摘要:

Between 1975 and 1979, 511 injuries were caused by “terrorist” explosions in Jerusalem; 340 patients were treated at the Shaare Zedek Medical Center. The injuries were studied and analyzed. The Department of Plastic Surgery bore the brunt of the work, receiving over one-third of all admissions. More than half the hospitalization days went to plastic surgery patients. It seems that when there are large numbers of casualties due to explosions, the plastic surgery service should be enlarged immediately to cope with the large proportion of victims who will be referred to it.

ISSN:0148-7043    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

Various modifications have been made in the original McKissock design for breast reduction. These include limited areola elevation, a short inframammary incision, a narrow-based inferior vertical dermal flap, and deep coring out of all the remaining breast parenchyma. Reliance is placed on some spontaneous skin shrinkage over the upper half of the breast following excision of breast tissue in depth. Consistently satisfactory results have attended routine use of this method—equally so when employed by surgeons in training.

ISSN:0148-7043    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

Repeated postaugmentation capsular formation following retromammary silicone implantation led surgeons to seek an alternative procedure. In 1968 Dempsey and Latham first reported the “subpectoral” route for location of the implant. Since then little data has been published comparing retromammary and retropectoral breast augmentation.The aim of this study is to compare the two procedures in terms of various factors affecting the physical and emotional well-being of the breast-augmented patient: breast firmness (according to Baker's classification), patient approval, the surgeon's judgment, and the husband's or partner's evaluation are all weighed.The study included 40 patients, 20 of whom underwent retromammary augmentation, the remaining 20 retropectoral augmentation. All 40 responded to a questionnaire designed to elicit comparative data. A detailed analysis of the results was made, leading to the following conclusions: first, patient approval was largely the same in the two groups, although slightly higher in the retropectoral group. However, both surgeons and husbands preferred the retropectoral method of prosthesis insertion.

ISSN:0148-7043    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

A new flap of the buttock and posterior thigh has been developed for closure of wounds of the perineal and postsacral regions. Flap anatomy and operative technique are described. Five patients with difficult wounds were selected to demonstrate the versatility and range of this flap. In 40 patients under 65 years of age with a variety of buttock and perineal wounds, there have been no appreciable wound-healing problems with use of this flap.

ISSN:0148-7043    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

Estrogenic steroids have been used as hemostatic agents in various surgical procedures in humans. Their use to reduce bleeding has been based mainly on clinical observation. The present study was carried out to test experimentally whether intravenously administered Premarin reduces capillary bleeding. Skin-graft donor sites in rats served as the standard capillary bleeding source in this controlled double-blind experiment, in which Premarin was found to appreciably reduce capillary bleeding.

ISSN:0148-7043    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

The use of bilateral superomedial thigh flaps for primary reconstruction of scrotum and vulva is presented. These flaps have proved to be reliable, ensuring good healing and providing almost normal sensation. Further indirect evidence that these are arterial flaps is given.

ISSN:0148-7043    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

A retrospective study was performed of 512 patients suffering from primary cutaneous malignant melanoma of the skin who had been treated in Israel between 1960 and 1970. The patients were randomly admitted to six hospitals and treated according to different protocols, based on the policy of each hospital. Our conclusions are that in stage I of the disease, radical prophylactic lymph-node dissection (RPLND) improved the prognosis in all three levels of tumor invasion into the skin; in stage II of the disease, RPLND did not improve the prognosis when compared to wide excision of the tumor and excision of the clinically involved nodes; and in stage I of the disease, there is no statistically significant difference in prognosis between excisional biopsy and wide excision of the tumor.

ISSN:0148-7043    

出版商:OVID    

年代:1982

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

A new procedure for repairing damage to the scrotum caused by Fournier's gangrene is described. Complete and quick covering of the exposed testicles is important aesthetically and functionally. A distally based flap split in the middle is designed. Flap viability is ensured by an aburidant blood supply and venous return. This one-stage procedure for reconstruction of the scrotum using a flap of penile skin has proved effective in selected cases.

ISSN:0148-7043    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

We report 2 patients who were operated on for hypospadias in whom severe dysuria developed several weeks after the removal of a Foley catheter, which had been in place for two and eight days, respectively. Distal urethral narrowing was diagnosed by endoscopy and by micturating cystourethrography. Since we believe the urethral stricture was caused by the indwelling catheter, we now use cystostomy for urinary diversion in all patients operated on for hypospadias.

ISSN:0148-7043    

出版商:OVID    

年代:1982

数据来源: OVID