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Biomedical subjects

G Lagache

Publications and source records attributed to G Lagache.

At least 55 records · Page 3Linked to original sources

[A new vascular shunt catheter (author's transl)].

For over 10 years, many authors have attempted to obtain vascular exclusion by intubation with rigid catheters: rubber tube, Argyle is catheter, special catheters with 1, 2 or several full balloons. Owing to this regidity, introduction is difficult and this calibre of the catheter is limited, with reduction of the flow. The authors have developed a supple multitoric catheter which takes on its final form only at the desired site, at the time of inflation.

Aorta↗

[Intra-abdominal haemorrhage: control by perfusion-dialysis (author's transl)].

Puncture-dialysis has taken its place amongst emergency surgical procedures in the diagnosis of intra-abdominal haemorrhage. On the basis of experimental, theoretical and clinical considerations, it is suggested that the lavage fluid not only be left in the abdomen after diagnostic puncture-lavage, but that lavage should be continued in the form of a perfusion system, in addition to intravenous fluids in order to re-establish or maintain normal pressure levels.

Abdomen↗

[Malignant melanomas of Lille 1967-1972. Comparison between "histoprognosis" and actual outcome (author's transl)].

This work groups 126 cases of malignant melanomas operated since 1967. Seventy-seven cases responding to 2 criterions were selected: reexamination of the primary pathologic sample of melanoma according to 4 tests of histoprognosis and adequate follow-up of the patient. Histoprognostic criterions according to Clark and Mihm were the histogenetic type, the level of invasion plus vascular embolic neoplastic invasion and the notion of mitotic index. Four main conclusions emerged: Statistical notion of a critical period situated between the 12th and 30th month, during which 40% of patients die, especially those with primary tumor of histogenetic type NM (nodular melanoma) or SSM (superficial spreading melanoma) and invasion stage IV and V. Assurance of the value of histoprognosis in the primary cognition of tumoral determinism. A new precision in the decision of systematic node excision in invasion stages IV and V, and in stages III with high mitotic index. Reasonable and early use of all therapeutic means in cases with unfavourable histoprognosis.

Follow-Up Studies↗