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Biomedical subjects

A Besson

Publications and source records attributed to A Besson.

At least 19 recordsLinked to original sources
PubMed1990

[Rupture of the diaphragm].

Incidence of chest and/or abdomen trauma has increased over the last three decades; it tends nowadays to stabilize. Among severe trunk injuries, diaphragm rupture--a life-threatening condition--occurs in 7% of cases. Overall mortality is around one third of casualties. Young (average 40 years of age) men (80% of cases) are especially exposed. Biomechanics, epidemiology, anatomy, physiopathology are reviewed. Comments are given upon clinical suspicion of the rupture as well as establishing its diagnosis, upon associated injuries, surgical indication for repair and treatment, with a special notice for resuscitative precautions. Numerous typical examples are illustrated.

Diagnosis, Differential↗
PubMed1985

The Roux-Y loop in modern digestive tract surgery.

The technique of Y loop was utilized by César Roux beginning in January 1892 for antral or pyloric obstruction. He used the proximal jejunum to perform a Y gastroenterostomy. However, he abandoned the procedure in 1911, having noticed the frequency of late peptic ulcerations in the loop. Nevertheless, the Y-branching idea was later reconsidered and applications in hepatic, biliary, and pancreatic surgery were developed, as well as applications in gastrointestinal surgery. In this latter area, Roux-Y anastomoses are now performed primarily or secondarily. Primary uses include restoring the continuity of the alimentary tract after total gastrectomy (with or without a pouch), reconstruction after Whipple's procedure, repair of duodenal trauma, and intentional digestive bypass for morbid obesity. Secondary uses include remedial procedures after simple esophagojejunostomy, gastric fundus resection, and a Billroth II procedure to obviate postoperative complications due to bile reflux.

Gastroenterostomy↗
PubMed1984

[The Cardiac Arrest Team of the Vaud University Hospital].

A resuscitation team has been organized in the CHUV for the purpose of immediate intervention on the scene of cardiac arrest or any other life-threatening condition. The team composition is as follows: 1 anesthesiologist, 1 internist (usually cardiologist) and 1 surgeon. The team is responsible for elaborate resuscitation of in-patients from the general wards as well as out-patients coming for examination or for diagnostic and medicotechnical procedures. The team was almost never called from the intensive care units, from the operating theatres or from the emergency ward. Organization of the CHUV in this respect includes (a) grouping the facilities in larger areas where an alarm is signalled both optically and acoustically, (b) a special priority paging system with pocket radio-receptors (beeps) which can reach all members of the team within seconds, and (c) standardized resuscitation carts strategically located in the hospital. During a period of 7 months the team's work was judged satisfactory. It is called in once every 3 days on average.

Computers↗
PubMed1984

[Continuous thoracic drainage and suction. Comparative study of the performance and price of multiple-use systems (separate bottles) and single-use (compact systems) disposable systems on the market].

A study of 12 pleural drainage systems has been conducted. The system was disposable in 8 instances and allowed multiple use in 4. Each system was analyzed in relation to 15 performance criteria and 15 safety criteria. The cost of use per patient was compared. In conclusion, compact and disposable pleural drainage units can be recommended since they (a) offer superior technical performance, (b) are more reliable, (c) offer increased safety, (d) are easier to monitor, (e) are much safer with respect to cross-infection, (f) are less noisy in some cases, (g) are more useful in apportioning responsibility between surgeons and nursing staff, and (h) are less costly.

Adult↗
PubMed1984

[Opening of an emergency center in the University Hospital Center of Vaud].

Previously decentralised, non-programmed attendances, followed or not by hospitalisation (emergency admissions) at the C.H.U.V. were seen in 7 different sectors. In the context of the opening of a new hospital building for the C.H.U.V., emergencies were concentrated in a new common area known as the "Emergency Centre". The article describes the organisation of this new sector as well as its activity during the first year of its working (7 months). The centre received approximately 1800 patients per month, 51% examined and treated in the department of surgery, 28% by the department of internal medicine, the rest being under the primary responsibility of services of otorhinolaryngology, paediatrics and paediatric surgery and dermatology. Description of the sector includes some maps to demonstrate the architectural concept and its use in case of mass casualties.

Emergency Service, Hospital↗