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C Frileux

Publications and source records attributed to C Frileux.

16 recordsLinked to original sources

[Periphlebitis].

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Humans

[Venous bypass on the opposite side (Palma's operation). Preoperative evaluation. Technical variants. Indications and results].

Permanent obstruction of an iliac vein may produce serious consequences. Palma's operation of inter-femoral transposition of the internal saphenous vein on the opposite side, has permitted numerous improvements, but may lead to 30 p. 100 failures. Temporary arterial blood supply to the area increases the operative risk and requires a second stage operation for suppression of the fistula, but it maintains permeability of the by-pass, if correctly performed. The indications should thus be drawn up with circumspection and one may regret that such extensive venous lesions had not been prevented or treated actively as soon as they started to develop.

Femoral Vein

[Direct approach for bypass of the distal deep femoral artery. The supra mediocrural route].

The medio-femoral route permits a simple, direct approach to the distal part of the profunda femoris artery outside Scarpas triangle, i.e. below the first perforating artery. The quadriceps femoris and sartorius muscles are separated. This segment may reach the lower part of the popliteal artery through various collaterals supplying the muscle and nerve arteries and, hence, the leg. In selected cases with severe ischemia and absent femoral pulse, a by-pass operation carried out at this level permitted one to obtain a satisfactory arterial blood supply to the leg and foot. Used in only three patients, with a follow-up of several months, we cannot yet draw final conclusions, but the quality of the early results is evidence for the interest of the method.

Aged

[Philosophy of the treatment of intermittent claudication].

Everything points to the prime importance of good health habits and the prevention of risk factors. Long-term medication has only a limited and still questionable impact. Surgery will never be proposed straight off, but only if the claudication is persistent and troublesome in an active individual. Lumbar sympathectomy always provides a degree of improvement and entails a minimal risk. There is no secondary deterioration. Yet in cases of associated phlebites, it can aggravate trophic skin problems. Reconstructive surgery gives far better immediate results but at the price of increased risk and a secondary deterioration that makes difficult repeat operations necessary. It is thus necessary to be very careful in using surgery to deal with intermittent claudications.

Humans