[Long-term results of the surgical treatment of lymphangioma].
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Biomedical subjects
Publications and source records attributed to A R Moscona.
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Patency rates and histologic findings were evaluated in a pilot study in which continuous and interrupted anastomotic techniques were applied to blood vessels less than 1 mm in external diameter. The results of the continuous suture technique were encouraging and we feel that the advantages gained in time and ease of performance may recommend this technique to those who need to perform large numbers of microvascular anastomoses in animals.
A case of meralgia paresthetica with severe skin reaction following trauma to the anterolateral aspect of the thigh is presented. Relief of the patients' symptoms was achieved by neurolysis of the lateral femoral cutaneous nerve.
Twenty-five fingers of seven monkeys were used for an experimental study of a new concept of flexor tendon repair in "No Man's Land". Microsurgical aids were used to shift distally a sleeve of healthy flexor tendon sheath to cover the site of the repaired flexor tendon. There was a low success rate due to technical difficulties in the immobilisation of the monkey fingers. Where the finger was successfully immobilised the results were encouraging.
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Laryngotracheal stenosis in children should be treated effectively with minimal delay, and the tracheostomy should be closed within a reasonable period after surgery so that the child may develop normal speech and language. Successful reconstruction of the laryngotracheal complex was achieved by applying the superiorly based compound myocutaneous sternocleidomastoid muscle flap for wedge enhancement and resurfacing of the endolaryngeal and endotracheal lumen. A short stenting period, incorporating a custon-carved soft silicone laryngeal stent in direct continuity with an oversized silicone T-tube, helped in stabilizing the airway and ensuring good take of the flap. Postoperative recovery was relatively short, with good ventilation and vocal results. This single-step technique may be readily performed, and it interferes minimally with the child's development.
Trauma to the anterior cervical region, whether blunt or penetrating, is life threatening and often causes a major loss of tissue to both the larynx and the trachea. We report our experience in reconstructing the larynx and trachea with the pectoralis major myocutaneous island flap in an unusual case of extensive traumatic cervical injury.
Two cases of ruptured splenic artery aneurysms with unusual clinical presentation are reported. In one case an inflammatory abdominal process was suspected, while in the other the operation was delayed by several hours due to the unexplained coma, high blood sugar levels and lack of signs of shock until an advanced stage of the disease. As there was no active bleeding during the operation, the presence of free blood in the abdomen and clots in the omentum provided the clue for localization of the source of the bleeding.