Milk fistula: an unusual complication of breast biopsy.
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Biomedical subjects
Publications and source records attributed to P Barker.
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A consecutive series of 102 breast biopsies were randomly allocated to skin closure by either subcuticular Prolene, subcuticular Dexon or Op-Site wound closure adhesive membrane. Fourteen were withdrawn because malignancy was found on biopsy. Follow up was at one week, 3 months, 6 months and 12 months or more. No significant difference was found in the appearance of the wound at the end of the follow up period. There was no clear patient preference for any particular method, so operator preference and demands on nursing time may determine the method of skin closure.
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The value and place of residential treatment for disturbed children and adolescents have been increasingly questioned in recent years. Possible reasons for this are examined. The place of residential treatment, and its value as a specialized form of therapy, are discussed. The treatment of disturbed young people in residential settings should only be undertaken as part of a wider therapeutic plan. The need for placement away from home, for the protection of the community or for other reasons not directly concerned with the child's treatment, must be distinguished from the need for residential treatment. The rationale and goals of treatment must always be defined in advance, and the needs of the system to which the child belongs must be considered along with those of the presenting patient.
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