Punctured surgical gloves and bacterial re-colonisation of hands during open heart surgery: implications for prosthetic valve replacement.
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Cardiac Surgical Procedures↗
Biomedical subjects
A J Kirk
Publications and source records attributed to A J Kirk.
Reflux dyspareunia.
In a prospective study of 100 women with known gastro-oesophageal reflux 77% suffered to some extent from symptoms resulting from it during sexual intercourse (called here "reflux dyspareunia"). A simple treatment plan of explanation and conservative measures was used, and this produced improvement in 61 of the 77 patients.
Adult↗
Single-flush perfusion with modified Euro-Collins solution: experience in clinical lung preservation.
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Adult↗
Successful use of mechanical assist device for right ventricular failure after orthotopic heart transplantation.
A 22-year-old woman underwent orthotopic heart transplantation, resulting in acute failure of the donor right ventricle caused by a raised pulmonary vascular resistance. This was successfully managed by mechanical assistance of the right ventricle, with use of a centrifugal pump. After a complicated early postoperative course, the patient made a complete recovery.
Adult↗
Surgical aspects of permanent cardiac pacemakers.
This study discusses the surgical aspects of permanent cardiac pacemakers with reference to a ten-year review involving 628 procedures. The most suitable route for electrode placement was found to be subclavian vein puncture, access being achieved in 97% of cases. This method was however, associated with a small incidence of pneumothorax (1.4%) and haemothorax (0.9%). The commonest late complication is infection in spite of sterile technique and antibiotic prophylaxis. Experience with infected pacemakers suggest that the best line of management is complete removal of the system followed by delayed replacement once the infection has been eradicated. Pacemaker technology is constantly improving, providing both patient and physician with increasingly elaborate tools. In order to reap the benefit of these pacemakers, the data from this review demonstrates the need for meticulous technique in their insertion and an ability to deal with any complication promptly and adequately.
Cardiac Surgical Procedures↗