Walter L. Mersheimer

Implantation of Ureters into Completely Isolated Loops of Small Intestine.

Conclusions A new and successful method of uretero-ileal-cutaneous implantation is described. The method offers advantages: (1) no contact of ureteral orifices with the fecal stream, which should reduce the incidence of infection; (2) it avoids the undesirable features of a wet colostomy, and should be applicable to the patient undergoing pelvic viscerectomy.

THE PASSAGE OF SERUM ALBUMIN INTO BILE IN MAN.

M ANY CONSTITUZNTS Of b i le have been s t u d i e d in a comprehens ive m a n n e r , b u t the p r o t e i n componen t s have not . T h e e v o l u t i o n of physicochemical technics, wh ich make the s tudy of p r o t e i n in low conc e n t r a t i o n more conven ien t , has s t imu la t ed inves t iga t ions in to the n a t u r e of b i le prote ins . Paper a n d i m m u n o e l e c t r o p h o r e s i s have d e m o n s t r a t e d m a c r o m o l e c u l a r c o m p o n e n t s in b i l e ] -5 some of wh ich are i m m u n o log ica l ly i d e n t i c a l w i th se rum prote ins , a~, ,5 as wel l as o t h e r p ro t e in s wh ich a p p e a r to be de r ived f rom the b i l i a ry t rac t itself.< ~ S e r u m a l b u m i n has been ident i f ied in bi le , ~-a, s b u t there is, to the best of ou r knowledge , i n c o m p l e t e i n f o r m a t i o n on its m o d e of en t ry and, m o r e specifically, on w h e t h e r bi le a l b u m i n is de r ived f rom the p l a s m a a l b u m i n pool or f rom h e p a t i c p a r e n c h y m a l cells. T h e p resen t invest igat ion was u n d e r t a k e n to d e t e r m i n e the source of a l b u m i n in bile. Rad io i o d i n a t e d se rum a l b u m i n was in jec ted I.V. in pa t i en t s w i th T t u b e d ra in age of the c o m m o n b i le duct . T h e a l b u m i n t u r n o v e r ra te was determ ined , the presence o[ a l b u m i n in b i le e s t ab l i shed by var ious m e t h o d s of iden t i f ica t ion , the a l b u m i n concen t r a t i on in b i le q u a n t i t a t e d , a n d the specific ac t iv i ty of r a d i o a l b u m i n in se rum and b i le compared .

A review of 60 operations in the emergency department operating room: A three year study

Since March, 1972, the Emergency Department of Metropolitan Hospital Center, New York Medical College, has had a fully equipped operating room for the management of patients in critical condition and shock. Sixty patients over a three year period have undergone emergency surgery there with a survival rate of 46.8%. Five surgeons cover the emergency department 24 hours per day and four backup surgeons are available during peak periods. The type of injuries and corresponding survival rate, plus lapsed time between injury and treatment along with other data, are given for the 60 cases.