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Biomedical subjects

A Cameron-Strange

Publications and source records attributed to A Cameron-Strange.

11 recordsLinked to original sources

Traumatic hemipelvectomy associated with contralateral hip dislocation: case report.

A case of a 28-year-old man surviving traumatic hemipelvectomy is presented. This patient is the first reported survivor in Australia of traumatic hemipelvectomy and one of few survivors reported in the world literature. Accurate and rapid early management including good resuscitation, rapid transport to the operating room and an aggressive team surgical approach all contributed to survival. Acute complications can be kept to a minimum by adhering to the approach of rapid resuscitation and early intervention by a team of surgeons. Associated dislocation of the contralateral hip with sciatic nerve damage and subsequent heterotopic calcification has not been previously reported and presents a significant obstacle to rehabilitation. Early attention to the psychological status of the patient and early involvement of rehabilitation specialists is advocated.

Accidents, Traffic↗

Extracorporeal shock-wave lithotripsy for distal ureteric calculi.

The results of 67 consecutive patients referred to the New South Wales Lithotripter Centre with distal ureteric calculi were evaluated. All these patients were treated on the Dornier HM3 Lithotripter. Distal ureteric calculi were classified as those at, or distal to, the proximal margin of the sacro-iliac joint. Eleven patients with stones overlying the sacro-iliac joint were treated in the prone position, while 56 patients with stones distal to the sacro-iliac joint, were treated in the saddle (astride) position. Of the 64 patients in whom follow-up was available, 44 (69%) were rendered totally stone free by extracorporeal shock-wave lithotripsy (ESWL). Lithotripsy has proved an effective treatment for distal ureteric calculi and has rendered 69% of patients stone free with minimal morbidity. Stones overlying the sacro-iliac joint can be successfully treated in the prone position.

Adult↗

Effect of electrohydraulic and extracorporeal shock waves on gastrointestinal cancer cells and their response to cytotoxic agents.

Electrohydraulic and extracorporeal shock waves were used to treat the colorectal and gastric cancer cell lines LIM 2412 and MKN45. The effect on viability, cell proliferation, and the action of antitumour drugs was studied. Results showed that electrohydraulic and extracorporeal shock waves were cytotoxic to all cell lines and also caused considerable inhibition of cell proliferation. A significant additional reduction in cell viability was achieved by shock waves in cancer cells treated with methotrexate, 5-fluorouracil, and vincristine. These data indicate that shock waves may be worthy of further evaluation in the treatment of gastrointestinal cancers.

Cell Survival↗

Management of refractory detrusor instability by transvesical phenol injection.

The results of transvesical phenol injection into the paravesical nerve plexuses are reported in 40 consecutive patients. A 58% success rate was achieved in the treatment of refractory detrusor instability and 73% success was seen in detrusor hyper-reflexia in 11 patients with multiple sclerosis. Urinary retention occurred in 8%. Troublesome complications were seen in 2 patients who had had previous pelvic radiotherapy, which should be regarded as an absolute contraindication to the procedure.

Adult↗