Biomedical subjects
V Mitz
Publications and source records attributed to V Mitz.
[Treatment of cutaneous avulsion of the limbs. Apropos of 21 cases].
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[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.
Advantages of interpositional long venous grafts in microvascular surgery.
Our clinical experience favors the use of long autologous venous micrografts any time excessive tension is noted along the anastomotic line or in case of a short pedicle in a free flap. The technical problems of harvesting and interposition of these long micrografts are presented.
[Operation smile. Musculocutaneous flaps of the buccal commissure for the repair of facial burn sequelae].
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[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.
[Paronychia, the general practitioner, the surgeon and antibiotics (author's transl)].
Antibiotic therapy for paronychia has seen its day. It is indicated only rarely and justified only when on the day following infection or during the next few days there are signs of regional or systemic spread. The surgical treatment of infections of the hand is not difficult but should be known, if not learned. A paronychia which has been opened but not cured should be reoperated upon rapidly. An "old" paronychia is a major catastrophe: small fistula, great damage. No surgical quarter for evil organisms!
[The flap as a pure vascular adjunct in hand surgery].
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[The difficult treatment of trochanteric sloughs (author's transl)].
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[Treatment of cicatricial depressions by skin autoplasty: the "skin cigarette"].
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[Analysis of the results at one year of a series of digital reimplantations (author's transl)].
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[Surgery of dorsal articular wounds of the interphalangeal joints of the fingers (author's transl)].
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[Cutaneous involvement in Dupuytren's disease].
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The superficial musculo-aponeurotic system (SMAS) in the parotid and cheek area.
We have investigated the superficial musculo-aponeurotic system (SMAS) in the parotid and cheek areas by anatomical dissections, by radiographs, and by histological sections. The SMAS may be helpful in corrective surgery for facial palsy and during face lifting operations if a retrofascial approach is used. This procedure, safe in the parotid area, can become dangerous in the area anterior to the parotid gland.
[Experimental fate of tendon grafts implanted without immobilisation in the dog (author's transl)].
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[Value of microsurgical treatment of painful neuromas of the fingers].
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[The nerves of the ear and loss of sensitivity of the ear lobe following incisions of the parotidomastoid area].
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Vascular flaps in secondary surgery after hand trauma.
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