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Biomedical subjects

G Benoit

Publications and source records attributed to G Benoit.

At least 253 records · Page 14Linked to original sources

Anatomical basis of total prostatocystectomy in man.

In the first part of this paper special emphasis is given to the anatomy of Denonvillier 's fascia which is derived from the prostatic capsule and covers the seminal vesicles, and to the preprostatic veins. In the second part devoted to the surgical technique of total prostatocystectomy the authors propose that the vesicoprostatic unit be freed by dissecting posterior to Denonvillier 's fascia. It is also proposed that the membranous urethra be sectioned prior to performing hemostasis of the preprostatic veins.

Fascia↗

[What are the indications for nephrectomy in candidates for renal transplants].

The kidneys of a patient with renal insufficiency often retain an endocrine role which should not be overlooked, and they are sometimes capable of residual diuresis. A case history of acute pyelonephritis, the existence of infected stones, or problems of infected reflux, are all indications for nephrectomy. On the other hand, arterial hypertension or an uninfected reflux do not, in our view, constitute indications for this procedure. In cases of renal polycystosis, only those kidneys whose volume constitutes an obstacle to transplantation should be treated surgically.

Humans↗

[Santorini's venous plexus].

This article provides an anatomical study of Santorini's venous plexus based on forty dissections. The authors present a sketch of the plexus and its housing and suggest surgical applications of this anatomic sketch.

Humans↗

[The medio-femoral approach].

The authors report a series of thirty A. profunda femoris dissections by anterior approach: the medio femoral way, which is enabled to isolate an arterial segment of six centimeters.

Aged↗

[Secondary tumors of the kidney].

The authors report twelve cases of secondary kidney tumors. In seven cases, they found antecedents of primary tumors, contrasting with the clinical, urographic and echographic data suggestive of a typical kidney tumor. Only arteriography, when performed, could visualize a hypovascularized tumor. The authors make a distinction between two situations: unilateral kidney tumors, which require total nephectomy, since, in 95% of cases, they are primary growths, and bilateral tumors, which require further exploration, since, in 20% of cases, they are metastatic proliferations.

Adult↗

[Extradigestive forms of nontyphoid salmonellosis in renal transplant patients: 5 cases].

Five focal non typhoid salmonellosis (NTS) are reported in a group of 342 kidney transplant recipients. There is no relationship between the unusual presentation of NTS (septicemia, pneumonia, orchitis, prostatis, urinary tract infections) and the serotypes (S. typhi-murium, S. panama). With the therapeutic immunodepression, many host factors are important to induce the unusual presentation of NTS: major surgery, urologic abnormalities, preexisting uraemic state. The major importance of decreased host resistance is emphasized by the absence of relationship between death and bacterial resistance. The use of lysotypes exclude the role of an intrahospital contamination.

Adult↗

[Removal of the kidney following in situ perfusion].

Kidneys of potential donors undergoing sudden cardiac arrest are generally not gathered because the warm ischemia time is too long until nephrectomy. A rapid in situ cold perfusion technique was developed to preserve kidneys in 21 brain-dead patients after cardiac arrest not responding to cardiac resuscitation. In 7 of the 21 potential donors, the in situ perfusion was unsuccessful. In 14 other subjects this technique permitted to save 15 transplantable kidneys; 1 month after grafting, the renal function was similar to that observed in kidneys gathered in living patients. The in situ perfusion technique allows to increase by nearly 10% the efficacy of kidney gathering.

Brain Death↗

[Complete ureteral avulsion. Complication of vaginal delivery of an infant dying in utero during the second trimester of pregnancy].

The authors report a case of complete avulsion of the ureter occurring during the vaginal evacuation of a fetus that had died in utero in the second trimester. This case leads us to discuss the diagnostic and therapeutic measures that should be taken in this kind of situation. At present there are people who wish to increase the number of indications for second trimester terminations of pregnancy. As this is so, we wish to draw attention to a rare but very serious complication of late evacuation of the uterus, namely damage to the ureter.

Abortion, Induced↗

[Spontaneous renal allograft rupture. Diagnosis and treatment. Report on five cases (author's transl)].

The authors describe five cases of renal allograft rupture as a result of acute rejection. In one case of perineal hematoma, no operation was performed. The evolution of the hematoma led to a periureteral sclerosis, which was successfully operated. The authors advocate deferring the surgical management of allograft ruptures. Once the diagnosis has been established with the aid of physical examination, electrography and computerized scanography, the extra time can be devoted to following the evolution of the rejection. If the rejection is irreversible, a nephrectomy has to be performed, but if it is reversible, they favour conservative treatment followed by operative intervention around the tenth day.

Adult↗