Search PubMed⌕ Search

Biomedical subjects

W B Conolly

Publications and source records attributed to W B Conolly.

At least 37 records · Page 2Linked to original sources
PubMed1978

Pitfalls in carpal tunnel decompression.

In the period 1972 to 1977, 35 patients with persistent pain and other disabilities after carpal tunnel decompression were referred for treatment. The pitfalls included: (i) wrong diagnosis--5 patients; (ii) inadequate decompression--9 patients; (iii) recurrent compression--4 patients; (iv) iatrogenic nerve injury--7 patients; and (v) postoperative complications--10 patients. The patients in Groups 1 and 5 were treated by non-operative measures. Most of the patients in Groups 2, 3, and 4 were treated by reoperation. This paper outlines the causes and prevention of pitfalls in carpal tunnel decompression.

Adolescent↗
PubMed1977

The place of peripheral nerve blocks in reconstructive hand surgery.

Seventy reconstfuctive operations on the hand were done with the patient's full co-operation during the procedure. Anaesthesia was provided by a peripheral nerve block at the level of the wrist or the metacarpo-phalangeal joint. This technique enabled the surgeon to estimate the required extent of such operations as tenolysis, arthrolysis, arthroplasty, and tendon graft. It also helped the patient to appreciate the movement he could achieve post-operatively.

Adolescent↗
PubMed1976

Residual disability after industrial hand injuries. A review of 218 patients.

The case records of 218 patients with residual hand disability were reviewed. Sixty-six per cent had significant stiffness of the digital joints (metacarpophalangeal and proximal interphalangeal); 25% had amputation of part or whole of the digit; 33% of these had troublesome neuromata; 7% had residual numbness; 25% had more than one operation on their injured hand. The average age of the patients was 44 years. The average time off work was 10 weeks. The average experience in the job before injury was six years.

Absenteeism↗
PubMed1976

Observations on wound drainage with a review of the literature.

Observations have been made on the choice of wound drainage in 119 general surgical or urological procedures performed by surgeons in a general hospital. Complications of the drains used are reported. Softer and more pliable drains appear to cause less morbidity than the stiffer, more rigid variety. The literature dealing with drainage is reviewed.

Drainage↗
PubMed1976

Intermittent pressure in the management of post-traumatic oedema and lymphoedema. The rationale and description of a new method.

This paper describes the use of intermittent pressure to reduce oedema of the limbs by assisting resorption. The rationale of the method is outlined with emphasis on the management of traumatic oedema. A safe, simple and inexpensive device to effect the intermittent pressure is described. The results of clinical trials on 63 patients with oedema are documented to substantiate the value of the treatment.

Capillaries↗
PubMed1969

Studies in obstructive jaundice.

Acute obstruction of the extrahepatic ducts causes gross proximal duct dilatation, and elevated levels of ornithine carbamyl transferase, bilirubin, and alkaline phosphatase. Slow progressive obstruction causes variable proximal duct dilatation and in these cases bilirubin, alkaline phosphatase, and ornithine carbamyl transferase return to normal, despite the presence of severe though incomplete obstruction of the common duct and microscopic findings of biliary cirrhosis. In the early phases, ornithine carbamyl transferase is a slightly more sensitive indicator of biliary obstruction than alkaline phosphatase or bilirubin, but the values still return to normal in the face of a persistent stricture. If a patient who has previously had common duct surgery develops recurrent episodes of fever which suggest cholangitis, it should be assumed that he has a recurrent stricture, even though a cholangiogram and liver function may be normal or only slightly altered. A delay until the liver function studies show consistently raised levels may result in severe biliary cirrhosis and decreased hepatic reserve.

Acute Disease↗