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Biomedical subjects

F Lazorthes

Publications and source records attributed to F Lazorthes.

At least 55 records · Page 3Linked to original sources

Early and late complications after endoscopic sphincterotomy for biliary lithiasis with and without the gall bladder 'in situ'.

Endoscopic sphincterotomy has gained wide acceptance in the treatment of biliary lithiasis. We attempted endoscopic sphincterotomy in 443 patients and were successful in 407 (92%). Sphincterotomy was carried out with the gall bladder in situ in 234 cases (57%) of advanced age or high surgical risk. Immediate complications occurred in 7%, of which haemorrhage was the most frequent. The mortality rate was 1.5%. Three hundred and sixteen endoscopic sphincterotomies were performed more than six months before writing and follow up was available for 226 (72%) from six to 78 months. Late complications were observed in 16 patients with gall bladder 'in situ' (12%); the most frequent was cholecystitis in 6%. In five patients of the group without gall bladder, four had cholangitis related to retained or recurrent stones, and one restenosed . No episodes of cholangitis were observed in patients without stones despite reflux of barium up the biliary tree as observed during a barium meal examination.

Aged↗

[Treatment of inguinal hernia using Shouldice's technic].

The very high frequency of recurrence of inguinal hernia after surgical repair during the 30s led Earl Shouldice to devote his efforts to the study of this affection. In 1945 he opened an institution for the purpose of treatment of hernia, and since then a total of 130,000 operations have been performed. Progressive advances in the techniques used have enabled the relapse rate to be reduced to less than 1%, and the procedure used at the present time is described.

Abdominal Muscles↗

[The contribution of gallbladders' infusion tomography in the diagnosis of acute cholecystitis (author's transl)].

The detection of opacification of the wall of the gallbladder after the intravenous injection of hydrosoluble iodinated contrast medium (gallbladder parietography) was sought in 82 patients suspected of suffering from acute cholecystitis. In 35 cases, the examination was negative and operation or the clinical course made it possible to eliminate the diagnosis of acute cholecystitis. In 47 cases, it was positive. The diagnosis was confirmed in 39 cases out of 40 patients undergoing surgery. The appearance of the opacification makes it possible to distinguish two types of positive gallbladder parietography: -- with a thin wall and gallbladder of normal size, corresponding to moderate inflammatory lesions; -- with a thickened wall associated with a large gallbladder corresponding to major inflammatory lesions. The examination is simple, reliable, may be carried out as an emergency and combined with intravenous urography. The diagnosis of acute cholecystitis may be made in difficult causes, and appropriate therapeutic steps taken.

Acute Disease↗

[Rupture of the spleen in patients with multiple injuries. Current diagnostic methods. Apropos of 60 cases].

The authors report 60 cases of severe multiple injuries and study present methods permitting a rapid diagnosis of latent rupture of the spleen. Purely clinical methods are today supplemented by paraclinical investigations. e.g. --intra-abdominal catheterisation; --peritoneal wash-out; --laparoscopy; --and, above all, arteriography. The authors use these methods and weigh the advantages and disadvantages of each.

Abdominal Injuries↗