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A V Medlery

Publications and source records attributed to A V Medlery.

3 recordsLinked to original sources

Factors affecting the incidence of wound infection in Neurosurgery.

A prospective survey of wound infection in a continuous series of 357 patients undergoing operations at a neurosurgical unit was made. The incidence of wound infection was 4.7 percent. Causative organisms were isolated in only 29.4 percent of the clinically infected cases. The type of suture material used did not affect the infection rate and neither did the coincidental use of steroids in the high doses employed in neurosurgical practice. Re-exploration does not carry an increased risk of infection. Use of systemic or topical antibiotics or both was not found to confer any protection against wound infection.

Anti-Bacterial Agents↗

Posterior fossa subdural haematomas.

Traumatic posterior fossa subdural haematomas are rare and, while part of a major head injury, may give little warning of their presence. A definite proportion of cases will be well enough to exhibit progressive and recognizable posterior fossa signs that might include occipital headache, raised intracranial pressure, lateralized cerebellar or brain-stem signs, and a fracture of the occipital bone. These cases will be readily amenable to investigation and cure by evacuation of the causative haematoma.

Accidents, Traffic↗