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Biomedical subjects

M C Marti

Publications and source records attributed to M C Marti.

At least 55 records · Page 3Linked to original sources
PubMed1989

[Epidermoid carcinoma of the anal canal. Value of a multidisciplinary approach].

Great progress has been achieved in the clinical diagnosis, the pathologic patterns study and the treatment of anal epidermoid carcinomas. External and interstitial radiotherapy in association with chemotherapy offers today a real chance to cure these lesions and to save sphincter function. Incidence in actinic lesions is reduced. Salvage abdominoperineal excision is still possible in case of local recurrence without delay in wound healing. 95 cases of anal epidermoid carcinoma were treated in the University cantonal Hospital of Geneva by a combined radio-chemotherapy approach. Local control has been achieved in 86% of tumors less than 4 cm in diameter and 73% of tumors more than 4 cm in diameter. Salvage abdomino-perineal excision has been required in 10% of cases. Abdomino-perineal excision is no more the first treatment of choice of anal epidermoid carcinoma.

Adult↗
PubMed1989

[Rectocele].

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Herniorrhaphy↗
PubMed1988

Sclerotherapy of rectal varices.

Rectal varices represent a rare condition even in cases of portal hypertension. A case of bleeding ano-rectal varices presenting as the first manifestation of portal hypertension is reported. Treatment by sclerotherapy was successful.

Aged↗
PubMed1988

Comparative study of ceftriaxone and cefoperazone in the treatment of acute cholecystitis.

Forty patients with acute cholecystitis were divided into two randomized groups on the basis of the emergency antimicrobial therapy received, and were treated for a period of 5 days. The first group was given ceftriaxone (Rocephin), the second cefoperazone (Cefobis). This concomitant antimicrobial treatment of acute cholecystitis proved to be effective in 85% of the patients; 15% underwent 'à chaud' surgery on the 6th day because of a lack of response to the treatment. Ceftriaxone and cefoperazone proved to be equally effective. Use of ceftriaxone, however, was simpler (one injection a day) and the cost of treatment substantially lower.

Adult↗
PubMed1987

Mallet fractures.

Contrary to our observations, reports in the literature maintain that only a third of mallet finger deformities are caused by intra-articular fractures of the posterior margin of the distal phalanx. As functional impairment sometimes remains after treatment, there is still much discussion as to the relative merits of conservative and surgical management of this lesion. This article presents 21 cases of mallet finger deformities with fracture of the distal phalanx, of which 17 received surgical treatment. The operative technique is described, followed by a discussion of the results.

Adolescent↗
PubMed1986

Traumatic lesions of the rectum.

Twenty-two patients treated for rectal trauma between 1975 and 1985 were reviewed. There were 13 males and nine females, of mean age 38 years (18-72 years). Causes included gunshot (2), sexual trauma (8), road accident (5), impalement (5), polypectomy (2). Two patients died, giving a treatment mortality of 9%. Cases with peritonitis or sphincter injury were treated by defunctioning colostomy and immediate repair of rectum and sphincter. Of 14 such patients the colostomy had been closed in all but one, who accounted for the only failed sphincter repair out of eight performed. The results show the success of a policy of faecal diversion for intraperitoneal rectal injury and sphincter damage and of local repair without diversion for most cases with extraperitoneal rectal injury.

Adolescent↗
PubMed1985

[Anal fistulas].

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Humans↗
PubMed1985

[Fractures of the long metacarpals. Long-term results].

Sixty-seven of long metacarpal fractures have been followed for more than one year. Digital mobility and strength of grasp of the traumatized hand were measured and then compared with the healthy hand, the result being modified, according to the patient's own appreciation. This clinical examination enabled a medium and long term assessment of functional results. Control radiograms helped us draw up a chart of the various types of fractures, their topographical distribution and eventual anatomical modifications according to displacement. When comparing clinical and radiographic results, a correlation is--or is not--possible between the functional deficit and the degree of deformation of the metacarpals. Clinical results also depend on other factors which may influence the final result.

Adult↗