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Chirurgie; memoires de l'Academie de chirurgie最新文献

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[Laparoscopic surgery of recurrent hernias after prosthesis (35 cases)]. 腹腔镜手术治疗假体术后复发疝(35例)。
Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01
J Cady, J Godfroy, O Sibaud, C Kron
{"title":"[Laparoscopic surgery of recurrent hernias after prosthesis (35 cases)].","authors":"J Cady,&nbsp;J Godfroy,&nbsp;O Sibaud,&nbsp;C Kron","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report 35 cases of laparoscopic repair after prosthesis surgery using the classic open technique (19 cases) or laparoscopic technique (16 cases). Most difficulties were observed after intraperitoneal laparoscopy. Hernia repair was preferentially intrapreperitoneal (31 cases). Post-operative morbidity was low with two cases of serohematic effusion treated by puncture. Mean hospital stay was 2.5 days. Patients returned to normal activity within 7 days but work stoppage in active patients depended more on patient motivation than the initial surgical procedure. There were no reiterative recurrences although follow-up is too short (mean 21.2 months) for definitive results.</p>","PeriodicalId":10182,"journal":{"name":"Chirurgie; memoires de l'Academie de chirurgie","volume":"122 10","pages":"539-43; discussion 543-4"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20536054","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
[Hepatic resections in the treatment of hepatocellular carcinoma]. [肝切除治疗肝癌]。
Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01
C Partensky
{"title":"[Hepatic resections in the treatment of hepatocellular carcinoma].","authors":"C Partensky","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Treatment of hepatocellular carcinoma has become multidisciplinary. Liver resection, when technically feasible, remains the procedure of choice for non cirrhotic patients. On the contrary, its indications are decreasing for cirrhotics with the emergence of interventional therapies and since selected patients with small tumors and sufficient life-expectancy have become candidates to liver transplantation. Better results have to be obtained by adjuvant therapies in order to decrease the propension of the hepatocellular carcinoma to recur inside the liver. Intraarterial injection of lipiodol iodine-131 seems to give encouraging results in reducing the local recurrence rate after liver resection.</p>","PeriodicalId":10182,"journal":{"name":"Chirurgie; memoires de l'Academie de chirurgie","volume":"122 8-9","pages":"463-7"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20536829","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
[My experience in repairing, without tension, primary inguinal hernia in men]. 【我的无张力修复男性原发性腹股沟疝的经验】。
Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01
G E Wantz
{"title":"[My experience in repairing, without tension, primary inguinal hernia in men].","authors":"G E Wantz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Beginning in 1990, the tension-free inguinal hernioplasties were adopted for the treatment of primary groin hernias in men. 1252 tension-free hernioplasties were performed in 1,076 men and followed for one to six years. Lichenstein's tension-free hernioplasty and Gilbert's sutureless hernioplasty were used, usually in combination. Anesthesia was local in 97% of the operations. 15 complications occurred (1.2%): one wound infection, one seroma, 12 hematomas, and one ilioinguinal neuralgia, 6 recurrences occurred (0.5%): 4 indirect, one direct and one femoral. No indirect recurrences have occurred since placing Gilbert's cone shaped plug in the deep ring. Tension-free hernioplasties consisting of a patch of polypropylene mesh plus a cone plug of the same material, placed in the deep ring when an indirect hernia is present, produce excellent results and are the preferred methods to manage the majority of primary inguinal hernias in men.</p>","PeriodicalId":10182,"journal":{"name":"Chirurgie; memoires de l'Academie de chirurgie","volume":"122 2","pages":"111-6"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20181156","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
[Surgical approach on rabbit embryos. A model trial of bladder exstrophy]. 兔胚胎的手术方法。膀胱外翻模型试验[j]。
Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01
S Beaudoin, J Simeoni, L Simon, P Sacquin, F Bargy, G Germain
{"title":"[Surgical approach on rabbit embryos. A model trial of bladder exstrophy].","authors":"S Beaudoin,&nbsp;J Simeoni,&nbsp;L Simon,&nbsp;P Sacquin,&nbsp;F Bargy,&nbsp;G Germain","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We describe herein a new model of surgical approach of an early mammalian embryo. Indeed the developmental mechanisms of numerous congenital anomalies, such as bladder exstrophy, remain obscure, and progresses in their knowledge must be achieved to propose better treatments. But up to now all the successful reports in experimental models of early produced malformations concerned birds or batracians, whose development is very different from human. We used the rabbit. Twenty-five time matted does were operated at 12.5 days of gestation. Out of their 247 embryos, 99 underwent a surgical procedure. Forty-eight were injured in order to produce an exstrophy. In 18 cases, the embryo extruded from the uterine cavity and could not be reintegrated, and 2 sacs were found empty. The remaining 31 were only exteriorized. Nine additional does received intravenous teratogen at 12.5 days of gestation. In the group of operated embryos we obtained 6 full-term fetuses, one of whom had a cloacal exstrophy. No exstrophy was noted among the intact embryos, neither in the 87 fetuses submitted to the teratogen. We conclude that: it is possible to operate on an early mammalian embryo, and to obtain further growth until term and that the exstrophy we observed in one case resulted from the surgical specific procedure.