Search PubMed⌕ Search

Biomedical subjects

B W Powell

Publications and source records attributed to B W Powell.

30 records · Page 2Linked to original sources

Metastatic colonic adenocarcinoma in a pedicled omental flap used for sternal reconstruction: a case report.

Dehiscence of a median sternotomy wound is a fortunately rare but potentially lethal complication of cardiac surgery. If conservative management, including irrigation and secondary closure, fails then osteomyelitis with or without necrosis of the sternum, costochondritis and anterior mediastinitis may result. In the face of such sequelae, radical debidement of the sternum and flap coverage is required. A variety of flaps may be used to cover the defect following debridement of the sternum, in particular pectoralis major or rectus abdominis muscle flaps and the omentum. We report the case of a 65-year-old man, who required an omental flap for sternal dehiscence after coronary artery bypass grafting and who subsequently presented with a metastatic colonic adenocarcinoma within the flap.

Adenocarcinoma↗

The incidence of a palmaris longus tendon in patients with Dupuytren's disease.

The incidence of a palmaris longus tendon in patients with Dupuytren's disease is significantly greater than in a control group with normal hands (p = 0.014). If a patient has a palmaris longus tendon, then there is a highly significant chance of Dupuytren's disease developing in that hand (p less than 0.001).

Dupuytren Contracture↗

A semi-rigid transparent face mask in the treatment of postburn hypertrophic scars.

Scars, following burns to the face or subsequent skin grafts, can become hypertrophic. The concept of pressure in their treatment is not new. Elastic garments have been popularised and used successfully. However, they have certain limitations. To date, very little reference has been made in the literature to the use of masks. The use of a semi-rigid face mask in the treatment of hypertrophic scars is described. These masks are comfortable to wear, well tolerated and very effective. Case reports are presented and the technique of manufacture detailed.

Adult↗

Aboriginal trephination: case from southern New England?

The skull of a young adult male Amerind from a grave at a coastal site in southern Connecticut bears a largely cicatrized elliptical anomaly near bregma. Some evidence suggests deliberate antemortem trephination of the scraping type. The specimen is of interest since perhaps fewer than twenty human skulls have been advanced as putative cases of trephining by North American aborigines.

Connecticut↗

Incomplete excision of basal cell carcinomas: an audit.

The Plastic Surgery Department undertook an audit of the rate of excision of basal cell carcinomas (BCCs) at St George's Hospital. The aim of the audit was to determine the rate of incomplete excision of BCCs excised by the department over a six-month period and compare it with national audit figures. The rate of incomplete excision was 13.73 per cent or seven out of 51 BCCs, which compared favourably with the rates quoted in the literature. No change in the management of basal cell carcinomas was made.

Basal Cell Carcinoma↗