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Biomedical subjects

G A MacKinlay

Publications and source records attributed to G A MacKinlay.

28 records · Page 2Linked to original sources
PubMed1994

Endoscopic treatment of vesico-ureteric reflux in children by subureteric Teflon injection: the Edinburgh experience.

This is an audit of 50 consecutive children who were treated in Edinburgh with subureteric Teflon injection (STING) for vesico-ureteric reflux between May 1988 and March 1992. There were 68 ureters treated with a total of 89 injections. Twenty-nine ureters (42.6%) were cured after a single injection and another 20 ureters were cured after a second injection (74.2%). These results revealed a decreasing failure rate with experience and compared favourably with other published works. STING is a well-tolerated, simple, effective alternative to medical and surgical treatment for vesico-ureteric reflux in children.

Adolescent↗
PubMed1994

Meckel's diverticulum in exomphalos minor.

Fifty-four cases of exomphalos were reviewed. After the exclusion of five cases, seven out of 25 cases of exomphalos minor had co-existing Meckel's diverticulum compared with one out of 24 cases of exomphalos major. The high incidence of Meckel's diverticulum in exomphalos minor highlights the importance of surgical rather than manual reduction of the sac contents in order to exclude the presence of viscera from the sac before division. Also, the raised incidence of Meckel's diverticulum in general may well be due to a raised incidence in exomphalos minor in particular.

Child↗
PubMed1988

Save the prepuce. Painless separation of preputial adhesions in the outpatient clinic.

In most boys referred for circumcision preputial adhesions are the only problem, but these can predispose to recurrent balanitis. A simple technique using Emla cream (eutectic mixture of lignocaine and prilocaine) has been devised which allows the adhesions to be separated painlessly in the outpatient clinic. The technique was used on 39 boys aged 2 to 12 years referred for circumcision, none of whom had a retractable foreskin. The cream was applied under an occlusive dressing and left for 60 minutes before the adhesions were separated with a probe and a gauze swab. The procedure was completely pain free in 32 boys. One boy had to undergo a repeated procedure because he failed to follow the advice regularly to retract his foreskin in the three weeks after the procedure. Only one boy had to undergo circumcision later because of fibrous phimosis. In many boys referred for circumcision separation of preputial adhesions is all that is needed, and the use of this local anaesthetic technique avoids the need for general anaesthesia.

Ambulatory Surgical Procedures↗
PubMed1987

Thoraco-abdominal birth injury--presentation, diagnosis and management in an unusual case.

As a result of a traumatic delivery a newborn male child developed thoracic and intra-abdominal problems. Haemoperitoneum and chylous ascites were diagnosed; from a scrotal enlargement secondary to bilateral patent processus vaginalis and a chylothorax became apparent during investigation of the scrotal swellings. We discuss the presentation, diagnosis and management of the case and review the literature.

Birth Injuries↗
PubMed1985

Rectal examination and acute appendicitis.

A correct diagnosis of acute appendicitis was made in 90% of 103 children on the basis of history and abdominal findings. Preoperative rectal examination altered management only twice, and postoperatively was a poor indicator of pelvic sepsis.

Acute Disease↗