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Biomedical subjects

S C Paulk

Publications and source records attributed to S C Paulk.

5 recordsLinked to original sources
PubMed1983

Formal dilation after gastric partitioning.

The use of the endoscopy, the biopsy forceps used as a guidewire and a tape wrap added to the endoscope for dilation have been utilized to evaluate and treat stomal stenosis following gastric partitioning in five patients without further complication or morbidity. A tapered dilator may be created during the procedure by wrapping the endoscope with electrical tape to obtain the necessary diameter for widening of the stomal opening. This maneuver has effectively removed the risk of reoperation and prolonged hospitalization for the postoperative patient with narrowing of the stoma.

Dilatation↗
PubMed1976

Urethral calculi.

The diagnosis and management of 34 men and 13 women with urethral calculi are reviewed. A majority of patients presented with dysuria, weak stream and perineal pain. Diagnosis was made radiographically in only 42 per cent but was confirmed in all patients who underwent cystourethroscopy. All patients had lower urinary tract lesions or previous prostatic operations and 47 per cent were infected. Migrant urethral calculi were encountered 10 times more often than were native stones and a metabolic cause was found in 10 of 18 patients studied. In men penile urethral calculi were removed transurethrally and all bulbous and most posterior urethral stones were guided endoscopically into the bladder. Most of these stones were irrigated out or removed by transurethral litholapaxy; the remaining few, together with vesical calculi, required cystolithotomy. In all 13 women calculi were removed at the time of urethral diverticulectomy. A majority of 17 men (76.5 per cent) and the 4 women who were followed for an average of 5.3 years have remained free of trouble.

Cystoscopy↗
PubMed1975

Acute postoperative wound complications after gastric surgery for morbid obesity.

The acute postoperative wound complications of 225 morbidly obese patients undergoing gastric bypass were compared against the complications observed in 225 normal-sized individuals who underwent elective gastric resection for peptic ulcer disease. Not only were there more wound infections (8.9 percent to 5.3 percent) in the obese population, but these infections inflicted more serious complications and a significantly increased hospital stay. While the exact cause of the increase in infections in the obese patients is unclear, it is a real phenomenon to be dealt with in surgery for obesity.

Acute Disease↗