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Biomedical subjects

M L Kasdan

Publications and source records attributed to M L Kasdan.

At least 55 records · Page 3Linked to original sources

Dupuytren's contracture: wound irrigation to prevent hematoma.

Hematoma is one of many complications that can follow surgery for Dupuytren's contracture. In this article, along with a discussion of previously used methods, a technique developed to prevent postoperative palmar hematoma is reviewed. The technique consists of inserting a polyethylene tube into the surgical wound prior to closure and then irrigating the wound with cold Ringer's solution at the rate of approximately 75 cc/hr for 24-36 hours postoperatively. The review involved 101 patients with 124 procedures, 76 of which were performed using the new technique. The incidence of hematoma in the patients without irrigation was 6.3%, while that in the patients with irrigation was 0.0%. No deleterious side effects of this technique were detected.

Dupuytren Contracture↗

Occupational neurology and the hand. Differential diagnosis.

Occupationally related dysfunction of the peripheral nervous system is a common problem. The signs and symptoms of neurologic problems of the upper extremity and neck that can alter hand function and sensation are described in detail.

Diagnosis, Differential↗

Carpal tunnel syndrome and routine blood chemistries.

A total of 110 of the 175 patients examined had symptomatic carpal tunnel syndrome. We were able to isolate 10 patients with carpal tunnel syndrome and electrical evidence of an associated peripheral neuropathy from these 110 patients. We feel that patients with peripheral neuropathies probably warrant an extensive laboratory evaluation for primary and treatable disorders. In contrast, we feel patients with isolated carpal tunnel syndrome, normal ulnar latencies, and normal ankle jerk reflexes do not warrant initial erythrocyte sedimentation rates, thyroid profiles, or blood sugars unless there are other historical or physical factors that suggest a predisposition to diabetes mellitus, thyroid disease, or rheumatic disorders.

Adult↗

Laboratory screening prior to hand surgery. A life-saving endeavor.

Routine preoperative testing on patients undergoing elective and emergency surgery has identified life-threatening illnesses unknown to the patient. Over a six-year period, 34 patients were found to have such medical problems, including cancer, diabetes, heart disease, tuberculosis, pneumonia, Paget's disease, and sarcoid.

Adult↗

Chain saw vs. face: another hazard of mechanized progress.

Serious facial injuries can occur as the result of upward recoil of a chain saw into the operator's face. Six such cases have been discussed and the mechanism of injury as well as possible means of prevention presented.

Accidents, Occupational↗