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Biomedical subjects

C Pau

Publications and source records attributed to C Pau.

5 recordsLinked to original sources

[The development of our therapeutic concept in the treatment of ulnar epicondyle fractures].

50 patients with epicondylus ulnaris fractures are analysed. 4 types of fracture are recognised. The results of therapy are often described in literature much more optimistically than in reality. The first critical examination and the selection of therapy, mostly a surgical intervention, had a great influence on mobility of the elbow joint, on strength and subjective perception. The results could only be assessed after three years. Complications of concomitant injuries - nerve lesion and ligament/capsule structures - were discussed with regard to surgical approach.

Arthrography↗

[Cystohepatic ducts. Surgical problems and review of the literature. About 10 operated cases (author's transl)].

The authors are reporting 10 cases of operated cystohepatic ducts. In each case there is a unic duct, leading five times in the gallbladder, and once in the cystic duct. In 8 cases this abnormality was shown intraoperatively. In 2 cases the diagnosis was only given during the surgical procedure, when a fistulography was performed. In one case it was necessary to reoperate. In four cases during the cholecystectomy we had to ligate the cystohepatic duct. In order to argue these cases, a literature review was done: 42 cases were found. The ligation of a cystohepatic duct is in most cases without consequences. the different ways of restoration are studied when large ducts are found. The best treatment of such an abnormality seems to be an anterograde cholecystectomy associated to a systematic drainage of the gallbladder region.

Adult↗

[Surgical management of sequelae from duodenal stenosis and atresia in the neonate (author's transl)].

Surgical sequelae from duodenal atresia treated by gastrojejunostomy or duodenojejunostomy are rarely encountered. They usually appear in the late course of gastrojejunostomies. They are related at the duodenal distension above the stenoses which constitute a poorly drained "blind-loop" usually developed from a side to side anastomosis as observed in the small bowel. The following complications, related to the duodenal pouch have been reported in the literature: peptic ulcer, duodenitis or gastritis, abdominal pain, dumping syndrom and malnutrition. One patient developed a gangrenous calculous cholecystitis at 10 years of age. 3 patients under went revision of their previous surgery because of sequelae. One had duodenal atresia above the ampulla, one had an anular pancreas: in one the duodenal atresia was at the ligament of Treitz. All patients had a revision according to our technic described in Annales de Chirurgie Infantile, consisting in: --calibration of the duodenal pouch --end to end or end to side duodeno-duodenal anastomonsis --suppression of previous anastomosis. A good result was obtained in all 3 cases.

Blind Loop Syndrome↗