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Biomedical subjects

S Esses

Publications and source records attributed to S Esses.

9 recordsLinked to original sources
PubMed1995

Marfan syndrome with back pain secondary to pedicular attenuation. A case report.

STUDY DESIGN: This is a report of a 31-year-old woman with Marfan syndrome with severe back pain secondary to pedicle fractures of the lumbar spine resulting from attenuation of the pedicles. OBJECTIVES: To report and discuss a case of Marfan syndrome. SUMMARY OF BACKGROUND DATA: The authors report the clinical course of a patient with Marfan syndrome and pedicle fractures secondary to thinning of the pedicles. METHODS: After initial diagnosis of Marfan syndrome was confirmed, radiologic techniques, including magnetic resonance imaging and bone scan, were used to evaluate any abnormalities of the lumbar spine. RESULTS: The patient was treated with pain medications and activity modification, which allowed for no marked improvement. CONCLUSIONS: Thinning and possible fracturing of the pedicles should be considered as an etiology of back pain in the patient with Marfan syndrome.

Adult↗
PubMed1983

Revision of total hip arthroplasty.

Between September 1978 and December 1980, 28 revision procedures were carried out at the Wellesley Hospital, Toronto, for biomechanical failure of total hip arthroplasties. Twenty-six patients were personally reviewed and assigned a Harris hip rating. Seven patients had major complications intraoperatively or postoperatively; three of them required further surgery. Twenty-four patients had satisfactory results and none were worse. The mean Harris score preoperatively was 36.3. At a minimum follow-up of 1 year after revision, the mean Harris score rose to 79.9 (p less than 0.01). Revision of total hip arthroplasty is a difficult and demanding procedure but can produce satisfactory results.

Adult↗
PubMed1982

"Swan-ganz elbow".

Explore the source record for details and available documents.

Cardiac Catheterization↗
PubMed1981

Fracture of the atlas associated with fracture of the odontoid process.

A case of burst fracture of the atlas associated with a type II fracture of the odontoid is presented. In this instance no atlanto-axial instability was detected clinically. Treatment consisted of 1 week of rest in bed followed by 3 months in a collar. Management, though conservative, resulted in full recovery.

Adult↗
PubMed1981

Orthotopic bone transplantation in mice. III. Methods of reducing the immune response and their effect on healing.

Various methods of reducing the immune response to allogeneic bone grafts, either by pretreating the graft or by immunosuppressing the recipient, were compared. Tibial grafts from B10.D2 mice, either untreated or pretreated in various ways, were transplanted into B10 recipients. The antibody response was followed and the extent of bone healing at 4 months was assessed. Pretreatment of the graft by X-irradiation, freezing, or by incubation in alloantisera (either anti-H-2 or anti-Ia) reduced or abolished the immunogenicity of the graft. Immunosuppression of the recipient with methotrexate or antilymphocyte serum (ALS) also greatly depressed the antibody response. But when healing was assessed, none of these treatments except ALS improved the delayed healing of the bone allografts. The reason for this failure was probably that X-irradiation, freezing, alloantiserum pretreatment, and methotrexate all interfered with bone healing directly, whereas ALS did not. We conclude that many methods will reduce the immune response to allogeneic bone, but that only ALS will improve the healing of the allogeneic bone. Furthermore, as a corollary to the observation that pretreatment with anti-Ia serum markedly reduced the immunogenicity of bone allografts, we conclude that much of the immunogenicity of bone allografts is attributable to a population of Ia-positive cells.

Animals↗
PubMed1980

Esophagogastrectomy using the auto suture EEA surgical stapling instrument.

A stapling instrument, which creates end-to-end inverting anastomoses, is described for esophagogastrostomy. The inverted anastomosis is held together by a double staggered row of stainless-steel wire staples. Experience with 7 consecutive patients who underwent esophagogastrectomy for carcinoma of the distal esophagus or proximal stomach using this device is reported. Postoperative complications included atelectasis in 1 patient, cardiac failure in 1, and pneumonia in 1. A fibrotic stricture developed at the anastomotic site 5 months postoperatively in 1 patient. There were no anastomotic leaks. The stapled anastomosis takes 2 to 3 minutes to perform and seems to be at least comparable to handsewn anastomoses.

Adenocarcinoma↗