Chirurgie; memoires de l'Academie de chirurgie最新文献_第6页

[Cavernous hemangioma of the rectum: an uncommon cause of pelvic pain. Apropos of 2 cases]. 直肠海绵状血管瘤:骨盆疼痛的罕见原因。[2]。

Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01

M Lautard, B Fribourg, J L Larpent, D Gorce

引用次数: 0

[Retrograde centromedullary locked nailing for fractures of the lower portion of the femur]. [逆行髓中心锁定内钉治疗股骨下段骨折]。

Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01

P Garbuio, R Bertin, B E Elias

引用次数: 0

[Ambulatory treatment and prevention of priapism using alpha-agonists. Apropos of 172 cases]. 使用α激动剂治疗和预防阴茎勃起障碍。[关于172例]。

Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01

R Virag, D Bachir, J Floresco, F Galacteros, B Dufour

引用次数: 0

[Control of hospital expenditures]. [医院开支的控制]。

Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01

M Huguier

{"title":"[Control of hospital expenditures].","authors":"M Huguier","doi":"","DOIUrl":"","url":null,"abstract":"Hospital expenditures in France (300 billion francs in 1995) comprise half of the expenditures of the Health Care Assurance system. The government directive dated 24 April 1996 created a national accreditation and evaluation agency. The effectiveness of the agency will largely depend on the ability of the experts to create a pragmatic system. The 5-year maximum delay for an accreditation request can be explained by the fact that the system is new, but will nevertheless delay hospital closure decisions and thus prolong the function of hospitals with reduced activity and thus less medical experience, leading to extra cost for the society. The directive also created regional hospitalization agencies which are to develop a regional health care policy, analyze and coordinate hospital activity and determine hospital resources. It is hoped that these agencies will be more effective than the former health care and social organization committees. The necessary decisions for hospital closures will be difficult due to the opposition of both the populations and elected officials. Finances for public facilities will continue on the basis of a global budget, an attempted macro-economic cost-containment policy which has had only limited effect. For private facilities, use of medicalization data systems could have unfavorable effects if the data is too approximative and could cause undue increase in cost over benefit if the data is too exhaustive. The directive does not appear to modify the authorization system for major equipment expenditures. There is no mention of the increasing size of hospital administration staffs. Finally, the directive does not address the fundamental question of medical behavior: a modification of medical training which would place more emphasis on clinical training and reasoning.","PeriodicalId":10182,"journal":{"name":"Chirurgie; memoires de l'Academie de chirurgie","volume":"122 2","pages":"122-6"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20181158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Adrenal gland resection with laparoscopy or lumboscopy. The Paris experience]. 腹腔镜或腰镜下肾上腺切除术。巴黎的经历]。

Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01

Y Chapuis, B Chastanet, J M Duclos, J P Chigot, P Bloch, C Abbou, G Champault, E Sarfati

{"title":"[Adrenal gland resection with laparoscopy or lumboscopy. The Paris experience].","authors":"Y Chapuis, B Chastanet, J M Duclos, J P Chigot, P Bloch, C Abbou, G Champault, E Sarfati","doi":"","DOIUrl":"","url":null,"abstract":"A survey of 7 surgeons in Paris collected 173 cases of adrenal gland resection using laparoscopes or lomboscopes in 164 patients. Video-assisted surgery techniques were used in the past 4 years for: Conn's syndrome (n = 69), fortuitously observed tumors (n = 39), Cushing's syndrome (n = 24), phyeochromocytoma (n = 18) and Cushing's disease (n = 4). There were 155 unilateral tumors and 9 bilateral tumors in patients with Cushing's disease. This survey showed that conversion rate was 14% and local complications rate 2.4%, mean operative time for unilateral operations was 144 minutes (range 50-240) and 266 minutes (range 125-480) for bilateral tumors. Although this was a retrospective uncontrolled survey, pain relief and hospitalization time were greatly improved over traditional open surgery. The difference between the transperitoneal and the retroperitoneal route could not be evaluated due to differences in the number of patients for which each technique was used. Surgeon experience varied greatly, but it appears that video-assisted adrenal gland surgery is the preferred route due to reduced risk and improved post-operative period. Tumors with a diameter greater than 6 cm and malignant or suspected malignant tumors still require open surgery.","PeriodicalId":10182,"journal":{"name":"Chirurgie; memoires de l'Academie de chirurgie","volume":"122 2","pages":"106-10"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20181838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[The classical femoral nailing]. [经典股骨内钉]。

Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01

P Vives, P Mertl, O Roux

引用次数: 0

[AO unreamed femur nails. Initial results]. [AO]未扩孔股骨钉。初步结果)。

Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01

B E Elias, P Garbuio, P Vichard

引用次数: 0

[Surgery of carotid lesions after irradiation. Apropos of 15 cases]. 颈动脉照射后病变的手术。约15例]。

Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01

J Testart, P Soury, D Plissonnier, J Watelet, P Y Litzler, C Peillon

引用次数: 0

[Perineal-genital wounds in war medicine. Apropos of 18 cases]. 战争医学中的会阴生殖器创伤。[约18例]。

Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01

D Mianné, F Pons, R Jancovici, H Thouard, J Guillotreau, C Dumurgier

{"title":"[Perineal-genital wounds in war medicine. Apropos of 18 cases].","authors":"D Mianné, F Pons, R Jancovici, H Thouard, J Guillotreau, C Dumurgier","doi":"","DOIUrl":"","url":null,"abstract":"Perineo-genital wounds involving the anterior perineum or the urogenital perineum are uncommon; 1-4% of all war wounds. We report 18 cases observed in war situations. Isolated uretrogenital wounds are rarely life-threatening, but the functional prognosis is always compromised in these men whose mean age is under 30 years. Debridements should be limited and all isolated lesions should be repaired early with tight suture of the cavernous body albuginea, preservation of viable testicular and adnexal tissue (but the rate of orchidectomy is greater than 50%), and immediate suture of any wound to the urethra rather than simple alignment. In war situations, these wounds are usually caused by perforating or blast trauma. The wounds are complex, with damage to the soft tissues, sometimes involving lesions to the anal sphincter, the gluteal masses or the abdomino-pelvic structures. Laparostomy for hemostasis is justified. The risk of sepsis is high, requiring triple antibiotics, cystostomy, careful debridement, discharge drainage or possibly colostomy. Treatment of urogenital lesions is a secondary operation in these cases but must not be neglected if the mictional and sexual functions are to be preserved.","PeriodicalId":10182,"journal":{"name":"Chirurgie; memoires de l'Academie de chirurgie","volume":"122 3","pages":"212-5"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20238746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Eulogy of Jean-Claude Rudler (1906-1982)]. [Jean-Claude Rudler悼词(1906-1982)]。

Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01

P Boutelier

引用次数: 0