Search PubMed⌕ Search

Biomedical subjects

P Verhaeghe

Publications and source records attributed to P Verhaeghe.

At least 19 recordsLinked to original sources
PubMed1992

[Prosthesis used in the surgery of the abdominal wall. Focus on a comparative experimental protocol: difficulties and limits].

During many years the use of prosthesis for abdominal wall repair was not accepted by all surgeons. Now the laparoscopic repair has brought some surgeons to do it nearly systematically and industry proposes new materials. To allow comparing new materials the authors have developed an experimental proceeding of which they analyse technical difficulties and limits.

Abdominal Muscles↗
PubMed1991

[Short hospital stay, a step towards ambulatory surgery for hernia repair in 1990?].

In the first part the authors report their experience in Hernia surgery from 1980 to 1989. The comparison between 4 personal series shows that local anesthesia favoured short hospital stay, that the length of hospital stay decreased from 95% of more than 7 days hospitalization to 49% of less than 2 days; local anesthesia has almost suppressed post-anesthetic functional, respiratory and urinary troubles; no patient operated under local died; lastly the recurrence rate has not been related to hospital stay duration. Comments follow on Ambulatory surgery in general, technical and deontological principles. Ambulatory and short stay hospitalization in Hernia Surgery, and on advantages and pitfalls of these type of Surgery. The authors conclude on the feasibility, acceptability, benefits and usefulness of to day ambulatory surgery in hernia repair in the frame of a Universitary Hospital Center.

Ambulatory Surgical Procedures↗
PubMed1990

[Pyeloduodenal fistula. Apropos of a new case].

A pyelo duodenal fistula is rarely observed although anatomical relations between the high urinary tract and digestive tractus are closed. The authors report here a new observation of pyelo-duodenal fistula and make correlations with the 73 observations published in mondial literature. Spontaneous fistulas from urinary etiology are the most frequent. This urinary pathology is revealed by general and digestive signs. Duodenal fistula could usually be stiched up. Renal destruction require nephrectomy.

Aged↗
PubMed1988

[The extra-hepatic bile ducts. Apropos of a new case of abnormalities].

A double anomaly of extrahepatic biliary pathways was detected in the same patient. The first anomaly involved the cystic duct, which emptied into the third part of duodenum, the second anomaly the common bile duct which was implanted into the right side of the cystic duct one centimeter from the papilla. An anomaly of this type has not been reported previously in the literature and surgeons should be aware of its possible occurrence.

Adult↗
PubMed1988

[Esophageal and gastric leiomyoma. Apropos of a case with double localization].

A case of double localization of a leiomyoma is reported and used as a basis for an update review of the relevant literature. Esophageal and gastric leiomyomas, of relatively simple diagnosis by radiologic and endoscopic imaging, require surgery in most cases: enucleation of esophageal and resection of gastric tumors. Leiomyoma of esophagus is usually diagnosed during investigation of atypical clinical symptomatology or when it is associated with another disorder, such as hiatus hernia as in the present case. Leiomyoma of stomach is usually revealed by a complication initially, frequently of the hemorrhagic type. Despite the absence of documented data on leiomyoma of double localization in two digestive organs simultaneously, this possibility does exist and extensive digestive investigations are necessary prior to therapy.

Aged↗
PubMed1987

[Mechanism of hernia of the groin].

Utilitarian aspects of hernia pathogenicity are envisaged to assist comprehension of surgical gestures, the choice of effective techniques and the abandon of those which are not and may be of medicolegal interest: all inguinal hernias are due to parietal weakness. Anatomical factors are studied based on data from dissection, from in front backwards and then from behind forwards, from which certain major notions are drawn: that of role of transverse fascia in imperviousness to intra-abdominal pressure; that of uniqueness of inguinal hernias, all of which cross the transverse fascia in the region of the regional osteomuscular framework; that of the necessary degradation of musculofascial plane for a hernia to develop, with as a corollary the need for inguinal imperviousness at the transverse fascia level to be restored. Factors may be present that increase the "natural weakness" of the groin: anatomical variations affecting inguinal triangle; biological disorders affecting inguinal structures (aponeurotic and fascial senescence, collagen diseases, musculo-tendino-aponeurotic dystrophy). A breakdown in mechanisms of protection against increased intra-abdominal pressure promoted a summary of features defining intra-abdominal pressure under physiologic conditions and classical herniogenic circumstances. A summary of pathogenic mechanisms of inguinal hernia is presented while emphasizing the two principal theories: the saccular theory and that of musculo-fascial weakness, with their consequences for choice of therapies to be opposed to the polymorphism of hernial lesions.

Abdominal Muscles↗
PubMed1985

[Postoperative eventrations. Apropos of 247 surgically treated cases].

The 247 eventrations operated upon concerned 230 patients (60% women and 40% men) mean age 54.5 years. Eventrations were large (collar greater than 10 cm) in 18, 5% and were in the median line in 81%. Serial laparotomies by the same approach had been performed in 21%, the principal causes of eventration being biliary and gynecologic surgery. Parietal sepsis developed in 31,5% of cases after operation for the original affection. Classical favoring factors found included obesity (51%), multiparity (42% of women) and chronic lung disease (14%). Preoperative preparation involved the use of Goni Moreno's progressive pneumoperitoneum in 18,5% of patients. Procedures used were parietal repair by raphe (22%), the same but with the addition of a dacron prosthesis (6%) or the large dacron tulle prosthesis for wide reinforcement of the visceral sac (67% of cases). Early sepsis was a slightly more frequent occurrence after dacron tulle, predisposing factors being the prosthesis itself, a previous history of parietal sepsis, swabs and the number of Redon tubes. After use of dacron tulle complications were mainly also hematoma (3.2%) and skin necrosis (2,6%). Postoperative course in general was uncomplicated in 91% of the 247 operations. Follow up of 67% of operated patients for a mean of 5 1/2 years showed recurrence in 50% of raphe procedures and 18.5% of prosthesis implantations; factors of aseptic recurrence (16,5%) were multiparity and chronic lung disease. Delayed sepsis after dacron tulle use affected 8% of patients and were related to chronicity of early sepsis, nonresorbable sutures and sepsis complicating the primary laparotomy. Doming of the parietal wall was noted in 4% of cases repaired by prosthesis.(ABSTRACT TRUNCATED AT 250 WORDS)

Female↗