Surgical Diseases and Their Sequelea
- VernacularTitle:外科的疾患及びその後遺症
- Author:
Yasuhiro NAKAHARA
- Publication Type:Journal Article
- From:The Journal of The Japanese Society of Balneology, Climatology and Physical Medicine
1967;31(1-2):63-72
- CountryJapan
- Language:Japanese
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Abstract:
1) Of 3887 patients hospitalized in our surgical clinic during about 20 years from 1946 to 1966, 43% were patients with abdominal surgery, 20% with neuralgia or rheumatoid arthritis, 9.8% with injuries of four extremities, 9.6% with malignant diseases, and 5.8% with postoperative disturbances.
2) It was concluded by our clinical investigations and laboratory findings that postoperative early ambulation (walk from 3rd. postoperative day) with early thermal bathing (40-42°C, 5 minutes bath from 7th postoperative day) in about 520 patients with gastrectomy or cholecystectomy promoted their postoperative recovery. But it was noted that postoperative recovery with malignant was not always promoted by early ambulation with early bathing and so care must be taken of such postoperative patient.
3) Recently patients with postoperative disturbances have been gradually increasing in our clinic. Of 99 patients with postlaparotomy disorders, 78 of them were postoperative intestinal adhesion. 38 of which were not re-operated and were treated by hydrotherapy that diminished their complaints from 100% to 37.7% after average 48 day therapy.
4) 328 patients with lumbago and sciatica were treated combined with balneotherapy. Of 28 patients with lumbal disc hernia, 53.6%, healed, 46.4% were markedly improved after two month therapy. But, of 21 patients with postlaminectomy or postmyelogram disturbances, only 23.8% healed, 57.1% were improved and 19% were unchanged after two month therapy.
5) 380 patients with rheumatoid arthritis were treated by balneotherapy combined with intraarticular corticosteroid injection. When local improvement by these treatments was little, these patients were treated by means of such procedures as intraarticular pumping and washing, curettage of synovial membrane and fenesteration or partial synovectomy. Balneotherapy markedly improved operated joint function. R. A. patients were permitted to take thermal bathing 6-12 hours after intraarticular corticosteroid injection and there were no articular infection by bathing.
