Biomedical subjects

R A Kozol

Publications and source records attributed to R A Kozol.

23 records · Page 2Linked to original sources

PubMed1986

Frank Hastings Hamilton: medical educator and surgeon to President Garfield.

Frank Hastings Hamilton was a pioneer in academic surgery. His career involved the development of several medical schools. At the request of Mrs. Garfield, Hamilton was consulted after the shooting of President James Garfield. Surgical thinking at that time did not favor operation for gunshot wounds. Garfield's death reflected the lack of understanding in trauma care during that era. Hamilton's many contributions to medical education shall be remembered.

Famous Persons↗

PubMed1986

Wound closure in obese patients.

A five year randomized prospective study was carried out to compare subcutaneous drains versus a type of stay suture closure in morbidly obese patients. While acceptable wound infection rates were found, no statistical superiority was established between these types of closures.

Adult↗

PubMed1984

Dependent rubor as a predictor of limb risk in patients with claudication.

We followed up 133 patients with claudication to determine the prognostic value of dependent rubor. Life tables analysis was used, with a threatened limb as the endpoint. A threatened limb was defined as the development of ischemic rest pain, skin ulceration, or gangrene. At four years, the rubor group had a limb-threat incidence of 25%, compared with only 9% in the nonrubor group. While not indicative of imminent limb loss, the presence of dependent rubor defines patients whose limb risk is greater than in those with claudication alone.

Adult↗

PubMed1981

Alternatives in the management of atherosclerotic occlusive disease of aortic arch branches.

The cases of 62 patients with atherosclerotic occlusive disease at the origin of the aortic arch branches were reviewed. Thirty-six were initially without neurologic symptoms and in four (11%) intermittent neurologic symptoms without stroke developed during an average follow-up of 27 months. No patient had limb-threatening ischemia. Twenty-six operations were performed for neurologic symptoms or disabling limb ischemia, with one death. Five-year graft patency by life-table analysis was 81%. Preoperative or late postoperative stroke in three patients with occluded common carotid artery suggests this to be a more dangerous subgroup. We advise surgery for patients with disabling arm symptoms or with ischemic neurologic symptoms associated with multiple-vessel disease or with major lesions in the innominate-carotid circulation. We advocate selective revascularization with priority given to the innominate-carotid flow, isolated subclavian lesions first seen as a single lesion or as the only residual lesion after reconstruction for multiple-vessel disease can be safely left unreconstructed.

Adult↗

PubMedDate not supplied

Laparoscopic/endoscopic repair of rectal stricture.

Although uncommon, anastomotic stricture after low anterior resection may require additional repair beyond dilatation. Two alternate approaches are described wherein laparoscopic and endoscopic techniques were utilized to avoid repeat pelvic surgery in two cases. These can be used whether a stapled or hand-sewn approach was used for the initial anastomosis. Photo documentation demonstrates a widely patent anastomosis after repair. There is early return of bowel function by these methods, and long-term results (3 years) are excellent.

Adenocarcinoma↗