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Biomedical subjects

S H Cruikshank

Publications and source records attributed to S H Cruikshank.

35 records · Page 2Linked to original sources
PubMed1988

Increased amniotic acetylcholinesterase activity with a fetus papyraceus and aplasia cutis congenita.

A case of an infant with aplasia cutis congenita, a fetus papyraceus, abnormal maternal serum alpha-fetoprotein (MSAFP), elevated amniotic alpha-fetoprotein, and positive amniotic acetylcholinesterase activity represents an uncommon abnormality. Such a case came to our attention as a result of MSAFP screening. The delivery of a neurologically intact infant in the presence of amniotic acetylcholinesterase activity is described.

Acetylcholinesterase↗
PubMed1987

Preventing posthysterectomy vaginal vault prolapse and enterocele during vaginal hysterectomy.

One hundred twelve vaginal hysterectomies were performed during a period of 2 years, 8 months. During the first year and a half, fourteen procedures were performed on patients referred to our institution because of posthysterectomy vaginal prolapse. We present our results of abdominal and vaginal repairs for vaginal prolapse. Moreover, we present and emphasize a modified surgical technique for the prevention of posthysterectomy vaginal prolapse and enterocele during vaginal hysterectomy. In all 112 patients no posthysterectomy prolapse has occurred. It is concluded that these procedures are acceptable ones to prevent an infrequent, yet tragic consequence of hysterectomy.

Adult↗
PubMed1987

Retroperitoneal dissection in gynecologic surgery for benign disease.

In this study, the pelvic retroperitoneal anatomy was dissected during 140 consecutive exploratory laparotomies for benign gynecologic disease. In addition, 110 bilateral hypogastric artery ligations were done both to teach the technique and to attempt to determine whether such a procedure reduces blood loss in elective abdominal hysterectomy. Fifty-eight hysterectomies with hypogastric artery ligation were compared to an equal number done without bilateral hypogastric ligation. The data indicate that prophylactic hypogastric artery ligation during hysterectomy did decrease blood loss, though other variables may account for this, and that teaching retroperitoneal dissection to residents is paramount, teaching them a potentially life-saving procedure essential to gynecologic and obstetric training. Only one complication occurred in this series.

Adolescent↗
PubMed1987

Methods of vaginal cuff closure and preservation of vaginal depth during transvaginal hysterectomy.

One hundred and twelve vaginal hysterectomies were performed over a 2.8-year period. Five different techniques of cuff closure were performed, and evaluated for their preservation of vaginal depth. We have concluded that all five methods are acceptable ways to close the vaginal cuff at the time of transvaginal hysterectomy as long as there is proper vault support. Each surgical closure is pictorially illustrated. Morbidity was minimal, and vaginal depth was retained.

Adult↗
PubMed1987

A de novo case of vulvar synergistic necrotizing fasciitis.

Necrotizing fasciitis is an uncommon but potentially lethal soft tissue infection. Reports of this entity in the obstetric patient exist. We present a case of necrotizing fasciitis arising de novo in the vulva. Early diagnosis and radical surgical debridement are the hallmarks of successful treatment.

Adult↗
PubMed1986

Surgical method of identifying the ureters during total vaginal hysterectomy.

A surgical method allowing transvaginal ureteral dissection was performed on 40 consecutive patients undergoing vaginal hysterectomy. The dissection was accomplished in 37 of 40 patients (90%) without complications. There was no mortality and morbidity was quite low. It is concluded that transvaginal ureteral dissection can be a useful step during vaginal hysterectomy.

Adult↗
PubMed1985

Surgical control of pelvic hemorrhage: bilateral hypogastric artery ligation and method of ovarian artery ligation.

Hypogastric artery ligation and internal iliac artery ligation are the same procedure. It has been several years since extensive work on this procedure has been reported in the literature. Since this has proved to be a potentially life-saving technique in serious obstetric and pelvic hemorrhage, it is somewhat surprising to find that the procedure is poorly understood. We have reviewed this procedure in depth, emphasizing important aspects and restating indications for its use. We have also included a case presentation in which we recently performed bilateral ligation of the hypogastric arteries and the ovarian arteries to control intractable hemorrhage. Although ovarian artery ligation is often mentioned as an adjunct in controlling pelvic hemorrhage, we believe the technique has never been described in the English language. We present a surgical technique for ligating the ovarian arteries, believing that teaching both bilateral hypogastric artery ligation and ovarian artery ligation should be an integral part of obstetric and gynecologic training.

Adult↗
PubMed1985

Avoiding ureteral injury during total vaginal hysterectomy.

One third of ureteral injuries in gynecologic surgery occur during vaginal hysterectomy. The current techniques of dissecting the ureters in abdominal hysterectomy should carry over into vaginal operations. We studied 30 consecutive patients having vaginal hysterectomy by a surgical procedure allowing routine vaginal ureteral dissection.

Adult↗