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Biomedical subjects

J Pillet

Publications and source records attributed to J Pillet.

At least 91 records · Page 5Linked to original sources
PubMed1979

[Spontaneous perforation of the rectum. One case (author's transl)].

A 48-year-old man, operated upon with a diagnosis of perforation of a hollow viscus, in whom a spontaneous perforation of the rectum was discovered. Such perforations are rare since only 36 cases have been reported in the literature. The mechanism is unknown and various factors have been suggested, including increased pressure or local ischaemia. Treatment is rendered difficult by local infection and the frequently fragile general condition of the patients.

Humans↗
PubMed1977

[Extrinsic compression of the celiac trunk by the arcuate ligament of the diaphragm. Apropos of 5 cases].

The authors report 5 cases (3 women and 2 men) of extrinsic stenosis of the coeliac axis by the arcuate ligament of the diaphragm. In one of the latter, the stenosis of the coeliac axis was associated with chronic calcific pancreatitis. These 5 patients were operated on. Division of the arcuate ligament gave on the whole very favourable results. (3 excellent results, one good and one average result). The authors then recall the clinical, angiographic and pathogenic data in this disease which remains exceptional. The diagnosis should be made and operation decided only after a fairly long period of observation during which one has elimiatned the diagnoses of gastro-intestinal, gall bladder, pancreatic and above all psychiatric disease by endoscopy, radiography and symptomatic medical treatment.

Adult↗
PubMed1976

Progressive muscular dystrophy. Functional improvement after a renal allograft.

From his first years a child showed signs of a primary and rapidly developing muscular dystrophy. The diagnosis was established by an increased serum CK level and by electromyography and muscle biopsies. Afterwards this child developed a severe renal deficiency which needed binephrectomy and the graft of a normal kidney. During the few months just after the graft, the disability increased and the patient could not stand upright by himself. Later on, he gradually became able to walk on his own and without bracing. He could climb stairs and stand up from the floor. The CK activity returned to normal. At present, 4 years after the graft (the patient is 16 years), the improvement of his functional abilities is constant, although the CK activity has increased again. In this article we give evidence that this patient suffers from a primary muscular dystrophy. We discuss the type of dystrophy concerned. We believe that it is the graft of a normal kidney which was responsible for the improvement observed, and not the physiotherapy or the drugs administered after the graft.

Adolescent↗
PubMed1976

Ungual prostheses.

Adhesives and surgical techniques are of limited value in the fixation of ungual prostheses. A finger-cover prosthesis that allows excellent fixation and good cosmetic result is described.

Humans↗
PubMed1975

[Atheromatous thromboses of the superficial femoral artery. (Apropos of 400 surgically treated cases)].

The authors report a consecutive series of 400 cases of atheromatous thrombosis of the femoral artery operated on between 1962 and 1972, which gave them an overall idea of the results of surgical treatment with a certain follow-up. This study confirms the importance of the state of the vascular bed beyond the obstruction in the maintenance of permeability after the operation. There are 50 p. 100 long-term failures when the thrombosis extends into the popliteal artery. On the other hand, lesions above the thrombosis, in the aortic or iliac arteries, have little influence on the final result, provided they are treated during the same operation. Lumbar sympathectomy alone gave very poor results but one should note that, in this series, it was reserved for the cases with the poorest prognosis, when any other operation was impossible or contra-indicated. In extreme cases, revascularisation alone of the profunda femoris permitted us in almost all cases to save the limb, leaving intact the symptoms of obstruction of the superficial femoral artery, in particular, intermittent claudication.

Arteriosclerosis↗
PubMed1975

[Radio-anatomical study of the arteries of the foot].

30 Cadaveric feet were injected with minium by 3 catheters, one in each foot artery. The A. tibialis posterior is the most voluminous. It branches off in A. plantaris lateralis, main artery of the sole of the foot and A. plantaris medialis, small artery terminating on the medial edge of the big toe (in fact, in most cases (60%), it divides into 3 branches). The third branch has a double destiny, it vascularizes the shell of the calcaneus and it anastomoses with the posterior fibular artery. The A. dorsalis pedis, in 80% of the cases rejoins the lateral plantar artery in the first space. Among the 5 classical branches, the lateral tarsal artery and the dorsal metatarsal artery are constant. The other branches are more uncommun. But some anastomoses are frequent: - with the posterior fibular artery, (20%); - with the anterior fibular artery (10%). The A. fibularis is divided over the talo-tibial joint. Only the posterior branch is always injected. It gives three anastomoses: - The supra-malleolar artery with the posterior tibial artery, of great value because it is able to inject all the foot arteries. - The two others are narrower, the supracalcanean artery with the posterior tibial artery, and the medial supratarsal artery with the lateral tarsal artery. It ends in the sole of the foot after having given the vascularisation of the external face of the calcaneus. It is possible to oppose: The parts with a good vascularisation: - sole of the foot, - internal face of the calcaneus, - external face of the big toe, - internal face of the last 4 toes; The parts with a poor vascularisation: - dorsal face of the foot, - external face of the calcaneus, - internal face of the big toe, - external face of the last 4 toes.

Aged↗