Three hundred and eighty-four laparotomies for various diseases, with tables showing the results of the operations and the subsequent history of the patients. A resumé of the writer's experience in abdominal surgery during the last fifteen years.

Includes tables.

Discurso pronunciado por el Dor. Don Luis Cordero, Presidente del Senado, en la Plaza Mayor de la Capital de la Repb͠lica, el da̕ diez de agosto del presente aǫ.

Mode of access: Internet.

A practical treatise on various diseases of the abdominal viscera /

Mode of access: Internet.

Excursion agronomique en Auvergne, principalement aux environs des Monts-Dor et du Puy-de-Dôme : suivie de Recherches sur l'état et l'importance des irrigations en France /

Mode of access: Internet.

A practical treatise on various diseases of the abdominal viscera.

Austin, R.B. Early Amer. medical imprints,

The abdominal mechanisms of a grasshopper,

Publication 3335.

Memoria que en cumplimiento á lo prescrito en el reglamento de aguas del Reino de 3. de Febrero de 1834, dirige al Esmo Señor Ministro de la Governacion del Reino el Dor. en Medicina y Cirujia Dn. Juan Carlos Guerra, Director de las aguas hidro-sulfurosas y ferruginosas de Sta. Agueda en Mondragon, relatibo á lo obserbado en la temporada de uso de aguas del año de 1848.

Carece de portada.

Abdominal surgery;

Mode of access: Internet.

Local analgesia: abdominal surgery,

Mode of access: Internet.

Intra-abdominal pressure response to multidirectional support-surface translation

A complex response of the trunk muscles occurs to restore equilibrium in response to movement of the support surface. Intra-abdominal pressure (IAP) is considered to contribute to control of the trunk. This study investigated the contribution of IAP to the postural response to multidirection support-surface translation. IAP was recorded with a thin-film pressure transducer inserted via the nose into the stomach and trunk motion was recorded with an optoelectronic system with markers over the spinous process of L1. A pattern of trunk movement was recorded in response to the support-surface translations that was consistent with a 'hip' strategy of postural control. The trunk moved in a manner appropriate to move the centre of gravity over the new base of support. IAP was increased with movement in each direction, but varied in timing and amplitude between translation directions. In general, the IAP was greater with translations in the sagittal plane compared to the frontal plane and was initiated earlier for translations in the backward direction. These data indicate that IAP contributes to the postural response associated with support-surface translation and suggest that this is consistent with stiffening the spine. (C) 2003 Elsevier B.V. All rights reserved.

The management of extra-abdominal desmoid tumours

We performed a retrospective analysis of 35 cases of desmoid tumours (aggressive fibromatoses) that underwent treatment at our institutions between 1987 and 2002. The purpose was to evaluate the rate of local recurrence of desmoid tumours treated with surgical excision, to assess the impact of surgical margins on local recurrence and to define the role of radiotherapy in the treatment. Nine patients experienced a recurrence at an average of 16 months after initial treatment. Seven of the 15 patients with a less-than-wide margin had a local recurrence. Comparatively, only two of the 20 patients with a wide margin had a local recurrence. Thirty-three of the 35 patients were disease free at the last follow-up. We recommend wide excision with clear margins whenever possible. Marginal resections are appropriate when wide excision would severely compromise the function of the limb. Surgical resections and selective supplementation of adjuvant radiotherapy give excellent control rates.

Intra-abdominal pressure increases stiffness of the lumbar spine

Intra-abdominal pressure (IAP) increases during many tasks and has been argued to increase stability and stiffness of the spine. Although several studies have shown a relationship between the IAP increase and spinal stability, it has been impossible to determine whether this augmentation of mechanical support for the spine is due to the increase in IAP or the abdominal muscle activity which contributes to it. The present study determined whether spinal stiffness increased when IAP increased without concurrent activity of the abdominal and back extensor muscles. A sustained increase in IAP was evoked by tetanic stimulation of the phrenic nerves either. unilaterally or bilaterally at 20 Hz (for 5 s) via percutaneous electrodes in three subjects. Spinal stiffness was measured as the force required to displace an indentor over the L4 or L2 spinous process with the subjects lying prone. Stiffness was measured as the slope of the regression line fitted to the linear region of the force-displacement curve. Tetanic stimulation of the diaphragm increased IAP by 27-61% of a maximal voluntary pressure increase and increased the stiffness of the spine by 8-31% of resting levels. The increase in spinal stiffness was positively correlated with the size of the IAP increase. IAP increased stiffness at L2 and L4 level. The results of this:study provide evidence that the stiffness of the lumbar spine is increased when IAP is elevated. (C) 2004 Elsevier Ltd. All rights reserved.