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Biomedical subjects

C R Quick

Publications and source records attributed to C R Quick.

26 records · Page 2Linked to original sources

Staples for wound closure: a controlled trial.

Skin staples were compared with two conventional suture methods for speed, convenience, effectiveness and cost. One hundred and ninety-five patients having linear abdominal incisions were randomly allocated to one of three methods of interrupted skin closure--polypropylene sutures, polyglactin sutures or stainless steel staples and the wounds were assessed over 30 days. The mean rate of wound closure using sutures was 4.2 cm per minute while staples were faster at 22.5 cm per minute and saved an average of three minutes per wound. The time saved was considerably greater with long incisions. Staples cost 50p more per 15 cm wound than either suture. In other respects the three methods were comparable except that polyglactin caused the least wound pain. We believe the advantages of speed and convenience of skin staples outweigh the extra cost, provided the disposable instruments are reused until empty.

Adolescent↗

The measured effect of stopping smoking on intermittent claudication.

One hundred and twenty-four limbs in patients suffering from intermittent claudication were studied over 10 months. Changes in ankle pressure and treadmill exercise tolerance over the period were compared between two groups, one of patients who continued to smoke (group 1) and the other of those who gave up (group 2). Resting ankle systolic pressure fell in smokers' limbs by a mean of 10.2 mmHg (t = 3.56, P less than 0.001), and rose in those patients who stopped smoking by a mean 8.7 mmHg (P = n.s.). Ankle pressures after exercise and maximum treadmill walking distance did not change in smokers but significantly improved in past smokers. Stopping cigarette smoking increased the chance of improvement in ankle pressure and exercise tolerance in intermittent claudication.

Ankle↗

Doppler ultrasound in the functional assessment of extended deep femoral angioplasty.

Twelve patients who have had an extended deep femoral angioplasty (EFDA) for severe lower limb ischaemia have been assessed. The patients underwent a standard exercise ankle pressure test before operation and 6 months after operation. The test included the measurement of resting brachial and ankle pressures, walking distance on a treadmill and the post-exercise pressure response. A limb ischaemic score was derived from these measurements; 8 patients showed an improved score, 3 patients exhibited no change and 1 was worse. The mean improvement in walking distance of the successful cases was 182 per cent (s.d. 96 per cent). There were no amputation during the period of study.

Adult↗