[Normovolemic hemodilution (preliminary study)].
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Biomedical subjects
Publications and source records attributed to B Fall.
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Penetrating neck wounds are those which imply involvement of the platysma. For a long time the prerogative of wartime surgery they are now tending to become more frequent in civil practice. As with penetrating abdominal wounds they are serious and provoke varied lesions. Lesions encountered in the 4 cases reported affected vital structures such as the internal carotid artery, larynx, trachea, and esophagus. The main causes of these injuries: aggression, road or work accidents, attempted suicide, are summarized. These wounds raise, therefore, the problem of their repair, and thus of their exploration, which is tending to become systematic. However, though these injuries may be very impressive they can still be treated without major difficulties, on the condition that they be entrusted to an experienced cervicofacial surgeon.
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Postoperative wound healing is studied after tracheal suturing in 5 primates operated on in two stages. First by double level hemisection comparing continuous and interrupted sutures with polydioxanone. In a second stage: comparison of continuous sutures after tracheal segmental resection. The tracheas were harvested sequentially to study the evolution of the sutured zone by measuring its diameter and by histopathologic examination. The reduction of the tracheal diameter observed was not statistically significant after hemisection using continuous (p = 0.7) or interrupted sutures (p = 0.6). But after tracheal resection the stenosis was significant with continuous sutures (p < 0.05). Histologic study revealed that polydioxanone is well tolerated and is absorbed within 26 weeks. The authors recommend the use of continuous sutures to repair simple wounds and of interrupted sutures after tracheal resection anastomosis.