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Biomedical subjects

G J Hadfield

Publications and source records attributed to G J Hadfield.

13 recordsLinked to original sources
PubMed1987

Infective cutaneous gangrene--urgency in diagnosis and treatment.

Many descriptions of infective cutaneous gangrene have been published under a variety of names. The classification adopted by Ledingham and Tehrani is illustrated by 4 cases seen in the Stoke Mandeville Hospital. Although the incidence is high in Eastern countries, infective cutaneous gangrene is uncommon in the Western hemisphere owing to a difference in geographic pathology. Early and delayed management is described, stressing that early diagnosis and aggressive treatment is required, ideally by a team consisting of a microbiologist and plastic and general surgeons. There is a substantial risk associated with the failure to diagnose and treat this condition. Mortality rates and prognosis are reviewed.

Adolescent↗
PubMedDate not supplied

Noncosmetic operations for benign breast disease.

The operation of excision of the major duct system of the breast has remained unchanged since it was first designed by Adair and described by Hadfield, Urban, and recently by Preece from Professor Hughes' unit in Cardiff. Operations for diseases for a single major duct or the whole major duct system, namely subareolar excision of the major ducts of the breast, are discussed. Technical problems are discussed and suggestions are made on ways to avoid these problems. An adequately performed operation should render the patient free from her disease with a good cosmetic result. Operations for excision of palpable and radiologically detected lesions are described. Since a histological examination is the final arbiter; methods ensuring that the whole lesion is demonstrated, excised, and fully examined are discussed. The medico-legal aspect of this is of obvious importance.

Breast↗
PubMedDate not supplied

From Fegan forwards.

We use injection therapy under the following circumstances: 1. After groin ligation in all cases with LSV varices and associated veins in thigh and around the knee. 2. When veins remain after groin ligation +/- stripping. 3. All patients with below knee veins whether new or previously operated affecting LSV or SSV. 4. Dilated dermal telangiectasis. 5. In the management of some ulcers. Why do methods of treatment go wrong? 1. Incomplete documentation and out of date examination of the patient. 2. Failure to follow the correct technique of treatment. 3. Failure to recognize deep venous insufficiency or underestimating stasis complications. Our indications for investigating the deep veins before treatment are: 1. Persistent oedema of the leg. 2. Recent or recurrent phlebothrombosis.

Humans↗