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Biomedical subjects

J K Clezy

Publications and source records attributed to J K Clezy.

At least 19 recordsLinked to original sources
PubMed1994

Inguinal hernia repair under local anaesthesia.

Repair of inguinal hernia is widely regarded as a simple procedure, requiring no great surgical skill. Published recurrence rates are high, indicating that there is need for improvement in technique. This paper gives details of a satisfactory method which uses local anaesthesia.

Anesthesia, Local↗
PubMed1993

Surgery in the tropics.

The practice of surgery in the tropics provides experience in the management of a broad range of conditions without many of the aids now regarded as essential in developed countries. Clinical judgement must play a greater role but the often advanced stage of disease at presentation may lessen the need for investigations and limit the treatment options. Subspecialisation is well advanced in many countries but most of the surgery performed in the world is by people not long out of medical school, much less by general surgeons. Western trained surgeons need to take into account local cultural attitudes to disease and disease management. Busy practical surgeons in tropical areas have made notable contributions to knowledge and practice. Burkitt and Huckstep, both in Kampala, and Brand in Vellore are outstanding examples. Each of these men was heavily dependent on a great many comparatively untrained but skilled paramedical workers.

General Surgery↗
PubMed1993

Anaesthesia for phaeochromocytoma resection: role of thoracic epidural blockade.

Two case reports are presented of patients who underwent surgical removal of phaeochromocytoma at Goroka Base Hospital, one with the use of thoracic epidural blockade supplemented with light general anaesthesia. This patient had a much smoother perioperative anaesthetic course than the other, with minimal elevation of blood pressure during the procedure. The paper highlights the value of epidural blockade for excision of phaeochromocytoma, especially in situations where the latest recommended methods and advanced monitoring facilities are unavailable.

Adrenal Gland Neoplasms↗
PubMed1987

Glossal cysts in four infants.

Cysts at the base of the tongue causing stridor may be fatal if they are not recognised and treated. Digital palpation along the surface of the tongue to the epiglottis is a useful diagnostic method. An operative technique that might avoid the need for tracheostomy is described.

Cysts↗
PubMed1987

Childhood phaeochromocytoma--two cases.

The clinical features and management of two cases of phaeochromocytoma in childhood are described, with emphasis on the diagnostic value of ultrasonography.

Adrenal Gland Neoplasms↗
PubMed1985

Brain abscess--then and now.

The varieties of brain abscess seen in Papua New Guinea are very much those seen by Sir William Macewen a century ago. A plea is made for early referral, and the essentials of surgical management are outlined.

Brain Abscess↗