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Biomedical subjects

J Barsotti

Publications and source records attributed to J Barsotti.

At least 37 records · Page 2Linked to original sources
PubMed1985

[Lymphoscintigraphy. A predictive test of post-traumatic lymphedema of the lower limbs].

Post-traumatic oedema after fractures of the tibia results from several causes which are often associated together. In addition to venous thrombosis, the lymphatic origin of oedema is not inconsiderable. Lymphatic scintigraphy was performed in 32 patients with tibial fractures, either open or closed. All were fixed internally. All had preventive treatment of venous thrombosis by calciparin. The intact leg was also investigated by scintigraphy which was done two to ten days after the trauma. The possible anomalies of scintigraphy are described and discussed. The patients were divided into two groups. Group one developed oedema at three months and group two did not. The anomalies of scintigraphy were significantly higher in group one. It is concluded that early scintigraphy is a safe test for the prediction of residual oedema after tibial fractures. The possible early prevention of oedema of a lymphatic origin is discussed.

Adult↗
PubMed1984

[Postoperative infectious risk in traumatic bone surgery and protocol for antibiotic therapy].

Eleven hundred and sixty eight traumatic cases have been operated on under constant conditions in a conventional operating room with filtered air and positive pressure using absolute filters of 99.999 efficiency. Two hundred and five were submitted to post-operative prophylactic administration of Cephalosporin (Cefazolin) for 2 days. The overall results showed 0.6 p. 100 of infection but 4 cases of severe sepsis were seen in the group of patients who had received prophylactic antibiotics. The authors have compared these results with those obtained during the previous period when the operating room was less modern. They conclude that this factor is of paramount importance. On the other hand, they have observed 2.1 p. 100 of contaminated drains without subsequent infection. They are concerned at the increase of gram-negative organisms resistant to Cefazolin (60 p. 100) and of Staphylococci resistant to Methicillin (30 p. 100). They conclude that the peroperative flash technique of the administration of Penicillin M is worthwhile.

Aged↗
PubMed1984

[Traumatic paralysis of the common peroneal nerve. Apropos of 43 cases].

Forty-three patients with post-traumatic paralysis of the peroneal communicating nerve were followed up and photographed after a mean period of 5 years (range: 2 1/2 to 10 1/2 years). The interest of the study lies in the possibility of comparing clinical and electromyographic findings in 31 cases, enabling establishment of prognostic factors, and of evaluating results of posterior tibial muscle transpositioning after more than 5 years (12 cases).

Electromyography↗
PubMed1984

[Development of a standardized form for mercury gauge plethysmography of veins and arteries].

Mercury strain gauge plethysmography will play an increasingly important role in vascular function exploration, participating in the detection of deep vein thrombosis and replacing arteriopathy in its arterio-capillary context. This required the development of a standardized reporting form for entering results of venous and arterial examinations and providing simple, clear evaluations of vascular function to assist therapeutic decisions. A standardized sheet in the form of rapidly scanned graphs and tables was established, this simplified representation facilitating decision making. Wider use of this type of form is proposed, with the aim of providing uniformity of data from mercury strain gauge plethysmography and statistical and computerized analysis of results of multicentre studies.

Computers↗
PubMed1983

[White clot syndrome. Arterial and venous thromboses during heparin therapy with thrombopenia after bone surgery].

The authors observed 9 patients submitted to prophylactic treatment with adequately doses subcutaneous heparin, for orthopaedic or traumatic surgery (chiefly total hip arthroplasty) who presented between the 7 and 9 day after starting heparin therapy, thrombotic complications including recurrent arterial occlusions and venous thrombosis associated with a profound thrombocytopenia, with a maximum platelet count below 30,000 per cubic millimeter. A rapid increase of platelet count after heparin withdrawal is observed, and the profound thrombocytopenia seems to be immune mediated with heparin dependent platelet antibodies, in most of the reported cases. We propose a platelet count for all surgical patients with heparin therapy, and if a thrombocytopenia appears, with a platelet count in the range of: 80,000 clinical inspection and platelet aggregation investigations, and immediate cessation of heparin therapy at 30,000 platelets/mm3.

Aged↗
PubMed1979

[Low postero-medial approach to the leg (author's transl)].

It is possible to prolong a postero-medial surgical approach to the leg as far as the tarsal canal in order to gain access to the posterioir aspect of the diaphysis and of the shaft of the tibia up to the tibio-tarsal line. The tendons and vessels must be displaced backwards, held by a tape and moved as necessary according to the desired approach. In addition, the morphology of the posterior aspect of the tibia is such that osteosynthesis is much simpler than via any other approach. Four years' experience of more than 30 cases enable the authors to advise the use of this approach in surgery of the lower end of the tibia.

Fracture Fixation↗