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Biomedical subjects

F Bargy

Publications and source records attributed to F Bargy.

At least 55 records · Page 3Linked to original sources
PubMed1986

The left recurrent laryngeal nerve at birth: anatomy and surgical applications.

The aim of this study was to define the origin, course, caliber and relations of the left recurrent laryngeal nerve (N Laryngeus recurrens) in order to localize the nerve during surgery for esophageal atresia. Eighteen anatomic specimens were dissected and 12 surgical cases were analysed. Left recurrent laryngeal nerve palsy after this particular form of neonatal surgery is a very real risk. It seemed useful to describe an anatomic technique of identifying the nerve in the mediastinum during such surgery, in order to prevent this complication.

Esophageal Atresia↗
PubMed1986

[Percutaneous or surgical central catheters in the newborn infant].

Central microcatheters are important in neonatal intestinal surgery, as peripheral veins are quickly all used up in these patients; they are essential in maintaining a satisfactory nutritional status during the period of digestive exclusion. This retrospective study over an 18 month period concerned 105 catheters (82 central percutaneous catheters and 23 surgical catheters) put up in neonates operated on within the first few days of life. The advantages and disadvantages of both methods of catheterization were assessed by means of the infectious or mechanical complications, as well as the length of time the catheters were used. The frequency, timing and type of mechanical incidents requiring removal of the catheter were the same for both groups. There was only one septic accident, and this with a surgical catheter. An analysis of the patient files helped to decide on the best route for use in central catheterization, as well as technical improvements. Because of the absence of infectious accidents in the percutaneous series, this method was preferred, especially as it has a certain number of advantages over the surgical method. Percutaneous central microcatheterization would appear well suited to medium term parenteral feeding.

Catheterization↗
PubMed1986

Isolation of two strains of Kingella kingae associated with septic arthritis.

Two new cases of infection, a presternal abscess and a spondylodiscitis caused by the recently classified bacterium Kingella kingae, are reported. The main bacteriological characteristics and the susceptibility of the two isolates to antimicrobial agents are described. The pathology of K. kingae, particularly among children, is reviewed.

Abscess↗
PubMed1986

[The pericardium of the newborn infant. Anatomic and radio-anatomic study with the view toward better positioning central catheters in the superior vena cava].

The aim of this study was to define Anatomics relationships of pericardium and veine cavae superius in newborn. In clinical experience the possibility of acute "hydropericardium" accidents in newborn with central venous parenteral nutrition, shows that the catheter must be positioned above the pericardium reflexion line. In this study, this line appears clearly above T2 Pevel.

Cardiac Catheterization↗
PubMed1985

[Laryngo-tracheo-esophageal cleft associated with missed atresia].

Laryngo-tracheo-esophageal cleft (LTEC) is a rare malformation. Treatment is always surgical and still has uncertain results. One case of LTEC (type III), associated with a "missed atresia" of the esophagus is reported. The diagnosis of eso-tracheal, H-Type fistula was first suspected at birth before transfer of the baby to the neonatal surgery department where the diagnostic of long LTEC was established. Surgical repair was done through lateral cervicotomy and allowed complete cure of the eso-tracheal communication without tracheotomy. Barium swallowing, controlled on the eleventh post-operative day, showed a perfect result of the reconstruction and an underlying esophageal malformation, previously described as "missed atresia". The treatment of this second malformation was performed two months later by plain resection-anastomosis with excellent outcome at a one year follow up with no recurrent fistula nor GE reflux or laryngeal nerve palsy. To the best of our knowledge, this type of association has not been previously reported.

Abnormalities, Multiple↗
PubMed1984

[Neonatal gastric perforations].

The authors report 8 cases of primitive neonatal gastric perforation and try to define different etiologies. Mechanisms are varied. According to clinical context, intra-operative macroscopic aspect and histology, vascular, metabolic and mechanical processes are evoked. Each etiological theory is based upon animal experimentation and clinical experience. Actually, different factors are implicated. Latest progress in intensive care has considerably improved prognosis but it is however still serious.

Female↗
PubMed1984

[Tracheomalacia in esophageal atresia].

On the basis of a series comprising 154 cases of Type III oesophageal atresia and 19 cases of Type I oesophageal atresia the authors have tried to define the place of tracheomalacia in association with oesophageal atresia. We have studied a certain number of technical and anatomical factors as well as the relation of tracheomalacia to the other complications, in order to class more precisely the therapeutic solutions available.

Cartilage Diseases↗
PubMed1984

Intestinal lesions containing coronavirus-like particles in neonatal necrotizing enterocolitis: an ultrastructural analysis.

Since the outbreaks of neonatal necrotizing enterocolitis occurring in maternity hospitals of Paris and suburbs in 1979-1980, it has been possible to examine by light and electron microscopy gut specimens from ten newborns with this illness. Coronavirus-like particles, enclosed in intracytoplasmic vesicles of damaged epithelial cells of the intestinal mucosa, were observed in the small intestine, appendix, and colon. The ultrastructural study, supported by bacteriologic findings, suggests the role of coronavirus-like particles in the appearance of the lesions. Secondary proliferation of mainly anaerobic bacteria, probably responsible for pneumatosis, may aggravate the disease.

Appendix↗
PubMed1983

[High frequency ventilation during the surgical treatment of esophageal atresia].

The preliminary results of the use of high frequency positive pressure ventilation (HFPPV) in six newborn infants presenting a type III oesophageal atresia during the thoracic stage of surgical repair are reported. HFPPV allowed correct gas exchange during the surgical procedure. In the six cases, a significant decrease in PaCO2 (p less than 0.05) was observed, whereas the effects on PaO2 were variable. The technical problems, mechanism of gas transport during HFPPV and clinical interest of HFPPV in thoracic surgery are discussed.

Blood Gas Analysis↗
PubMed1983

[Prenatal diagnosis of visceral malformations by ultrasonography].

The authors study a series of 64 cases of neo-natal visceral malformations which diagnosis had been done through maternal ultrasonography. The benefits of this technic depend on the affection or the malformation; they are presented here separately. These very early diagnosis in some rare cases allow an antenatal therapy; specially in urology, an earlier surgery than usual can be provided. A case of antenatal diagnosis of Cantrell Syndrome is described.

Abdominal Muscles↗
PubMed1983

[Location of the left recurrent laryngeal nerve during high frequency ventilation in surgery for esophageal atresia].

The authors are describing a surgical technique to recognize the left recurrent laryngeal nerve during the oesophage atresia surgery. This technique uses for anatomical marks the superior line of the great azygos vein an the oeso-tracheal lateral junction. The dissection is very delicate, and the hight frequency ventilation during anesthesia gives a precious comfort to the surgeon.

Esophageal Atresia↗
PubMed1983

[Risk of recurrent laryngeal nerve palsy in surgery of esophageal atresia].

From the last 100 cases of esophageal atresia treated since october 1975, the authors emphasised the incidence of left or right recurrent laryngeal nerve palsy. This incidence is about 20%. Most often, an unilateral palsy is asymptomatic, but in a few cases many complications have been reported. Therefore it is necessary to insist on the surgical and anatomic factors which could increase the risk of a nervous injury and the technics to prevent it.

Esophageal Atresia↗