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Biomedical subjects

I Kessler

Publications and source records attributed to I Kessler.

At least 37 records · Page 2Linked to original sources
PubMed1985

Cross transposition of short amputation stumps for reconstruction of the thumb.

Cross transposition of digital rays is illustrated by a case of amputation of the thumb and the middle finger. A remnant of the stump of the middle finger was mobilised and brought on top of the first metacarpal, in order to restore a functional length to the amputated thumb. A cross transposition of the second digital ray to the third was also carried out, closing the gap left by the resection of the third metacarpal.

Adult↗
PubMed1984

Etiology and management of adduction contracture of the thumb.

The most common etiological factors producing adduction contracture of the thumb are presented. Development of contracture in congenital deformities, rheumatoid arthritis and osteoarthritis, cerebral palsy, burns, after snakebite, and as a consequence of trauma are each described.

Arthritis, Rheumatoid↗
PubMed1982

The obstetrical management of patients with immunologic thrombocytopenic purpura.

Pregnant women with immunologic thrombocytopenic purpura (ITP) run the risk of complications during pregnancy and labor, mainly due to the possibility of hemorrhage. Antibodies pass through the placenta, causing a transient, but dangerous thrombocytopenia in the fetus and infant. Four women with ITP, having five deliveries, are presented, showing that the modern treatment of these patients includes corticosteroids during pregnancy, thrombocyte transfusion during labor, and splenectomy being or after the pregnancy in selected cases. Cesarean section is not indicated for the disease per se, and fetal scalp blood sampling for thrombocyte count during labor is not necessary. The newborn needs immediate, careful control and, if necessary, thrombocyte transfusion and even steroids. Prolonged follow-up of the infants is necessary.

Adult↗
PubMed1982

Synovectomy of the elbow in rheumatoid arthritis.

Twenty-five synovectomies of the elbow were performed in twenty-one patients with rheumatoid arthritis, and the patients were followed for two to eleven years. All patients had an advanced stage of the disease, with disintegration of cartilage and severe erosions of bone. The operations were performed by the same surgeon using the same technique. Follow-up studies revealed various degrees of improvement in all patients. The improvement in motion was most evident in rotation of the forearm. Pain was diminished in all but three patients. In five elbows a few degrees of flexion and extension was lost. The favorable response to synovectomy was retained throughout the follow-up period in twenty-four elbows. In only one elbow was there recurrence of the synovial swelling, about eight years after the operation.

Adult↗
PubMed1981

Prolactin resistance to bromocryptine treatment: a case report.

High doses of bromocryptine (Parlodel, Sandoz) were successfully used for induction of ovulation followed by pregnancy in a hyperprolactinemic patient relatively resistant to bromocryptine treatment. After treatment with gradually increasing doses of bromocryptine, serum prolactin level (SPL) decreased slightly but became resistant and even elevated with increased doses. Under a high dose of bromocryptine (37.5 mg/d), the patient ovulated and conceived, despite the fact that SPL was not sufficiently reduced. The results may suggest that if a patient is somehow "resistant" to bromocryptine (as far as SPL suppression is concerned), a high dose may still be useful. The possibility that bromocryptine may have other effects on the process of ovulation than suppression of circulating prolactin is also to be considered.

Adult↗
PubMed1980

The problem of the older primipara.

The obstetric data relating to 98 older primiparas (OP) (0.21% of all deliveries) are compared with 100 randomly chosen older multiparas (OM) and 100 young primiparas (YP). Notable differences observed were a higher incidence of toxemia and a greater incidence of uterine myomata in the OP group. No difference was seen in the incidences of diabetes, cardiac disease, and essential hypertension. There was a greater number of preterm deliveries. The frequencies of induction of labor, vacuum extraction, and cesarean section were much greater in the OP group. No difference in postnatal course was detected among the 3 groups. No significant increase in perinatal morbidity was observed, but the incidences of prematurity and perinatal mortality were higher. It seems that the attending obstetrician is much quicker to decide to terminate pregnancy or labor ithe OP group. Except for the need for special attention to prematurity and perinatal mortality, the OP group is not at high risk.

Adult↗
PubMed1980

Third trimester induction of labor with fetal death in utero.

Labor was induced in 64 women in the third trimester, after antepartum fetal death. In 26 patients, hypertonic saline solution was instilled into the uterus; in 24, surgical rupture of the membranes, followed by oxytocin, was tried, and in 14, induction was by amniotomy only. A definite advantage of the last two methods was shown, the mean induction delivery interval being 22.55, 8.96 and 7.20 hours, respectively. Considering also the possible dangers of hypertonic saline solution, the simple method of amniotomy is preferred.

Adult↗
PubMed1979

Distraction-lengthening of digital rays in the management of the injured hand.

The distraction-lengthening principle and apparatus, formerly used in the hand for reconstruction in congenital anomalies and traumatic amputations, is described for reconstruction of metacarpals and phalanges shortened by injuries, especially gunshot wound, where those bones have lost significant length. Hands in which single metacarpals have been shortened or in which multiple digits are involved may benefit from the technique.

Adult↗
PubMed1979

A simplified technique to correct hyperextension deformity of the metacarpophalangeal joint of the thumb.

A flexible hyperextension deformity of the metacarpophalangeal joint of the thumb in eleven patients was repaired by tendon reinforcement of the volar capsule of the joint using the tendon of the extensor pollicis brevis. This tendon, which was regarded as a deforming factor, was left attached at its insertion on the proximal phalanx and was divided at the musculotendinous junction proximally. The mobilized tendon was pulled out distally and then passed proximally and volarly, first superficial to the sheath of the long flexor tendon and then back through a hole in the neck of the metacarpal, and finally in a distal direction to form a criss-cross pattern and be sutured to the tendon of the adductor pollicis. The procedure gave reliable results after an average follow-up of 6.5 years in these eleven patients who had rheumatoid, paralytic, and traumatic lesions.

Adolescent↗
PubMed1978

Snapping elbow due to dislocation of the medial head of the triceps. A report of two cases.

Two cases of unusual snapping at the elbow are described. In both, the medial head of the triceps was found to be separated from the main muscle belly. During flexion of the elbow, the medial head dislocated over the medial epicondyle, producing a characteristic snapping phenomenon. Both cases were of long standing and had been asymptomatic for years. The first clinical symptoms were those of an ulnar neuropathy. In order to restore the normal position of the medial head of the triceps, its tendon was detached from the olecranon, passed under the central tendon and interlaced to it. The ulnar nerve was left in the epicondylar groove in one case and transposed anteriorly in the other. At the end of the procedure flexion of the elbow was unobstructed and the snapping phenomenon had disappeared.

Adult↗