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Biomedical subjects

R M Goldwyn

Publications and source records attributed to R M Goldwyn.

At least 19 recordsLinked to original sources
PubMed1979

Is there postdefecation bacteremia?

An investigation was done to determine the incidence of postdefecation bacteremia. A study of 82 healthy volunteers was done. Among 164 predefecation cultures, only one (0.6%) from an anaerobic flask was positive for microorganism, which was identified as Staphylococcus epidermidis. In only two of 328 (0.6%) postdefecation cultures did microorganisms grow, which were shown to be Propionibacterium acnes. The results of this study suggest that either bacteremia after defecation does not occur or is a rare event in healthy individuals.

Adolescent↗
PubMed1979

Unexpected bleeding after elective nasal surgery.

In 780 patients undergoing elective nasal surgery, the incidence of excessive bleeding was 3.6% (28 patients); of severe bleeding, 0.9% (7 patients). In most patients, effective treatment was to repack the nose and cauterize a bleeding site, or to suture an open area either in the incision or at the columella-septum junction. Contributing to the hemorrhage in 1 patient was aspirin ingestion, and in another, an unrecognized Factor XI deficiency. Although the excessive bleeding in these patients could probably have been prevented by obtaining a better history, in others it could not have been. Because of its unpredictability, bleeding as a complication must be discussed frankly with the patient.

Adolescent↗
PubMed1979

Justinian II and Carmagnola: a Byzantine rhinoplasty?

The Carmagnola statue, although undoubtedly a Byzantine Emperor, still holds its secret as to who it actually represents, and how his nose got that way. Our tentative conclusions concerning the possibility of Justinian's Indian nasal reconstruction only raise other questions. If Justinian Rhinometos did have a nasal reconstruction, how was the knowledge of the technique transmitted from northern India to the Byzantine Empire by the end of the 7th century? And if Justinian did have his "rhinokopia" surgically corrected, would this represent the first case of nasal reconstruction in the western world, 900 years before the triumphs of Tagliacozzi?

Adolescent↗
PubMed1979

Bovie: the man and the machine.

The origins of electrosurgery are presented and recognition given to one of its forgotten pioneers, William T. Bovie. Though not a physician, Bovie contributed greatly to patient care.

Electrocoagulation↗
PubMed1979

The fate of breast implants with infections around them.

In a retrospective study of 41 infected breasts following the insertion of implants, a high incidence of postoperative hematoma was noted. When infection occurred, cultures usually demonstrated the causative organism to be Staphylococcus aureus. Treatment by conservative drainage and vigorous antibiotics was generally successful in salvaging those implants which had been inserted through an areolar incision for simple augmentation, or under the pectoralis muscle (or a dermal pedicle) after a subcutaneous mastectomy. Those patients whose augmentations had been done through an inframammary incision, or whose implant after a subcutaneous mastectomy was under the skin flap, had a statistically higher incidence of implant loss. Most breasts will salvaged implants became firm.

Breast↗
PubMed1978

The world of William L. White: a macro-view.

On May 14, 1977, a group of colleagues and former trainees gathered in Pittsburgh to honor Dr. William L. ("Willie") White, Chief of the Section of Plastic Surgery at the University of Pittsburgh School of Medicine, on the occasion of his retirement after 18 years as program director. Participating in the festivities were Drs. Henry H. Bahnson, Robert M. Goldwyn, Salvador Castanares, Victor HayRow, Frederic Rueckert, Richard P. Jobe, Dwight C. Hanna, George S. Richardson, Dennis J. Hurwitz, Garry S. Brody, Ronald J. North, Ross H. Musgrave, and Robert A. Chase. These are the remarks made by Dr. Robert M. Goldwyn at the commemoration for Dr. White.

History, 20th Century↗