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Biomedical subjects

A Sibilly

Publications and source records attributed to A Sibilly.

At least 37 records · Page 2Linked to original sources
PubMed1980

[Peritoneal hemorrhage following spontaneous rupture of a liver containing a hepatoma (author's transl)].

Two cases of a rare complication of this tumor have been reported. A hepatoma can provoke an intra-peritoneal hemorrhage in two different ways: either by tearing through the hepatic tissue which surrounds it or by necrosis and hemorrhage of the tumor itself. This complication may be the initial symptom and may require emergency surgery. Local hemostasis if often precarious and does not resolve the underlying oncological problem. At best, survival is limited to several months. Rapid removal of the tumor seems to be the only means of prolonging survival although there is not yet much data on this in the literature. At any rate the poor general condition of the patient, the frequent multiplicity of the tumoral locations and the habitual cirrhotic nature of the rest of the liver would rule out any possible surgical removal in 90% of cases. In the remaining 10% where surgery is possible, the average survival rate is 13 months.

Aged↗
PubMed1980

[Effects of an original protective solution for acute ulcers on a chronic gastric ulcer lesion. Experimental study (author's transl)].

On 200 Wistar white rats the authors experiment the effects of an original solution administered by the mouth on the evolution of a chronic gastric ulcer experimentally induced. This solution tuning for the prevention or the treatment of the stress ulcer seems to aggravate the chronic ulcers in the way of formation but on the contrary accelerates in a way highly significant the cicatrization of constituted chronic ulcers. The local and general effects of different components of this solution produce these double actions and do not contraindicate its clinic utilisation.

Animals↗
PubMed1978

[Flexor tendon grafting. The use of a modified Hunter's technique (author's transl)].

The authors describe a modification of Hunter's technique of flexor tendon grafting. The operation is performed in two stages. At the first stage, a silastic prosthesis is inserted and the proximal end of the flexor digitorum profundus is sutured to the tendon of palmaris longus. This suture will represent the proximal suture of the future graft. At the second stage, six weeks later, the palmaris longus is divided proximally and the graft is passed distally to be sutured to the terminal phalanx. This modified technique allows a gain in time, a better blood supply to the graft and a safer proximal suture.

Fingers↗
PubMed1976

[Peritoneal irrigation-dialysis as a complement to the treatment of systemic acute peritonitis].

A series of 30 cases of post-operative peritoneal irrigation dialysis for generalised peritonitis. In the light of peritoneal physiology, details are given of the technique for insertion of the peritoneal drains as well as the composition of the dialysate. In addition to its mechanical role, continuous lavage of this type is useful in restoring and maintaining water and electrolyte balance, the limitations of which are described, together with a direct anti-infectious action and temperature equilibration. P.I.D. seems to be associated with a considerable reduction in mortality from acute generalised peritonitis (1 case out of 30). It also limits morbidity, since only 5 minor complications were seen. The simplicity and harmlessness of the method makes it possible to widen, without major reservations, the scope of therapeutic solution to the problem of acute generalised peritonitis.

Acute Disease↗
PubMed1976

[Pheochromocytoma and Recklinghausen's cutaneous neurofibromatosis. Localizing value of abdominal reflexes in a case].

The authors present a case of pheochromocytoma observed in a 49 year old man suffering from the cutaneous form of von Recklinghausen's disease. In this patient, they noted the constant absence of the inferior abdominal cutaneous reflex on the right side, contrasting with the briskness of the other abdominal cutaneous relexes. From this they concluded that the chromaffin tumor was very probably situated in the right adrenal region. This hypothesis was confirmed by retro-pneumoperitoneum, selective arteriography and finally surgical intervention. After having reviewed the essential medical data from the literature concerning the conditions associated with pheochromocytoma and especially phacomatosis, and having looked at the problem of hypertension related to neurofibromatosis, they make a critical study of the behaviour of the abdominal reflexes in case of pheochromocytoma and emphasize the part that it is possible to draw from this in view of its' topographic diagnosis. The present case is the fourth in which one of the authors has noted the abolition of the inferior abdominal reflex on the side corresponding to the site of the pheochromocytoma.

Adrenal Gland Neoplasms↗
PubMed1975

[Routine gastric fiber endoscopy in severe head injuries].

Gastric lesions in severe cranial trauma are almost constant, whether the patients have bled or not. Routine fiber endoscopy in 63 cases permited the authors to discover various types of lesion, some in association, whether diffuse or localised, e.g. oedema or congestion, viz. congestion, purpura, various sized ulcers, usually situated high up in the stomach, sometimes in the antrum ; their course, whether rapid or not, was often intermittent. Endoscopy is the best method of diagnosis permitting appropriate treatment.

Adolescent↗