Search PubMed⌕ Search

Biomedical subjects

F Becker

Publications and source records attributed to F Becker.

167 records · Page 10Linked to original sources
PubMedDate not supplied

[Prevention of phlebitis in orthopedic traumatology. Personal experience in surgery of the hip].

The authors focus their prevention of post-operative deep venous thrombosis in hip- surgery on the struggle against venous stasis bearing the following points in mind: pre-operative angiological examination whenever that is possible (investigation of haemodynamic parameters in deficient venous zone, motivating the patient by explanations of why and how he will have an important active role to play); systematic pre- and post-operative, even per-operative, elastic compression; early nursing, respiratory reeducation, static and dynamic muscular exercise; leaving bed early on the day after the operation, with pressure on the planta, anti-inflammatory medication, never systematic anti-coagulants except in a few very rare specific cases. The authors' view has been confirmed by the clinical results following the analysis of 353 surgical hip operations. In the two months following operation, there have been only 11 regrettable cases (that is 3%) of possible thrombo-embolie incidence: 5 cases of phlebitis; one benign pulmonary embolism (three of these patients were on a course of preventive anti-coagulation treatment) and five sudden deaths (massive pulmonary embolism mentioned on principle) in patients of extremely advanced age: 88 years average.

Adolescent↗
PubMedDate not supplied

[Role of the external saphenous vein in repeat surgery of primary varicose veins of the lower limbs].

Between January 1968 and June 1978, we required to carry out 170 repeat operations for primary varicose veins of the lower limbs. In 34 operations (21.9% of cases) the re-operation involved a surgical procedure on the external saphenous: --in 6 cases, isolated ligature of the arch, --in 28 cases, stripping of the short saphenous. In our practice surgical reoperation is only indicated when there is a substantial point of leakage between deep and superficial systems. Residual varicosities after surgery require simple post-operative sclerosis. Surgery to the short saphenous is carried out in various circumstances; a) Where the initial operation involved an error in technique: Wrongly sited ligature of the arch (5 cases). This occurs less frequently than in the cases of the internal saphenous . b) Where the first operation was defective by reason of a tactical error: The short saphenous had not been recognized as responsible for varicose veins and had been ignored. Where several years after an operation on the long saphenous, insufficiency developed in the short saphenous and required treatment in its turn. Preoperative assessment involved phlebography and a Doppler examination in the majority of cases. The results are difficult to assess since in nearly two thirds of the cases, surgery to the external saphenous was combined with a further surgical procedure on the internal saphenous.

Female↗