti- ficial insemination with frozen semen (frozen AID) has accumulated and reached 191 since 1958, first time in Japan, 4 pregnancies following frozen AID were reported by the physicians of our clinic.
    The author demonstrated, from the clinical point of view, that frozen AID is of clinical importance and genetically safe in treating infertility, especially male infertility, through the observations of the pregnant courses following frozen AID and subsequent development of the children.
    Out of the 191 cases, we could follow up to 133. There was no apparent increase in the incidence of stillbirths or spontaneous abortions when compared with the rate expected in the population. Nor was there major malformation in children born from frozen AID. The sex ratio was found to be increased as a result of AID, which is contrary to the results reported by most of investigators. The development of many of the children was followed, and it was demonstrated that both physical and mental development of children whether from fresh semen or from frozen semen, tended to be superior to that of those naturally born.
    Thus, present work on AID shows that its benefits outweigh its risks.
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  • YU MARUYAMA
    1979 Volume 28 Issue 1 Pages 49-61
    Published: 1979
    Released on J-STAGE: March 27, 2009
    JOURNAL FREE ACCESS
    The author has used for perichondrial grafting in various clinical cases classified as follows:
    1) Loss of the auricles.
    2) Nasal deformity.
    3) Eye lid reconstruction.
    4) Temporomandibular joint ankylosis.
    In this clinical series, the chondrogenic activity apparently exists over a wide age spectrum, the amount and regularity of cartilage produced by any type of perichondrial graft is influenced by age and seems to be due to the vascularization to the perichondrium.
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