[Reimplantation of extremities].
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Biomedical subjects
Publications and source records attributed to A Gilbert.
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The effect of injections of gammaglobulins 16 Mérieux (1 ml/kg) was studied in 9 patients aged from 1 to 35 years suffering from epilepsy resistant to conventional anticonvulsant treatment. Different types of epilepsy were studied to try to discover a possible indication as a function of the type of epilepsy. Results were assessed according to the patients' behaviour, the frequency and severity of clinical fits, the results of psychological tests, and EEG tracing recorded over long periods of time. Recordings were repeated every 2 to 3 weeks. Favourable results were observed in 7 cases with: --an increased rate of sleeping and waking EEG tracings, --a reduction in the percentage of paroxysms whatever the wakefulness stage, --alterations in the percentages of some sleep stages. The possible mechanisms of action of IgG are discussed.
A 37 year-old-man with suppurative pseudoarthrosis of the leg with major loss of skin and bone substance, cure was cured by the autotransplant of a cutaneous-osseous block taken from the iliac crest, its vascularisation being ensured by microanastomosis of its vascular pedicle.
Microneurovascular flaps from the first web space of the foot offer a solution to upgrade sensibility of the denervated hand. Based on the dorsalis pedis artery, it allows simple dissection and a large vessel for easy and safe anastomosis. Seven cases are presented in which combinations of the first web anatomy for a variety of denervation injuries were used. The technique is ideally suited in those cases where no areas of island flap tissue are available for transfer.
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After developing some basic techniques of lymphaticovenous anastomoses in 60 dogs, a further study of these anastomoses in the greyhound was performed with a patency rate of 74 per cent a 1 week and 66 per cent between 6 and 12 weeks. Points of technique and causes of failure are discussed. The use of this method in the treatment of early secondary lymphoedema is mentioned.
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