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D Midy

Publications and source records attributed to D Midy.

66 records · Page 4Linked to original sources
PubMed1984

The nerve loops crossing below the subclavian artery and their anatomical variations.

60 dissections analysed the variability of three types of nerve loops crossing beneath the subclavian artery : Vieussens' annulus, the anastomotic ansa between the lower laryngeal nerve and the cervical sympathetic, and the anastomotic ansa between the phrenic nerve and the stellate ganglion. The classic disposition of these loops, situated below the artery and present simultaneously, was found in only 10% of the cases. Though Vieussens' annulus was present in most of the dissections, the anastomotic ansa between the cervical sympathetic and both the lower laryngeal nerve and the phrenic nerve corresponds more rarely to the conventional pattern.

Adult↗
PubMed1984

A contribution to the study of the innervation of the sternocleidomastoid muscle.

Studies on the innervation of the sternocleidomastoid muscle have shown the highly variable arrangement of the nerve fibers originating from the accessory nerve (eleventh cranial pair) and cervical nerves which supply the muscle. The results of 100 dissections described in this study confirmed these variations and led to propose a classification of the innervation of the sternocleidomastoid according to three main types. The classical "anastomotic" type of innervation (also referred to as Maubrac's type of innervation) was the most frequent, although present in only half of all cases. Innervation of the sternocleidomastoids in symmetrical fashion was an exceptional finding. The functional attributes of these anatomical variations are discussed.

Accessory Nerve↗
PubMed1983

[Results of endoscopic urethrotomy in the treatment of urethral stricture. Apropos of 72 cases].

Seventy-two patients with strictures of the urethra were treated by endoscopic urethrotomy over a period of 2 years, the strictures being of iatrogenic origin in 37.5% and of undetermined etiology in 22% Important features of this series were the advanced age of the patients (57% between 60 and 80 years) and the iatrogenic nature of the lesion in many cases. Strictures were perineobulbar in 36 cases, of the anterior urethra in 13, multiple or extending in 6, and of the membranous urethra in 17 cases. Retromeatal and cervical strictures were not included. Urethrotomy (at 12 o'clock) was followed by insertion of a urethral catheter retained for 5 days. Complications included one case of severe infection and 2 cases of epididymo-orchitis. Follow-up has been for from 6 to 36 months. Good results were obtained in 41 cases (57%), with absence of dysuria and lack of the need for dilatation. Results were moderate in 9 cases (12.5%), with functional improvement but altered flow and the need for less than 2 dilatations per year. Treatment was a failure in 23 cases (32%), the condition remaining unaltered and requiring either multiple dilatations or a repeat urethrotomy. Overall therapeutic efficacy was 70%, the poorest results being observed in extensive or membranous urethra strictures.

Adult↗
PubMedDate not supplied

[Study of the efficacy and tolerance of imipenem-cilastatin used as monotherapy for the adjuvant treatment to surgery of peritonitis. Results of a French multicenter study including 257 patients].

The antibiotic treatment of peritonitis classically resorts to the association of two and even three molecules. In order to test the efficacy of a single-drug therapy with Tienam* imipenem/cilastatin) as an adjunctive treatment associated to surgery for perforation peritonitis, an open, non-comparative study of 257 patients was carried out in 28 departments. Imipenem is the first beta-lactam antibiotic of the carbapenem family. This antibiotic seems to be particularly useful for the treatment of mixed polymicrobial infections such as peritoneal infections, owing to its activity spectrum covering Gram-positive and Gram-negative, aerobic and anaerobic germs, including strands with multiple resistances (Enterobacter, Pseudomonas aeruginosa, Serratia marcescens, Acinetobacter, Enterococcus and Bacteroides fragilis). A total of 212 patients were assessed with a treatment averaging 7 days. The five most frequently isolated bacteria were Escherichia coli, streptococci, Bacteroides, Proteus and Klebsiella. The healing or improvement rate was 95.3% (202/212). Seven cross-infections occurred during of after the treatment. Tolerance is good in 96% of all cases. Adverse effects were infrequent and mild: the hepatic and hematological alterations never required the interruption of the treatment and they were reversible; the treatment was interrupted in one patient only because of omental tremulation.

Adolescent↗
PubMedDate not supplied

[Endoluminal angioplasty of the superior mesenteric artery in the treatment of intestinal angina].

The authors report about the case of a 69-year-old patient suffering from intestinal angina, in whom an endoluminal angioplasty of the superior mesenteric artery for a stenosis located 3 cm from the ostium allowed suppressing the symptoms. The published series of arterial angioplasty for gastrointestinal care are still rare, but they indicate that angioplasty may be an interesting alternative to or a complement to surgery for patients with intestinal angina.

Aged↗
PubMedDate not supplied

[Peritoneal complications during continuous ambulatory peritoneal dialysis: surgical aspects].

The principal complication of continuous ambulatory peritoneal dialysis (CAPD) is peritonitis in most cases benign and treated effectively by local, specific antibiotic therapy. In some cases, however, the infection fails to respond to medical treatment and surgical exploration occasionally reveals serious lesions such as sclerosing peritonitis or an intestinal perforation. Prognosis is dependent not only on the extent and severity of the lesion but also on the rapidity of operative intervention. The development of an appendicitis, often masked by early antibiotic therapy, represents a particular course of peritoneal infection during CAPD.

Adolescent↗
PubMedDate not supplied

[Contribution of arteriography to diagnosis of secondary arterio-digestive fistulas. Intestinal haemorrhage due to ilio-ileal fistula, a complication in vascular reconstruction (author's transl)].

The authors describe a case of secondary ilio-ileal fistula revealed by an intestinal haemorrhage which occurred ten years after vascular reconstruction. They stress the importance of arteriography which shows up the pseudo-aneurysm causing the fistularisation and vascular contrast material escaping into the digestive lumen. A complete review of the literature on arterio-colonic fistulas, and more particularly, ileo-ileal fistulas, shows that they usually express themselves clinically in the form of digestive haemorrhages occurring generally after vascular graft and after a variable lapse of time. The association of digestive haemorrhage and a previous vascular reconstruction should suggest the diagnosis of arterio-digestive fistula and should lead to early angiography to enable coherent surgical strategy to be put into operation.

Aged↗
PubMedDate not supplied

[Chronic course of rupture of subrenal aortic aneurysms. Apropos of two cases].

We report two new cases of aneurysms of the sub-renal aorta in which rupture was followed by a chronic clinical course. In the first, there was an atheromatous aneurysm which led to chronic lombo-sciatic pain over a period of 15 months before exact diagnosis. The second concerned an aneurysm probably related to Yersinia enterolitica infection which led to abdominal pain over a period of 3 weeks. In both cases, the diagnosis was made on the CT scan and the operation led to the immediate disappearance of the symptomatology. Although a particular entity of sub-renal aorta aneurysms is still under debate, identifying an identifiable subset appears to be justified. Indeed, cases in which a chronic course follows rupture have particular characteristics including the absence of effect on general haemodynamics and an operative risk identical to nonruptured aneurysms. These characteristics differentiate this subset from non-sealed retroperitoneal aneurysms of the aorta.

Aged↗