Biomedical subjects
Publications and source records attributed to P J Sadighi.
Muscle-splitting thoracotomy avoids transection of the latissimus dorsi and the serratus anterior muscles, thereby decreasing post thoracotomy pain and preserving the function and viability of these two muscles. The exposure provided for most intrathoracic procedures is excellent.
Ankle nerve crushing followed 6 months later by neurectomy was used for relief of a burning sensation and pain in a 32-year-old woman who had symptoms of unilateral primary erythermalgia. The patient continues to experience considerable improvement of the preceding symptoms and no complications from the insensate foot 1 year after neurectomy, although redness and tenseness of the ankle and the foot have persisted.
A Greenfield prematurely discharged in the right atrium (tricuspid valve) was retrieved by double snare technique with minimal modification (shortening) of the carrier through the initial internal jugular venotomy incision.
A series of seven patients undergoing elective repair of abdominal aortic aneurysms using sutureless intraluminal aortic prostheses for infrarenal tube grafts was reviewed. Follow-up was five to seven months. There was no morbidity related to the graft and one late mortality. In the uncomplicated cases, the average total operative time was two hours 14 minutes with no bank blood transfusions. The overall average operative time was two hours 41 minutes with an average operative transfusion of 0.28 units and total transfusions of 1.70 units of bank blood per case. Based on this experience and the observation that operative time and blood loss are major determinants of mortality with emergency abdominal aortic aneurysm repairs, we believe that use of sutureless intraluminal prostheses in suitable cases of leaking or ruptured abdominal aortic aneurysms has the potential to markedly improve survival.