Search PubMed⌕ Search

Biomedical subjects

J C Pector

Publications and source records attributed to J C Pector.

At least 73 records · Page 4Linked to original sources
PubMedDate not supplied

Peritoneovenous shunt in malignant ascites. The Bordet Institute experience from 1975-1998.

BACKGROUND/AIMS: This is the review of our experience in the treatment of malignant ascites using Le Veen and Denver peritoneovenous shunt. METHODOLOGY: From 1975-1998, 24 peritoneovenous shunts were inserted in 22 patients with malignant ascites. RESULTS: All patients benefited from the procedure. The principal cause of failure was shunt occlusion (n = 5). CONCLUSIONS: This study permits us to conclude that a preoperative appropriated selection of patients, should decrease failure rate. Patients should be sent to surgery as soon as the diagnosis of recalcitrant ascites is confirmed, to obtain a longer and more comfortable quality of life with terminal cancer.

Adult↗
PubMedDate not supplied

Metastatic involvement of ceco-appendicular segment: a diagnosis of right lower quadrant abdominal pain in patient receiving chemotherapy.

Metastases are a common feature during the evolution of breast cancer. However, gastrointestinal metastases, and especially ceco-appendicular ones, are very rare. Melanoma however frequently metastasize in the gastrointestinal tract. Ceco-appendicular metastases do not display any specific signs in cancerous patients. These rare metastases must be considered in the diagnosis of right lower quadrant pain in cancerous patients. The main differential diagnosis includes neutropenic enterocolitis, acute appendicitis, malignant intestinal obstruction and perforation of the bowel. The morbidity of gastrointestinal complications in patients with metastatic cancer receiving chemotherapy is significant and surgery is often the only chance of survival. The major clinical decision is whether or not to operate.

Abdominal Pain↗
PubMedDate not supplied

[Treatment of peritoneal carcinomatosis from colorectal and appendiceal cancer by extensive cytoreductive surgery combined with hyperthermic intraoperative intraperitoneal chemotherapy].

Peritoneal carcinomatosis (PC) from colorectal cancer is a dreadful situation characterized by a rapid and mortal evolution (median survival of 5 to 7 months amongst the series published in the literature). The classical treatment includes systemic chemotherapy whether or not associated with palliative surgery. Since the early nineties, locoregional treatments combining extensive cytoreductive surgery with intraperitoneal hyperthermic chemotherapy have been developed, affording some patients a cure and yealding a 5-year survival as high as 30 to 40% in some series. However, it is associated with high morbidity and mortality rates.

Antineoplastic Combined Chemotherapy Protocols↗
PubMedDate not supplied

[Peroperative radiotherapy].

Tolerance of normal tissues limits the radiation dose which can be safely delivered to tumors especially for gastro-intestinal cancers. Intraoperative radiotherapy is a specialized technique for treating infradiaphragmatic and deeply located tumors allowing to deliver a high dose to the tumor while avoiding surrounding normal tissues which can be moved aside. The authors describe the technique and review indications and possibilities.

Gastrointestinal Neoplasms↗
PubMedDate not supplied

[The value of vaginoplasty in perineal cicatrization following amputation of the rectum via abdomino-perineal approach].

Advantage of vaginoplasty in perineum healing following abdominoperineal amputation of the rectum. Healing of the perineal wound following abdominoperineal amputation of the rectum is achieved by secondary intention within 6 to 12 weeks. To improve the tedious dressings and to minimise the duration of healing, resorting to primary healing of the perineum in the females is facilitated by a technique of vaginoplasty. Our observations through personal experience dealing with 24 patients matched those described by Johnston in 1969 and 1979. Perineal healing was obtained within 10-14 days. The vaginal floor epithelialization was obtained after a median duration of 32.7 days. No important complications were noticed in relation to this technique.

Aged↗
PubMedDate not supplied

[Definitive colostomy and quality of life].

The authors present their experience with permanent colostomy after abdominoperineal resection of the rectum. In order to avoid colostomy-related complications, pre- and postsurgical care are of paramount importance as well as a proper surgical technique. Extraperitoneal colostomy prevents the frequency described early and late complications. Learning colostomy irrigation helps the patient to overcome any physical or psychological problems related to colostomy.

Colostomy↗
PubMedDate not supplied

[Conservative treatment of small cancers located in the lower part of the rectum].

This paper presents the experience of the "Institut Jules Bordet" in the treatment of small carcinomas located in the lower part of the rectum by transanal endoresection. This surgical procedure includes of a total resection of the tumor surrounded by normal tissue. It allows a detailed pathological study of the resected specimens and does not exclude the possibility of either a second surgical resection or an adjuvant radiotherapy. A better knowledge of the rectal cancer prognostic factors and a close cooperation between surgeon and pathologist spare a few patients a permanent colostomy and give them the same hope of cure as the more mutilation radical surgery.

Adult↗
PubMedDate not supplied

Acute free perforation as first sign of Crohn's disease.

Free perforation with generalized peritonitis remains a rare manifestation of regional enteritis. Most of these perforations occur as complications of recurrent, well-diagnosed regional enteritis. A review of the literature reveals only 14 recorded cases of free perforation in patients without any previous abdominal complaints. The present report describes two more cases. Both of them were treated by resection of the involved segment with immediate anastomosis.

Abdomen, Acute↗