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Biomedical subjects

A Mouchet

Publications and source records attributed to A Mouchet.

At least 19 recordsLinked to original sources
PubMed1985

The posterior arm free flap.

A new cutaneous free flap is described on the posterior side of the arm. This flap is supplied by an unnamed artery from the humeral artery or the deep humeral artery. It is drained by the accompanying venae comitantes. Its nerve supply is from the radial nerve. Its advantage is a flexible skin and a primary closure of the donor site if the flap does not exceed 7 cm in width. The principal disadvantage is its modest measurements. This flap has been employed in five cases for reconstruction of hand and foot. All flaps survived despite a necessary revision of an arterial anastomosis in one case and a partial necrosis in another case. Results are satisfactory, especially in restoration of weight-bearing areas of the foot.

Adult↗
PubMed1983

[Blount's disease in the Antilles. Apropos of 26 cases].

Blount's disease is associated with agenesis of the medial tibial plateau leading to tibia vara. It appears to be more frequent in Scandinavian countries and in black populations. Twenty-six cases had been seen in Martinique (Antilles) of whom twenty were children. A classification into six stages was described. Stage IV is a critical one. Before it, corrective osteotomy will often lead to complete healing. After stage IV, lateral epiphysiodesis must be added to avoid recurrence of deformity. The technique of osteotomy was variable according to the age of the child and the obliquity of the joint line. In young children, a subtraction closing wedge osteotomy is suitable. In older children a "V" shaped osteotomy is recommended to lessen the amount of shortening. At the end of the growth period, a medial opening wedge osteotomy is advisable. In adults (six cases) whose deformity can reach as much as 50 degrees with considerable ligamentous laxity, reefing of the ligament must be added to the osteotomy. The problem of the opposite knee is discussed. Even when the disease is not bilateral, it can tend to develop towards arthrosis.

Adolescent↗
PubMed1975

[Surgical methods in non-traumatic perforations of the colon into the free peritoneum (36 cases)].

When operating as an emergency for a perforation of the colon should one carry out a by-pass operation, colostomy or restore intestinal continuity? 36 colonic perforations are reported here, as a complication of cancer in 50 p. 100 of cases, or sigmoiditis in 38 p. 100 of cases. The perforation was situated on the sigmoid in 77 p. 100 of cases. 13 by-pass operations were carried out with a 23 p. 100 mortality, 12 colectomies without anastomosis with a 50 p. 100 mortality, and 2 colectomies with restoration of continuity, 9 p. 100 mortality. The overall mortality was 27.7 p. 100 much less than reported by other authors but, nevertheless partly due to the severity of peritonitis due to the presence of feces and, partly due to the operation adopted. The present attitude of the authors depends on the merits of each case. A large incision is made and the peritoneum thoroughly cleaned. If the surgeon is experienced, colonic resection is advisable for perforated cnacer and certain cases of sigmoiditis. Restoration of continuity depends, above all, on the anatomical condition of the colon above the lesion. Hartmann's resections or by-pass operations thus still have indications.

Adult↗