• Bouncy castle burns.

      Healy, Claragh; Riordan, Colin; Kelly, Jack L; Department of Plastic and Reconstructive Surgery, University College Hospital Galway, Galway, Ireland. claraghhealy@eircom.net (2006-11)
    • Comparison of Macintosh, Truview EVO2, Glidescope, and Airwayscope laryngoscope use in patients with cervical spine immobilization.

      Malik, M A; Maharaj, C H; Harte, B H; Laffey, J G; Department of Anaesthesia, Clinical Sciences Institute, Galway University Hospitals, Galway, Ireland. (2008-11)
      The purpose of this study was to evaluate the effectiveness of the Pentax AWS, Glidescope, and the Truview EVO2, in comparison with the Macintosh laryngoscope, when performing tracheal intubation in patients with neck immobilization using manual in-line axial cervical spine stabilization.
    • Day-case tonsillectomy: practical solution or practical impossibility.

      Kharytaniuk, N; Ali, R; Sharafa, A; Keogh, I J (Irish Medical Journal, 2015-01)
      The use of day case surgery is on the rise. In order to improve efficiency and reduce cost, it has been proposed that tonsillectomy could be undertaken as a day-case procedure in Ireland. A retrospective, chart-based study was carried out. The medical and social criteria of all patients who underwent tonsillectomy during a twelve-month period were evaluated. Individual, local and national factors were identified and international comparisons were made. Of 161 patients included, 43 (27%) were considered suitable for day case tonsillectomy (DCT). The distance/time criteria from hospital excluded 64% of patients. The diagnosis of obstructive sleep apnoea was the single most common medical reason for exclusion. Support structures were deficient. Local factors must be considered before any policy or targets are developed for DCT. Patient safety is the fundamental tenet. Currently, the infrastructure and the support required for a patient-focused, safe efficient DCT are deficient, and need investment.
    • Demographics, nature and treatment of orthopaedic trauma injuries occurring in an agricultural context in the West of Ireland.

      Byrne, F J; Waters, P S; Waters, S M; Hynes, S; Ní Thuairisg, C P; O'Sullivan, M; Department of Orthopaedics and Trauma Surgery, Merlin Park Hospital, Galway, Ireland. fergbyrne@gmail.com (2011-03)
      Farming is a major industry in the West of Ireland. This prospective study examined the age profile, nature and treatment of orthopaedic injuries occurring in agricultural surroundings presenting at the Orthopaedic Unit of Merlin Park Hospital, Galway.
    • Foreign-body retrieval using a rare earth magnet

      Dolderer, Juergen H; Kelly, John L; Morrison, Wayne A; Penington, Anthony J (2004-05)
    • Hydrocolloid dressing in pediatric burns may decrease operative intervention rates.

      Martin, Fiachra T; O'Sullivan, John B; Regan, Padraic J; McCann, Jack; Kelly, Jack L; Department of Plastic, Reconstructive and Hand Surgery, National University of Ireland, Galway, Ireland. fiachra1978@yahoo.com (2010-03)
      Partial-thickness scalds are the most common pediatric burn injury, and primary management consists of wound dressings to optimize the environment for reepithelialization. Operative intervention is reserved for burns that fail to heal using conservative methods. Worldwide, paraffin-based gauze (Jelonet) is the most common burn dressing; but literature suggests that it adheres to wounds and requires more frequent dressing change that may traumatize newly epithelialized surfaces. Hydrocolloid dressings (DuoDERM) provide an occlusive moist environment to optimize healing and are associated with less frequent dressing changes.
    • Illness representations in patients with hand injury.

      Chan, Jeffrey C Y; Ong, Joshua C Y; Avalos, Gloria; Regan, Padraic J; McCann, Jack; Groarke, AnnMarie; Kelly, John L; Department of Plastic, Reconstructive and Hand Surgery, University College Hospital, Galway, Newcastle Road, Galway, Ireland. chancy@eircom.net (2009-07)
      Differences in illness perception about hand injury may partly explain the variation in health behaviours such as adherence to post-operative therapy, coping strategy, emotional response and eventual clinical outcome. This study examined the illness perception of patients with hand injuries in the acute trauma setting.
    • Impaction-fracture of the capitate and lunate: a case report.

