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D R Dunnihoo

Publications and source records attributed to D R Dunnihoo.

30 records · Page 2Linked to original sources

A freestanding ambulatory surgical unit: a success or failure?

The concept of a freestanding ambulatory surgical center was to provide the patient with a more cost-effective, safe, and convenient service. A study of 5,369 surgical patients treated at the Northeast Louisiana Surgical Center, Inc., in Monroe, Louisiana, was carried out to determine whether these objectives had been met. The finding was that a freestanding ambulatory surgical center was more cost effective than either a hospital ambulatory unit or an in-hospital service. The infection rate was 0.06%, and the hospital transfer rate was 0.04%. The concept of freestanding ambulatory surgical center has fulfilled the expectations of safety, convenience, and cost effectiveness for the patients.

Cost-Benefit Analysis↗

A spinal cord neurolemmoma in pregnancy.

A case of spinal cord neurolemmoma (Schwanoma) in pregnancy is described. A review of the literature fails to reveal any similar tumors in association with pregnancy. Diagnosis, treatment, and pathogenesis of spinal cord tumors in pregnancy are reviewed.

Adult↗

The effect of oral contraceptive steroids on branches of the uterine artery.

Uteri from 38 patients exposed to oral contraceptive steroids and from 7 unexposed controls were examined for lesions in small branches of the uterine artery. Moderate or severe cellular proliferation of the intimal layer was found in 82% of patients exposed to exogenous steroids, but minimal or no involvement was found in the remaining 18% and in unexposed patients. The severity of involvement correlated with duration of exposure to contraceptive steroids but decreased in those patients who had stopped medication prior to surgery. This lesion has been reported previously in autopsy studies of women receiving contraceptive steroids and dying from vascular disease, but is now shown to be common in asymptomatic women receiving oral contraceptive pills.

Adult↗