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Biomedical subjects

J S Scott

Publications and source records attributed to J S Scott.

At least 73 records · Page 4Linked to original sources

Advances in balloon dissection.

The use of a balloon as a dissecting tool was pioneered by Gauer and Kieturakis in the early 1990s.This newapplication of balloon dissection in surgery allows the creation of a working space in which a procedure is performed. This is combined with minimally invasive techniques that confer the advantages of shorter recovery and less pain for several different procedures.

Journal Article↗

Postconceptional age of surviving preterm low-birth-weight infants at hospital discharge.

BACKGROUND: Prediction of the duration of hospital stay of preterm, low-birth-weight infants currently requires inconvenient referral to published tables. OBJECTIVE: To determine whether postconceptional age (gestational age plus chronologic age) could serve as a useful clinical marker for the more convenient prediction of individual durations of hospital stay. DESIGN: Case series. SETTING: Regional military teaching medical center with level III obstetric and neonatal services. PATIENTS: Nine hundred sixty surviving preterm, low-birth-weight infants in the neonatal intensive care unit. MAIN OUTCOME MEASURE: The strength of the relationship of birth weight to postconceptional age at the time of discharge was tested by analysis of variance. RESULTS: Postconceptional age at the time of hospital discharge varied in a highly predictable manner with birth weight (P<.001). The mean and variance were greatest for infants with very low birth weights and decreased with increasing birth weight. Postconceptional age at the time of discharge reached a minimum of 36.0 +/- 1.4 weeks (mean +/- SD) for infants with birth weights of 1750 to 2240 g. CONCLUSIONS: Most preterm, low-birth-weight infants meet current eligibility criteria for hospital discharge at a postconceptional age of 35 to 37 weeks. This level of maturity is sufficiently predictive to serve as a convenient, easy-to-remember clinical marker for expected durations of hospital stay. For infants with birth weights of less than 1000 g, discharge at a post-conceptional age of 37 to 42 weeks is a more realistic expectation.

Birth Weight↗

Management of intraabdominal testicle during laparoscopic hernia repair.

A 22-year-old man who had previously undergone work-up for right cryptorchidism and been diagnosed as having right testicular absence was referred for repair of a right inguinal hernia. A laparoscopic approach was chosen for this patient, and at the time of laparoscopic herniorrhaphy, a small intraabdominal testicle was visualized and removed laparoscopically. Laparoscopy has served as an excellent procedure for locating intraabdominal testes and planning the most appropriate treatment for many cryptorchid patients. Until recently, atrophic testes located within the abdominal cavity through use of a laparoscope were removed via an open technique. Advances in laparoscopy now enable detection and definitive treatment for these patients without the need for large, more painful incisions. The laparoscopic approach to this patient enabled diagnosis and management of his cryptorchidism and provided a means for repair of his hernia.

Adult↗