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Biomedical subjects

G F François

Publications and source records attributed to G F François.

8 recordsLinked to original sources
PubMed2002

Intrascrotal hernia of the ureter and fatty hernia.

Intrascrotal hernia of the ureter is a rare event. We describe here one such case. There are two anatomic types of such ureteral hernias. The paraperitoneal type has a peritoneal indirect sac, which pulls the ureter with it. The extraperitoneal ureteral hernia is without a peritoneal sac. In such cases, which are almost always indirect hernias, there is usually a large amount of fat. It is, in fact, retroperitoneal fat, which slides, and pulls the ureter with it by gravity. Such a case is a genuine prolapse of the retroperitoneal structures. This anomaly, which has been rarely studied, is worth knowing about, because the ureter may be damaged during hernia dissection. The surgeon should be cautious when discovering huge fatty hernias, and should avoid the excision of fat and simply return the fatty mass to its normal place after its separation from the cord.

Adipose Tissue↗
PubMed1996

[Inguinal hernia under laparoscopy. Pubic osteitis].

Osteitis pubis is a well known complication of urologic procedures but its association with herniorraphy is poorly documented in the literature. We report a case of osteitis pubis after coelioscopic cure of hernia. It is too early to know its frequency in coelioscopic repair. The choice of this technic might be discussed if it appears that with this technic the frequency is higher than in traditional surgery where it was rare.

Adrenal Cortex Hormones↗
PubMed1993

[Idiopathic segmental infarction of the great omentum. Value of celioscopy].

Segmental infarction of the great omentum is a possible aetiology of acute abdominal pain. The diagnosis was difficult before operation and, generally the patient was operated upon with the diagnosis of appendicitis, or less often by laparotomy. The laparoscopy appears to be nowadays the ideal way of diagnosis, as this was the case in two of our patients. The treatment is also possible by laparoscopy (one of our patients). Generally speaking the laparoscopy should be of great help in the diagnosis of some acute abdominal pain, and could reduce the number of the so called non specific abdominal pain.

Adult↗
PubMed1992

[Aberrant biliary ducts and cysto-hepatic ducts. A comprehensive study].

Though very different, aberrant bile ducts and cysto-hepatic ducts are often confused. Aberrant bile ducts are abnormal ducts which do not drain any segment or sector of the liver. They are filled of bile counter-flow and can be injured not only in the gallbladder bed, but also elsewhere on the surface of the liver. Cysto-hepatic ducts are normal ducts, draining segment or sector of the liver, but because of an embryologic sliding, their branching is on the gallbladder or on the cystic duct. All these ducts can be injured during cholecystectomy, and it would be of importance to recognize the true type of duct one has to deal with, by radiologic explorations. The management is different as aberrant bile ducts need only to be ligated, instead, the cysto-hepatic ducts may require a reimplantation in the common bile duct or Roux en y loop. We discuss all these problems on the basis of 1200 traditional cholecystectomies where 1 aberrant bile duct, 3 cysto-hepatic ducts, and 3 external biliary fistulas were encountered.

Bile Ducts↗
PubMed1991

[Pseudostriction of hiatal hernia. Apropos of a case with incarceration of the transverse mesocolon and small intestine].

Massive hiatal hernia is a lesion at risk of incarceration, volvulus, and obstruction. The true paraesophageal type is a very rare condition and probably often mistaken with end-stage slidind hernia. Furthermore reflux and oesophagitis are always possible. In this case report a small bowel loop was incarcerated with a massive hiatal hernia. This association was only possible because of the existence of an associated transverse mesocolis hernia giving way to the small bowel. An emergency operation was necessary. The need of surgical treatment of such lesions is stressed, if possible before acute complication, even if they are asymptomatic at the time of diagnostic, which is a quite common condition.

Female↗
PubMedDate not supplied

[Localized cecal ischemia of primary appearance. A re-appraisal].

Localized ischemic lesions of the caecum should be classified among ischemic colitis. However, a separate study is justified to their original clinical presentation due to the fact that these lesions are, on one hand small, and on the other hand, sit in the right lower quadrant of the abdomen. For each of an appendicitis, operation will be performed quicker than in ischemic colitis in their usual presentation. The treatment is variable, including abstention, localized excision-suture, right hemicolectomy. Results are usually good. Coelioscopy in the future may have a place as in one of our three observations and must be evaluated.

Aged↗