Mccain Paul

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The paraesophageal hernia is an unusual disorder of the esophageal hiatus that may be associated with life-threatening mechanical problems. Elective repair is recommended at the time the condition is diagnosed, and open surgery can be accomplished with a low incidence of complications. The option of performing these repairs through a laparoscopic approach(More)
We report a case in which a venobronchial fistula developed 4 months after insertion of a silicone rubber chronic central venous catheter for chemotherapy administration. In retrospect, the tip of the catheter was in the azygous vein rather than in the superior vena cava. The suboptimal position of the catheter tip, in combination with the infusion of(More)
Mirizzi's syndrome is an unusual complication of cholelithiasis which results when an impacted cystic duct stone causes edema and compression of the adjacent common hepatic duct. The authors report the successful treatment of a patient with this syndrome by laparoscopic means. A flexible 5.0 mm choledochoscope was inserted under laparoscopic guidance into(More)
We present results from vehicle to vehicle RF propagation measurements centered at Se0 M H z We focus on determining dehy s p r e a probability distribution parameters (in particular; the Rician K factor) and p t h loss rates. Our results are discussed with implications for the use of RF communication between automobiles in Intelligent Vehicle Highway(More)
Laparoscopic techniques for common bile duct stone extraction are becoming increasingly more refined. Current options for removal of gallstones from the common bile duct include: (1) transcystic choledochoscopic stone extraction, (2) combined laparoscopic/fluoroscopic stone extraction using a helical stone basket, and (3) laparoscopic choledochotomy with(More)
There has been an observed decline in the incidence of renal stones in patients with primary hyperparathyroidism. Some believe that this is related to earlier surgical intervention. Two studies from the 1950s examined the reverse questions to determine the prevalence of primary hyperparathyroidism in patients with renal stones. This report examined 1,500(More)
The 212th Mobile Army Surgical Hospital was deployed from a United States military base in Germany to the former Yugoslavia to provide medical support for more than 25,000 United Nations soldiers. This medical unit was the first mobile hospital ever to deploy with a capability for laparoscopic surgery. During a 2-month trial period, seven laparoscopic(More)
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