Objective. improve competency of residents with lysis of adhesion (LOA) and bowel surgery using a porcine model. Study Design. Pig bowel was removed at time of an anatomy laboratory, cleansed, and used to demonstrate surgical techniques and principles of LOA, repair of enterotomy, bowel resection, and anastomosis. Participants were surveyed pre- and posttraining session using 10 point Likert sc...

In 1984, as part of a prior American Cancer Society National Conference on Breast Cancer, the authors reported on the status of conservative surgery (CS) and radiotherapy (RT) as primary local treatment for women with early stage breast cancer. Since that time, additional data have become available regarding the use of this approach and its comparability to mastectomy. In general, these data su...

BACKGROUND: Mohs Micrographic Surgery (MMS) affords a high cure rate for cutaneous carcinoma. OBJECTIVE: This study was designed to characterize the pain patients experience after MMS and reconstruction of the head and neck, and to determine if preemptive dosing of analgesics was superior to patient‐initiated dosing on an "as needed" basis. METHODS: A controlled trial of 200 subjects undergoing...

S FROM THE 1984 MEETING Ocular Anatomy for the Mohs Surgeon Jeffrey A. Binstock, M.D. San Francisco, Medical School University of California, The anatomy of the orbital area was reviewed with emphasis on the eyelids, lacrimal system, and orbital septum. The orbicularis oculus muscle, the insertion of its superficial and deep heads onto the anterior and posterior lacrimal crests, and its intimat...

BACKGROUND Basal cell carcinoma (BCC) is the most common cancer in the US population affecting approximately 2.8 million people per year. Basal cell carcinomas are usually slow-growing and rarely metastasize, but they do cause localized tissue destruction, compromised function, and cosmetic disfigurement. OBJECTIVE To provide clinicians with guidelines for the management of BCC based on evide...

The paramedian forehead flap is a great option for restoration of complex nasal defects. For full-thickness defects, it may be used alone or in combination with other methods. We present a patient with a basal cell carcinoma on the distal nose treated by Mohs micrographic surgery, and a resulting full-thickness defect repaired with paramedian forehead flap combined with a hinge flap. For optima...

Medical service in many African countries is affected by the limited infrastructure and the lack of economic and human potentials. Uganda is one the countries that suffers from lack of physicians as well as shortage of many medical facilities with many endemic health problems such as Goiter. A surgical camp was done by an Egyptian team of 8 physicians; three general surgeons, one pediatric surg...

I n all members of the animal kingdom, hair functions as a sensory organ, provides insulation against the elements, and serves a variety of social and sexual behavior purposes. Humans for the most part consider hair solely for its cosmetic significance. Patients seeking treatment of excess or, more commonly, unwanted hair have a variety of psychosocial complaints. Lasers and light sources are n...

Of the estimated 11.7 million cosmetic surgical and nonsurgical procedures performed in the United States (U.S.) in 2007, 22% were performed on racial and ethnic minorities. Laser and light treatments rank in the top five most requested procedures in annual surveys of cosmetic and dermatologic surgeons. Recent U.S. population statistics reveal dramatically shifting demographics that would antic...