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Biomedical subjects

R Vilain

Publications and source records attributed to R Vilain.

At least 73 records · Page 4Linked to original sources
PubMed1982

[Retromuscular implantation of mammary prosthesis for reconstruction of the breast: report on 56 cases (author's transl)].

Though retromuscular implantation of mammary prosthesis for breast reconstruction presents certain advantages, a retrospective study of the results of 56 such prostheses implanted in 38 patients demonstrated certain complications related to this procedure. These included: ectopy, secondary migration, poor aesthetic appearance during muscle contractions, formation of a hard shell (33 p. cent of cases), and residual mammary asymmetry. However, the advantages related to the retromuscular site of implantation are sufficiently marked for this technique, described in detail, to be employed in certain chosen indications: sequelae to subcutaneous fatty mammectomies ("benign" breast), mammary reconstruction after resection for cancer or radiodermatitis, and perhaps after the use of musculocutaneous flap from the large dorsal muscles ("malignant" breast), and to increase mammary size in cases of agenesis or total aplasia (Poland's syndrome, "unesthetic"" breast).

Breast↗
PubMed1981

[Fixation of fractures of the fifth metacarpal (author's transl)].

The authors describe the treatment which they recommend for fractures of the fifth metacarpal. After a brief description of fractures of the proximal end of the diaphysis and of the head of the bone, they study in detail fractures of the neck of the fifth metacarpal. They found that conservative treatment is not very successful but that internal fixation tends to have iatrogenic complications. They recommend a transverse pinning of the bone after reduction by manual traction. Two or three pins are driven from the fifth to the fourth metacarpal through the head and the shaft. This treatment allows early mobilisation.

Bone Nails↗
PubMed1979

[When should peripheral nerves be grafted? (author's transl)].

In the presence of peripheral nerve damage, the only acceptable procedure is suture without tension, carried out under excellent conditions of fascicular approximation. In the case of loss of substance, immediate or secondary suture should never be performed. In the experience of "S.O.S. Main" secondary suture has led to the most disastrous results. Nerve graft, as an emergency, is legitimate in the case or reimplantations, in view of the high degree of technical competence of the teams, and the experience acquired. Deffered nerve graft is envisaged at about the end of the second month:--either in the absence of suture,--or in the absence of recovery. When there is any doubt, further examination at the 4 th or 5 th month ensures that treatment is not delayed too long. At all events, examinations must be repeated every two months in order to study nerve regrowth and to determine the need for possible though difficult reoperation if it stops.

Humans↗
PubMed1979

[Complex hand injuries. Therapeutic management (author's transl)].

Defined by severe injuries of several digital structures and by lesions of several axes, complex hand injuries raise numerous problems of management. The activity of the unit "S.O.S. Hand-Reimplantation" of the Boucicaut Hospital petmitted us to determine the various clinical and socio-professional aspects. In the first part of this article, a statistical study permitted us to define the classes, types and prognosis. In the second part, the repair of each digital structure is considered (skin, bone, joint, extensors, flexors, nerves, vessels) in the light of a complex hand injury. The role of the covering skin in the quality of the results seems very important. The long-term results, their socio-professional consequences, thus permit one to draw up a therapeutic management which aims to repair the maximum number of lesions during the first stage of the operation. The interest of microsurgical repairs of the vessels and nerves requires operation of these complex hand injuries as an emergency, which requires appropriate surgical facilities.

Adolescent↗