Perineal reconstruction following extended radical vulvectomy.
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Biomedical subjects
Publications and source records attributed to C R Peters.
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An anatomical description of the latissimus dorsi muscle, together with that of the latissimus dorsi myocutaneous flap, is presented, with examples of its versatility for reconstruction.
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Ulcers on legs may result from venous hypertension or arterial insufficiency. Ulcers of either type require skin cover. Methods of achieving such cover are explored.
A method of replacement of the hypopharynx and cervical esophagus utilizing a microvascular jejunal transplant has been presented. This has been found to be a clinically acceptable and reliable method of repair. Its primary advantage compared with other methods of reconstruction is that it is a one-stage repair with a lower incidence of postoperative complications.
The time of onset of activity of bush babies (Galago senegalensis), slow lorises (Nycticebus coucang), and an owl monkey (Aotus trivirgatus) living in outdoor enclosures usually fell in certain illuminance ranges of dusk and kept pace with seasonal progressions of sunset time. Influences of cloud cover were variable, but excessive heat and cold were inhibitory. Accurate endogenous timekeeping and reliance on the most stable zeitgeber apparently maintain activities in synchrony with the rhythmically changing environment.
A careful initial evaluation and proper treatment of the injured hand can minimize morbidity and assure early recovery. Various hand injuries encountered and their appropriate treatment are discussed. Emphasis is placed on the initial care, and in some instances the definitive treatment, which can be given in the physician's office or the hospital emergency room.
Bush babies (Galago senegalensis), slow lorises (Nycticebus coucang), and an owl monkey (Aotus trivirgatus) in outdoor enclosures usually began activity in certain illuminance ranges of dusk and accommodated to seasonal changes in sunset time. Influences of cloud cover were variable, but marked heat and cold were inhibitory. Accurate endogenous timekeeping and a reliance on the most stable zeitgeber apparently maintain activities in synchrony with the rhythmically changing environment.
A new approach utilizing microsurgical composite tissue transplantation is advocated for the management of difficult reconstructive problems in the region of the head and neck. This method is especially useful when local flap coverage may be inadequate. Morbidity and hospitalization is reduced and reconstruction is complete upon discharge from the hospital. Extirpative surgery for a malignancy can now have the defect reconstructed immediately with less disfigurement and psychological insult to the patient and family.
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