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Biomedical subjects

T Basset

Publications and source records attributed to T Basset.

18 recordsLinked to original sources
PubMed1990

[A recto-sigmoid lesion due to trans-anal aspiration. Apropos of a case].

A three year old boy presented a transanal evisceration of the rectum after sitting over a non covered drain site of a swimming pool. Peritonitis led to laparatomy 24 hours later. The high rectum was found to be necrotic and perforated. A protecting sigmoïd loop colostomy was performed with out any rectocolic resection. Five months later, resection of the fibrosed high rectum and end to end anastomosis between sigmoïd and low rectum was done. The colorectal function was quickly restored. Continence is now normal with a follow-up of 18 months. Pathogenesis of transanal suction may be as follows: relaxation of perineal muscles and anal sphincter during sitting position permit transanal evisceration by suction. Such lesions are rare (less than 10 cases reported). The therapeutic choice, between initial reparation and drainage associated, with protecting colostomy is discussed.

Anal Canal↗
PubMed1990

[Acute intestinal intussusception: ultrasonic diagnosis and air insufflation].

Sixty-five children with intussusception were diagnosed by ultrasonography. Colonic air insufflation was the principle form of treatment. The diagnosis value of ultrasound was 100% and the success rate of reduction by air insufflation was 93%, after intrarectal injection of midazolam (0.3 mg/kg). The device for insufflation was simple, original and manual, with permanent control of intrarectal pressure. No complications were observed.

Acute Disease↗
PubMed1990

[Pygomelus. A single monster or a double monster?].

With an anatomical case and a clinical case, the authors describe the pygomelus, a very rare monstruosity. Legend and reality are often mixed in the description of literature. It is difficult to classify this monstruosity either in the simple monster or in the twin monsters.

Abnormalities, Severe Teratoid↗
PubMed1988

[Echographic aspects of midgut malrotation with volvulus in the newborn infant].

Six neonates with midgut malrotation and volvulus were explored with ultrasonography before surgery. In each case, ultrasound detected an abnormal position of the superior mesenteric vein with regard to the superior mesenteric artery, indicating a midgut malrotation. In 4 patients, a propeller-like image was present around the superior mesenteric axis, demonstrating an associated volvulus. In 2 patients, there was a tumor-like presentation of the volvulated small intestine. Compared to the intestinal opacification, ultrasound seems to be a simple and rapid method to explore the neonate with vomiting or acute abdomen.

Emergencies↗
PubMed1988

[10 years' experience with intermittent catheterization in neurogenic bladder in children and adolescents: study of 165 cases].

Intermittent clean catheterization has been proposed in 1975 for the treatment of neurogenic bladder in children and teen-agers. We report results in 165 patients with neurogenic bladder (111 girls, 54 boys) from 1976 to 1986; 9 patients were lost for follow-up. Myelomeningocele was the cause of the neurogenic bladder in 132 cases. The effects on continence, upper-tract and urinary infection are studied. These data show that such a method is simple, harmless and effective for the protection of the upper urinary tract and for the control of urinary incontinence.

Adolescent↗
PubMed1988

[Pygomelus].

With an anatomical case and a clinical case, the authors describe the pygomelus, a very rare monstruosity. Legend and reality are often mixed in the description of literature. It is difficult to classify this monstruosity either in the simple monster or in the twin monsters.

Abnormalities, Severe Teratoid↗
PubMed1987

[High-risk congenital diaphragmatic aplasia and hernia (apropos of 64 cases)].

The prognosis of high risk congenital diaphragmatic hernia and eventration diagnosed in the early neonatal period (before 24 h) is studied based on a series of 64 cases. Eventration has a poor prognosis with 5 deaths out of 7 cases. The replacement of the hemidiaphragm by an abdominal muscular flap seems to be the best surgical procedure (2 recoveries on 4 cases). A high mortality rate remains in the diaphragmatic hernias which are undiagnosed before birth. Out of 54 operated cases with systematic homolateral drainage, there were 35 survivors (65%). Post-operative alveolar-arterial PO2 difference less than 53 kPa appears to be a reliable criterion of good prognosis with a survival rate of 91% in this series. Thus, despite major progresses in post-operative resuscitation, the recovery rate in high risk neonatal congenital diaphragmatic hernia and eventration is only 75%. This seems to be partly related to the existence of lethal forms due to bilateral pulmonary hypoplasia and structural anomalies of the pulmonary arteries.

