Weight gain after cholecystectomy.
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Biomedical subjects
Publications and source records attributed to M K Crumplin.
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The majority of currently available colostomy bridges lie on the skin surface. Until their removal around the seventh postoperative day, they frequently prevent the formation of a complete seal between the appliance and the skin, resulting in faecal leakage. This is distressing to the new stoma patient. In contrast, the Biethium bridge is inserted subcutaneously producing a small, flush stoma to which the colostomy bag can easily be applied and therefore faecal leakage is no longer a problem. Our experience with 35 patients is described.
The evolution of an intensive care facility in a District General Hospital is recorded. Optimum use of the Unit was achieved by accepting both critically ill and high dependency care patients. This has been of benefit to both the staff and patients and may be reflected in the falling mortality of the critically ill surgical patient. High dependency care patients now only stay 1.3 days and there has been no mortality. In view of the ageing population and the cost of such units, this dual role in the District General Hospital Intensive Care Unit appears justified.
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