</p>","PeriodicalId":10182,"journal":{"name":"Chirurgie; memoires de l'Academie de chirurgie","volume":"122 4","pages":"244-51"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20426574","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
[Experimental protocol for mechanical characterization of a femoral implant of carbon-Peek composite hip prosthesis in fatigue]. [疲劳状态下碳- peek复合髋关节假体股骨植入物力学特性的实验方案]。
Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01
J Soyer
{"title":"[Experimental protocol for mechanical characterization of a femoral implant of carbon-Peek composite hip prosthesis in fatigue].","authors":"J Soyer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study concerns the fatigue behavior of a C/Peek hip implant. It is now well-established that the extent of bone loss around a total hip arthroplasty stem is related to stress shielding process. Due to a modulus mismatch between the bone and the implant material, the load transfer to the stem decreases the mechanical stimulus needed by the bone to maintain its structure. Because of its low modulus of elasticity and its good resistance to fatigue in aeronautical applications, the Fiber Carbon/Peek composite could potentially replace some of the metal alloys used in hip stem implant. After a literature survey on biomechanical performances of some fiber carbon composites, including AS4/Peek, experimental quasi-static and fatigue compression tests have been performed on AS4/Peek hip implants. The structural and mechanical characterization of the injection moulded composite material has been realized. The prosthesis compression and fatigue behaviour have been studied with a joint-stimulating apparatus immersed in a physiological solution temperature controlled. Instead of the low specimen homogeneity, no fatigue damage has been revealed either by X-ray observations of stiffness measurements, till ten millions of cycles. The quasi-static compressive fracture morphology has been analyzed by S.E.M. and have shown a good fiber matrix bonding. This mechanical results would suggest that AS4/Peek hip stem are worthy of further investigation as implantable prostheses.</p>","PeriodicalId":10182,"journal":{"name":"Chirurgie; memoires de l'Academie de chirurgie","volume":"121 9-10","pages":"658-62"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20086820","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
[Carotid revascularizations by venous grafting: long-term results]. [颈动脉血管重建术静脉移植:长期结果]。
Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01
L Voirin, J L Magne, I Farah, C Sessa, B Chichignoud, H Guidicelli
{"title":"[Carotid revascularizations by venous grafting: long-term results].","authors":"L Voirin,&nbsp;J L Magne,&nbsp;I Farah,&nbsp;C Sessa,&nbsp;B Chichignoud,&nbsp;H Guidicelli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Carotid artery reconstruction (CAR) may be achieved through a variety of techniques. The method of choice is based upon the patient's symptoms, the diffusion of the atheromatous lesion in the internal carotid artery and the experience of the surgical team that usually deals with these patients. Between January 1987 and May 1995, we performed 185 CAR using saphenous vein graft. The indication for surgery was atherosclerotic occlusive desease in all patients, sixty-two per cent of whom were asymptomatic. In the early postoperative period one patient died of aspiration, two patients suffered a stroke (one major and one minor) and five patients had a transcient ischemic attack due to carotid clamping intolerance. Two late restenosis and two graft occlusions occurred. The cumulative operative morbidity and mortality rate was 1.6%. This series demonstrates than venous grafting for carotid reconstruction yields satisfactory short- and long-term results and is a valuable alternative to endarteriectomy. Follow-up by Duplex-scan revealed no evidence of morphological degradation of the vein grafts.</p>","PeriodicalId":10182,"journal":{"name":"Chirurgie; memoires de l'Academie de chirurgie","volume":"122 5-6","pages":"346-50"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20509936","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
[Additive medial osteotomy of the tibia locked with a coral callus. First results apropos of 38 operations]. 加性胫骨内侧截骨术锁死珊瑚骨痂。38例手术的初步结果]。
Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01
C Kenesi, M C Voisin, A Dhem
