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Biomedical subjects

J Golan

Publications and source records attributed to J Golan.

At least 37 records · Page 2Linked to original sources

Terrorist bombing experience during 1975-79. Casualties admitted to the Shaare Zedek Medical Center.

During a period of 4 1/2 yr, 24 terrorist explosions occurred in Jerusalem. Of the 511 casualties, 340 were evacuated to the Department of Emergency in our hospital. A total of 272 admissions were graded by the "Injury Severity Score" (1), with a breakdown into light injuries (87%), medium (3%) and severe (10%). The high proportion of light injuries may be explained by the evacuation of all casualties to the nearest hospital without on-site triage. Injuries to the head and neck comprised 19.3%, and to the extremities 39% of all injuries.

Abdominal Injuries↗

Plastic surgery and civilian casualties due to "terrorist" activities.

Between 1975 and 1979, 511 injuries were caused by "terrorist" explosions in Jerusalem; 340 patients were treated at the Shaare Zedek Medical Center. The injuries were studied and analyzed. The Department of Plastic Surgery bore the brunt of the work, receiving over one-third of all admissions. More than half the hospitalization days went to plastic surgery patients. It seems that when there are large numbers of casualties due to explosions, the plastic surgery service should be enlarged immediately to cope with the large proportion of victims who will be referred to it.

Adolescent↗

Treatment of cutaneous malignant melanoma in Israel, 1960 to 1970.

A retrospective study was performed of 512 patients suffering from primary cutaneous malignant melanoma of the skin who had been treated in Israel between 1960 and 1970. The patients were randomly admitted to six hospitals and treated according to different protocols, based on the policy of each hospital. Our conclusions are that in stage I of the disease, radical prophylactic lymph-node dissection (RPLND) improved the prognosis in all three levels of tumor invasion into the skin; in stage II of the disease, RPLND did not improve the prognosis when compared to wide excision of the tumor and excision of the clinically involved nodes; and in stage I of the disease, there is no statistically significant difference in prognosis between excisional biopsy and wide excision of the tumor.

Female↗

Werner's syndrome as a cause of chronic leg ulcers.

Werner's syndrome is believed to be an autosomal-recessive inherited disorder. Among other manifestations of premature aging, patients with Werner's syndrome frequently develop chronic leg ulcers that heal poorly. We present a patient who suffered from this rare syndrome and developed typical leg ulcers. We wish to alert physicians to this syndrome so that its attendant problems can be considered when treatments are being planned for patients with chronic leg ulcers.

Chronic Disease↗

A new technique for treating the exposed cardiac pacemaker wires in the supraclavicular region.

Exposure of pacemaker wires has become a common challenge in plastic surgery. Suggested techinques for dealing with this problem include removal and reintroduction of the entire pacemaker system or coverage with local flaps. We propose a new technique, which in addition to local flap coverage, eliminates the problem future pressure necrosis by placing the wires in the clavicle rather than about it.

Aged↗

Pedunculated malignant melanoma.

A malignant melanoma in the form of a pedunculated lesion is so rare that it may not be thought of in differential diagnosis and thus may be overlooked and undertreated.

Arm↗