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Biomedical subjects

L Leger

Publications and source records attributed to L Leger.

At least 271 records · Page 15Linked to original sources
PubMedDate not supplied

[Palilloma and papillary tumor of the gallbladder].

Frequently confused with adenomas or pseudopolyps of the gall bladder, papillomas are rare tumours defined as vegetations covered with an epithelium of gall bladder type in the centre of which is a thin connective tissue axis. They are usually recognised on lyon histological examination of the operative specimen. The uncertainty concerning their course makes them a potentially malignant lesion as shown by the two cases reported here including one personal case concerning a carcinoma situated close to a benign papillomatous lesion. The frequent coexistence with lithiasis which may induce their malignant transformation reinforces the indications for surgery for gall stones.

Adenocarcinoma, Papillary↗
PubMedDate not supplied

[Surgical treatment of cavernomas of the portal vein. 56 cases, including 42 operated cases].

The difficulty of surgical treatment of cavernomas of the portal vein results from the anatomical conditions created by this type of portal hypertension, in spite of favourable physiological conditions due to the integrity of the hepatic parenchyma. The latter is, in fact, relative after a certain length of history. This erratic course renders difficult assessment of the efficacy of methods of treatment. In the light of 56 cases, including 42 operated cases, the authors present the indications for surgery which depend on the severity and frequency of hemorrhage and also on the patient's age. When repeated bleeding occurs, a by-pass should be attempted whenever possible, if the bleeding impedes social life or growth, or if it threatens life. Mesenterico-caval anastomosis is preferable before the age of 7 years. Spleno-renal anastomosis requires a sufficient size of splenic vein. Ligature of aesophageal varices or disconnection of the oesophagus from the stomach, may be considered in cases of moderate hemorrhage. The varices may be treated by sclerosing injections after failure of a by-pass operation or in inoperable patients. Oesophago-gastrectomy is useful but should be a last resort.

Adolescent↗
PubMedDate not supplied

[Trial of analgesia by acupuncture].

The clinical trial involved 31 cases, 10 in stomatology. Acupuncture may produce analgesia after simple premedication. Of 21 abdominal operations, in 5 completion of effect using local infiltration of a few millilitres of lignocaine or intravenous pentazocine was required. In 7, general anaesthesia was required to complete the operation. All patients not receiving supplementary general anaesthesia were able to eat normally as soon as they were back in bed, passed flactus the same day and had a bowel movement the next day. Ten stomatological operations may be considered to be successful. Further pursual of these trials is justified.

Abdomen↗