Publications by authors named "W J Rockwell"
Article Synopsis
- Pachyonychia congenita is a rare genetic disorder that causes thickened nails and can affect hand and foot function and appearance.
- The study involved treating a 3-year-old boy with different surgical techniques to determine the most effective method for managing the condition.
- Results showed that complete excision of certain nail matrices (GME + cSME) prevented nail growth recurrence, suggesting it might be a definitive treatment, but more research is needed to confirm this.
Evaluation of surgical effects is often done using simple cadaver experimentation. This study uses a robotic testbed to estimate the best-case clinical outcomes of flexor tendon shortening during repair surgery on cadaver hands. Nine fresh-frozen cadaver subjects were connected to an extrinsic index finger robotic muscle testbed and measurement system.
View Article and Find Full Text PDFBackground: Unfractionated heparin infusions are commonly used in microvascular surgery to prevent microvascular thrombosis. Previously, fixed-dose heparin infusions were believed to provide sufficient venous thromboembolism (VTE) prophylaxis; however, we now know that this practice is inadequate for the majority of patients. Anti-factor Xa (aFXa) level is a measure of unfractionated heparin efficacy and safety.
View Article and Find Full Text PDFBackground: The accepted "one-size-fits-all" dose strategy for prophylactic enoxaparin may not optimize the medication's risks and benefits after surgical procedures. The authors hypothesized that weight-based administration might improve the pharmacokinetics of prophylactic enoxaparin when compared to fixed-dose administration.
Methods: The FIxed or Variable Enoxaparin (FIVE) trial was a randomized, double-blind trial that compared the pharmacokinetic and clinical outcomes of patients assigned randomly to postoperative venous thromboembolism prophylaxis using enoxaparin 40 mg twice daily or enoxaparin 0.
Article Synopsis
- * Cultural hesitance towards mastectomy can be reduced by providing affordable and acceptable breast reconstruction options, taking into account cultural, economic, and technical factors.
- * Various surgical methods were examined, with the midabdominal TRAM flap being preferred at Komfo Anokye Teaching Hospital for its reliability and high patient satisfaction.