Melinda Hawkins

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BACKGROUND The ligation of intersphincteric fistula tract (LIFT) procedure for trans-sphincteric fistula-in-ano has been studied with variable success rates compared with initial reports. Failures occur mostly in the intersphincteric wound. Recently, we proposed a modification to LIFT, unroofing the fistula from internal opening to intersphincteric groove,(More)
Heart transplantation remains an important therapy for patients with end-stage heart failure. Approximately, 5800 transplants are performed worldwide each year. The International Society for Heart and Lung Transplantation (ISHLT) registry collects data from 388 heart transplant centers from the United States, Europe, Australia, and New Zealand (covering(More)
Although cytochrome P450 enzymes are responsible for the majority of drug metabolism reactions, the monoamine oxidases (MAOs) are arguably the second-most important phase I biotransformation enzymes. MAOs catalyze the oxidative deamination of a number of biogenic and xenobiotic amines to the corresponding aldehydes with consumption of O2 and production of(More)
Management of rectal bleeding in patients with radiation proctitis presents a conundrum for practitioners. Surgeons are appropriately concerned about using conventional methods of treatment in these patients, such as cautery for bleeding areas in the rectum, rubber band ligation, or excision of internal and/or external hemorrhoids, for fear of poor healing(More)
The purpose of this paper is to describe the reproducibility of liver position using Active Breathing Coordinator in a larger series of patients with more advanced liver cancer, consecutively planned for SBRT delivered in six fractions over two weeks. In this study, repeat megavoltage (MV) verification imaging, real-time beams-eye-view MV movies,(More)
Introduction The prevalence of peripheral arterial disease (PAD) increases with age, affecting 3% under 60 years, rising to >20% over 75 years. Whilst 40% of PAD patients are symptomatic, around 60% are asymptomatic. PAD is a reliable marker of future vascular disease such as Congestive Heart Disease (CHD) and stroke, and a substantial public health issue.(More)
BACKGROUND Balancing patient safety with hospital length of stay (LOS) and associated cost is critically important. Subjectively, we have observed that patients undergoing ostomy creation early in the week have a shorter LOS. METHODS We retrospectively reviewed LOS based on day of the week the operation was performed. RESULTS We reviewed 180 patients(More)
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