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Biomedical subjects

G Champault

Publications and source records attributed to G Champault.

At least 235 records · Page 13Linked to original sources
PubMedDate not supplied

[Use of prosthesis in inguinal hernia repair].

AIMS: To evaluate the use of mesh in the evolution of hernia repair technique during a period of twelve years. PATIENTS--METHODS: From january 1991, to december 2002, 1306 patients 1136 men, 190 women, with inguinal hernia, with a mean age of 47.4 years old (15-98) have had an elective surgical repair. 1097 (83.9 per cent) were unilateral. 209 (16.1 per cent) were recurrent hernia. Clinical data, operative technique have been prospectively evaluated: Four techniques were used: Shouldice procedure, Stoppa operation and laparoscopic repair (TEP) in 1992 and Lichtenstein technique since 1993. RESULTS: During the study, meshes were used in 65.7 per cent of the patients respectively 33.3 per cent for Lichtenstein, 26.9 per cent for laparoscopic repair and only 5.3 per cent for Stoppa open procedure. During the study, prosthesis rate increased from 9.1 to 85.4 per cent for primary hernia and from 10 to 100 per cent for recurrent hernias. To day, Stoppa procedure is not yet performed. Herniorraphies decrease from 91.9 to 14.6 per cent. CONCLUSIONS: "Tension free" techniques represent 85.4 per cent of all procedures at the end of the study, specially Lichtenstein operation (65 per cent) which seems to become the new "Gold Standart" in inguinal hernia repair.

Adolescent↗
PubMedDate not supplied

[Peritonitis by ruptured pyonephrosis (author's transl)].

The authors have observed one case of peritonitis by ruptured lithiasis pyonephrosis. The elective treatment of this unusual (13th case in the literature) complication of the urinary lithiasis is the nephrectomy.

Adult↗
PubMedDate not supplied

[Post-haemorrhagic encephalopathy in cirrhosis. Prevention by digestive irrigation with 100 mg/l mannitol (author's transl)].

Rapid digestive irrigation makes it possible to remove all the blood contained in the intestine of the cirrhotic suffering from a gastrointestinal haemorrhage. With this procedure, used 62 times during 110 haemorrhages occurring in 57 patients with portal hypertension due to cirrhosis, there was statistically significant prevention (p is less than 0.001) against complications of post-haemorrhagic encephalopathy, but there was no action where neurological and psychiatric problems had already developed. The excellent tolerance of mannitol in a concentration of 100 mg/l, and in particular the absence of any untoward effects on water and electrolyte balance, made it possible to reduce fluid intake to 2000 ml in 2 hours without diminishing its effectiveness, the technique thus being simple and easy to apply.

Adult↗
PubMedDate not supplied

[Hemorrhagic pseudocyst of pancreas. A case of X-ray computed tomography diagnosis].

Arteriography failed to detect a pancreatic pseudocyst complicated by hemorrhage, a positive diagnosis being established only after CT scanning. Identification of this rare lesion by angioscan imaging illustrates. The value of this technique, which provides data on vascular dynamics, rapidly, in the selected plane of the section. Results in this case demonstrate the very close correlation between Ct scan images and pathological findings.

Hemorrhage↗
PubMedDate not supplied

[Uterine ruptures. The experience of 64 cases in Africa (author's transl)].

Having seen a series of 64 ruptures of the uterus, the author has analysed the reasons for the relative frequency of this dreaded complication in Black Africa (10% or patients had Caesarean sections in the same period. Inadequate medical attention and obstetrical superivision and dehiscence of the uterus because of the still frequently practised procedure of hysterotomy through the uterine body seem to be the principal factors responsible for these ruptures, which still cause heavy mortality (fetal 93%. maternal 17%).

Cameroon↗
PubMedDate not supplied

[Laparoscopic treatment of inguinal hernia. Evaluation of postoperative pain. Strait pre-peritoneal approach vs Shouldice operation (124 cases)].

In a prospective controlled trial comparing postoperative course, laparoscopic hernia repair totally pre-peritoneal approach appears significatively painless and more comfortable than Shouldice operation. Three criterions were used: pain questionnaire, visual scale, and antalgic use, during three days. These results partially explain a shorter delay to return to work (12 vs 31 days) after "laparoscopic treatment".

Hernia, Inguinal↗
PubMedDate not supplied

[Laparoscopic surgery of inguinal hernias. The extraperitoneal route].

Laparoscopic techniques for treating inguinal hernia have been well defined. Complete pre-peritoneal route, described here, is based on the well established Stoppa procedure. The different operative times are given in detail, including positioning the split windowed unfixed polypropylene prosthesis. The limitations of the procedure, the complications and its relative role among other modern laparoscopic and conventional treatments of inguinal hernias are discussed here. The pre-peritoneal route described is perfectly reproductable. Early results of reported cases are discussed and have been quite favourable.

Hernia, Inguinal↗
PubMedDate not supplied

[Gastroesophageal reflux. Conventional surgery versus laparoscopic treatment. Prospective study (61 cases). Mano-Ph-metric evaluation at 4 months].

61 patients with aggressive gastro-esophageal reflux have been prospectively treated, 29 by open surgery and 32 by laparoscopy. There is no mortality and the morbidity is not significantly different (3 per cent vs 5 per cent). Hospital stay is strongly reduced in the laparoscopic group (5.4 days vs 8.9 days p = 0.02). Either the period of no professional activity (21.3 days vs 38.2 days p = 0.02). In both group, dysphagia is noted in 30% of the patients at 1 month and 3% at 4 months. All patients have had pre-operatively a mano-Ph-metry evaluation. At 4 months, the follow-up rate is 100% and all patient have been controlled with a 24 hours mano-Ph-metry. There is no difference between open and laparoscopic surgery. The mean SIO pressure had increased in both group from 3.6 mmHg to 18.1 mmHg (p = 0.001). There is only one failure in the beginning of the learning curve (4th patients in the "laparoscopy group" (3.1%). These study suggest that laparoscopic treatment could be proposed in the majority of failures of medical treatment in gastro-oesophageal reflux.

Adult↗