Biomedical subjects

William J Mann

Publications and source records attributed to William J Mann.

3 recordsLinked to original sources

PubMed2004

The RN first assistant as OR concierge.

Managers and staff members in the department of obstetrics and gynecology at Jersey Shore University Medical Center, Neptune, NJ, determined that surgeon and OR staff member problems were impeding their ability to function as a team. An RN first assistant was hired to act as OR concierge. Her primary role was to ensure smooth functioning of procedures performed in the facility. Physician complaints disappeared, OR staff members found the concierge supportive and adept at problem solving, and surgical volume increased significantly.

Humans↗

PubMed2004

Adenocarcinoma of the appendix in pregnancy: a case report.

BACKGROUND: Perforation of an adenocarcinoma of the appendix in a pregnant woman is rare and may present as a pelvic mass and acute appendicitis. CASE: A 30-year-old woman, gravida 3, para 2-0-0-2, presented at 26 weeks' gestation with an acute abdomen, right-sided pelvic mass and uterine contractions. Tocolysis and prompt surgical exploration revealed a perforated appendix. The patient underwent a right hemicolectomy with primary anastomosis, her postoperative course was benign, and she delivered a viable infant at term vaginally. Pathology revealed a perforated adenocarcinoma of the appendix. The patient was free of disease at 36 months. CONCLUSION: Adenocarcinoma of the appendix in pregnancy is rare, may present as an acute abdomen with a mass and is managed with right hemicolectomy.

Abdomen, Acute↗

PubMed2002

Uterine rupture and dehiscence: ten-year review and case-control study.

BACKGROUND: Previous cesarean section, oxytocin administration, and fetal macrosomia increase the risk of uterine rupture or dehiscence (URD). METHODS: All 25,718 deliveries at Riverside Regional Medical Center from January 1990 to June 2000 were reviewed to describe complications and identify risk factors for URD. RESULTS: Eleven uterine ruptures and 10 dehiscences occurred during this period (0.08%). One maternal death (5%) and three neonatal deaths (14%) occurred. Other complications included intrapartum nonreassuring fetal status (67%), 5-minute Apgar score < 7 (52%), maternal blood transfusion (24%), neonatal hypoxic injury (14%), hysterectomy (14%), and endometritis (10%). Uterine rupture/dehiscence was independently associated with fetal weight > or = 4,000 g, nonreassuring fetal status, use of oxytocin, and previous cesarean delivery; internal fetal monitoring reduced the risk of URD. CONCLUSIONS: To reduce the risk of URD, a delivery plan should include assessment of cesarean history and fetal macrosomia,judicious use of oxytocin, and intrapartum monitoring for nonreassuring fetal status.

Adolescent↗