Articles: surgery.
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While receiving estrogen therapy, three women with classic type I von Willebrand's disease showed significantly less bleeding and improved hemostasis. One took estrogens to prevent menopausal symptoms, and two used oral contraceptives. ⋯ Furthermore, two other women with type I von Willebrand's disease also exhibited improved hemostasis while taking oral contraceptives. These experiences suggest a short course of estrogen therapy may effectively prepare some women with von Willebrand's disease for elective surgery.
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A new technique is presented that combines the use of two juxtaposed Y-V plasties which, when advanced, create a W-shaped sutured wound used to correct bridle-burn scar deformities. Since a considerable amount of the scar can be removed and there are two Y-V advancements, the cosmetic results are better than those obtained with traditional or modified Z-plasty when contracted scars are wide, severe, and unsuitable for Y-V advancement.