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Biomedical subjects

J Soullard

Publications and source records attributed to J Soullard.

At least 19 recordsLinked to original sources

[Rubber band ligation. Ambulatory treatment of hemorroids (author's transl)].

The rubber ligation, ambulatory treatment of hemorroids due to J. Barron, consists in the strangulation of hemorroidal packs by an elastric ring, assuring the destruction by ischemic necrosis. Widely spread in France since 1968, the treatment forms the subject of a retrospective enquiry among 30 french proctologists, after ten years of experiment. It bears on 1074 patients and 4122 ligatures. The prolapsus disappeared in 60% of the cases and disminished in 32%. The hemorragies have stopped in 69% and these results go on beyond four years in 87% of the cases. Less heterogenous statistics and more precise indications would improve these results which, however, confirm the efficience of the treatment.

Adult

Polyps of the rectum and colon.

Four hundred and thirty-three patients with adenomatous polyps were examined and followed up. It was found that well differentiated adenomas are stable but dedifferentiated polyps can lead to invasive cancer, usually over a long period of time. Thus the concept of malignant transformation becomes meaningless, and should be replaced by an initial histological evaluation of polyps of the rectum and colon so that their development can be predicted.

Adenocarcinoma

[A study on the use of ginkor in proctology (author's transl)].

A total of 37 ambulatory patients with proctological conditions were treated with Ginkor as preparatory therapy before instrumental treatment (sclerosants or elastic ligatures). Greater importance was attached to its hemostatic activity; always objective though sometimes transitory, than to the improvement in various painful functional syndromes. Changes in hemorrhoidal morphology were not included in the assessment, as they demonstrate very little in the course of general treatment, except in bouts of acute inflammation and more particularly when oedema and thrombis occur. After treatment, the functional syndrome (heaviness, tenesmus) which was present in 29 patients was absent in 9 cases, reduced in 13, and unchanged in 7. Pruritus ani, which was present in 14 patients, was absent in 4 cases, reduced in 5, unchanged in 4, and impossible to evaluate in 1 case. Rectorrhagia disappeared in 12 out of 20 cases, was reduced in 4 cases, and persisted in 4 others. Overall, there were 12 very satisfactory results, 13 incomplete results, 3 moderate results, and 9 cases where no effect was noted.

Adult