Clement A. Hiebert

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We report the cases of 3 patients who survived cardiac chamber rupture resulting from blunt external trauma. All were drivers in motor vehicle collisions. All were seen with signs of pericardial tamponade and were treated by pericardiocentesis followed by emergency thoracotomy performed in the operating room. Ruptures of the right atrium and right and left(More)
A successful primary repair of a fistula between the proximal aortic suture line and duodenum was performed in a 47-year-old man with the use of a saphenous vein patch graft with omental interposition between the aortic repair and the duodenum. Massive local and parenteral antibiotics were given. The patient remains completely well 3 1/2 years later.
A twenty year experience with the Belsey operation for hiatal hernia repair demonstrated good to excellent results in 80 per cent of patients, a fair outcome in 15 per cent, and unacceptable results in 5 per cent of patients. Good results included the absence of reflux symptoms, pleasant swallowing, the preservation of a normal capacity for belching and(More)
Since 1969, 40 additional patients with gastroesophageal reflux without demonstrable hiatal hernia have been identified, treated, and followed. Diagnosis is established from the clinical history of posturally aggravated symptoms plus the identification of a relaxed and incompetent lower esophageal sphincter on esophagoscopy. Esophageal pH studies and(More)
BACKGROUND Injury to the recurrent laryngeal nerve (RLN) is an unwelcome and not infrequent complication of operations on or near the upper thoracic or cervical esophagus. Because anatomic information useful to the surgeon is difficult to come by, the aim of this study was to reinvestigate and display the RLNs and superior laryngeal nerves in humans. (More)