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Biomedical subjects

W P Graham

Publications and source records attributed to W P Graham.

At least 91 records · Page 5Linked to original sources
PubMed1976

Injuries from rotary power lawnmowers.

Injuries from power lawnmowers most frequently involve the toes or the foot. The most common injury is caused by an extremity being caught in the moving parts of the machine. The greatest injury is to the skin and soft tissue by degloving or avulsion. Most of these injuries, especially those which occur to children who are passengers on self-propelled mowers, are preventable by observance of simple precautions.

Accidents, Home↗
PubMed1975

The accuracy of liver scanning in the detection of metastatic disease.

Isotopic scanning of the liver to detect hepatic metastases is a commonly used clinical tool in assessing the extent of malignant disease and the proper mode of therapy. Opinions vary widely as to the efficacy of this test. To determine the accuracy of our scanning technique the clinical and laboratory data on 429 patients who had hepatic scans (technetium sulfur colloid) between February 1971 and May 1973 was reviewed. Of these patients, 125 had a confirmatory procedure (needle biopsy - 15, abdominal exploration - 69, autopsy - 41) done within 6 weeks of their scan. Nineteen patients who had negative scans were proven to have hepatic metastases. Fourteen patients had positive scans which could not be substantiated by one or more of the above confirming examinations. Thus the frequency of error was 25%. Regarding other tests - alkaline phosphatase and bilirubin - no better correlation could be made with respect to the presence or absence of metastases. From the data available on this small group of patients the liver scan is sufficiently inaccurate to preclude relying upon it for the selection of therapy in cancer patients. When the presence of hepatic metastases changes the type of therapy a confirmatory laparotomy or biopsy should be considered.

Humans↗
PubMed1975

Treatment of felons.

The pitfalls of traditional concepts in the management of a felon are reviewed. A more rational and uniformly successful method is detailed. This consists of a midvolar, longitudinal incision of the fat pad where the majority of abscesses point. Other incisions are reserved for the few cases in which maximal tenderness is shown elsewhere. An abscess should always be drained where it points. It has not been our intent in this report to discuss the problems of extension of infection beyond the closed space of the distal fat pad or to deal with paronychias and eponychias that simulate a felon by their extension.

Adipose Tissue↗
PubMed1975

Thumb length preservation following soft tissue injuries.

Six cases of major soft-tissue injuries to the mid or base of thumb are presented. In each case, pedicle reconstruction of the soft tissues was necessary in order to preserve thumb length. A variety of techniques was used, including distant tissues and local tissues. We have illustrated the superiority of local pedicles and cross-finger pedicles in thumb reconstruction and have emphasized the following points: 1) Preservation of thumb length is an important goal. 2) Conservation of the soft tissues in the initial management plays a key role in thumb reconstruction. 3) Local pedicles and cross-finger flaps have given better results than distant flaps, as evidenced by: a. better sensory capacity in the pedicle skin; b. more stable skin on the reconstructed thumb; c. less bulkiness of the pedicle skin; d. reconstruction is less time consuming.

Adult↗
PubMed1975

Ipsilateral lower extremity flaps in children.

A technique utilizing an ipsilateral thigh or buttock flap in children is described. Its advantages are the ease with which the patients ambulate and the extremely good tolerance of this position, as well as the placement of the donor scar sufficiently high to enable it to be hidden under most clothing.

Buttocks↗
PubMed1975

Breast reconstruction after radical mastectomy.

The loss of the female breast by mastectomy for treatment of carcinoma is frequently a depressing psychologic experience. While some women learn to cope with the loss, others do not despite the use of specially constructed brassieres. Adaptations of implantation materials and basic plastic surgical techniques are now available for selected postmastectomy patients. These can be useful in modifying the altered body image of the patient who has lost her breast.

Body Image↗