That short biographical note, written for the centenary of Henri Fruchaud's birth, regretably appears somewhat late. Two components of the rich personality of this uncommon man are underlined: his passion for surgery, supported by anatomical researches which made him a well known author; and his patriotic devotion during this century two World Wars, when - testimonies prove this - his surgical skill, imagination and physical resistance rendered outstanding services recognized by the Nation. The critical evocation of his anatomical and surgical publications insists on the work of Henri Fruchaud in Hernia Surgery and try to make the reader sharing with the redactor and many worldwide surgeons admirative feelings.

Anatomy↗

PubMedDate not supplied

[Hernia surgery today].

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Anesthesia↗

PubMedDate not supplied

[Surgical treatment of supraumbilical eventrations].

Among postoperative incisional hernias, mid-epigastric eventrations have peculiar features for physiopathological reasons that are summed up in general and specifically in the first paragraph of this paper; they are characterized by the quick retraction of the lateral belt, with the chondrocostal margin of the thorax participating as the upper limit of the cleft, and by the rapidly irreducible diastasis--hence the importance of an early decision to operate. The authors propose three regular procedures with which they are experienced: repair with a large retromuscular nonabsorbable synthetic tulle prosthesis for extensive epigastric eventrations, fillup aponeuroplasty using the sheath of the rectus abdominis associated with a premuscular patch in case of diastasis or of multiple superimposed orifices and suture associated with a small retromuscular auxiliary patch to treat small incisional hernias. The article, mainly dealing with the technical details of the three procedures and of their variants, is concluded by a brief report of the personal results obtained with a series of 616 postoperative eventrations, including 91 mid-epigastric ones, controlled after an average time lapse of 5.5 years.

Abdomen, Acute↗

PubMedDate not supplied

[Thyroid dysembryoma. Report of a case in an adult (author's transl)].

One case of dysembryoma of the thyroid gland is reported. 115 cases of that rare disease have been published; the tumor is particularly rare in adult (14 cases). Salient features are reviewed, mostly complications and malignant degeneration. Surgical removal is the only treatment and also the only mean to have histological diagnosis.

Adult↗

PubMedDate not supplied

Current surgical treatment of post-operative eventrations.

A series of 247 post-operative eventrations (POE) is reported with a study of general features, such as: patients' sex and age, size, location and etiology of POE (serial laparotomies, parietal sepsis), classic predisposing factors. Pre-operative preparation involved the use of Goni-Moreno progressive pneumo-peritoneum in 18.5% of patients. The procedures used were: parietal suturing (25%), the same plus a dacron buttress (6%), or a large reinforcing Dacron Mesh prosthesis (67%). Early sepsis was slightly more frequent after Dacron use. The incidence of predisposing factors in this field is reported. Other complications of the use of Dacron Mesh are studied (hematomas, skin necrosis). The post-operative uncomplicated course rate is 91%. Follow-up of 77% of operated patients showed satisfactory overall results in 81% of patients treated with Dacron prosthesis and in less than 50% after parietal suturing. Aseptic recurrence factors and late sepsis factors are also studied. Finally the efficiency of POE prosthetic repair is stressed and mandatory rules for the safe of Dacron Mesh are underlined.

Female↗

PubMedDate not supplied

[Dacron mesh and surgical therapy of inguinal hernia].

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Hernia, Inguinal↗

PubMedDate not supplied

[Cecal hernia through Winslow's foramen. Radiographic study of a case and review of the literature].

A case of herniation of the cecum through the foramen of Winslow is reported in a 49-year-old man, admitted for acute abdominal pain. Diagnosis, suspected by abdominal plain films, and established by water-soluble enema, was confirmed by emergency surgical management. Herniation through Winslow's foramen represents the least common variety of internal hernias. Only 136 observations were previously reported, the cecum being involved in 25-30% of cases. Radiological diagnosis was made in only one patient out of ten. Although rare in occurrence, it carries a high mortality risk when diagnosis and treatment are delayed. A better appreciation of the classic radiological features will allow for earlier recognition and treatment. Therefore, the authors emphasize the interest of radiologic findings in this condition.

Cecal Diseases↗