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Biomedical subjects

M Afschrift

Publications and source records attributed to M Afschrift.

At least 55 records · Page 3Linked to original sources

Cranial ultrasound after forceful midpelvis vacuum extraction at term.

The heads of 28 non-hypoxic, full-term infants of normal gravidas delivered by forceful vacuum extraction were examined with ultrasound during the early neonatal period. All echographic findings were normal and all neonates had an uneventful evolution during the first week of life. Addendum: Since this article was completed, a massive intracranial haemorrhage occurred in a non-hypoxic full-term newborn after elective midpelvic vacuum extraction. The intervention was performed by a resident who, despite the guidelines did not call the senior obstetrician after three unsuccessful attempts to extract the fetus. The head was stationed, 2 cm above the level of the ischial spines, not completely flexed with the occiput in the right-anterior position. The newborn died at the age of 3 hours. Autopsy showed a tear of the tentorium cerebelli and the vena cerebri magna.

Brain Injuries↗

[Echographically controlled ventricle punctures].

Ventricular taps are performed either for diagnostic or for therapeutic purposes. They are not free of risks. A new technique is presented, in which the placement of the needle is echographically monitored. Fifteen punctures were done in five children. All punctures were successful at first attempt, and were uneventful.

Cerebral Hemorrhage↗

Ventricular taps in the neonate under ultrasonic guidance. Technical note.

A method of ultrasonically guiding ventricular taps in children is described. The needle is introduced through a needle guide in the ultrasound field of a sectorscanner. The direction of the needle is accurately determined and the needle itself is clearly visualized on the television monitor during its introduction into the brain. The results of seven punctures are presented. All these punctures were successful at the first attempt, and no complications occurred.

Cerebral Ventricles↗

Transabdominal real-time sonographic sector-scanning of bladder, seminal vesicles and prostate: technique and normal anatomy.

There is a wide application of diagnostic ultrasound in urology. Hitherto the transrectal and transurethral approach for evaluation of the pelvic organs has been used much more often. However, since the development of high resolution real-time sector-scanners, the transabdominal suprapubic approach through the full bladder has become more promising. Using this technique which, as a screening procedure, is most acceptable for the patient, detailed normal anatomy can be seen such as the ureteric orifices, the base plate, the proximal part of the urethra, the seminal vesicles and the ampullae, the ejaculatory ducts and the zonal anatomy of the prostate. In this report, the sonographic appearance of these various structures is correlated with anatomical data and the advantages of the transabdominal approach are discussed.

Female↗

Puncture of thoracic lesions under sonographic guidance.

Thirty-six punctures of thoracic lesions have been performed with a compound B-scanner or a real-time linear-array scanner for guidance. Twenty-three fluid collections were punctured and aspiration biopsies were performed on 13 echogenic lesions. All the punctures were successful at the first attempt. No complications occurred. The results confirm the usefulness of sonography for guiding punctures of thoracic fluid effusions and solid masses. Usually a static B-scanner is sufficient, but when masses are small or surrounded by vital structures puncture may be controlled by a real-time scanner.

Adult↗