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Biomedical subjects

N Demartines

Publications and source records attributed to N Demartines.

42 records · Page 3Linked to original sources
PubMed1990

[Single-layer suture to re-establish the digestive continuity following partial gastrectomy].

We have introduced progressively since 1985 the single-layer continuous suture technique for gastroenteric anastomoses, since this technique has been proved to be safe in colonic anastomosis. From 117 gastrectomies performed between 1985 and 1988, 68 gastroenteric anastomoses were performed with the single-layer continuous suture technique (58%). In 1988 this technique has been applied to 92.5% of the gastroenteric anastomoses. The complication rate is low: 3% clinical leakage were found. We concluded that the single-layer continuous suture technique for gastroenteric anastomoses is safe, very simple and easy to perform. It is the logical extension to large and small bowel anastomoses that we have been doing, using this technique for over 4 years now with excellent results.

Aged↗
PubMed1990

[Traumatology and emergency medicine: helicopter evacuation in the Basel area].

999 patients were treated and evacuated by medical helicopter in the region of Basel between 1986 and 1988. 687 were trauma patients (70.5%) and among them 53.9% were directly treated on the accident scene. Mortality during the stabilization prior to transport (2.6%) and during transport (0.3%) was low. The presence of a physician in the helicopter allows fast and intensive in-field care. All life-saving procedures like endotracheal tubes (36.3%), closed intercostal drainage (7.4% of trauma patients) and cardiovascular reanimation (1.9), even hemostasis, or fixation of fractures are performed. Early in-field intensive care by medical helicopter decreases lethality and mortality and must be recommended by severe trauma.

Aircraft↗
PubMed1990

[Helicopter emergency medical system in the Basel region].

Between 1986 and 1988, 999 patients were treated on the emergency scene, then transported with the rescue-helicopter in the Basle area. 687 were victims of a trauma (70.5%) and 287 patients were suffering from an acute internal medicine disease. We performed in-field therapy on the accident scene itself in 53.9% of all the cases. According to our scoring system the presence of a physician was absolutely necessary in 56% of all the cases. Air rescue by helicopter allows fast transportation of patients and immediate high quality intensive care. The low mortality rate during treatment before transport (2.6%) and during the transport itself (0.3%) shows that early beginning of medical treatment on the accident scene is connected to better survival chances.

Accidents, Traffic↗
PubMed1989

[Total hip prosthesis with or without preventive use of antibiotics].

514 patients with total hip replacement were operated in 3 years in our county hospital. The patients were divided in two groups: 1. high risk patients: these patients had an antibiotica prophylaxis with 3 doses of 2 g of cefamandole beginning at the time of the induction of the anaesthesia; 2. patients without risks: they had no antibiotica. The two groups of patients were controlled at 3 and 12 months after the operation. 159 patients had a risk for an infection and had antibiotica, 355 patients had no antibiotica. The infection rate after 1 year was 0.6% in the group of patients with antibiotica, and 1.4% in the group of patients without antibiotica. This gave no statistical significance. The only statistical difference between the 2 groups was a significantly higher rate of urinary infection in the group with antibiotica. Thus it has been shown that urinary infections after total hip replacement correctly treated with antibiotica are not a high risk for an infection in the prosthesis. We conclude that antibiotica prophylaxis for total hip replacement in patients with high risk factors (like diabetes, corticotherapy, intraarticular injection, obesity and operation on the same hip) may help to have a postoperatively low infection rate, in our case 0.6%.

Anti-Bacterial Agents↗
PubMedDate not supplied

The single-layer continuous suture for gastric anastomosis.

The single-layer continuous suture technique has proven to be safe for all intestinal anastomoses of intraperitoneal small and large bowel segments. Since 1985, this technique has also been increasingly applied for gastroduodenostomy and gastrojejunostomy following partial gastrectomy. Through December 1989, we performed 96 gastroenteric anastomoses with the single-layer continuous suture technique. This accounts for 64% of all partial gastrectomies performed between 1985 and 1989. The technique was applied in 89.5% of the gastroenteric anastomoses during 1988 and 1989. The rate of complications after gastroenteric single-layer continuous suture technique was low; 2.1% clinical leakage was found, always in patients with perforated ulcer and peritonitis. We conclude that the single-layer continuous suture technique for gastroenteric anastomosis is safe, simple, easy to perform, quick and reliable.

Anastomosis, Surgical↗