      Ong, Joshua Chong Yew; Devitt, Brian Meldan; O'Sullivan, Micheal Edmund; Department of Trauma and Orthopaedics, Galway University Hospital, Galway, Ireland. josh.cy.ong@gmail.com (2012-08)
      We report a 15-year-old girl who underwent a mid-carpal fusion for undiagnosed impaction-fractures of the capitate, lunate, and triquetrum after a fall on her outstretched left hand in a dorsiflexed and radially deviated position. The joint was dis-impacted, and the height of the lunate was restored using a cortical bone graft. The damaged proximal capitate articular surface was decorticated to facilitate fusion, as was the lunotriquetral articulation. Kirschner wires were inserted along the coronal plane. At the one-year follow-up, the patient had achieved a satisfactory range of motion and fusion of the capitate-lunate-triquetral articulations.
    • Ipsilateral transversus abdominis plane block provides effective analgesia after appendectomy in children: a randomized controlled trial.

      Carney, John; Finnerty, Olivia; Rauf, Jassim; Curley, Gerard; McDonnell, John G; Laffey, John G; Department of Anaesthesia, Clinical Sciences Institute, National University of Ireland, Galway, Ireland. john.laffey@nuigalway.ie (2010-10)
      The transversus abdominis plane (TAP) block provides effective postoperative analgesia in adults undergoing major abdominal surgery. Its efficacy in children remains unclear, with no randomized clinical trials in this population. In this study, we evaluated its analgesic efficacy over the first 48 postoperative hours after appendectomy performed through an open abdominal incision, in a randomized, controlled, double-blind clinical trial.
    • Regional orthodontics: Class II division I malocclusion, a variety of orthodontic treatments.

      Hahessy, A; Hewson, A; Kavanagh, P; Keane, J; McCue, J; McNamara, C M; Regional Orthodontic Department, Merlin Park Hospital, Galway. (1996)
    • Stereology of human myometrium in pregnancy: influence of maternal body mass index and age.

      Sweeney, Eva M; Crankshaw, Denis J; O'Brien, Yvonne; Dockery, Peter; Morrison, John J; Department of Obstetrics and Gynecology, National University of Ireland Galway, Galway University Hospital, Galway, Ireland. (2013-04)
      Knowledge of the stereology of human myometrium in pregnancy is limited. Uterine contractile performance may be altered in association with maternal obesity and advanced maternal age. The aim of this study was to investigate the stereology of human myometrium in pregnancy, and to evaluate a potential influence of maternal body mass index (BMI) and age.
    • Supraclavicular scalenectomy for thoracic outlet syndrome--functional outcomes assessed using the DASH scoring system.

      Glynn, Ronan W; Tawfick, Wael; Elsafty, Zahrah; Hynes, Niamh; Sultan, Sherif; Department of Vascular and Endovascular Surgery, Western Vascular Institute, Galway University Hospital, Galway, Ireland. (2012-02)
      To evaluate supraclavicular scalenectomy ± cervical rib excision for thoracic outlet syndrome (TOS), employing Disability of Arm, Shoulder, and Hand (DASH) scoring for functional assessment post-decompression.
    • Surgical repair of central slip avulsion injuries with Mitek bone anchor--retrospective analysis of a case series.

      Chan, Jeffrey C Y; Purcell, Elizabeth M; Kelly, John L; Department of Plastic, Reconstructive and Hand Surgery, University College Hospital Galway, Newcastle Road, Galway, Republic of Ireland. chancy@eircom.net (2007)
      The purpose of this study is to describe our technique of central slip repair using the Mitek bone anchor and to evaluate the treatment outcome. Eight digits in eight patients were reconstructed using the bone anchor: three little fingers, two middle fingers, two index fingers and one ring finger. There were two immediate and six delayed repairs (range from one day to eight months). Four patients had pre-operative intensive splinting and physiotherapy to restore passive extension of the proximal interphalangeal joint prior to central slip reconstruction. All patients have made good progress since surgery. No patient requires a second procedure and none of the bone anchors have dislodged or loosened. We conclude that the Mitek bone anchor is a reliable technique to achieve soft tissue to bone fixation in central slip avulsion injuries. We recommend that this technique be considered as a treatment option for patients requiring surgical repair.
    • Tracheal intubation in patients with cervical spine immobilization: a comparison of the Airwayscope, LMA CTrach, and the Macintosh laryngoscopes.

      Malik, M A; Subramaniam, R; Churasia, S; Maharaj, C H; Harte, B H; Laffey, J G; Department of Anaesthesia, Galway University Hospitals, Galway, Ireland. (2009-05)
      The purpose of this study was to evaluate the effectiveness of the Pentax AWS, and the LMA CTrach, in comparison with the Macintosh laryngoscope, when performing tracheal intubation in patients with neck immobilization using manual in-line axial cervical spine stabilization.