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Biomedical subjects

R Gautier

Publications and source records attributed to R Gautier.

84 records · Page 5Linked to original sources
PubMedDate not supplied

[Our experience of mesenterico-caval anastomosis with prosthetic interposition (report of 30 cases) (author's transl)].

The authors report their experience of 30 mesenterico-caval anastomoses with prosthetic interposition according to Drapanas's technic. From the point of view of the operative indications, they have never carried out a prophylactic operation. In 19 cases, the operation was carried out as an emergency for inefficacy of the medical treatment. In 11 cases, a cold operation was performed, either to prevent eventual hemorrhagic recurrence (8 cases) or for chronic ascites (3 cases). Half the patients belonged to group C with a poor surgical risk. There was only one case of post-operative thrombosis due to a technical error, and two cases of secondary thrombosis. The overall mortality was 60%. But when the patient was of group A or B the mortality was only 20%. The survivors are those in whom the operation was rapid and the blood loss minimal. To conclude, the authors the necessity of better selection of patients, and rapid operation without bleeding.

Adult↗
PubMedDate not supplied

[Report of 39 traumatic and iatrogenic lesions of the extra-cranial carotid artery (author's transl)].

The authors present 39 carotid lesions from various and sometimes unusual origins: ski accident, cervical irradiation. The lesions have a preferential topography according to etiology: internal carotid for blunt trauma and arteriographic lesions, common carotid for penetrating injuries, common and bifurcation for X-ray lesions. Arteriography and surgical exploration confirm this notion. Macroscopic lesions don't always accord to the classical aspect: thus, only one intimal lesion has been found in blunt trauma. Symptomatology is orientated by etiology: neurological symptoms in blunt trauma and X-ray lesions, vascular symptoms in penetrating injuries. The diagnosis has sometimes been made at a distance from the initial accident and in unusual circumstances, mainly in blunt trauma. The treatment has been a surgical one except for usual countra-indications. The results are favourable on young subjects and above all for particular lesions such as penetrating injuries and X-ray lesions. Lastly, the authors insist on the post-operative evolutivity which is often misunderstood, and on the interest of an angiographic control.

Accidents, Occupational↗
PubMedDate not supplied

[Repair problems of infected iatrogenic lesions of the femoral trifurcation. Review of 7 cases (author's transl)].

The authors report on seven cases of infected iatrogenic lesions of the femoral trifurcation. One case was a false aneurism consecutive to a femoral vein catheterization. In 5 cases an arterial lesion followed angiography according to Seldinger. In the last case aetiology was undetermined. Local symptomatology was always associated to systemic infection. The causative germ was a pseudomonas in 3 cases an a staphylococ in 4 others. Operation was performed in emergency in all cases because of a fissure or a rupture of the artery. The authors performed: one simple arterial suture, one resection with plastic graft, one resection with venous graft and 4 resections with double vein graft. This last procedure appears useful for lesions situated at the femoral division.

Adult↗