The journal 150 & 100 years ago. March 1846 and 1896.
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Biomedical subjects
Publications and source records attributed to G A Colon.
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Mammoscopy seems to be a very promising technique that allows evaluation of implant integrity and documentation of the condition of breast implants in situ. It is a useful tool in the evaluation of intercapsular conditions in the augmented and reconstructed breast. Because of the limitations of capsular space, however, there is a greater possibility of implant disruption when multiple manipulations are attempted through separate ports of entry. It is best to use the endoscope for visualization and documentation and to minimize the amount of manipulation that has to be done through other ports for fear of rupturing the implant. Endoscopy is a limited procedure best suited for documentation and evaluation rather than endoscopic surgical procedures, particularly when capsulotomy and capsulectomy can be done more readily under direct vision through a slightly larger incision.
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Lorazepam (Ativan) and Fentanyl (Sublimaze) given in small doses during surgery not only achieve excellent intraoperative sedation and patient cooperation, but also significantly reduce recall and recognition of events during the surgery for as long as 3 hours after the surgery. Included is a series of 814 patients in whom this protocol was used between 1981 and 1984 with a 94 percent patient postoperative follow-up. With this protocol there have been no known complications, and patient reactions have been unanimously favorable.