The authors believe that utilisation of calibrating drainage is justified in case of difficult restauration of the C.B.D. of normal caliber, either throughout its length or in one segment. They underline that "axial exit" has not the disadvantages of the "lateral exit" of T-tubes. They recall the various modalities of "axial exit" (transcystic, transpapillary, transhepatic, "en seton") and their own contribution to the improvement of the transpapillary drainage by the association of a systematic sphincterotomy. Abstract of their clinical series, technics, postoperative mortality and morbidity, calibrating drainage duration and results (in connection with etiology) are reported. Main advantages of the "axial exit" are the absence of any risk of stenosis on a non dilated C.B.D. (as for the "lateral exit") and the facility for long time calibration up to several years. No hemorrhage, no bile leakage have been observed. The one only risk of this sort of drainage is the premature fall of transcystic or transpapillary drains ; but this disadvantage does not exist for "en seton" drainage. Shortly : "axial exit" calibrating drainage is recommandable when a very long time calibration after restauration of non dilated C.B.D. is necessary.

Adult↗

PubMed1980

[Dacron tulle prosthesis and biological glue in the surgical treatment of incisional hernias (author's transl)].

In repair of incisional hernias the authors use Dacron tulle material for less than peritoneal sac reinforcement prosthesis greater than (PSRP)--a method which prevents recurrences whether or not the abdominal wall is badly damaged. A biological glue (n-butyl-cyanoacrylate monomer) in many cases avoids direct or indirect suture of the patch). In practice, there are two types of PSRP. In one type, the gap in the abdominal wall is small and can be sutured, and the peritoneal Dacron tulle patch is a mere adjunct to parietal synthesis. In the other type, the medial, lateral or peripheral eventration is extensive or recurrent, and parietal synthesis is impossible. A piece of Dacron tulle of very large size is then inserted without any glue or transfixing sutures to help solve mechanical and pathophysiological problems.

Adhesives↗

PubMed1980

[Circular mechanical colorectal anastomoses (author's transl)].

When they are terminoterminal, circular lower colorectal mechanical anastomoses involve certain risks due to the incongruence of the intestinal ends, to the difficulties encountered in reconstructing the rectal pouch and to ischaemia resulting from stripping of the rectal section. Terminolateral anastomoses between the colon and the anterior surface of the rectal stump are easier and safer.

Colon↗

PubMed1980

[Subparietal cleavable spaces in the abdomen (author's transl)].

The subparietal cleavable spaces in the abdomen were studied with the view to their practical application in general surgical practice. These studies formed part of an applid anatomy research project on the repair of anterolateral gaps in the abdominal wall, using large prostheses, inserted without direct fixation, as a means of reinforcement of the visceral sac. The spaces were meeasured at different levels in 20 adult cadavers, and the values obtained were used to prepare representations on a plane surface. These morphological and metric data should enable the surgeon to make his incisions more easily, and to obtain a more effective insertion and use of prostheses for reinforcement of the peritoneal sac, thus avoiding the waste of time and material, and the various difficulties usually encountered.

Abdominal Muscles↗

PubMed1980