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Biomedical subjects

A R Askew

Publications and source records attributed to A R Askew.

14 recordsLinked to original sources
PubMed1989

Early postoperative endoscopic sphincterotomy for retained common duct stones.

The results of endoscopic sphincterotomy in 30 patients with retained common bile duct stones and a T-tube in situ following surgical exploration of the common bile duct are presented. Successful stone extraction was achieved in 27 cases (90%). There was one death, which was not procedure related. Early postoperative T-tube cholangiography is advocated and if necessary sphincterotomy can be safely performed 1 week following surgery. This approach has advantages in shortening hospital stay and minimising patient discomfort.

Adult↗
PubMed1978

Reimplantation of the wide ureter.

A modification of the technique of Politano and Leadbetter for reimplantation of wide ureters is described. Nine patients with obstructive megaureter (10 ureters) and 6 with gross vesicoureteric reflux (9 ureters) were treated. A satisfactory result was obtained in 6 of the obstructed patients (7 ureters) and ultimately, after re-operation, in 1 of the remaining ureters. Reflux was corrected in all 6 patients. This method requires less extravesical dissection than others involving extensive remodelling of the wide ureter. There is therefore less risk of damage to the distal ureteric blood supply and the natural flap valve mechanism at the ureteric orifice may be more effectively emulated.

Adolescent↗
PubMed1976

Parietal pleurectomy for recurrent pneumothorax.

One hundred patients with persistent or recurrent pneumothorax treated by parietal pleurectomy are described. There was one known recurrence and no postoperative deaths. Six patients required further surgery for complications. In the uncomplicated cases the average stay in hospital following operation was 11-5 days. Parietal pleurectomy should be regarded as the treatment of choice for patients with recurrent pneumothorax who are fit to undergo surgery.

Adolescent↗
PubMed1975

Appendicectomy.

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Appendectomy↗
PubMed1975

The Fowler-Weir approach to appendicectomy.

The medical approach of Fowler-Weir enables rapid opening of the abdominal cavity and provides good access to the appendix. Although there is less muscle trauma the wound seems as painful postoperatively as with the classic muscle-splitting approach. However, morbidity is less as shown by a decrease in the wound and deep infection rate compared with that after appendicectomy by the McBurney approach.

Abdominal Muscles↗