Biomedical subjects

T A Farrell

Publications and source records attributed to T A Farrell.

21 records · Page 2Linked to original sources

PubMed1981

Resident cataract surgery. Review of a rural teaching hospital's experience.

A retrospective review of all intracapsular cataract operation (499 eyes) performed at The Mary Imogene Bassett Hospital from July 1973 to January 1980 revealed that 72% (359) were performed by Albany Medical Center Ophthalmology residents as part of their third-year training affiliation. The residents' operative results (94.9% with postoperative 20/20 to /0/40 visual acuity in age group 55 to 64 years) and complication rates (vitreous loss 4.2%) were similar to the data from the 1975 report of the cataract survey of the American Academy of Ophthalmology and Otolaryngology's Phacoemulsification Committee. Details of the program and data are presented. The results show that residents can perform supervised cataract surgery at the same risk to the patient as reported in the 1975 compilation of 400 participating Academy ophthalmologists.

Aged↗

PubMedDate not supplied

Long-term results of transrenal ureteral occlusion with use of Gianturco coils and gelatin sponge pledgets.

PURPOSE: To evaluate transrenal ureteral occlusion with Gianturco coils and gelatin sponge pledgets. MATERIALS AND METHODS: The authors reviewed 34 ureteral occlusions in 22 patients during a 4-year period. The indications for this procedure included vesicovaginal fistula in 11 patients and urinary incontinence in three patients. All patients except one had a history of pelvic malignancy and previous radiation therapy. Pre-existing percutaneous nephrostomy tubes were in place in 20 ureters to be embolized. Distal ureteral occlusion was achieved by placement of Gianturco coils alone or in combination with gelatin sponge pledgets. A percutaneous nephrostomy catheter was then placed to provide permanent external diversion. Follow-up ranged from 2 weeks to 29 months (mean, 6.2 months). RESULTS: Occlusion was technically successful in all embolized ureters. All patients experienced prompt resolution of symptoms as indicated by complete or near complete perineal dryness within 72 hours. Complications were limited to coil migration into the renal pelvis in two patients and nephrostomy catheter occlusion requiring replacement in another three patients. CONCLUSION: Ureteral occlusion with Gianturco coils and gelatin sponge is a safe and reliable method of achieving permanent supravesical urinary diversion in the management of chronic lower urinary tract fistulas.

Adult↗

PubMedDate not supplied

A review of radiologically guided percutaneous nephrostomies in 303 patients.

PURPOSE: To determine the morbidity and mortality associated with radiologically guided percutaneous nephrostomy (PCN) and to identify possible contributory risk factors. MATERIALS AND METHODS: The authors retrospectively reviewed 454 consecutive PCNs in 303 patients performed during a 4-year period. PCNs performed specifically for nephrolithotomy were excluded. Self-retention loop catheters (8-12 F) were placed with use of a modified Seldinger technique in all patients. Preprocedural antibiotics were administered routinely. Demographic variables, technical factors related to tube placement, and risk factors were examined with respect to tube malfunction and 30-day morbidity and mortality. RESULTS: Technical success was 99%. The overall complication rate was 6.5%, including hemorrhage requiring transfusion after 13 PCNs (2.8%). A baseline platelet count of less than 100,000/mm3 was a significant risk factor for hemorrhage requiring blood transfusion. The 30-day mortality rate was 3.1%; however, none of these deaths were procedure related. CONCLUSION: Radiologically guided PCN with self-retention catheters is associated with a high technical success rate and low morbidity.

Adult↗