Understanding of the method by which diathermy produces cutting, coagulation and haemostasis, is essential for surgeons of all kinds. The key lies in the word 'POWER" and "Safety" is the watchword. All diathermy functions depend on power and it is only variations of this quantitatively and qualitatively that changes them from coagulation to cutting. A simple demonstration of power using a coupl...

All partial amputations of the foot for diabetic gangrene were reviewed from April 1981 to March 1986. There were 68 patients with a mean age of 69 years. 40 (59%) were male, 28 (41 %) were female; 37 (54%) were insulindependent, and 31 (46%) were non-insulin-dependent. There were 103 primary operations which included 6 debridements, 35 raquet, 52 ray, 4 transmetatarsal, and 6 heel amputations....

It has been established that 85-90% of upper G.I. bleeds stop spontaneously, either before or soon after hospital admission, and the value of routine endoscopy in all patients has been questioned. We admitted 94 patients with well documented bleeding in an eighteen month period, 75% of whom underwent endoscopy within 24 hours. The remaining 25% were not endoscoped either because they required i...

There is a global resurgence of cholera'. It is becoming an increasingly important public health challenge as the number of countries affected by this infection continues to increase. The current seventh pandemic is caused by V. cholerae 01, biotype EI Tor. This pandemic began in 1961 in Sulawesi, Indonesia and by 1966 has spread to other countries of Southeast Asia, Bangladesh, India, the form...

out ascending bifemoral reconstruction in order to bypass the peritoneal cavity as described by R. J. Baird. In both cases, the femoral arteries were exposed first, to ascertain the adequacy of the run off. This being satisfactory, the ascending aorta was exposed through a median sternotomy. An 8 mm preformed axillo-bifemoral knitted Dacron Graft was pre-clotted and having applied a side occlud...

Immunization is aimed at the prevention of infectious diseases. In Nigeria, the National Programme on Immunization (NPI) suffers recurrent setbacks due to many factors including ethnicity and religious beliefs. Nigeria is made up of 36 states with its federal capital in Abuja. The country is divided into six geo-political zones; north central, north west, north east, south east, south west and ...

A case of gastro-duodenal Crohn's disease was preSented, in whom there was also intestinal and colonic lnvolvement. He subsequently underwent a partial gastrectomy with Roux-en-Y anastomosis, dissecting the lrst 18ins of jejunum, which was macroscopically involved with Crohn's disease and post-operatively fared very well. As this was an unusual case and gastrou?denal Crohn's disease is relative...

not being strictly scientific papers abstracts have not been obtained. Nevertheless they were of considerable interest and the following has been compiled from notes taken at the time. Mr. Roger Mitchell opened the proceedings with a talk about 'Jersey's Past and Present History'. The Channel Isles are the only part of the Dukedom of Normandy remaining to the heirs of William the Conqueror. Jer...

s of Papers given at the Autumn Meeting 1982 at Bath, October 22-23 INTERVENTIONAL RADIOLOGY IN A DISTRICT