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Biomedical subjects

G Flageul

Publications and source records attributed to G Flageul.

At least 37 records · Page 2Linked to original sources
PubMed1994

[Liposuction in the plastic surgery of the abdomen. Focus on technical aspects and indications].

The contribution of liposuction has transformed the plastic surgery of the abdomen, by allowing to broaden the indications and by improving a great deal the quality of the results. The most delicate question in this field and in a large number of the cases comes down to making a choice between an isolated abdominal liposuction and an abdominal liposuction associated to a cutaneous reduction plasty. Our experience during these last years has shown us that very good results in isolated abdominal liposuction could be achieved even in patients whom skin elasticity tests were fairly favourable. These results encourage us to broaden markedly the indications of isolated abdominal liposuction, even in intermediate or borderline cases: it is necessary though, to perfectly inform the patient with whom we have a true confidence agreement, even if it means in some cases a second surgical procedure: either a complementary liposuction or a secondary cutaneous reduction plasty.

Abdomen↗
PubMed1992

[Forum: dermopigmentation or medical tattooing. Dermopigmentation and reconstruction of the nipple-areola].

The use of pigmented grafts for nipple-areola reconstruction of amputed breasts is disappointing because of frequent depigmentation. Dermopigmentation is an easy, quick and effective means to ensure restoration of the nipple-areolar complex. This technique is presented as a two-step reconstruction under local anesthesia, on an outpatient basis. The final nipple may be obtained, at the second stage, by silicone prosthesis implantation under the previously pigmented mammary skin.

Esthetics↗
PubMed1989

[A permanent expanding prosthesis and the latest refinements in breast reconstructive surgery].

The use of an expanding prosthesis that can be left in place after adjustment of its volume allows an improvement in the quality of the results of breast reconstructive surgery. This implant offers many advantages: 1) It doesn't have to be changed: only the valve and the inflation tube must be removed. 2) The ideal breast volume can be progressively obtained by gradually prompting the skin. 3) A transient overinflation before returning to the desired volume often results in a more natural looking and preptotic breast. An adjuvant method (tattooing of the nipple-areola) is also presented. It contributes to the improvement of the aesthetic nature of this type of reconstructive surgery. The author's series consists of 26 reconstructions which demonstrate the interesting possibilities offered by this implant and by the adjuvant method applied to the nipple-areola.

Breast↗
PubMed1984

Anatomical and physiological basis of parietal treatment of severe peritonitis and evisceration.

The failures observed in attempts to obtain abdominal closure "at all costs" and the risks and difficulties of laparostomy led us to develop a technique of exclusive cutaneous cover to treat cases of severe peritonitis and evisceration with or without exposed fistula. This method is based on certain anatomical features of the anterolateral abdominal wall and its physiological properties when eventration or evisceration is present. The forces of parietal dehiscence were determined in 6 patients having undergone major surgery of the digestive tract. The magnitude of these forces, the neccessity of obtaining biological protection and the structure and physiology of the superficial layers of the abdominal wall require a cutaneous cover with traction-free sutures via cutaneoaponeurotic incisions of relaxation. The rich vascularization of the abdominal wall, the number and topography of the perforating arteries and the existence of hypodermal, subdermal and subpapillary anastomoses allow the surgeon to perform extensive cutaneoaponeurotic mobilization.

Abdominal Muscles↗
PubMed1984

[Pitfalls in the diagnosis and primary treatment of the Pierre Robin syndrome. Glosso-palato-mandibular respiratory distress in the hypotrophic infant].

This congenital affection is frequently unrecognized as being a severe entity requiring early diagnosis and treatment, the latter in some cases involving emergency neonatal surgery. Constant surveillance should enable immediate intervention on the first signs of nutritional, infections or respiratory complications. Their repetition requires anterior fixation of the tongue to ensure adequate growth. The nature of the glossoptosis and palatal cleft determines symptoms and course, but these are also affected directly by the neurosomatic context. In these respects, and in order to isolate the syndrome described in this report from within the framework of the diagnostic imprecision of Pierre Robin's syndromes, it can be defined as "glosso-palato-mandibular respiratory distress of hypotrophic infants". This terminology combines elements of the clinical picture with target symptoms for therapy.

Cleft Palate↗
PubMed1979

[The surgical treatment of large incisional hernias by lacing of autogenous full thickness skin. 36 cases (author's transl)].

Strips of skin taken from the excess skin adjoining the scar, prepared carefully and used as a loose continuous suture, represent an elastic material which is easy to use and of great strength. Results studied in a group of 36 patients with a follow-up varying from 12 month to 16 years were excellent in 70% of cases and moderate in 25%. The quality of the results obtained, from both a mechanical standpoint as well as in terms of tolerance, together with the simplicity of the technique, have led us to consider it as a method of choice in the repair of large incisional hernias, in particular recurrent.

Female↗
PubMed1979

[Results of a retrospective study of the primary treatment of labiopalatine clefts (author's transl)].

This study concerned a homogeneous series of 233 children operated upon between 1960 and 1972 by the same surgeon, with an unchanging therapeutic attitude and followed up by a permanent team including surgeon, paediatrician, orthodontist, speech therapist. It represents a first critical analysis of the results obtained, here in an age group representing a minimum of 7 years follow up. Computer cards were prepared for each patient involving analysis of more than 400 parameters, in association with ensuring that patients who had not been followed up regularly were sent for and subjected to a complete assussment. The following main areas are covered: anatomoclinical aspects of clefts, associated lesions, initial surgical techniques and the postoperative course, ENT and paediatric problems arising during early childhood, orthodontic needs, investigations and results of speech therapy, complete assessments at 4 and 7 years.

Child↗
PubMed1979

[Twenty years follow-up of a case of extensive osteoradionecrosis (author's transl)].

A patient was found to have the first signs of a fibrous dysplasia of the left maxilla 50 years ago. At that time it was thought to be a maxillary sarcoma and was treated by irradiation on two occasions. The authors first saw the patient 20 years ago when he presented for treatment of an extensive degenerated osteoradionecrosis due to the previous irradiation therapy. Excision and reconstructive treatment caused many medical, psychological, and surgical problems. A part from the interest aroused by the numerous surgical repair procedures carried out, the essentially iatrogenic nature of the lesion and its effect on the life of this unfortunate patient convinced the authors of the need for publishing this rather sad history.

Adolescent↗