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Biomedical subjects

L Cornet

Publications and source records attributed to L Cornet.

48 records · Page 3Linked to original sources

[Semilunar dislocations. A report of 8 cases. (Orthopedic service-University Hospital Center of Treichville-Abidjan)].

The authors have underlined in a study made on 8 observations that the lunate dislocation is scar. All their patients were men under 40 years old. Industrial injury was the most dominant cause. Using WITVOET and ALLIEU's classification, they noticed a predominance of perilunar and posterior dislocations (7/8 cases). Perilunar anterior dislocations and isolated scaphoid carpal dislocation have not been encountered. The treatment which has been orthopaedic or surgical has given moderate results: Good results = 4; Average result = 1; Bad results = 2; Non seen to again = 1 The authors think that a precocious diagnosis and an orthopaedic treatment in the forms detected early and surgical treatment in ancient forms are the only guarantee of a good functional result avoiding dread diseases such as carpal instability, radiocarpal arthrosis.

Adult↗

[Gastro-duodenal perforating ulcers. Therapeutic trend in African patients (a study of 80 cases recorded in Abidjan) (author's transl)].

80 perforating ulcers recorded during 7 years (1970-1976) in Abidjan hospitals are reviewed. The therapeutic tactic is discussed according to the traditional and socio-economic living patterns of african patients: the authors propose a complete surgical treatment carried out either directly or after some delay but without discharging the patient who, in most cases, would no more report to the hospital. Suture may be an emergency treatment in patients with poor condition but it must be completed later during the same confinement.

Adolescent↗

[Pheochromocytoma in black African. Five cases whose three ectopic. Review of literature: thirty-three cases (author's transl)].

The authors report five cases of pheochromocytoma observed in black African people, followed in the Hospital University Center of Treichville. Three of these pheochromocytoma were in ectopic location. In connection with these observations, the authors review the African literature, regrouping 33 cases, which allows to define the principal aspects of the disease in black African patients. The over morbidity amongst the female patient, the frequent discovery during pregnancy or even at the onset of labour, the frequency ectopic localization are quite original characteristics.

Adolescent↗

[Surgical treatment of hepatosplenic bilharziosis in the Ivory Coast. Apropos of 34 cases].

Portal hypertension due to hepato-splenic bilharziasis is common in Abidjan, where we operated on 34 cases in 15 years. The indications for surgical intervention include gastrointestinal haemorrhage due to rupture of esophageal varices, a very bulky enlarged spleen and, more, rarely, recurrent ascites. Simple splenectomy (9 cases) suppresses discomfort and pain, corrects the hypersplenism and brings about a moderate reduction of portal pressure. Spleno-renal anastomosis (19 cases) remains the operation of choice. The long-term results, difficult as these are to assess under ill-regulated African conditions, appear satisfactory on the whole, due to less serious damage to the hepatocyte than in the cirrhoses (62% Child A and 29% Child B). We therefore continue to advocate splenectomy followed if possible by a spleno-renal shunt in bilharzial portal hypertension.

Adolescent↗

[Caudal anesthesia: experience at the University Hospital Center of Treichville. 50 cases].

The above account concerns 50 cases of caudal anaesthesia with 2% plain lidocaine (i.e. without adrenaline), after a preliminary and a complementary general anaesthesia for surgical operations in the infra umbilical region not exceeding one hour in duration. The anaesthetic effect was as rapid as the recovery from it. The analgesic effect was excellent in 98% of cases. No per or post operative complications were observed with the employment of this technique. The authors recommend that this technique should be employed more frequently in day case pediatric surgery.

Ambulatory Surgical Procedures↗