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Biomedical subjects

J B Kilway

Publications and source records attributed to J B Kilway.

4 recordsLinked to original sources
PubMed1979

Acute appendicitis during pregnancy.

From this study, we note: (1) misdiagnosis of appendicitis in pregnancy is comparable to that of the general female population; (2) with a maternal mortality of zero per cent, the operation is safe even when complicated by perforation; (3) fetal mortality is minimal; (4) clinical judgement rather than laboratory data must be relied on for diagnosis; and (5) the pregnant patient presenting with abdominal pain should be assessed and treated as one would any patient with the same complaint. The general use of this principle may explain the marked improvement in maternal and fetal mortality and morbidity in recent years.

Appendectomy↗
PubMed1978

Increased survival with new techniques in treatment of gastroschisis.

Since the opening of the Neonatology Unit, we have become the referral center for our area for problems in the newborn. In the past three years, we have treated five full-term and two premature infants with gastroschisis. There was one death in a premature infant. With an aggressive therapeutic approach and a new surgical technique, we have achieved an overall survival rate of greater than 85%. Primary closure was possible in three patients, with the remaining four being trreated in two stages. A modification of the Schuster silastic bag closure was first accomplished in those patients treated in two stages. Definitive surgical correction was completed within eight days of birgh in all seven patients. No ventral hernias or wound infections occurred using the new technique. Careful preoperative transport and management, judicious anesthesia, antibiotics, ventilatory support, and parenteral hyperalimentation when necessary, have all contributed to our increased survival rate and decreased morbidity.

Abdominal Muscles↗
PubMed1976

Neonatal necrotizing enterocolitis--a personal experience.

An increasing incidence of neonatal necrotizing enterocolitis over a 2 1/2 year period is demonstrated. Following a brief discussion of pathogenic and etiologic factors, 41 cases are reviewed retrospectively. Clinical, laboratory, and radiographic diagnostic aids are discussed. Surgical and nonsurgical methods of therapy and their results are presented. In conclusion, guidelines and indications for conservative and operative treatment are outlined.

Birth Weight↗