Blood Gas Analysis↗
PubMed1987

[Treatment of hypospadias].

The aim of surgery for hypospadias is to reconstruct in one stage, at about 2 years of age, a penis that will be functionally and cosmetically, as close to normal as possible. We described the various techniques that we use depending on the degree of meatal ectopia and the presence or absence of chordee. We have treated hypospadia that is strictly glandular either with Duckett's Magpi procedure (54 cases, 49 long-term follow-up, 47 good results, retraction of the meatus in two), or Koff's advancement procedure if there is a grow in glans (13 cases, 12 good results, on requiring meatostomy). Although these meatoplasties do give good results, they hide the malformation rather than correct it and must therefore be reserved for those forms that are strictly glandular. We have treated coronal and distal shaft hypospadias without chordee by the technique of Mathieu combined with the Byars method of coverage (50 cases, 4 fistulae successfully corrected at a second one-day surgery, no stenosis--only one poor cosmetic result. In all other form of hypospadias one must first correct the chordee. The incision and the correction of the various elements that contribute to the chordee are described in detail. After straightening if the meatus is distal to the mid-point of the phallus the Devine-Horton "flip-flap" procedure is used (240 cases, 17 fistulae, (17%), 10 meatal stenosis (4%), 95 excellent cosmetic result). If, after straightening, the meatal opening is proximal to the phallus grafting is necessary.(ABSTRACT TRUNCATED AT 250 WORDS)

Humans↗
PubMed1987

[Results of intermittent catheterization in neurogenic bladder in children and adolescents. 165 cases from 1976 to 1986].

Intermittent clean catheterization (CIC) has been proposed in 1975 for treatment of neurogenic bladder in children and tean-agers. We report herein the results of our experience from 1976 to 1986 with this method in a large number of patients with bladder dysfunction. 165 patients were included in this study (111 girls and 54 boys). 9 patients were lost for follow-up. Myelomeningocele was the cause of the neurogenic bladder in 132 cases. The effects on continence, upper tracts, and urinary tract infection are studied. Incontinence was managed by CIC in all 156 patients, with CIC alone (40 patients) or in association with oxybutynin (21 patients), enterocystoplasty, (20 patients), one method of increasing peripheral resistances (i.e. urethral lengthening, (8 patients), abdominal transposition of the urethra) (2 patients]. 40 very young children remain incontinent, 84 became continent; there were four technical failures, and an other method was used in 28 patients. Status of the upper urinary tracts was determined by IVP and cystography in 156 patients. IVP was normal in 123 cases (there was no change in 95%), and abnormal in 33 cases (there was improvement in 28 cases or no change in 3 cases). These data confirm those found in our previous study: this technique appears simple, harmless and effective for protection of the upper urinary tract and for control of urinary incontinence.

Adolescent↗
PubMed1986

[Results of bladder and urethra reconstruction for exstrophy].

Sixty-one patients with classical bladder exstrophy were seen at our institution over the last twenty-two-years. Five patients underwent primary urinary diversion, in six reconstruction according Couvelaire--Arap method was attempted without success. For fifty patients a staged approach to functional closure was elected. A review of the success, failures and complications provides the bases for treatment now being used on new patients. The technical aspects of this treatment that provide the best chance for continence without renal damage and satisfactory external genitalia are discussed. An excellent surgical result, defined as achievement of a day time dry interval for 3 hours with normal social life and without renal damage was achieved in 74% of children (100% of girls).

Bladder Exstrophy↗
PubMed1986

[Transappendicular continent cystostomy. Critical study apropos of 30 cases].

UNLABELLED: Continent vesicostomy using appendix has been performed in 30 incontinent children (myelo-meningocele). Surgical technique is described laying stress on the closure of the bladder neck and the appendix arrangement: appendix is implanted in the bladder with an antireflux sub-mucosal tunnel and the other end is hemmed to the skin. Self-catheterization is very easy. All patients are dry but the rate of complications was very high: 77%--8 leakage through the bladder neck imposing one or two re-operations. 10 uretero-hydronephrosis related to a small and hypertonic bladder: enterocystoplasty with good results--5 lithiasis--2 perforations. Success of this technique is closely linked to the construction of a large and low pressure bladder: 11 enterocystoplasty have been performed secondarily and 4 during the first operation. Actually 26/30 patients are well with normal kidneys and excellent comfort. FOLLOW-UP: 1 to 7 years.

Appendix↗