Planned surgical admissions in a district hospital.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to R W Talbot.
Explore the source record for details and available documents.
Bacteraemia and urinary tract infection are well-recognized complications of urological procedures. This paper compares, for the first time, the incidence of bacteraemia after cystoscopy and transrectal biopsy of the prostate with that following cystoscopy alone. The incidence of bacteraemia in those undergoing biopsy was 73 per cent; following cystoscopy alone the incidence was 13 per cent. In view of this high incidence we recommend prophylactic antibiotic cover of transrectal prostatic biopsy.
The incidence of wound infection, burst abdomen and incisional herniation after a vertical abdominal incision was studied in a prospective trial comparing polypropylene (Prolene) with polyglycolic acid (Dexon). Wounds were closed by interrupted mass suture with an optional reinforcing continuous closure of the anterior rectus sheath. A total of 347 patients was studied, randomly allocated to suture with either Prolene or Dexon. The two groups were well matched for known risk factors. Dehiscence occurred in 0.6 per cent of patients overall and at 6 months 5.7 per cent of cases had an incisional hernia, although many of these were asymptomatic. There was no difference in the rate of infection, disruption or herniation between the two suture materials.
Explore the source record for details and available documents.
Dissection of 30 human cadavers demonstrated a 45% incidence of accessory phrenic nerves crossing in front of the subclavian vein. There was a small incidence of other anomalies, including instances of the phrenic nerve crossing anterior to the subclavian vein and of the accessory phrenic nerve passing through the subclavian vein and dividing in into two separate channels. These may be hazards in the procedure of subclavian venepuncture.