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Biomedical subjects

J W Wade

Publications and source records attributed to J W Wade.

4 recordsLinked to original sources
PubMed2001

Microsurgery in private practice: is it feasible economically?

Microsurgical free tissue transfer and replantations have long been the bailiwick of academic training centers and tertiary referral centers. However, the authors' experience with more than 350 consecutive free tissue transfers during a span of 15 years in a purely private setting illustrates the changing economics of the medical environment in that time frame. These data provide insight into the feasibility and practicality of maintaining a microsurgical practice outside an academic medical center.

Adolescent↗
PubMed1990

Medicinal leeches: once again at the forefront of medicine.

Medical grade leeches have recently been used in the management of acute problems relative to venous congestion in patients with traumatic injuries and surgical problems. Specific cases, especially in the realm of reconstructive microsurgery, have demonstrated the effectiveness and application of leech therapy. Specific contraindications include arterial insufficiency from either anatomic or mechanical obstruction. We present five illustrative cases of successful therapeutic intervention.

Acute Disease↗
PubMed1985

Twenty-five year experience with pancreatic pseudocysts. Are we making progress?

Pseudocysts of the pancreas continue to pose a dilemma to both the internist and the surgeon alike when attempting to establish a rational means of management. Although ardent strides have been made in the realm of diagnosis and follow-up with the advent of ultrasonography, mortality and morbidity have not changed appreciably over the past 20 years. Although internal drainage is the desired method of surgical management, not all pseudocysts are amenable to this approach. Thus, the operative procedure should be strictly tailored to the patient's particular clinical situation so that acceptable long-term results can usually be obtained. By incorporating parenteral hyperalimentation into the immediate postoperative treatment period, it is postulated that surgical morbidity can be decreased. It has been unequivocally demonstrated that spontaneous resolution does occur in a significant number of patients, but until a reliable means of assessing the natural history of a particular pseudocyst is established, these lesions of the pancreas remain a surgical problem.

Adult↗