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Biomedical subjects

M F Freshwater

Publications and source records attributed to M F Freshwater.

At least 19 recordsLinked to original sources

Priorities in plastic surgery.

The study of historical priorities in plastic surgery must be based on established principles in the field instead of mere chronology. Examples of application of these principles to two landmarks in plastic surgery are given. The reader is commended to adhere to these principles in the study of other developments in plastic surgery.

England↗

Potential pitfalls of quantitative burn wound biopsy cultures.

We present our experience with clinical correlation of quantitative cultures. A total of 285 cultures in 18 patients were carried out according to the technique of burn wound biopsy culture. The predominant organism by far was Pseudomonas aeruginosa, followed by mixed Pseudomonas and Staphylococcus and Staphylococcus alone. There were two areas of divergence from classic correlations between biopsy results and the clinical course of the patient: data are presented from clinical burn wound sepsis and falsely low quantitative cultures, and from clinically aseptic patients pursuing a benign course with falsely high quantitative cultures. We believe that culture results must be interpreted in the light of total body surface area involved rather than as an isolated finding. Quantitative burn wound cultures are a useful guide to the management of burn patients, but must be interpreted in conjunction with clinical findings.

Adolescent↗

George David Pollock and the development of skin grafting.

George David Pollock, F.R.C.S., convinced the world of the efficacy of skin autografting and homografting. Previous studies on the priority of skin grafting are reviewed. The life of Pollock, including a glimpse of the surgical world of the Victorian era is described. A detailed analysis of the roles and relationships of Pollock, Reverdin, and Gosselin is given.

England↗

The effect of various adjuncts on the surgical treatment of carpal tunnel syndrome secondary to chronic tenosynovitis.

A series of 22 patients with carpal tunnel syndrome secondary to chronic tenosynovitis was divided into two groups. The first group was treated by transverse carpal ligament release alone. The second group was treated by transverse carpal ligament release, external neurolysis of the median nerve, flexor synovectomy, and intraoperative corticosteroid instillation. Both groups were comparable preoperatively as to symptoms, signs, and electrophysiological data. At two years postoperatively there were no statistically significant differences in the symptoms, signs, and electrophysiological data in the two groups. The only difference was that patients undergoing release alone were able to return to work earlier than those patients who had the adjunctive procedures.

Adult↗