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Biomedical subjects

H Charleux

Publications and source records attributed to H Charleux.

At least 55 records · Page 3Linked to original sources
PubMed1979

[Post-operative subphrenic abscess. Information supplied by analysis of 62 recent unpublished cases (author's transl)].

We have collected 62 cases of post-operative subphrenic abscess. Two thirds of these patients were sent to us by another unit for post-operative complications. Subphrenic asbcess is still very dangerous as the mortality is still 38%. They occurred after a gastro-duodenal operation (26 times), spleno-pancreatic operation (21 times), intestinal operation (15 times), hepato-bilary operation (11 times) appendicectomy (twice). They were situated usually on the right, but 11 patients had a double subphrenic abscess and 14 an associated submesocolic abscess. Gram negative bacteria were usually the cause. These abscesses often started early. They occurred in 80% of cases in patients operated under the antibiotic cover. Chest X-ray was the best method of detection, but experience is necessary to read them. The abscesses were drained by the abdominal route in order to verify th whole peritoneal cavity. 22 patients died. 11 from septicemia. 21 out of 22 had a digestive fistula. Among the factors in prognosis, the most obvious were age, type of operation, the notion of reoperation, multiple abscess, and finally the delay in starting treatment.

Adult↗
PubMed1979

[Primary gastric non-Hodgkin malignant lymphoma. Report of 38 new cases (author's transl)].

38 cases of primary gastric non-Hodgkin malignant lymphoma operated on between 1961 and 1978 are reported. They note two changes in the study of this localisation of malignant lymphomas: a diagnostic difference as the latter is more and more often made with certainly although histological difficulties persist, and a therapeutic difference as surgical removal is now associated with radiotherapy and chemotherapy. The relative importance of these three methods depends on each case, and in the future will depend on careful assessment of the lesions, of which classification is now accepted by everyone.

Adult↗
PubMed1978

[Cystic pneumatosis of the small intestine following jejuno-ileal by-pass for obesity (author's transl)].

The case reported is that of a young woman who underwent a termino-terminal jejno-ileal by-pass procedure for obesity which was refactory to usual forms of treatment. Eight months later, a cholecystectomy was carried out for lithiasis, presenting with abdominal pain. At the time of operation, lesions of cystic pneumatosis were discovered on the excluded length of small bowel. This complication frequently manifests itself in the form of pseudosurgical abdominal pain, or as diarrhoea. More rarly, it is a radiological finding. The pathogenesis remains a subject of discussion. The mechanical theory would seem the most logical, since colonic intraluminal pressure is higher than that in the intestine excluded from the circuit. Bacterial proliferation, classical in blind loops, would be a farourising factor.

Adult↗
PubMed1977

[Splenectomy for hematologic indications. Indications, early results (author's transl)].

In the light of their personal experience of 1,036 splenectomies, the authors review the hematological diseases which still require surgery, viz. certain hemolytic anemias, idiopathic thrombocytopenic purpura, Hodgkin's disease under certain conditions, and sometimes the splenic lesions in certain malignant blood diseases; they analyse their results. Thanks to close collaboration between hematologists and intensive care specialists, the mortality has been reduced to 1.35 p. cent and the morbidity to 3.46 p. cent which leaves 95.19 p. cent without any immediate postoperative complications. The late results depend on the initial disease process.

Anemia, Hemolytic↗