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Biomedical subjects

S Berdah

Publications and source records attributed to S Berdah.

27 records · Page 2Linked to original sources

[Natural skin expansion. Applications to the surgery of nevus of the head and neck in children].

The surgical treatment of congenital naevi of the head and neck often require the use of expansion prostheses. The high risk of complications in children such as infection, necrosis, prosthetic exposure, has led the authors to propose a new therapeutic approach, consisting of deferred cutaneous expansion, which uses the skin tension as an expansion motor. This allows repair in one or several surgical phases, of large defect using the skin of the same anatomical unit, with good esthetic results. The authors describe the three main techniques applied to surgery of naevi of the head and neck: simple excision-suture, excision-unfolding and deforming excision.

Child↗

[Giant congenital blue nevus of the scalp].

INTRODUCTION: Blue nevi are small acquired melanocytic tumors. Two clinical forms are described, a fibrous form and a cellular form. Giant nevi are exceptional. CASE REPORT: We describe a patient with a giant blue nevus of the scalp. In addition to this congenital, noninvasive tumor the patient presented numerous cutaneous melanocytic nevi. The main lesion was removed by surgical exeresis followed later with reconstruction plasty. The histological examination of the surgical specimen showed an infiltrating blue cell nevi. After a 4-year follow-up, there has been no recurrence and no metastasis. DISCUSSION: There have been 11 cases of giant blue nevi reported in the literature. All were congenital lesions with polymorphous clinical and histological aspects. Fibrous forms are noninvasive and cellular forms have a potential for local invasion, whether shortly after birth or later with invasion of muscles, bone and meninges without intracerebral extension. Congenital blue nevi require early surgical exeresis.

Child, Preschool↗

[Treatment of pancreatic fistulas with somatostatin].

Four cases of pancreatic fistula were treated with somatostatin. Two cases occurred after caudal pancreatectomy and the other 2 after duodenopancreatectomy. Somatostatin rapidly reduced fistula flow by 50% 48 hours after treatment. The shorter hospital stay and reduced morbidity underline the importance of somatostatin in the treatment of pancreatic fistulae.

Adult↗

[Atrio-caval shunt in injury to the suprahepatic vena cava. Apropos of a case and review of the literature].

Mortality in cases of trauma-induced lesions of the suprahepatic vena cava is high because it is difficult to expose the lesions, and consequently to control blood loss. Several techniques have been reported for treating this type of lesion. We report a case in which both suprahepatic veins were sutured after installing an atrio-cava shunt via a sternotomy. The limitations of this technique and other surgical possibilities are also discussed.

Abdominal Injuries↗