Search PubMed⌕ Search

Biomedical subjects

F S Browning

Publications and source records attributed to F S Browning.

11 recordsLinked to original sources
PubMed1996

Transcranial erosion of a benign dermal cylindroma.

Dermal eccrine cylindroma is a benign adnexal tumor that commonly affects the scalp, neck, and face. Malignant transformation is rare and has resulted in several cases of intracranial invasion. There have been no previously reported cases of a benign lesion eroding through the skull vault. We report the development of such a lesion in a woman who had undergone total scalp excision and resurfacing with a split skin graft some 23 years earlier. Details of the case and its management are presented.

Adenoma↗
PubMed1996

Microvascular free-tissue transfers in elderly patients: the leeds experience.

Free-tissue transfer in the elderly has received increasing attention in the literature. Existing reports are limited by small samples or inadequate definition of the term elderly. This study reviewed 5 years' experience with free-tissue transfer in a geriatric population (mean age 75 years, range 70 to 83 years). Forty-nine free flaps were performed in 42 patients between 1986 and 1991. This review focuses on the 39 flaps undertaken in 33 head and neck cancer patients, the main indication being reconstruction after tumor resection (80 percent). In the head and neck cancer group, donor sites included the radial forearm (20), rectus abdominis (6), jejunum (5), and others (8). Thirty-four flaps (87 percent) were primarily successful. Reexploration was required in 10 patients (26 percent) for compromised flaps (5) and bleeding (5). Three of the compromised flaps were salvaged, giving an overall flap success rate of 95 percent. One patient (3 percent) died within 30 days of surgery. These results compare favorably with other published series in elderly patients, as well as with larger cohorts of younger subjects. Free flaps are safe in the elderly. Chronologic age alone should not be an exclusion criterion when selecting patients for free-tissue transfer.

Age Factors↗
PubMed1995

A skin model for wound closure tuition.

An easy to make skin model has been developed using commonly available materials. It allows simple wound closure to be practised safely on a medium which attempts to simulate the properties of soft tissue.

Dermatologic Surgical Procedures↗
PubMed1991

Experience with the Fowler Stephens and microvascular procedures in the management of intraabdominal testes.

The Fowler Stephens operation and microvascular procedures were compared for the management of 23 intra-abdominal testes in 15 boys, 7 of whom had the prune belly syndrome. The Fowler Stephens operation was used for 15 testes (4 single-stage and 11 two-stage) and microvascular transfer was used for 8 testes. Eleven testes treated by the Fowler Stephens procedure (73%) and 7 treated by microvascular procedures (88%) were viable and intrascrotal after an average follow-up of 3.0 years, giving an overall success rate of 78%. Eight of 9 post-pubertal testes were biopsied. Severe maturational arrest was evident in all and carcinoma in situ was present in one.

Abdomen↗
PubMed1980

Segmental microvenous graft to artery.

One hundred and five microvenous grafts were carried out during three periods of time. Forty-five were performed in 1971, 25 were performed in 1975 and 35 were performed in 1979. The rabbits weighed 2 to 2.5 kg and a standard technique was followed by inserting a 1 cm vein graft after creating a defect of 0.5 cm in the femoral artery, taking the graft from the femoral vein on the same side. Exploration was carried out from 1 to 21 weeks at weekly intervals. The patency rate in Series I (1971) was 71 per cent, whereas the patency rate in Series II (1975) was 96 per cent and in Series III (1979) was 100 per cent. The scanning electron microscope showed that in the short term there was no narrowing of the lumen, nor any microaneurysm formation as reported previously by Buchler and Buncke (1979).

Animals↗
PubMed1978

Microvascular second toe transfer for digital reconstruction.

Reconstruction of a severely damaged hand, with multiple amputations of digits, presents a difficult reconstructive problem. The development of a safe method of transfer of the great toe for thumb reconstruction, using the dorsalis pedis artery and the saphenous vein, suggested the possibility of one-stage microvascular transfer of the second toe for reconstruction of fingers. In two patients a one-stage transfer of the second toe was done to replace an index finger and in another for restoration of part of the left ring finger. The transplants survived without anticoagulants and vessel complications were not encountered. Sensory return was adequate and a significant improvement in function was achieved.

Accidents, Occupational↗
PubMed1977

Microlymphaticovenous anastomoses for obstructive lymphedema.

Microlymphatic surgery appears to have a worthwhile clinical application in the treatment of secondary obstructive lymphedema. We prefer 3 or more lymphaticovenous anastomoses at, or above, the elbow; otherwise ablative procedures are recommended. In the selected cases there are some advantages of anastomoses over surgical reduction procedures: (1) the incidence of postoperative cellulitis is significantly less; (2) the microlymphatic techniques are applicable to both upper and lower limbs and perhaps could be extended to localized cases of obstructive lymphedema following trauma and congenital constriction bands. Considerable experience in microvascular surgery is required for doing this type of work. A long-term evaluation of the results of microlymphatic surgery in obstructive secondary lymphedema is required before judging its potential--especially in view of the fluctuating history of lymphedema--but the results reported are encouraging.

Adult↗