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Biomedical subjects

J Gruwez

Publications and source records attributed to J Gruwez.

60 records · Page 4Linked to original sources
PubMedDate not supplied

[Chronic recurrent subareolar abscess formation].

Chronic recurrent subareolar abcedation. Chronic recurrent subareolar breast abscess is an unfrequent disease of the breast. The surgeon must be acquainted with the syndrome, otherwise it may lead to unnecessary mutilation. The condition usually develops in younger women, but has no relation with lactation. Inverted nipples are a constant finding. The evolution is a chronical one, with acute exacerbations. Small abscesses rupture spontaneously or necessitate surgical drainage or disappear with antibiotics. The basic pathological factor is squamous metaplasia of the lining epithelium of the milksinus. The ampulla is plugged with keratine debris and leads to abscess formation in the retroareolar space. Chronic recurrent subareolar abscesses have to be distinguished from commedomastitis, also called ductal ectasia. The treatment is different for acute and chronical forms. In the acute form antibiotics are administered and eventually incision and drainage of the abscess are performed. In the chronical form excision of the diseased milksinus and fibrotic tissue with the nipple is mandatory. We do not hesitate to excise the majority of the milksinuses.

Abscess↗
PubMedDate not supplied

[Microsurgery in 1982. Importance of the technique in the different surgical specialties and training possibilities (author's transl)].

Recently microsurgical techniques have become standard procedures in microvascular surgery especially in plastic surgery and hand surgery and peripheral nerve surgery. In gynecology and urology microsurgery has improved the results of infertility surgery by two or three times. Microsurgical training in vascular and nerve repair should be undertaken by every fellow in plastic and reconstructive surgery of handsurgery. Gynecologists and urologists should be aware of the possibilities of microsurgery and have the opportunity during their training to participate on these procedures. They should however not need to have full knowledge of the technical details and refer patients to specialized infertility microsurgery centers.

Education, Medical, Continuing↗
PubMedDate not supplied

[Surgery of the intrathoracic goiter (author's transl)].

One is often obliged to resect intrathoracic goiters. This is not directed towards functional problems but towards the local compression on other organs in the vicinity. Goiters that extend through the cervicomediastinal inlet are of this kind. In cases where the major part is in the mediastinum there still exists a continuity with the cervical part. Most cases can be resected by a cervicostomy. The vascularization comes from the neck except in true thoraic goiters. This makes it possible to ligate the vessels before extracting the gland. In difficult cases a mid sternotomy may be useful so that all thoracic goiters can be operated safely.

Diagnosis, Differential↗