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Biomedical subjects

H Ellis

Publications and source records attributed to H Ellis.

At least 145 records · Page 8Linked to original sources
PubMed1984

Abdominal incisions--vertical or transverse?

Two-hundred and nine patients were entered into a prospective, randomized trial in order to determine whether a vertical or transverse abdominal incision is the more satisfactory in producing sound wounds. Ninety-six patients were randomized between paramedian and transverse incisions, and followed up for at least 1 year. No significant difference in the incidence of wound failure could be shown between 46 paramedian and 50 transverse incisions. Those patients who were considered to require a vertical incision were randomized between median and paramedian incisions. No significant difference in wound failure rates between 39 median and 40 paramedian incisions could be demonstrated. No advantage or disadvantage of a transverse over a vertical abdominal incision or of a paramedian over a median incision could be shown in this study.

Abdomen↗
PubMed1984

Breast problems in 1,000 consecutive referrals to surgical out-patients.

One-thousand consecutive referrals of breast complaints to surgical out-patients are presented with breakdown according to the pathological groups of final diagnoses. The relationship of these groups to parity, breast feeding and age are discussed as also is the clinical management of these cases.

Adolescent↗
PubMed1984

How to do a laparotomy.

As a result of modern investigative techniques surgeons now have fewer "blind dates with the abdomen". Nevertheless, the correct performance of a laparotomy remains an important diagnostic tool.

Abdomen↗
PubMed1984

Survival after extended resection for locally advanced carcinomas of the colon and rectum.

Two hundred and fifty five patients were treated surgically for adenocarcinoma of the colon or rectum on the Surgical Unit at Westminster Hospital in the years 1962-78. After 13 patients had been excluded on the grounds of inadequate data, 57 of the remaining 242 had tumours which, at laparotomy, were firmly adherent to neighbouring organs or the abdominal wall. These 'locally advanced' tumours were treated by an extended en-bloc resection of the tumour and neighbouring organs. The operative mortality after extended resections was higher than after standard resections, but subsequent survival did not differ significantly from survival after standard excisions for tumours of the same Dukes' stage. Histological examination of the neighbouring organs included in the extended resections confirmed direct tumour spread in only 33%.

Adenocarcinoma↗
PubMed1984

Conservative excision and radiotherapy for early breast cancer--an acceptable alternative?

The Westminster Hospital treatment policy for operable breast cancer is presented in this paper and particular attention is paid to its technical aspects. The techniques of tumour lumpectomy, radical external beam irradiation and local boosting therapy with iridium implantation are described in detail. Our initial results with this approach are encouraging and will shortly be reported. In view of this and the obvious advantages of breast conservation we hope that techniques similar to this will be adopted by others working in this field.

Brachytherapy↗
PubMed1983

Incisional hernias: when do they occur?

Incisional herniation remains a major problem for the general surgeon. Most published studies have followed up patients for 6-12 months after operation. In this study, 363 patients, known not to have an incisional hernia at 1 year, were reviewed between 2.5 and 5.5 years after operation. Twenty-one patients (5.8 per cent) were found to have developed incisional hernias. None of the causal factors previously implicated in the aetiology of incisional herniation (wound infection, male sex, obesity, age, postoperative chest infection or abdominal distension), was found to be associated with the development of these 'late hernias'.

Abdomen↗
PubMed1983

The choice of a suture to close abdominal incisions.

Burst abdomen, incisional hernia and sinus formation continue to bedevil the surgeon. Significant associated factors include postoperative wound infection and the suture material used. A series of experiments was therefore designed to test suture materials for their use in infected abdominal would closure. The nearest to the ideal, is a monofilament nonabsorbable suture (monofilament nylon). It has a low infectivity, resulted in satisfactory would tissue strength when used in infected wounds, and retained its strength. Infected, braided sutures of silk, nylon and polyglycolic acid even after 70 days were seen to contain bacteria and polymorphonuclear cells when examined electron microscopically. Absorption of silk and polyglycolic acid and encapsulation of non-absorbable braided nylon was delayed by the presence of infection. Monofilament nylon, in contrast, was unaffected, a fibrous capsule having formed by 10 days even in the infected state.

Abdominal Muscles↗