BACKGROUND Preterm births (as a proportion of all births) have been increasing in many countries. There is growing evidence of increased risk of preterm birth following excisional treatment of the cervix. We estimate the number of preterm births attributable to excisional treatments with a length of 10 mm or more in England. METHODS Case-control study nested in a record linkage cohort of wome...

Figure 1. Right lower back lesion diagnosed as squamous cell carcinoma on previous shave biopsy with final excisional biopsy results of squamoid ductal eccrine carcinoma. DESCRIPTION An 89-year-old man presented with a rapidly progressing lesion of the right lower back initially diagnosed as squamous cell carcinoma (SCC). Excisional biopsy showed primary squamoid eccrine ductal carcinoma (SEDC)...

BACKGROUND This study was undertaken to show how an excisional biopsy procedure can be used to remove the entire specimen for oral lesions with difficult diagnoses. METHODS We retrospectively reviewed 52 cases with 56 oral lesions either suspected to be malignant or with a preliminary controversial diagnosis. These were treated by excisional biopsy with frozen section intraoperatively between...

The results of treatment of 348 painful neuromas of sensory nerves of the hand in 172 patients were evaluated. Three hundred and sixteen were treated by simple excisional neurectomy and these results may be used for comparison with other methods. Sixty-five percent had an excellent or satisfactory result from a single such procedure. A repeated neurectomy improved the results to 78 percent. The...

Castleman's disease is an uncommon benign disorder associated with progressive lymph node enlargement. It most commonly involves the mediastinum and involvement of the neck accounts for 6%. A 28-year-old male presented with a progressively enlarging left-sided neck mass. He had a history of excisional lymph node biopsy that yielded a histopathologic diagnosis of reactive lymphadenopathy. In our...

Surgical literature is inundated with references to Langer’s Lines, Cleavage Lines, Wrinkle Lines and Skin Tension Lines. The author undertakes a detailed literature review to understand the “state-ofthe art” regarding skin lines in cutaneous surgery and puts forward a hypothesis that incisional and excisional lines are different. While the lines mentioned above are fine for making incisions, w...

Renal function after partial nephrectomy (PN) may depend on modifiable factors including ischemia time, excision of healthy parenchyma (excisional volume loss, EVL), and reconstructive methods. We retrospectively reviewed our institutional robotic PN database to identify the predictors of glomerular filtration rate (GFR) preservation (GFR-P) at 3-12 mo postoperatively, during which GFR decline ...

Introduction: Re-epithelialisation of cutaneous wounds is a complex multistep process. In partial thickness wounds, keratinocytes from wound edges and the remnants of the epidermal appendages contribute to the process. We investigated whether the mechanism of injury had any influence on reepithelialisation of partial thickness wounds in a porcine model. Method: Partial thickness wounds were cre...

One of the problems in planning cutaneous surgery is that human skin is anisotropic, or directionally dependent. Indeed, skin tension varies between individuals and at different body sites. Many a surgeon has tried to design different devices to measure skin tension to help plan excisional surgery, or to understand wound healing. However, many of the devices have been beset with problems due to...