Biomedical subjects

R H Clements

Publications and source records attributed to R H Clements.

22 records · Page 2Linked to original sources

PubMed1996

Scapulothoracic dissociation: a devastating injury.

Scapulothoracic dissociation, although rare, causes significant morbidity and mortality by completely disrupting the attachments of the scapula to the axial skeleton with the skin remaining intact. The defining constellation of injuries is subclavian or axillary vascular disruption, lateral displacement of the scapula, separation of the clavicular articulations with or without fracture of the clavicle, and cervical nerve root avulsion or brachial plexus injury. Orthopedic stabilization, vascular repair, and brachial plexus exploration are mandatory. Above elbow amputation, either primarily or within 24 hours, is recommended for the flail extremity.

Accidents, Traffic↗

PubMed1996

Clostridium perfringens sepsis with intravascular hemolysis following laparoscopic cholecystectomy: a newly reported complication.

Clostridium perfringens sepsis with hemolysis following cholecystectomy is a rare complication that has a very high mortality. The best chance for survival is ensured by early diagnosis, prompt initiation of antibiotics, and hyperbaric oxygen therapy if readily available. To our knowledge, this is the first reported case following laparoscopic cholecystectomy.

Anemia, Hemolytic↗

PubMed1996

Preoperative needle-localized parathyroidectomy for persistent secondary hyperparathyroidism.

Several preoperative localization techniques have been developed to assist the surgeon, with varying degrees of accuracy, in identifying the offending gland during reoperative parathyroid surgery. This is a case report of persistent secondary hyperparathyroidism that was treated with preoperative, computed tomography-guided needle localization followed by surgery. The patient underwent successful resection of a hyperplastic fifth parathyroid gland, and her calcium level decreased appropriately postoperatively. This case demonstrates a perioperative localization scheme that reduces operative time, reduces the risk of injury to surrounding structures, and helps to assure cure.

Aged↗

PubMed1996

Urgent endoscopic retrograde pancreatography the stable trauma patient.

Major ductal injury is a determinant of outcome after blunt pancreatic trauma. The retroperitoneal location makes physical examination and diagnostic peritoneal lavage unreliable, and computed tomography does not demonstrate ductal integrity. Urgent endoscopic retrograde pancreatography clearly delineates ductal anatomy, facilitating management of this potentially devastating injury.

Adult↗