Biomedical subjects

A Lang-Stevenson

Publications and source records attributed to A Lang-Stevenson.

5 recordsLinked to original sources

PubMed2003

Meniscal tears sustained awaiting anterior cruciate ligament reconstruction.

We reviewed 68 patients who underwent anterior cruciate ligament (ACL) reconstruction after initial EUA & arthroscopy in the knee unit of a United Kingdom district general hospital. Mean time between injury and ACL reconstruction surgery was 23.3 months with the incidence of meniscal tear at reconstruction being 67.6%. In this series 10.3% of patients sustained a meniscal tear in the delay period between arthroscopy and reconstruction surgery. Meniscal tear is strongly associated with ACL rupture and also a poorer outcome following reconstruction surgery. The delay in diagnosis and wait for reconstruction surgery that patients experience are potentially worsening surgical outcomes in the anterior cruciate deficient knee.

Adolescent↗

PubMed2001

Effectiveness of a protocol to improve transfusion practice in knee replacement surgery.

BACKGROUND AND OBJECTIVES: The available guidelines on red cell transfusion are not clearly defined and therefore have had only a modest impact on transfusion practice. The aims of this study were to assess the rate of compliance with a transfusion algorithm and its effect on transfusion practice. MATERIALS AND METHODS: A prospective observational study was carried out on 101 patients who underwent primary elective total knee replacement surgery. RESULTS: Only 30% of the patients were transfused. An overall compliance rate of 77% was achieved with the transfusion algorithm. CONCLUSION: A transfusion algorithm, together with staff education, is effective in reducing both the number of patients transfused and inappropriate transfusions.

Aged↗

PubMed2000

Retrospective study on red cell usage in primary total knee replacement surgery.

BACKGROUND AND OBJECTIVES: There is wide variation in the use of red cell transfusions for the same clinical indication. The purpose of the study was to comment on preoperative and discharge haemoglobin (Hb) levels and perioperative blood loss, and to project the Hb level if transfusions were not administered. MATERIALS AND METHODS: The case notes of 187 patients who underwent primary total knee replacement were reviewed retrospectively. RESULTS: More than 90% of the transfusions were given in the immediate postoperative period as a matter of routine and a significant number of transfusions appeared to be unnecessary. CONCLUSION: For surgical procedures involving moderate blood loss, transfusions should not be given as a routine and the decision to transfuse should take into consideration the clinical state of the patient, blood loss and pre- and postoperative Hb levels.

Aged↗

PubMed1987

The Pipkin fracture-dislocation of the hip.

The 'Pipkin' fracture-dislocation of the hip is an injury that is easily missed and is associated with serious sequelae. Eighty posterior dislocations of the hip were studied; there were nine 'Pipkin' injuries, seven of which are reported. The aetiology and management is discussed and the literature is reviewed. Guidelines for management are suggested.

Adult↗

PubMed1983

Meckel's Diverticulum: to look or not to look: to resect or not to resect.

The opinions of surgeons on their management of an incidentally found Meckel's Diverticulum under various circumstances is obtained and analysed. The literature is reviewed. It is concluded that no guidelines can be given to the junior surgeon that will be acceptable to all his seniors. Further studies have to be undertaken to ascertain where the actual complication rate of a Meckel's Diverticulum lies in the 1% to 33% range quoted in current publications, before an objective decision can be taken on whether to resect or not, with a view to reducing morbidity and mortality.

Appendicitis↗