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Biomedical subjects

I J Peled

Publications and source records attributed to I J Peled.

At least 55 records · Page 3Linked to original sources
PubMed1994

The management of soft tissue complications related to pacemaker implantations.

During the last six years (1988-1993) we have treated 15 patients suffering from soft tissue problems related to pacemaker implantations which included: skin erosions (2 patients), impending extrusion of the pacemaker pulse generator due to capsular contracture (4 patients), exposed pacemaker generator (6 patients), and exposed electrode (3 patients). This article describes a conservative approach to the treatment of these complications. Skin erosions are treated topically with antibacterial creams or solutions. Local infection is controlled by the administration of systemic antibiotics according to the antibiogram, as well as with local antibacterial dressings. Impending extrusion or exposure of the pacing system are treated by subcapsular relocation of the pacemaker generator or vertical-to-horizontal transposition of the exteriorized lead. These restricted local surgical interventions are designed to overcome the vertical force which tends to cause the extrusion of pacing hardware without using another implantation site which are already limited in number. This approach, which can be repeated, prevents the reintroduction of a new pacing system. The pre-operative evaluation, surgical techniques and a long term follow-up are presented.

Anti-Bacterial Agents↗
PubMed1993

The use of CO2 laser for the treatment of xanthelasma palpebrarum.

CO2 laser has been used for the treatment of 22 patients with xanthelasma palpebrarum. This office procedure done under local anesthesia is fast and easy. The lipomatous yellow plaques are accurately photovaporized in a bloodless field, layer by layer, until the lesion is totally eradicated. The treated area heals by reepithelization, ostensibly with virtually no scar contraction. All our patients were satisfied with their results, rating them from good to excellent. In 5 patients some pigmentation changes were noted. During follow-up periods varying from 15 to 54 months, only 2 (9%) patients had recurrences, which were retreated successfully. We postulate that treatment of xanthelasma palpebrarum by CO2 laser should be seriously considered in most patients.

Adult↗
PubMed1993

Chordee: different concept and new trend of treatment.

Chordee or ventral curvature of the penis is commonly associated with and occasionally without hypospadias. The usual recommended treatment is excision of the fibrous tissue that is responsible for the bowing. This results in a proximal retraction of the meatus. With a different concept and explanation of the ventral curvature, we treat this abnormal condition as a shortage of tissue. More than a hundred consecutive cases of chordee with and without hypospadias were treated by skin release and dorsal to ventral transposition of preputial skin as well as hypospadias repair. The whole procedure is simple, planned as a single-stage operation with less morbidity or fewer complications. The meatus is not pushed back proximally, no dissection distal to the meatus is performed, and there is no need for tissue excision. The results were very successful, with no recurrence of the ventral curvature.

Follow-Up Studies↗
PubMed1992

Nipple-areola reconstruction with a custom-made silicone ectoprosthesis.

The use of a custom-made silicone ectoprosthesis of the nipple-areola complex is presented. It is suggested, after completion of breast mound reconstruction, for those women who cannot undergo or refuse to undergo any further surgical procedure, or else for the interim until the final reconstruction is performed. It is convenient to use and the aesthetic appearance is pleasing.

Adult↗
PubMed1992

V-Y plasty for perianal reconstruction after resection of tumor.

A patient with combination of perianal condylomas and Bowen's disease is described. After resection of the tumor, the defect was repaired by use of V-Y plasty using triangular island skin flaps and split thickness skin grafts. After repair and reconstruction of the perianal area, the patient regained full continence.

Aged↗