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Biomedical subjects

R B Noone

Publications and source records attributed to R B Noone.

At least 37 records · Page 2Linked to original sources
PubMed1985

A 6-year experience with immediate reconstruction after mastectomy for cancer.

A 6-year retrospective review is presented of 185 patients who underwent immediate reconstruction of the breast at the same operation as mastectomy for carcinoma. The patients were treated at two institutions under similar protocols of patient selection, surgical technique, and postoperative care. A detailed evaluation is presented from both the oncologic and surgical points of view. The data support the conclusion that immediate reconstruction of the breast does not alter survival or cancer recurrence rates and does not interfere with the treatment of primary or secondary disease. A low incidence of significant surgical complications is also detailed. Combined with previous reports answering psychological concerns about this mode and timing of reconstruction, this review offers significant reassurance about the overall safety of immediate reconstruction. The authors therefore recommend immediate reconstruction of the breast as a safe treatment option for the woman facing mastectomy.

Adult↗
PubMed1985

Psychosocial correlates of immediate versus delayed reconstruction of the breast.

Two groups of consecutive patients from two different plastic surgical practice populations were evaluated to determine psychosocial differences between those who underwent immediate (n = 25) versus delayed (n = 38) breast reconstruction. Psychological assessment consisted of a standardized symptom inventory (BSI) and a specially designed self-report questionnaire investigating reactions unique to mastectomy and reconstruction. Both groups were extremely equivalent with regard to sociodemographic data, with the typical subject being a well-educated and employed Caucasian wife. Verbal reports of physical complaints revealed no significant differences between the two groups except for difficulty with arm movement, which was statistically higher for the immediate group (p = 0.006.). This difference most likely was due to the axillary dissection being performed simultaneously at the time of reconstruction. The relationship between timing of reconstruction and self-reported distress over the mastectomy experience revealed that only 25 percent of the women who underwent immediate repair reported "high distress" in recalling their mastectomy surgery compared with 60 percent of the delayed reconstruction group (p = 0.02). In reference to the two scales measuring psychological symptoms, a general trend was present, with the delayed group scoring higher (although not statistically significantly) on 9 of our 12 scales. Ninety-six percent of the immediate group and 89 percent of the delayed group reported satisfaction with results.(ABSTRACT TRUNCATED AT 250 WORDS)

Breast↗
PubMed1983

Immediate reconstruction in the treatment of primary carcinoma of the breast.

Forty-five consecutive patients who underwent immediate reconstruction at the time of a modified radical mastectomy are presented. Results and complications are discussed, and the follow-up rate has been 100 per cent. Our data show that, from both the carcinoma and reconstructive standpoints, the major concerns appear to be minimal with this approach, and that it is, in fact, a most viable option in patients who have early stage carcinoma of the breast. We continue to offer this option to selected patients and believe it is, indeed, a rational alternative for the treatment of primary carcinoma of the breast.

Adult↗
PubMed1982

Flexor tendon repair in the neonate.

Primary or delayed primary repair of flexor tendon lacerations in the digital sheath has become the accepted practice among surgeons expert in the treatment of hand injuries. The youngest patient reported in the literature we reviewed was 3 months old. We report a case of flexor tendon laceration at the time of delivery by emergency cesarean section. Delayed primary repair was carried out ten days later. Five months following surgery, functional results were judged to be good to excellent. The operating microscope is a valuable adjunct for tendon repair in the neonate. The procedure should be done by an experienced hand surgeon on an elective basis in a medical center where operating room personnel and anesthesia staff are familiar with neonatal patients. Under such conditions an excellent result can be obtained with a single definitive procedure.

Birth Injuries↗
PubMed1978

The case for the inferiorly based posterior pharyngeal flap.

The superiorly based and inferiorly based posterior pharyngeal flaps are compared. Reasons for choosing one or the other in specific cases are given. The complications with each are enumerated. The results obtained in speech comparing the two flaps in two retrospective series and one prospective series of cases failed to show a significant difference between them. Therefore, with little difference in the results and some good reasons for preferring one or the other under certain conditions, it would seem logical to select the one best suited for the particular problem.

Age Factors↗