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Biomedical subjects

Alan D Widgerow

Publications and source records attributed to Alan D Widgerow.

5 recordsLinked to original sources
PubMed2005

Breast reduction with inferior pedicle fascial suspension.

The ultimate aim of breast reduction surgery is to reduce breast tissue with long-term maintenance of good breast shape. A technique using interwoven fascial flap suspension of the inferior pedicle through the pectoralis muscle and fascia is described. For this study, 25 patients were followed for 1 year after surgery. The vertical length of the breast between the lower midline of the areola and the new inframammary fold was measured 10 days after surgery and compared with a follow-up measurement 1 year later. These measurements were expressed as a ratio and compared with visual impressions. A ratio of more than 1.3 or a 2-cm difference in length or more was considered representative of breast "bottoming out." This was the case with two patients, both of whom had put on substantial weight after the procedure. The author contends that a consistently reliable technique that maintains good breast shape with more extensive scarring is preferable to a technique that occasionally "gets it right" with less scarring. Good scar management and variations in technique such as the fascial flap suspension described in this report have been of considerable benefit to the author's patients undergoing breast reduction surgery.

Adult↗
PubMed2004

Irritable bowel syndrome and abdominoplasty.

Irritable bowel syndrome is a chronic disease involving pain or discomfort relieved by defecation and associated with a change in frequency or consistency of the stools. The effect of abdominoplasty on patients with irritable bowel syndrome has not been elucidated, so advising patients with irritable bowel syndrome about the effects of surgery on their disease was difficult. One hundred female patients from a pool of 120 patients responded to a questionnaire relating to abdominoplasty surgery. Follow-up ranged from 6 months to 2 years. Patients completed questionnaires formulated on the basis of Rome II Diagnostic Criteria. Of the 100 patients, nine had true irritable bowel syndrome, nine had moderate symptoms and were receiving medication (not true irritable bowel syndrome), 16 had mild symptoms on occasional medication, and 66 had no symptoms of irritable bowel syndrome before surgery. Of the true irritable bowel syndrome patients, all had symptomatic improvement with decreased medication, eight of the nine patients with moderate symptoms improved markedly, and five of the 16 patients with mild symptoms improved significantly. No patient had any initiation or deterioration of symptoms. It is thus concluded that the symptoms of irritable bowel syndrome are certainly not worsened, in the short term, by surgery, and may be alleviated or improved in most significant cases.

Abdomen↗
PubMed2004

First signals.

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Body Image↗
PubMed2003

Upper blepharoplasty with lateral segmental orbicularis excision.

In an effort to avoid symptoms of persistent lateral eyelid excess, exaggerated segmental resection of lateral preseptal orbicularis oculi muscle is performed. This involves an elliptical excision of the lateral orbicularis oculi muscle larger than that traditionally described using the blepharoplasty incision. This results in a relative advantage to the frontalis muscle, limiting the descent of the lateral brow soft tissues. The procedure was performed on 59 patients over a period of 1 year. None of these patients reported persistent lateral excess after surgery.

Adult↗