The intention of this site
is to display information that I have picked up from a myriad of sources during
my learning experience with both rimfire & fullbore rifles & pistols. Putting
all of the information in one place enables it to be passed on making life
easier for other people wishing to enter the sport
Some of it has been received from reading information on other websites, books or magazines, some from attending training courses and the rest from the history lessons you receive whilst waiting to shoot from the old soldiers who tell you about the equipment they used in various campaigns plus give you occasional insights into the horrors of doing it for real
I therefore have no idea as to the original source of most of the information, it is a combination of a brain dump a translation of piles of scribbled notes and a photo collection taken along the journey
I have also created pages for the clubs of which I am a member in order to provide an insight into the facilities available
Whilst I am deciding what to display here I hope that you enjoy the photo's.
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Abstracts thoracoscopic splanchnicectomy for pancreatic pain * henry l. Laws, md parasympathetic efferent nerve signals travel to the upper gastrointestinal tract via the vagus nerves while sympathetic efferent messages descend through the splanchnic nerves. All pain sensations reach the central nervous system by the splanchnics. buy cheap viagra buy viagra cheap generic viagra generic viagra online viagra for sale viagra online viagra for sale viagra without a doctor prescription cheap generic viagra buy cheap viagra Disruption of all the splanchnic fibers should preclude transmission of pain. Splanchnicectomy should stop pain from the upper gastrointestinal tract, including that originating in the pancreas. Division of these nerves offers relief from intractable pain of pancreatic origin from either cancer or pancreatitis. The splanchnic nerves arise from the sixth through the ninth sympathetic ganglia and descend on the lateral aspect of the vertebral bodies to exit the chest just behind the aorta. The lesser nerves stem from ganglia ten and eleven and exit the chest about one centimeter posterior to the greater. The least splanchnic nerves ordinarily cannot be found. More than hundred splanchnic interruptions had been done by open thoracotomy by 1990. Wide application of double lumen tube anesthesia and modern video thoracoscopy have afforded a less invasive approach. We began to perform thoracoscopy splanchnicectomy in 1991 with dr, harlan stone. Operation may be done on only one side or, if warranted, bilaterally. For midline or mainly left-sided pain, the left side is chosen; for predominantly right-sided pain the right is selected. The lateral position is preferred for a unilateral operation, while the patient is placed prone on the table for a bilateral procedure. After completion of the procedure on one side with re-expansion of the lung the other side is done. If a painful, but unresectable carcinoma is found at laparotomy we do alcohol injections of the celiac ganglia. If pain recurs, splanchnicectomy can still be employed. The operation will be effective 85% of the time. In patients with chronic pancreatitis the pain will often recur in a few months requiring a procedure on the contralateral side. Most patients with cancer will not need a second procedure. The operation has proven to be effective in one patient with duodenal carcinoma and in a patient with gastric carcinoma. References 1. Stone hh, chauvi.
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