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Biomedical subjects

N D Jackson

Publications and source records attributed to N D Jackson.

6 recordsLinked to original sources
PubMed1995

The effects of a course in cadaver dissection on resident knowledge of pelvic anatomy: an experimental study.

OBJECTIVE: To determine whether a course in cadaver dissection can significantly increase resident knowledge of pelvic anatomy beyond that of current educational practices. METHODS: Thirteen first- and second-year residents were randomly assigned to a cadaver dissection course (seven) or a control group (six). The dissection group performed dissections with instruction, using a dissection guide designed specifically for the course. The control group received study references on pelvic anatomy and protected study time. Each participant took a practical and written examination at the beginning and end of the study. RESULTS: The two groups did not differ statistically in their scores on the pre-test. Both groups improved on the post-test, but the dissection group scored nearly 50% higher on the test than did the controls. The two groups differed significantly on the post-test, adjusted for pre-test performance (P < .01). In their evaluation of the course, participants from the dissection group emphasized its educational value and urged that it be offered to residents as a regular part of their training. CONCLUSION: Dissection of a human cadaver provides a valuable experience, allowing participants to gain a greater understanding of surgical anatomy and surgical procedures in a no-risk, unhurried setting. Residents who participated in a cadaver dissection course designed specifically for their needs showed a statistically significant increase in knowledge compared with those without this experience. Both objectively and subjectively, a cadaver dissection course is an excellent tool for instructing gynecology residents.

Cadaver↗
PubMed1995

'Doctor, what on earth is that terrible bulge?' The diagnosis and management of vaginal vault prolapse.

Patients with vaginal vault prolapse are more frequently found in the postmenopausal age group and often delay seeking help for a myriad of reasons. A sensitive physician can provide support throughout the required comprehensive work-up. Choice of therapy depends upon the overall assessment of the patient with both conservative and more invasive definitive therapies available. The result of either approach can lay the patients fears and misunderstandings to rest and return her to a more complete and fulfilling life.

Aged↗
PubMed1994

Non-surgical treatment of female incontinence.

There are many non-invasive treatments for urinary incontinence in the female, and each is directed towards the specifically identified mechanism responsible for the incontinence. Alone such therapies can often reverse the process and return the patient to a continent state. When not sufficient by itself, at the very least these non-invasive techniques can aid and support definitive surgical therapy, thereby increasing the possibility of ultimate success.

Combined Modality Therapy↗
PubMed1994

Use of Interceed Absorbable Adhesion Barrier for vaginoplasty.

Vaginal agenesis is a rare condition that can be treated successfully with a variety of nonoperative as well as surgical procedures. The difference between most of the surgical techniques lies in the material used to line the newly created canal. Skin grafts, peritoneum, and amnion have all been reported for this purpose. In the present study, four women with vaginal agenesis underwent surgical construction of an artificial vagina using Interceed Absorbable Adhesion Barrier to cover an inflatable stent placed within the neovagina. There were no intraoperative or postoperative complications, and epithelialization of the neovagina was complete by 3-6 months. All four subjects were satisfied with the results of the surgery and none of the women reported difficulty complying with postoperative care. This modification of the Abbe-McIndoe technique does not require a separate operative procedure to harvest a lining for the neovagina. The use of Interceed may reduce the cost, operative time, and morbidity associated with other vaginoplasty techniques.

Adolescent↗