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Biomedical subjects

T S Wilkinson

Publications and source records attributed to T S Wilkinson.

At least 19 recordsLinked to original sources
PubMed1988

Staff surgery--the inevitable question.

The results of a survey of 450 plastic surgeons regarding the practice of operating on their staff members is presented. An overwhelming majority (85 percent) of responding surgeons do operate on their staff. Whether surgery is a "right" of employment or a "reward" for service was addressed. Seventy-two percent felt surgery was a "reward," while only 8 percent felt it was a "right." The results found complications to be relatively minor but numerous (23.5 percent). The need for an office policy is stressed to help eliminate misunderstandings with other employees, and a model office policy is presented and endorsed.

Attitude of Health Personnel↗
PubMed1986

Individual modifications in body contour surgery: the "limited" abdominoplasty.

Stretching of the abdominal wall and skin following pregnancy or excessive weight gain may be limited to the infraumbilical area. In these patients, abdominal repair may be accomplished with a shorter incision and without the necessity for relocating the umbilicus with its attendant visible scar. Forty patients are presented in whom excellent aesthetic repairs were effected through short curvilinear, low abdominal incisions with removal of a modest amount of excess skin. Fascial plication from pubis to umbilicus or above is facilitated by buried figure-of-eight sutures. Suction-assisted lipectomy may be employed as an adjunct. Recovery is facilitated by the reduced incision line length, reduced undermined area, and absence of tension in the midline skin incision, such as may occur in a standard abdominoplasty in which large amounts of panniculus and skin are removed with a complete repair of the abdominal wall. The limited abdominoplasty may be safely performed with ketamine-diazepam anesthesia in an office surgical center. Major complications are few and generally reflect the unpredictable nature of the elasticity of the abdominal skin.

Abdomen↗
PubMed1985

Resolution of late-developing periprosthetic breast infections without prosthesis removal.

Based on prior experience with implant exposure, an aggressive regimen to eradicate periprosthetic infections has proven successful in delayed gram-positive and gram-negative bacterial infections and in atypical microbacterial infections. The objective of the "salvage" procedure is to retain a prosthesis, to maintain breast contour, and to avoid psychological and physical consequences of prosthesis removal. The "salvage" procedure involves topical antisepsis, contracture release if needed, systemic and topical antibiotics with intermittent or continuous irrigation, and reinforcement of incision lines in selected cases using local tissue flaps.

Breast↗
PubMed1983

Complications in aesthetic malar augmentation.

The complications of malar augmentation with prosthetic materials are few. The majority are related to incorrect choice of prosthesis size or position. No complications of tissue damage have occurred, but the two instances representing delayed infection may have been a result of seeding of the capsular space from the structures in the oral cavity abetted by what appeared in one case to be the remnant of an old hematoma. Preventable complications include the use of posterior Dacron fixation for gel prostheses, since the elongated or extended malar prosthesis may not resist the forces of capsular contracture in all instances. Patient acceptance has been extremely high in 35 cases, and removal has been requested in only one instance, reflecting the value of preoperative counseling with diagrams, photographs, and drawings.

Female↗
PubMed1981

Subcutaneous mastectomy.

Subcutaneous mastectomy is a compromise surgical procedure for the precancerous breast. We do not think that total mastectomy is indicated in such patients. The effect of the small cuff of tissue beneath the areola more than compensates for the minimal additional risk by leaving a more attractive and eminently more acceptable breast. In the past six years, in more than 150 patients, use of the fanned muscle flap has not only restored warmth and thickness to the thin breast envelope but provided additional suture-line protection. The layered closure has prevented implant exposure even with traumatic or seromatous skin separation on several occasions. Placement of the incision lateral to the areola or entirely above the areola prevents unnecessary visible scarring with most clothing and provides additional protection for the incision line since it overlies the muscle flap. With increasing experience using this procedure, we now attempt to limit all our incisions to the supraareolar hemicircle. Neither incision limits visualization of the axilla or of the inevitable bleeding in this area.

Female↗
PubMed1979

A simplified technique for obliteration of glabellar frown lines.

A simple and effective method of smoothing glabellar depressions and frown lines is described. Filling the area beneath the frown line or depression with fibromuscular tissue is combined with light, superficial epidermal abrasion and redirection with temporary paralysis of corrugator function, using small and inconspicuous incisions in hidden areas.

Dermabrasion↗
PubMed1978

Alar hinge flap in heminasal reconstruction.

Eight patients in whom heminasal reconstruction was aided by a modified septal chondromucosal flap are presented. The technique involves support of the new ala and additional lining by the hinge flap; continuity of the septum is restored by reapproximation of the ipsilateral mucosa.

Adult↗