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Biomedical subjects

X Henry

Publications and source records attributed to X Henry.

At least 73 records · Page 4Linked to original sources
PubMedDate not supplied

Current surgical treatment of post-operative eventrations.

A series of 247 post-operative eventrations (POE) is reported with a study of general features, such as: patients' sex and age, size, location and etiology of POE (serial laparotomies, parietal sepsis), classic predisposing factors. Pre-operative preparation involved the use of Goni-Moreno progressive pneumo-peritoneum in 18.5% of patients. The procedures used were: parietal suturing (25%), the same plus a dacron buttress (6%), or a large reinforcing Dacron Mesh prosthesis (67%). Early sepsis was slightly more frequent after Dacron use. The incidence of predisposing factors in this field is reported. Other complications of the use of Dacron Mesh are studied (hematomas, skin necrosis). The post-operative uncomplicated course rate is 91%. Follow-up of 77% of operated patients showed satisfactory overall results in 81% of patients treated with Dacron prosthesis and in less than 50% after parietal suturing. Aseptic recurrence factors and late sepsis factors are also studied. Finally the efficiency of POE prosthetic repair is stressed and mandatory rules for the safe of Dacron Mesh are underlined.

Female↗
PubMedDate not supplied

[Cecal hernia through Winslow's foramen. Radiographic study of a case and review of the literature].

A case of herniation of the cecum through the foramen of Winslow is reported in a 49-year-old man, admitted for acute abdominal pain. Diagnosis, suspected by abdominal plain films, and established by water-soluble enema, was confirmed by emergency surgical management. Herniation through Winslow's foramen represents the least common variety of internal hernias. Only 136 observations were previously reported, the cecum being involved in 25-30% of cases. Radiological diagnosis was made in only one patient out of ten. Although rare in occurrence, it carries a high mortality risk when diagnosis and treatment are delayed. A better appreciation of the classic radiological features will allow for earlier recognition and treatment. Therefore, the authors emphasize the interest of radiologic findings in this condition.

Cecal Diseases↗
PubMedDate not supplied

[Cuffing of the distal esophagus in the treatment of gastroesophageal reflux].

This technique was derived from Nissen-Rossetti's fundoplication operation. Anatomical bases for the method are described which allow the simple performance of a regulated and measured version (in spite of regional anatomical variations), that is non-calibrating (to avoid exposure to conventional sequelae of fundal plication) and reproducible (essential when comparing results assessed for global series). Technical features are described in detail and discussed, while emphasizing the importance of the following rules; respect of regional fascial structures, avoidance of vagal trunks, observation of the compliance of the gastrosplenic omentum and conformation of the gastrophrenic ligament to allow simple mobilization of the anterior and posterior hemivalves. A summarized report on 295 operations, performed on and 233 patients reviewed after 3 to 9 years, indicates low mortality (1.35% from complications arising from patients' condition generally), an acceptable morbidity (5.5% of complications requiring lengthened hospital stay) and very correct long-term results (no "gas bloat syndrome", 8 dysphagias, 15 radiologic and/or endoscopic recurrences including 11 cases with clinical evidence of recurrence of reflux). The fact that distal esophageal cuffing can be adapted for cases of hiatus hernia, of peptic stenosis of esophagus, of undroppable cardia, and of associated duodenal ulcer or bile calculi suggests its use as a routine operation, if possible at an early stage, for all cases of pathologic gastroesophageal reflux.

Esophagus↗
PubMedDate not supplied

[Generalized peritonitis as a result of perforation of diverticular sigmoiditis. Retrospective analysis of 32 cases].

A retrospective study of 32 cases. The authors relate about a series of thirty-two cases of diffuse peritonitis, complicating diverticular sigmo iditis in which the etiological features, means of diagnosis and surgical procedures are analysed. According to obtained results, the preference is given to Hartmann's intervention. They are convinced that the better results after that surgical technique are due to the better management of the stercoral peritonitis it offers, taking away the infectious segment. It is neither long to perform nor dangerous and prevents anastomotic fistula in these no-prepared colons. The global mortality of peritonitis in diverticular disease of the colon appears them still very high and they prefer the one stage prophylactic segmentary colectomy after one or two medically treated acute sigmo iditis , particularly in the young patient of who the liability to complications is high.

Aged↗
PubMedDate not supplied

[Conservative treatment of splenic injuries in adults. Conservation or surgery?].

A preservative attitude towards splenic traumatism is globally no more discussed. But the best way to succeed for the general surgeon has to be precise: non operative either coeliotomy for preservative surgery? About 55 observations of splenic traumatisms, the authors compare advantages with drawback of each position and try to show out the factors acting on each choice to aim a preservative score the highest possible. Now the global preservative score is 47%. The non operative proceeding lead 5/12 to failure. 10 preservative surgery initially performed lead to 10 success: preservative surgery, in our hands give the best results. Preservative surgery for a greater number of cases, and mainly for polytraumatisms (or multiple contusions) for which the collaboration of surgeons from different specialties make more difficult, for more stratified, the supervision in case of non operative proceeding.

Abdominal Injuries↗
PubMedDate not supplied

[Classification of inguinal hernias. A personal proposal].

There is no universally accepted classification of groin hernias, so related propositions are still hopeful. The authors examine the justifications and the useful criterias of such a project, the published classifications, and propose their own plan to discussion.

Hernia, Inguinal↗