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Biomedical subjects

G Champault

Publications and source records attributed to G Champault.

At least 109 records · Page 6Linked to original sources
PubMed1995

[Laparoscopic surgery: injuries caused by trocars. (French Survey 1994) in reference to 103,852 interventions].

In a French retrospective survey including 103,852 laparoscopic procedure, and 390,000 port-insertion, trocar injuries rate have been evaluated. Mortality is 0.07 per thousand, quite exclusively in relation with vascular injuries (especially from aorta and iliac vessels) with a rate of 0.4 per thousand. All intra-abdominal viscera and vessels must be injured by the first blind trocar insertion. Open laparoscopy is systematically proposed to prevent these accidents.

Blood Vessels↗
PubMed1995

Laparoscopic splenic salvage in blunt abdominal trauma.

The use of fibrin glue represents a feasible and safe method of splenic salvage. Laparoscopic examination is gaining popularity and holds diagnostic promise for the evaluation of trauma patients. We describe herein the successful combination of these techniques in a patient with a blunt abdominal trauma, helping to save the spleen and avoid laparotomy.

Abdominal Injuries↗
PubMed1995

[Does laparoscopic treatment of abdominal infections generate bacteremias? Prospective study: 75 cases].

Laparoscopy is increasingly used in conditions complicated by peritonitis. A theoretical concern is that carbon dioxide pneumoperitoneum may increase bacteraemia. In a prospective study 90 patients were treated by laparoscopic appendicectomy. 30 of them had no histological abnormality; 30 had an acute appendicitis and 30 an acute peritonitis. 75 patients were eligible for the study. The treatment protocol (surgery-antibiotherapy) was the same for the 3 groups. All patients had blood cultures before, during and after insufflation of CO2 in the peritoneum, and bacterial examination of the operative site. Septic morbidity was evaluated for each patients. Positive bacterial culture from abdominal site are correlated with the pathologic findings. There were no positive blood cultures in the groups studied and no incidence in term of septic morbidity. This study suggests that laparoscopic treatment of septic abdominal diseases does not facilitate bacteriemias and does no affect septic morbidity.

Acute Disease↗
PubMed1994

[Inguinal hernias in adults. Laparoscopic surgery versus the Shouldice method. Controlled randomized study: 181 patients. Preliminary results].

181 patients have been included in a controlled randomized prospective study to compare two hernia repair technics: Classic al Shouldice herniography vs totally pre-peritoneal video-surgery. There was no mortality and no difference concerning morbidity, operating time and hospital stay. Videosurgery allows detection and treatment of some bilateral hernias not diagnosed by clinical exam, ensures better post-operative comfort and has a significant effect on the time to return to work (12.5 vs 24.3 days). There was no recurrence in either group with a 12-month follow-up. These patients must be followed for a long time to compare their late results with those of conventional technics.

Adult↗
PubMed1994

[Under what conditions is laparoscopic treatment of inguinal hernia financially profitable?].

A randomized controlled study between Shouldice technic (119 cases) and laparoscopic totally pre-peritoneal hernia repair (122 cases) was performed to evaluate the different costs. Only with reusable devices, and if the Prolene Mesh is not fixed by stapple, laparoscopic repair, even a specific increasing expenses (700 FF) allow a little benefit (1100 FF per patient). Laparoscopic hernia repair is really benefit for active workers, specially in liberal practice. These conclusion suggest to correlate the technic with professional activity.

Adult↗
PubMed1994

[A rare complication of cholelithiasis. Ulceration of the cystic artery associated with cholecystoduodenal fistula].

We observed a rare complication of gall stones revealed by a paroxysmal digestive haemorrhage. Ulceration of the cystic artery occurred due to a stone trapped in the neck associated with a cholecystoduodenal fistula. This is an exceptional cause of major digestive tract haemorrhage. Treatment is undertaken with that of the gall stone. Most often haemorrhages originating in the bile tract are occult.

Biliary Fistula↗
PubMed1994

[Gastroesophageal reflux. Treatment by laparoscopy. 940 cases--French experience].

In a French survey including 40 surgical teams, 940 patients with gastro-oesophageal reflux were treated by laparoscopy (795: 85% by Nissen or Rossetti fundoplication; 90 by the Hill procedure. Conversion rate in to laparotomy was 6.2%. The rate of intra-operative complications was 5%. Overall mortality was 0.1% and post-operative morbidity also 5%. Oesophageal injuries (1.3%) remain the most important complication was especially in inexperienced surgeons in the beginning of training. Mean hospital stay was 5 days. Only one third of patients were reviewed controlled by endoscopy and/or mano-pHmetry with a 3-month follow-up. Results are similar to those of "open" surgery.

Endoscopy, Digestive System↗
PubMed1993

[Lithiasis of the common bile duct (CBD) at the time of laparoscopic surgery. What strategy to follow?].

The best treatment for symptomatic or complicated gallstones is laparoscopic cholecystectomy, now performed in all countries throughout the world. Today, the new problem is how to treat common bile duct stones discovered during laparoscopic cholecystectomy. Between traditional "open surgery" and "exclusive laparoscopy" only reserved for experienced surgeons with new devices and technologies, endoscopic sphincterotomies can be performed in different situations, discussed in this paper to offer the patient, a modern minimally invasive treatment for gallstone disease.

Cholecystectomy, Laparoscopic↗
PubMed1993

[Duodenal ulcer: value of truncal vagotomy through thoracoscopy].

The authors report 21 cases of chronic duodenal ulcer treated by truncal vagotomy performed thoracoscopy. A description of the technique is presented. Mean feeding after surgery was 1.6 days. Mean hospital stay was 4.6 days (2-9). All patients were reviewed one month later by endoscopy and/or X Ray. There was no diarrhea or gastric outlet obstruction in this preliminary study.

Adult↗
PubMed1993

[Right iliac fossa pain in women. Conventional diagnostic approach versus primary laparoscopy. A controlled study (65 cases)].

In a series of 187 patients with acute abdominal pain syndrome, 65 young women reported non specific pain in right iliac or pelvic area. A controlled study compared 33 patients with immediate laparoscopy and 32 explored with a laboratory contrast or imaging approach. In the laparoscopic group, an exact diagnosis was made in 97% of the patients, allowing in 2/3 of cases the endoscopic treatment. Only 28% in the second group had an exact diagnosis. Hospital stay was shorter in the laparoscopic group (4.18 vs 6.16 days; p = 0.01) decreasing the hospital cost. The authors suggest that immediate laparoscopy should be performed in young women presenting with non-specific abdominal pain.

Abdominal Pain↗