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Biomedical subjects

H Ellis

Publications and source records attributed to H Ellis.

At least 127 records · Page 7Linked to original sources
PubMed1986

Towards no incisional hernias: lateral paramedian versus midline incisions.

A prospective randomized controlled clinical trial is reported which compares midline with lateral paramedian incisions in relation to the development of incisional hernias at one year. Of 431 patients randomized, 329 were available for assessment one year later. Two patients suffered burst abdomen, both being in the lateral paramedian group. Twenty-two incisional hernias occurred, 2 in the lateral paramedian group and 20 in the midline group (P less than 0.001). Of the two types of incision, the lateral paramedian incision takes longer to perform, requires a longer incision, rarely results in dehiscence, and does confer protection against incisional hernia.

Adolescent↗
PubMed1986

Lumbar sympathectomy.

Lumbar sympathectomy is used in patients with threatened or early gangrene of the toes where reconstructive arterial surgery is not possible--usually because arteriography has demonstrated absence of a "run off" suitable for endarteriectomy or a bypass graft. It may also be a supplement to reconstructive surgery of the aorta or the common iliac arteries. It is indicated in intractable Raynaud's disease affecting the feet and is particularly helpful in severe hyperhidrosis of the feet. In many cases the procedure can be performed nonoperatively by chemical sympathectomy using an injection of aqueous phenol into the lumbar chain.

Autonomic Nerve Block↗
PubMed1986

The results of incisional hernia repair: a twelve year review.

A series of 81 incisional hernia repairs is presented. Two main types of repair were performed, the 'keel' repair and a mass closure repair. In both repairs monofilament nylon was used. The recurrence rate was 46% (37 patients), the major predisposing factor being postoperative wound infection or haematoma formation. Subsequent repairs were no more successful. These poor results are compared with other published series.

Abdomen↗
PubMed1986

Transthoracic sympathectomy.

Excision of the upper thoracic sympathetic chain can be performed effectively and safely by a transthoracic approach. The most valuable indication is for severe idiopathic hyperhidrosis of the hands for which it produces a most satisfactory and lasting relief. It is also indicated for severe Raynaud's phenomenon that does not respond to conservative measures but here there is a tendency to progressive relapse following surgery so that only about half the patients show improvement several years later.

Ganglia, Sympathetic↗
PubMed1985

The functional results following primary treatment of breast cancer with breast conservation.

Forty-seven patients who had local excision ('lumpectomy') and radical radiotherapy for carcinoma of the breast in 1982 were assessed at 1 year for the functional result. The appearance of both breast was identical in 34%, while in 10% serious distortion had occurred. No matchline effect or severe telangiectasia were seen, and no patient had arm oedema, restricted arm movements or severe pain. The results were not significantly better (1) following iridium implantation than external boost, (2) after periareolar rather than other incisions, and (3) in patients with small and medium rather than large breasts.

Breast↗