Articles: surgery.
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Seventeen patients with 24 regions received running Y-V-plasties to release burn scar contractures over a 3-year period. The scar band can be completely interrupted and lengthened without the need for undermining and transposition of the skin flaps, circulatory embarrassment of the flaps can be avoided. ⋯ The running Y-V-plasty has unique advantages for the treatment of cord-like or linear burn scar contractures. This approach resulted in shorter hospital stay and allows early mobilization of the involved extremities.
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Salud pública de México · Sep 1995
Comparative Study[Mother-infant rooming-in and beginning of breast feeding in a tertiary care hospital].
To establish a mother-baby's rooming-in program (RI) in a hospital that provides a tertiary level of care. ⋯ It is possible to establish RI and initiate breast feeding in a tertiary care hospital, even in mothers with cesarean section.
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The perinatal and maternal outcomes of 65 symphysiotomies and 108 caesarean sections carried out after failed trial of assisted delivery at the Port Moresby General Hospital between 1988 and 1994 were retrospectively analyzed. There were no significant differences in perinatal outcomes between the treatment groups. ⋯ There are many advantages of symphysiotomy, particularly in developing countries, following a failed trial of assisted delivery, provided the indications for it are strictly met. Obstetricians experienced in the technique are able to apply it at the optimal time, with long-term benefit to their patients, who thereby avoid the risks of pregnancy subsequent to caesarean section.
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Hypoxia in the dental setting, especially in medically compromised or sedated patients, is a common perioperative problem. It is essential that clinicians monitor patients' vital signs during certain dental procedures to ensure optimal patient safety. This article describes the principles and use of pulse oximetry to help prevent hypoxia in dental patients.
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J. Oral Maxillofac. Surg. · Aug 1995
Average blood loss and the risk of requiring perioperative blood transfusion in 506 orthognathic surgical procedures.
This study quantifies the estimated blood loss in seven groups of orthognathic surgical procedures and the risk of requiring perioperative blood transfusion, and identifies the factors relating to blood loss and need for transfusion. ⋯ The need for blood transfusion in this study was extremely low. Factors contributing to this are believed to be use of hypotensive anesthesia; a single surgical team; and a constant surgical setting. Patients having double-jaw surgery are at greater risk for blood loss than those having single-jaw procedures, and should be so advised, along with the risks of blood transfusion. The authors believe that under the conditions of this study the use of autodonation is not necessary, with the possible exception of complex double-jaw procedures involving small patients.