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Biomedical subjects

J Leborgne

Publications and source records attributed to J Leborgne.

At least 91 records · Page 5Linked to original sources
PubMed1983

[Meckel's diverticulum. Is it necessary to search for it? Is it necessary to remove it? Apropos of 116 cases].

Of 116 Meckel's diverticula operated upon over a period of 13 years, 35 had provoked severe disorders and 80 p. cent of the cases concerned patients under 30 years of age. Occlusions represented half of the lesions involved, perforations, hemorrhages, and diverticulitis being less frequently involved. Mucosal heterotopia was a relatively frequent finding: 13 p. cent of cases, and was often the origin of hemorrhagic accidents. Asymptomatic diverticula can be potentially pathologic, as 2 carcinoid tumors and 2 cases of gastric heterotopia were discovered during routine examinations, suggesting that prophylactic excision of apparently healthy diverticula should be performed in young subjects.

Adolescent↗
PubMed1983

[Complications of appendicitis and appendectomies. Apropos of 106 cases].

Analysis of 106 case-reports of patients developing complications after appendicectomy provided data on factors predisposing to these sequelae (general condition, initial appendicitis) and their severity (26 deaths equivalent to 24,5 p. cent). Complications were exclusively medical in 22 patients (12 deaths), or surgical in 48 cases (no deaths), and were multiple and/or mixed surgical sequelae in 36 patients (14 deaths). The severity of these medical and surgical complications is emphasized and their appropriate treatment proposed. Statistical analysis of findings in patients with several complications enabled definition of risk factors: peritonitis, septic shock, renal or respiratory insufficiency, age over 50 years, and previous history of disease. Analysis of these risk factors, whether multiple or associated with other complications, can be used for numerical rating of prognosis in these patients.

Abscess↗
PubMed1982

[Cystadenocarcinoma complicating urachal cysts. A case report and review of the literature (author's transl)].

A 50-year-old man developed a cystadenocarcinoma on a large urachal cyst. Only 15 similar cases have been reported in the published literature, equivalent to less than 10 p. cent of cancers of the urachus. These tumours present certain clinical, radiological, endoscopic, ultrasonographic, and pathological characteristics. As against solid urachal tumours, there is little controversy as to their vestigial origin from the remains of the allantoid canal. Their prognosis is poor, regional recurrences and pulmonary metastases, and complicated or uncomplicated urachal cysts should therefore be systematically excised.

Cystadenocarcinoma↗
PubMed1982

[Diagnostic reliability and economic profitability of 105 mm photography in digestive radiology].

A strict methodology using data-processing programmes was employed to compare diagnostic reliability and economic profitability of 105 mm photography and conventional radiography during 500 radiological examinations of the digestive tract. Films were evaluated twice on two separate occasions to determine correlation with predicted diagnosis and the amount of film exposed during the two investigational methods. Results demonstrated that a reliable diagnosis could be established with 105 mm photography (sensitivity: 97, 4 p. cent; specificity: 90 p. cent; diagnostic precision: 94 p. cent), that it was economically profitable (economy of 1 m2 of sensitized film surface at each examination), and that productivity was improved by the use of this method.

Adolescent↗
PubMed1982

[Uretero-colic fistula. Apropos of 2 cases complicating sigmoid diverticulitis after surgery].

The authors report on two cases of uretero-colic fistulization in the post-operative period, following surgery for infectious complications involving sigmoidal diverticulitis. In the aftermath of surgery for sigmoidal diverticula, the appearance of very liquid stools at the exact moment when the infectious and semi-occlusive picture seems to resolve, the occurrence of a uro-steraceous fistula should make one suspect a uretero-colic fistula. Air pyelography and the retrograde opacification of the ureter following a radio-opaque enema are diagnostic. The IVU does not help to establish a firm diagnosis but is useful for showing the state of the adjacent kidney and above all the state of the contralateral kidney. In regard to the sepsis which accompanies these complications (there is nearly always a pericolic abscess at the site of the utero-colic fistula) all attempts at repair are futile. Only nephrectomy may be sometimes appropriate. At the same time, nothing except treatment of the infectious focus (colic or pericolic) will safeguard the patient from the risk of further infection which might end in death. The risk of damage to the ureter which sigmoidal diverticular surgery carries, necessitates the following precautions: a pre-operative IVU, a painstaking dissecting-out and well wide of the neighbouring ureter, the systematic injections of dye to colour the urine at the time of operation in order to avoid ureteric injury and of course to ensure the repair of any injury as soon as it happens. It is only possible to save the adjacent kidney and protect the normal urinary outlet if the ureteric lesion is properly identified at operation.

Aged↗
PubMed1982

[Anatomical considerations on the approach to the subdiaphragmatic aorta].

The surgical approach to the supra coeliac aorta, after cutting muscular fibers surrounding the oesophageal hiatus has been, recently, suggested. Herein we study the structure of the hiatus in order to estimate the ease of that way. The oesophageal hiatus if formed in 60% of the cases to the detriment of the right pillar only. Thus the anterior wall of the lower part of the thoracic aorta can be exposed by cutting the deep fascicle only; in the other cases (40%), some crossed fibers from the left pillar participate to the constitution of oesophageal hiatus; these crossed fibers have to be cut but are of reduced volume. The abdominal approach of the lower part of the thoracic aorta seems to be interesting technical solution.

Aorta↗
PubMed1981

[Common bile duct stone formation on migrating ligature threads. A report on three cases (author's transl)].

Common bile duct stones developed around non-absorbable suture threads that had migrated into the common bile duct in three patients. Two cases were typical in that they involved migration of the gallbladder stump ligature thread, associated in one cases with that of the arterial ligature. the third, rather more unusual case, involved the formation of stone on a nylon thread fifteen years after removal of the head and body of the pancreas following an injury, without any intervention on the biliary tract. The only explanation possible for the presence of a thread in the biliary tract is that it migrated through the Wirsung's duct. The published literature on the particular subject of common bile duct stone formation on non-absorbable suture material is reviewed.

Adult↗