I think it’s clear when you look at the history of wound closure that we’ve made huge strides in terms of defining, developing and changing utilization for suture in the last couple of decades. One of the great achievements more recently has been the exploration of barbed suture.
Though I’ve spoken about breast cancer for Susan G. Komen for the Cure (emphasizing the importance of early screening and detection), until recently I had never had a mammogram. In my training I’d been taught that mammograms weren’t that accurate or useful in women under 40 (our health system’s protocols reflect that), so I got regularly checked by my physician whenever I had a physical and otherwise was waiting until I was older to get testing.
Surgeons want to be confident, efficient and safe when closing incisions to provide the best healing results. The following factors are instrumental in closing a wound: Strength - First and foremost, a wound closure device must keep the wound closed. Both the surgeon and the patient want to leave the O.
It was a beautiful time of day - early evening as the sun was setting. She has just turned sixty and traveled south to visit her 39-year old daughter in a warmer climate. Both had decided to go swimming at the local pool early one evening. The water was perfect: not too warm and not too cool. The clear blue water was made more inviting by the pool lights that illuminated the swimming lanes.
What should surgeons consider when choosing wound closure and healing solutions to attain the best surgical outcome? Recent advances in the scientific understanding of the physiology of wound healing, substantiated by clinical data on the benefits of the presence of natural healing factors, has resulted in a trend toward the use of biologic wound coverings.
Is the doctor-patient relationship really more sacrosanct than the nurse-patient relationship? That’s the provocative question asked by Theresa Brown in a recent column from Well, the New York Times’ health blog.
Oncoplastic breast conservation surgery combines breast cancer surgery with plastic surgery techniques to offer breast cancer patients an option that rids them of their cancer while providing a better cosmetic result. October 29, 2010 Dr. Melvin Silverstein is a renowned oncoplastic surgeon, Clinical Professor of Surgery at the University of Southern California Keck School of Medicine and Director of the Hoag Breast Program at Hoag Hospital.
I don't know what your destiny will be, but one thing I do know: the only ones among you who will be really happy are those who have sought and found how to serve. - Albert Schweitzer The middle-aged Tanzanian woman lived many hours away and had traveled to the academic medical center in Moshi.
I am in New Jersey at the New York General Surgery board review course (time to re-certify already!). It is an intense, one-week, extravaganza so chock full of information you once knew (before you went into private practice) that your mind wanders from time to time (as is evidenced by the fact that I came up with this column during the first day of the course).
Several years ago I helped care for a man who had been hospitalized with a severe infection of the abdominal wall. When his primary doctors discovered that the bacteria responsible was resistant to most antibiotics, they quickly isolated him, moving him into a single room with a sign on the door proclaiming “Contact Precautions” and directing visitors to put on gloves, mask and gown before entering.
By Edwin G. Avery, IV, M.D., C.P.I. Chief, Division of Cardiothoracic Anesthesia Vice Chairman, Director of Research University Hospitals Case Medical Center Associate Professor of Anesthesiology Case Western Reserve University School of Medicine Cleveland, OH October 22, 2010 Introduction Near-infrared spectroscopy (NIRS) based cerebral oximetry has been adopted by many cardiothoracic and vascular anesthesiologists to provide continuous intraoperative insight into brain perfusion and oxygenation dynamics.
When I was a resident in internal medicine many years ago, I saw an elderly woman who came to the ER complaining of chest pain and shortness of breath. She had a history of heart disease. When I listened to her chest, the crackles I heard emanating from her wet lungs told me she had congestive heart failure.
A look at how retractors and retractor systems have improved to allow surgeons to operate more efficiently and safely. October 20, 2010 Self-retaining retractors free up surgical staff members to concentrate on other important tasks during a procedure. Retractors have been around since surgery began, meeting the need to retract organs or tissue for visualization and access during a procedure.
By Bruce Campbell, MD No great artist ever sees things as they are. If he did, he would cease to be an artist. -Oscar Wilde The physical exam of the head and neck is both simple and challenging. Simple, in that even children are familiar with the shape of the face, the sheen of the eye, the curve of the ear, and the texture of the tongue.
One winter toward the end of my training, I came down with a cold. At first, the constant coughing and runny nose made me miserable; then they became tiring. To decrease the chances of spreading my germs, I had to tie on a mask every time I came into contact with patients, wash my hands so frequently my skin became raw and wipe down the phone receivers with alcohol when I answered a page.