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Biomedical subjects

G Benhamou

Publications and source records attributed to G Benhamou.

At least 73 records · Page 4Linked to original sources
PubMed1986

[Useless appendectomy, its diagnostic difficulties].

There are no useless appendectomies. Appendectomy is useful in the treatment of appendicitis. Early appendectomy has enabled us to win the battle against appendicitis. Appendectomy is useful in the diagnosis of appendicular syndromes. Appendicitis isn't the only appendicular disease. Appendectomy is an excision-biopsy. Appendectomy is useful in the exploration of pseudo-appendicular syndromes. Appendicites encounter ileo-colic, urologic gynecologic, hepato-vesicular, gastro-duodenal or even extra-abdominal disorders at the "space to the right of the iliac fossa". The diagnosis is then non-appendicitis rather than appendicitis. It is based on clinical criteria and the modern minimum useful investigation. Appendectomy is then an exploratory laparotomy. Appendectomy is useful in the prevention of pre-appendicular syndromes: post-surgical appendicites, traveller's appendicites and circuit appendicites, appendectomy does not cost more than appendicitis.

Appendectomy↗
PubMed1980

[Calcified renal cysts (author's transl)].

The authors report three cases of calcified renal cysts containing blood. The discovery was made by chance on straight X ray of the abdomen. It gives a round image, finely calcified, its position is not always obvious, especially when it develops forewards. Whether it deforms or not the urinary tract, this echogenic mass on echotomography, is avascular on arteriography. As all renal diseases, cysts, tumours, vascular anomalies, dysplasias, infections, may become calcified, the diagnosis is not always easy. The absence of central calcifications, and the purely peripheral position of the calcifications limits the discussion to three differential diagnoses when the mass is peripheral: carcinoma of the kidney, hydatid cyst, and calcified cyst containing blood. The parasitic immunological reactions and renal arteriography should lead to the diagnosis. When in doubt, surgical exploration is indicated. It permits kystectomy and pathological examination.

Adult↗
PubMed1979

[Post-operative subphrenic abscess. Information supplied by analysis of 62 recent unpublished cases (author's transl)].

We have collected 62 cases of post-operative subphrenic abscess. Two thirds of these patients were sent to us by another unit for post-operative complications. Subphrenic asbcess is still very dangerous as the mortality is still 38%. They occurred after a gastro-duodenal operation (26 times), spleno-pancreatic operation (21 times), intestinal operation (15 times), hepato-bilary operation (11 times) appendicectomy (twice). They were situated usually on the right, but 11 patients had a double subphrenic abscess and 14 an associated submesocolic abscess. Gram negative bacteria were usually the cause. These abscesses often started early. They occurred in 80% of cases in patients operated under the antibiotic cover. Chest X-ray was the best method of detection, but experience is necessary to read them. The abscesses were drained by the abdominal route in order to verify th whole peritoneal cavity. 22 patients died. 11 from septicemia. 21 out of 22 had a digestive fistula. Among the factors in prognosis, the most obvious were age, type of operation, the notion of reoperation, multiple abscess, and finally the delay in starting treatment.

Adult↗
PubMed1979

Priapism and pudendal arteriovenous fistula.

The authors report a case of recurrent priapism treated by saphenocavernous bypass and accompanied by a congenital internal pudendal arteriovenous fistula. In the light of this case and the literature, they discuss the physiopathology of priapism and the sound basis of the various therapeutic methods proposed.

Adult↗
PubMed1979

[Primary gastric non-Hodgkin malignant lymphoma. Report of 38 new cases (author's transl)].

38 cases of primary gastric non-Hodgkin malignant lymphoma operated on between 1961 and 1978 are reported. They note two changes in the study of this localisation of malignant lymphomas: a diagnostic difference as the latter is more and more often made with certainly although histological difficulties persist, and a therapeutic difference as surgical removal is now associated with radiotherapy and chemotherapy. The relative importance of these three methods depends on each case, and in the future will depend on careful assessment of the lesions, of which classification is now accepted by everyone.

Adult↗