{"title":"[Additive medial osteotomy of the tibia locked with a coral callus. First results apropos of 38 operations].","authors":"C Kenesi,&nbsp;M C Voisin,&nbsp;A Dhem","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We inserted a calibrated coral callus to lock addive medial osteotomy of the tibia in 38 patients. We followed these patients for 1 to 6 years evaluating clinical, radiological and histological outcome. Rehabilitation was very insufficient. In our later cases, the porosity of the coral insert was improved, apparently facilitating bone penetration.</p>","PeriodicalId":10182,"journal":{"name":"Chirurgie; memoires de l'Academie de chirurgie","volume":"122 7","pages":"379-82"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20509941","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
[Mechanical vascular clips with an automatic stapler in reconstructive microsurgery. Apropos of 16 clinical cases]. 机械血管夹与自动订书机在显微外科重建中的应用。[16例临床病例]。
Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01
J L Cariou, F Lambert, E Bey, A Bellavoir
{"title":"[Mechanical vascular clips with an automatic stapler in reconstructive microsurgery. Apropos of 16 clinical cases].","authors":"J L Cariou,&nbsp;F Lambert,&nbsp;E Bey,&nbsp;A Bellavoir","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>From October 1995 through March 1997, we performed 30 microsurgical reconstructions and achieved microvascular anastomoses in 16 with an automatic stapler (VCS) which allows insertion of titanium clips in the everted vessel walls. The mean age of the patients (15 men, 1 woman) was 42 years. Mean vessel diameter of the donor and recipient sites was 2 mm for the arteries and 3 mm for the veins. Recipient vessels had suffered radiation damage in 3 cases. Micro-anastomoses were performed in 26 cases, with end-to-end sutures in 24 and end-to side sutures in 2. There were 11 arterial procedures including 3 bypasses and 15 venous procedures with 1 bypass. Peroperative thrombosis occurred in 2 cases and were treated by undoing the anastomoses and resuturing manually. There were no early or late postoperative vascular complications. This clinical experience confirms the advantages of this mechanical approach to microanastomotic procedures for small vessels as previously demonstrated in experimental work: a system avoiding transfixation, rapid procedure, reliability.</p>","PeriodicalId":10182,"journal":{"name":"Chirurgie; memoires de l'Academie de chirurgie","volume":"122 10","pages":"511-4; discussion 515"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20536049","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
[Radiological evaluation of integration of bone grafts and bone substitutes after implantation to replace acetabular substance losses in reoperation of total hip prosthesis]. [全髋关节假体再手术中骨移植物和骨替代物植入后整合替代髋臼物质损失的影像学评价]。
Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01
S Boisgard, B Aufauvre, J P Levai, J L Michel
{"title":"[Radiological evaluation of integration of bone grafts and bone substitutes after implantation to replace acetabular substance losses in reoperation of total hip prosthesis].","authors":"S Boisgard,&nbsp;B Aufauvre,&nbsp;J P Levai,&nbsp;J L Michel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Plain radiograms are insufficient to evaluate the integrity of a graft used to replace acetabular tissue loss in reoperations for total hip replacement. The aim of this work was to compare radiographic, computed tomographic and magnetic resonance imaging findings. Two groups of patients including 12 hip joints in each were evaluated 5 years after undergoing reoperation for annular support. Allografts (5 cases) or xenografts (7 cases) were used in one group. Plain radiograms. CT-scan and MRI were performed in each patient. The graft-receiver bone borders were visible on the CT-scans but were not distinguishable on the radiograms. Bone and graft density and structure in contact with the implant could be determined on the CT-scan. MRI was difficult to interpret in most cases due to implant-induced artefacts and is not recommended in this type of reconstruction.</p>","PeriodicalId":10182,"journal":{"name":"Chirurgie; memoires de l'Academie de chirurgie","volume":"122 2","pages":"153-6"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20182328","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
[Locoregional anesthesia in digestive surgery]. [消化手术中的局部麻醉]。
Chirurgie; memoires de l'Academie de chirurgie Pub Date : 1997-01-01
J J Eledjam, L Lalourcey, E Viel
{"title":"[Locoregional anesthesia in digestive surgery].","authors":"J J Eledjam,&nbsp;L Lalourcey,&nbsp;E Viel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Many regional anesthetic techniques can be used in the setting of abdominal surgery. Spinal anesthesia has limited indications for lower abdominal surgery (below T10), especially abdominal wall surgery and anal surgery. Indications of epidural anesthesia are quite similar, while epidural analgesia can be extensively used for postoperative analgesia, provided great attention is paid to strict monitoring and safety rules. Finally, peripheral regional anesthetic techniques are discussed, highlighting their advantages in this particular setting.</p>","PeriodicalId":10182,"journal":{"name":"Chirurgie; memoires de l'Academie de chirurgie","volume":"122 1","pages":"47-54"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20130227","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
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