[Traumatic rupture of the diaphragm].
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Biomedical subjects
Publications and source records attributed to M Belachew.
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Among 80 cases of blunt abdominal trauma operated on at the University Hospital of Bavière during the last two years, peritoneal lavage has been performed in 40 cases. In 39 cases, the diagnosis of blunt abdominal trauma has been established by the peritoneal lavage. A case of false negative result has been due to a technical fault. Peritoneal lavage must be considered as a very useful procedure for the diagnosis of hemoperitoneum and visceral lesions from blunt abdominal trauma.
The authors present a report of four personal cases of intestinal fistulas, treated by parenteral hyperalimentation. They describe the technique of parenteral hyperalimentation used. There was one complication due to yeast septicemia from a sub-clavian catheter used for parenteral nutrition. Treatment of the yeast septicemia by amphotericine B was successful. (Acta anaesth. belg., 1976, 27, 35-44).
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Morbid obesity is an illness in itself and causes associated pathologies. Medical and diet treatments being most often ineffective, the surgical alternative has been considered. This study considers a series of 415 patients operated on, at the Bariatric Surgical Centre at the Hospital of Huy, Belgium, from 1983 to 1992. The used techniques are the "Vertical Banded Gastroplasty" described by Mason and more recently the "Adjustable Silicone Gastric Banding" proposed by Kuzmak. With only a small complications' rate, we register 85% of successes in terms of excess weight loss as well as a clear improvement of obesity associated pathologies.