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Biomedical subjects

M Deschreyer

Publications and source records attributed to M Deschreyer.

At least 37 records · Page 2Linked to original sources
PubMedDate not supplied

[Acute abdomen in octogenarians].

From january 1972 to september 1983, 215 patients of eighty and more (60 M. and 155 F.) entered for acute abdomen, have undergone a clinical analysis to principally define the main factors for morbidity and mortality. The authors insist on the poor value of the clinical and biological symptoms which delayed a correct diagnosis and therefore the correct treatment. For 30.7% of the cases, the treatment was medical and for 69.3% surgical. During the medical treatment, the morbidity rated at 12.1% and the mortality at 46.9%. During the first 30 postoperative days the rate of complications was of 61.7% and the rate of mortality of 46.9%. Both are essentially due to associated illnesses: pulmonary, cardiac and renal. The figures are compared with those of the literature. Besides, a progressively aging population is observed: the rate of patients of more than 80 years went from 7.2% in 1972 to 12.4% in 1983. This is probably due to the present quality of pre- and post surgical treatments and the improving of the medico-surgical reanimation technics.

Abdomen, Acute↗
PubMedDate not supplied

[Gallbladder cancer].

Explore the source record for details and available documents.

Adenocarcinoma↗
PubMedDate not supplied

[Closed abdominal injuries: importance and results of peritoneal puncture-lavage].

In a series of 138 closed abdominal trauma, observed during the past 10 years, the authors report their experience of the peritoneal lavage with a Diacath: the method is 97.8% accurate in determining the presence or absence of abdominal injuries. The abdominal signs and symptoms, with an accuracy of 58.7% are hardly contributive, especially in cases of multiple trauma and patients with altered state of consciousness. The peritoneal lavage, as long as the technique and the contra-indications are respected, is an easy, safe and reliable test for the detection of abdominal damage. Positive diagnostic peritoneal lavage allows an earlier diagnosis and operation, and reduces the mortality for intra-abdominal injuries by eliminating deaths from undiagnosed intra-abdominal lesions. If negative, it avoids unnecessary laparotomies, especially in cases of multiple trauma.

Abdominal Injuries↗
PubMedDate not supplied

[Isolated lesions of the gallbladder, in closed abdominal injuries. Apropos of 7 cases].

The authors report 7 cases of isolated injuries of the gallbladder, in closed abdominal trauma. The literature indicates the frequency to lie between one and five percent. The postprandial period and fasting alcohol levels, responsible for the distention of the gallbladder, are mostly the cause of such lesions. Four groups of injuries are described: 1) laceration 2) avulsion 3) simple contusion 4) traumatic cholecystitis Early diagnosis of such injuries is difficult as abdominal signs are poor and little specific; the authors note the value of peritoneal puncture and lavage. The treatment of gallbladder trauma is always surgical, cholecystectomy giving the best results; raphy and cholecystostomy are second choice treatments. The prognosis is usually favorable, even if surgery is delayed, and depends essentially on the nature of associated extra-abdominal injuries.

Adult↗