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H Johanet

Publications and source records attributed to H Johanet.

59 records · Page 4Linked to original sources
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[Pancreatic trauma: diagnostic and therapeutic emergency. Apropos of 35 cases].

35 consecutive pancreatic trauma were operated (21 blunt trauma and 14 penetrating injuries). 30 patients were operated in emergency and diagnosis was suspected before laparotomy in only one case. 12 patients had a superficial lesion, 21 had a wirsung disruption (14 in the left pancreas, 7 in the right pancreas), 2 had a diffuse pancreatitis. For the 30 patients operated in emergency, 20 had a conservative treatment, 10 had a resection. 5 patients died (14.2%), from exsanguination (2 cases), missed diagnosis or inadequate treatment (2 cases), sepsis after adequate management (1 case). Our experience suggests that an aggressive diagnosis management in emergency, with pre or pre-operative wirsungography, could determined with precision the type of the lesion and permit an adequate management, to decrease mortality.

Adolescent↗
PubMedDate not supplied

[Value of celioscopy in the diagnosis of inguinal hernia].

OBJECTIVE: Prospectively compare laparoscopic findings with functional impairment and clinical diagnosis and classification of inguinal hernias. METHODS: Fifty eight consecutive patients (mean age 55.3 years, range 22-87) presenting with 68 symptomatic hernial orifices and undergoing laparoscopic procedures for inguinal hernia were included in the study. Type of hernia was identified according to the Nyhus classification. Clinical examination found 73 hernias and laparoscopy identified 86 hernias. RESULTS: Laparoscopic findings confirmed clinical diagnosis in 20 out of 30 type II hernias, 24 out of 37 type IIIA hernias, 2 out of 3 type IIIB hernias and 13 out of 16 type IV hernias. CONCLUSION: Laparoscopic procedures can successfully confirm or refute the clinical diagnosis of inguinal hernia, especially important when the preoperative diagnosis is doubtful. The type of hernia can be clearly identified for adaptation of therapeutic indications.

Adult↗