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Biomedical subjects

C Warlaumont

Publications and source records attributed to C Warlaumont.

12 recordsLinked to original sources
PubMed1986

[A simple technic of true pyroloclasia: crushing with a rubber-sheathed clamp].

For more than 10 years the authors have been using a pyloroclasia derived from the Hivet and Lagadec technique of digital dilatation, in place of gastric drainage pyloroplasty. The procedure is simple, effective and easily reproducible. It only requires a rubber sheathed clamp to crush the anterior part of the pyloric annulus; the pyloroclasia is then confirmed by digital exploration. This technique has been used regularly without any per-operative problem and post-operative complications ascribable to pyloroclasia. The long-term results have been satisfactory with complete absence of gastric stasis or biliary reflux. When performed, post-operative radiography and fibroscopy have shown adequate gastric emptying and little changes in pyloric morphology. Pyloroclasia is simpler and less septic than pyloroplasty, and it reduces the incidence of dumping syndrome. Pyloroclasia with a rubber sheathed clamp is simpler and more reproducible than digital pyloroclasia. In view of its regularly good results it can certainly be recommended.

Constriction↗
PubMed1984

[Prosthetic surgical treatment of inguinal hernias. Parietalization of the spermatic cord].

We confirm the advantages offered by "parietalization" of the spermatic chord components in prosthetic repair of inguinal hernias. The term is particularly well suited to the procedure when the abdominal approach is used: there is no need to split the dacron mesh to let the chord through; the zigzagging transparietal course of the chord is extended laterally. We must add that ligation of the epigastric vessels is unnecessary with the abdominal approach.

Hernia, Inguinal↗
PubMed1984

[Pitfalls of mechanical circular anastomoses].

To the list of pitfalls of circular mechanical anastomoses the authors add another type of incident involving catching of an intestinal fold. While the pitfalls recently published by M. Adloff include occlusive stapling, those encountered by the authors make mechanical stapling impossible. Two diagrams illustrate the mechanism of failure of circular mechanical anastomoses and suggest an easy way of avoiding this pitfall.

Colon↗
PubMed1984

[Inguinal hernia in women: a complication of pregnancy or labor. Apropos of 160 cases of surgically treated hernias].

The authors undertook a computerised retrospective study of 10 years of hernia surgery. Analysis of the specific characteristics of hernias in women provided numerical data concerning a number of classical data and in particular revealed the role of multiple gestation (more than 3 pregnancies) in the aetiology of inguinal hernias. Results of different surgical techniques are reported: herniorrhaphy procedures (e.g. the MacVay operation which should perhaps be abandoned to give way to the Shouldice procedure) retain a wide role in women. The Dacron mesh prosthesis, with an additional risk of infection of 0.5 to 3.7% offers long term reliability (98.5% cure rate) which cannot be hoped for with any herniorrhaphy procedure when repairing the most difficult hernias. The authors suggest that gynaecologists and obstetricians should continue the study or physiopathological mechanisms causing hernias since they alone would be capable of undertaking such a prospective study.

Adolescent↗
PubMedDate not supplied

[Cuffing of the distal esophagus in the treatment of gastroesophageal reflux].

This technique was derived from Nissen-Rossetti's fundoplication operation. Anatomical bases for the method are described which allow the simple performance of a regulated and measured version (in spite of regional anatomical variations), that is non-calibrating (to avoid exposure to conventional sequelae of fundal plication) and reproducible (essential when comparing results assessed for global series). Technical features are described in detail and discussed, while emphasizing the importance of the following rules; respect of regional fascial structures, avoidance of vagal trunks, observation of the compliance of the gastrosplenic omentum and conformation of the gastrophrenic ligament to allow simple mobilization of the anterior and posterior hemivalves. A summarized report on 295 operations, performed on and 233 patients reviewed after 3 to 9 years, indicates low mortality (1.35% from complications arising from patients' condition generally), an acceptable morbidity (5.5% of complications requiring lengthened hospital stay) and very correct long-term results (no "gas bloat syndrome", 8 dysphagias, 15 radiologic and/or endoscopic recurrences including 11 cases with clinical evidence of recurrence of reflux). The fact that distal esophageal cuffing can be adapted for cases of hiatus hernia, of peptic stenosis of esophagus, of undroppable cardia, and of associated duodenal ulcer or bile calculi suggests its use as a routine operation, if possible at an early stage, for all cases of pathologic gastroesophageal reflux.

Esophagus↗