Biomedical subjects
A Lehrman
Publications and source records attributed to A Lehrman.
The miracle of St. Cosmas and St. Damian.
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Surgical repair of large meningomyeloceles.
Successful repair of 8 large meningomyeloceles is reported. Because these defects varied in size, shape, and location, no single procedure applied to all. Advancement flaps and both vertical and horizontal bipedicle flaps were used successfully. The latissimus dorsi and gluteus maximus muscles have been used as paired flaps. All four muscles can be mobilized simultaneously. Muscle flaps are preferable to skin flaps when feasible. The sac remnant is also available to contribute to closure when all else fails. Embryology and pathological anatomy are reviewed.
The vincula to the flexor tendons of the hand.
Four groups of vincula were identified within the flexor tendon sheath of 116 cadaver specimens. Each group originated from an individual arterial digital arcade. The V1 and V2 vincula were the primary carriers of blood supply to the superficialis tendon. The V3 and V4 vincula were the main supply to the profundus tendom. A simplified nomenclature is suggested to clarify this complex anatomic area. The terms "brevia" and "longa" are only useful to describe the shape of the vincula in these four positions.
Plastic surgery and family practice residents.
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Reconstruction of hand for peripheral nerve injuries.
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