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Biomedical subjects

W J Barwick

Publications and source records attributed to W J Barwick.

23 records · Page 2Linked to original sources

Postoperative alopecia in a woman after a lengthy plastic surgical procedure.

Pressure-induced alopecia was reported in the past. We observed postoperative alopecia (presumably pressure-induced) after a plastic surgical procedure of a long duration. Shortly after the operation, the patient noted swelling and exudation of the scalp near the vertex. The symptoms abated in the course of a week. The hair loss occurred quite rapidly (within 48 hours) in the area of the previous symptoms on the sixth postoperative day. Irregular regrowth of short hairs was first noted after 6 weeks. The patient's last examination 10 weeks after the operation revealed a 4 x 4 cm area of baldness with few scattered hairs 5 to 6 mm in length. The cause is considered to be pressure-induced ischemia based on the following: preceding period of deep unconsciousness (the operation) and natural history of the disease.

Adult↗

Rhinophyma: a thirty-five-year experience.

We have treated rhinophyma by a variety of methods during the past 35 years. We describe our current management, which has given the most satisfactory results and fewest problems.

Humans↗

The free scapular flap.

We present our early experience with a flap that should become important to the microsurgeon. The scapular flap is based on the circumflex scapular branch of the subscapular artery and is a versatile, hardy, easily dissected flap. We have used it in 14 cases where a fairly thin flap was indicated. Four of the 14 patients developed complications. Two developed hematomas after removal of the drains. These were evacuated without any loss of the flap. One patient had to be returned to the operating room because of thrombosis of the venous anastomoses, but the flap eventually survived in its entirety. One flap was lost from progressive venous insufficiency.

Adolescent↗

Routine exteriorization in the treatment of civilian colon injuries: a reappraisal.

1. We have reviewed our experiences with colon injuries from 1972-76. 2. Mortality increases when there are more than four associated organ injuries, the principal cause of death being sepsis. 3. Primary closure in our institution has a mortality and morbidity comparable to most other series, but exteriorization of the colon wound has given the best results of any treatment. 4. We feel that solitary wounds of the colon, with only one or two associated injuries, with little fecal contamination, should be treated by closure plus exteriorization, with return to the peritoneal cavity (interiorization) at five to ten days.

Adolescent↗