Postoperative Complications

Publication Title: 
JAMA facial plastic surgery

BACKGROUND: A grafting technique that uses diced cartilage without fascia, which improves formability while maintaining long-term stability, would be a welcome addition to the rhinoplasty armamentarium. METHODS: A diced cartilage glue graft was recently introduced as the Tasman technique. The technique has been used by one of us (A.-J.T.) in 28 patients who were monitored clinically for 4 to 26 months. Sonographic morphometry of the graft was used in 10 patients with a maximum follow-up of 15 months, and 2 biopsies were obtained for histologic examination.

Author(s): 
Tasman, Abel-Jan
Diener, Pierre-AndrÈ
Litschel, Ralph
Publication Title: 
The Annals of Thoracic Surgery

BACKGROUND: Diabetes is commonly regarded as a risk factor for mortality and morbidity after coronary artery bypass surgery. METHODS: Between April 1997 and December 2002, 6,033 consecutive patients underwent isolated coronary artery bypass surgery. Eight hundred and fourteen (13.5%) patients had diabetes (530 oral-dependent, 284 insulin-dependent). Patients with diet-controlled diabetes were classified as nondiabetics. Deaths occurring over time were described using Kaplan-Meier techniques.

Author(s): 
Kubal, Chandrasahekhar
Srinivasan, Arun K.
Grayson, Antony D.
Fabri, Brian M.
Chalmers, John A. C.
Publication Title: 
The British Journal of Ophthalmology
Author(s): 
Swan, H. T.
Nutt, A. B.
Jowett, G. H.
Ferguson, W. J.
Blackburn, E. K.
Publication Title: 
Journal of Sex & Marital Therapy

A case report of young male patient with erotomania following seminoma and orchiectomy is described in this article. The probable dynamics that lead to this delusion are then discussed. This case report demonstrates the cooperation between the oncology ward and the psychiatric liaison service.

Author(s): 
Mazeh, D.
Merimsky, O.
Melamed, Y.
Inbar, M.
Publication Title: 
Australian Family Physician

Surgery for the aged presents a special challenge for all members of the hospital team. The tone of a geriatric hospital is unique. It has usually been adapted specifically for the needs of the elderly. Quiet kindness replaces excessive urgency; a slower time scale allows unrushed opportunities for patient care and contact; and a friendly family spirit helps replace what is missing in the lives of many elderly patients.

Author(s): 
Moore, A. R.
Publication Title: 
Australian Family Physician

Surgery for the aged presents a special challenge for all members of the hospital team. The tone of a geriatric hospital is unique. It has usually been adapted specifically for the needs of the elderly. Quiet kindness replaces excessive urgency; a slower time scale allows unrushed opportunities for patient care and contact; and a friendly family spirit helps replace what is missing in the lives of many elderly patients.

Author(s): 
Moore, A. R.
Publication Title: 
Journal of Clinical Nursing

AIM: To investigate the experiences of everyday life after lung transplantation of patients with previous chronic obstructive pulmonary disease (COPD). BACKGROUND: Compared with patients being transplanted due to other indications, those with COPD prior to lung transplantation report more problems in the form of shortness of breath, fatigue, sexual problems, insomnia and increased appetite. In addition, they are often faced with problems returning to normal working life. How these problems influence the patient's everyday life is unknown. DESIGN: An exploratory qualitative study.

Author(s): 
Thomsen, Doris
Jensen, Birte ÿstergaard
Publication Title: 
Zentralblatt Fur Chirurgie

When it comes to injuries of the collateral ligament in the metacarpal-phalangeal joint of the thumb, the best results have proved to be obtainable from primary surgery. Secondary ligament surgery according to Strandel, in its modification by B‰uerle and Reill, has its clear-cut indication and ensures restoration of thumb functionality. Arthrodesis is an alternative that should be chosen with generosity.

Author(s): 
Mitzscherling, C. P.
P‰zolt, H. J.
Stock, A.
Publication Title: 
Acta Neurochirurgica. Supplementum

The ethics of psychosurgery involve questions of moral philosophy and pragmatism in alleviating human suffering. The weighing of scientific data along with philosophical oughts and shoulds is required. The medical literature indicates definite efficacy for some kinds of limbic surgery, mainly cingulotomy and capsulotomy, in some kinds of conditions, namely major depression, pain and anxiety. The relative utility of these procedures given the severity of the illnesses and the safety of the procedures described is significant.

Author(s): 
Bouckoms, A. J.
Publication Title: 
Transfusion

Annually, over 3000 bone marrow transplants are performed worldwide involving HLA-identical sibling donors. However, only 30 percent of those patients who need a bone marrow transplant have a matched sibling donor. Programs have been developed to provide volunteer unrelated bone marrow donors for patients without sibling donors. Because bone marrow donation requires a high level of altruism, especially on the part of a donor unrelated to the patient, it is important to determine the effect of donation on the donor.

Author(s): 
Stroncek, D.
Strand, R.
Scott, E.
Kamstra-Halvorson, L.
Halagan, N.
Rogers, G.
McCullough, J.

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