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Biomedical subjects

H Bostoen

Publications and source records attributed to H Bostoen.

26 records · Page 2Linked to original sources
PubMedDate not supplied

[Computer hardware for a surgical service].

While the bulk of all medical information is text, we think that the hardware needed to collect this information and to store it in a databank, must be essentially a first class work processor, working in a multi-user system with terminals where this information is gathered: the nursing stations, operating theatres, outpatient clinics and a working and archiving station centrally placed and capable to link those different terminals and those from other services as well.

Computers↗
PubMedDate not supplied

Pilonidal sinus. Excision--marsupialization--phenolization?

Too often still this disease is called sacrococcygeal cyst, pointing into the direction of congenital etiology. With this paper (and a review of the literature) we try to proof that the theory of acquired origin of pilonidal sinus is the only one logically to be accepted. We indicate that extensive surgical procedures such as Z-plasty rotated flap or broad excision--are really unnecessary and that a simple and accurate technique--marsupialization--gives excellent results with a minimum of recurrences. The last few years phenolization of the pilonidal sinus has become a popular, and eventually a worthwhile alternative.

Adult↗
PubMedDate not supplied

[Revascularization of the extracranial carotid-, vertebral- and subclavian arteries in a small peripheral hospital (author's transl)].

A total of 21 procedures were performed on a group of 17 patients, 13 of them more than 65 years old, for mixed intra- and extracranial vessel disease. Ten had recovered from a frank stroke. Thirteen of them underwent one procedure, three two procedures and one a total of three revascularizations. Eighteen carotid endarterectomies, without patch angioplasty were performed. The determinant factor whether or not to use an intraluminal shunt was the peroperatory encephalographic monitoring by a neurologist. The shunt was used any time significant EEG changes occurred during a test clamping period of five minutes. The other procedures included a vertebral artery endarterectomy with patch angioplasty, a subclavian- subclavian vein by-pass, as well as a common carotid artery resection for elongation and kinking of the internal carotid artery combined with marked stenosis. The mortality was nihil. Postoperatively all patients did well with an improved mental and neurological status.

Aged↗
PubMedDate not supplied

[Iatrogene aorto-enteric fistula. Report of two cases (author's transl)].

Two cases of treated iatrogenic aorto-enteric fistula are presented: one completely successfull, the other less, with exitus after five months due to aortic wall disruption. The late occurrence, operative findings, anatomo-pathological examination of the specimens, as well as the sterile (aerobic) cultures in both cases, rather favour mechanical etiological forces associated with the healing complications of aortic synthetic grafts, with or without secundary infection. Emphasis is placed on familiarity with the symptom-complex and the fact that in general the commonly available objective diagnostic tools are not a great deal more helpful in arriving at the correct diagnosis than the history and physical examination. They may even be time-consuming and lead to the demise of the patient. The importance of prevention is stressed as well as the aspects of early aggressive surgical therapy for this dismal complication.

Aged↗
PubMedDate not supplied

Operative balloon dilatation of fibromuscular dysplasia of the internal carotid artery: two case reports.

Two cases of symptomatic fibromuscular dysplasia of the internal carotid artery treated with intraoperative balloon-dilatation and semi-rigid metal dilators are presented. Fibromuscular dysplasia (FMD) is a segmental, non atheromatous disease of small and medium sized arteries. Mainly the renal arteries are affected. Involvement of the internal carotid artery is more frequently, than generally appreciated, associated with definite cerebrovascular symptomatology. Symptomatic FMD of the internal carotid artery requires surgical treatment. Histological findings, pathogenesis, clinical manifestations, diagnosis and therapeutic modalities are discussed.

Aged↗