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Biomedical subjects

J F Huguet

Publications and source records attributed to J F Huguet.

At least 19 recordsLinked to original sources

[The diagnostic value of arthrography of the wrist in the evaluation of carpal ligament injuries: radio-surgical correlations. Apropos of 20 cases].

Intra-carpal ligament tears lead to radiocarpal arthritis early diagnosis allows early treatment. Standard and dynamic X rays are not always able to make the diagnosis. In these cases, arthrography of the wrist may give the diagnosis. To establish the specificity of this examination we tried to correlate surgical findings with arthrographic suspicions. Exact diagnosis was established in 12 out of 13 cases of suspected scapholunate ligament tears in 5 out of 6 cases of suspected luno-triquetral ligament tear suspicion and none of the 3 cases of suspected T.F.C.C. rupture suspicion. Wrist arthrography appears to have a good specificity for first row intra-carpal ligament tears. The indication arthrography must be discussed with wrist arthroscopy for the diagnosis of long term wrist pain after clinical examination and standard and dynamic X rays.

Adolescent↗

[Severe hemoptysis due to portal hypertension. Responsibility of acquired splenopulmonary shunt and treatment by proximal splenorenal anastomosis].

Hemoptysis is not considered as an hemorrhagic complication of portal hypertension. We report a patient with liver cirrhosis and portal hypertension who developed a hitherto unreported porto-pulmonary transdiaphragmatic collaterality many years after splenectomy. Life threatening hemoptysis complicated this unusual shunt after banal bronchitis. A proximal splenorenal shunt was performed and was completely effective at 26 months.

Anastomosis, Surgical↗

[The fate of ureteral endoprostheses].

Fifty-five pyelovesical endoprostheses were inserted percutaneously in 56 patients. The indication for this procedure was a benign disease in 22 cases and a malignant disease in 34 cases. Early complications were haemorrhagic (3 haematomas) and infectious (septicaemic syndrome: 2 cases). 80.6% of the stents remained patent and most of the obstructions occurred before the second month in the benign indications (mean: 4.1 weeks) and later (mean: 13 weeks) in the malignant indications. Two-stage insertion (nephrostomy then insertion of the endoprosthesis under conditions of sterile and non-haemorrhagic urine) decreased the risk of early occlusion of the stent by urinary debris and clots. Abundant diuresis and control of urinary tract infection by prophylactic antiseptic treatment contribute to the maintenance of the patency of the prosthesis.

Adolescent↗

[Cytopuncture of lymph nodes opacified by lymphography in the pretreatment evaluation of prostatic cancer].

Fine needle aspiration of iliac lymph nodes after lymphography was performed in nineteen patients with prostatic carcinoma, ranging from stage A to C. In four patients (21%), fine needle aspiration showed lymph node dissemination. 3 patients were classified as stage B, and 1 as stage C before aspiration. In this study, fine needle aspiration biopsy proved to be useful in the staging of prostatic carcinoma.

Aged↗

[Segmental anatomy of the right liver in situ in the abdominal cavity. Value of international nomenclature].

The segmental anatomy of the liver in situ in the abdominal cavity has been studied in five corpses after portal opacification. The location of the segments of the liver in situ is different from that described in the classical anatomy handbooks, and the nomenclature used in France proves to be ambiguous. The international nomenclature seems to be better adapted to the radioanatomical reality.

Humans↗

Radiological anatomy of the testicular vein.

Based on the study of 400 opacification procedures of the testicular vein performed in the course of exploration of male infertility, the authors describe certain hitherto poorly recognized radio-anatomical features. The normal radiological anatomy and numerous anatomical variations of the testicular venous system are presented.

Humans↗

Surgical importance of the radio-automatic study of the arterial vascularization of the forefoot.

The authors have studied anatomically and angiographically 50 cadaveric foot specimens, emphasizing; the vascular flow predominance between dorsalis pedis and plantar arteries; the anastomosis between the three arterial supplies in the foot; the dividing pattern and the distribution of each artery; the blood flow distribution pattern at the level of the first and second toes and especially the anastomosis between the dorsal and plantar vessels and the branches for the metatarsic-phalangeal joint. The study presents new data about the indications of preoperative angiography of the forefoot, about the surgical technique of toe transfer, articular transposition and multiple transposition (2 toes, skin and bone...).

Angiography↗

[Arteriovenous fistulas. Apropos of 2 observations].

Two cases of mandibular angiodysplasia associated with hemorrhagic phenomena were treated surgically, by conservation resection in one patient and conservative surgery following embolization in the other. External carotid artery ligature is a useless and even risky procedure, whereas surgery should be preceded by tumoral embolization whenever possible. Prognosis, according to the classification proposed by Merland, depends upon whether active vascular malformations, mainly represented by arteriovenous fistulae, are present, or whether the lesions are inactive vascular malformations or with slowed circulation.

Adult↗

[A case of pseudocyst of adrenal gland (author's transl)].

A case of pseudocyst of adrenal gland is reported. The first findings have been acute pain and falling hematocrit. Then hepatomegaly is present. All the investigations--ultrasonography, radionuclidescan, arteriography--failed to demonstrate the origin and saided liver cyst. The diagnosis is operative. The pseudocyst hemorrhagic are 32% of adrenal cysts. We think the computer tomography will be an important contribution for the diagnosis of false hepatomegaly.

Adrenal Gland Diseases↗

[Vascular risk in angiography examinations (author's transl)].

About an experience of 7,757 investigations and after study of the published series in the literature, it appears the frequency of the accidents following vascular roentgenology has not really changed since ten years. -- 0,5% complications; 0,07% death in aortographies; -- 0,4% complications; 0,09% death in femoral artery catheterization; -- 3% complications; no death in axillary artery catheterization. The authors use the term "complications" when a surgical operation is necessary or after effects are present in the evolution. The study of the recent literature proves no significant amelioration in comparison with the last ten years. The accidents are analysed in aortography, in arterial catheterization using femoral or axillary arteries: the latter is the most dangerous. The considerable increment of the number of investigations suppressed the progresses provided by the material improvements. An explanation: in hospitals, it is necessary to train the students for roentgenology.

Angiography↗

Cardiac catheterization by percutaneous femoral venous approach in infants weighing less than 5 kg: observations in 97 cases.

The technique of cardiac catheterization after percutaneous introduction of a catheter can now be accomplished in neonates thanks to the refinement of the equipment and to the physicians' experience. In 100 catheterizations performed in infants of less than 5 kg, the new technique was utilized 97 times. Thanks to the utilization of introducers it permits Rashkind atrioseptostomy. Its main advantage is the preservation of venous integrity and this allows repeat investigations through the same route.

Body Weight↗