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Biomedical subjects

D Munck

Publications and source records attributed to D Munck.

12 recordsLinked to original sources
PubMed2003

[Limb edema and lymphoscintigraphy].

Lymphoscintigraphic investigations represent techniques of nuclear medicine very contributive for the management and treatment of the limb edemas, either primary or secundary. Their principle is presented and methodologies proposed in the literature are reviewed. Their diagnostic contributions are detailed. The sensitivities and specificities of several protocols of investigation are reported. Some limitations of these examinations are analyzed and discussed. Clinical indications for their use are proposed and their interest with regard to the various treatments that can be applied to these limb edemas is discussed.

Adult↗
PubMed2003

[Lower limb edema and steatorrhea: value of scintigraphic technics].

The authors report the case of a young woman with right lower limb edema who also presented one steatorrhea. Her clinical history is typical for one primary lymphedema and the lymphoscintigraphic investigation of the lower limbs confirms the diagnosis. The scan showed the absence of the right iliac and lomboaortic lymph nodes but also that the thoracic duct was normally present. One C14-triolein breath test is pathological and proves the malabsorption of the fats. The authors discuss the interest of the scintigraphic techniques in such case and review the problem of the association between lower limb lymphedemas and fatty malabsorption.

Adult↗
PubMed1985

[Mercury strain gauge plethysmography. A noninvasive exploration method for monitoring the efficacy of treatment of deep venous thrombosis].

The plethysmographic tracings of a patient presenting a deep venous thrombosis, give information about the functional evolution of the affected limb. The plethysmographic parameters which are used to estimate the efficacy of the treatment of the deep venous thrombosis are: the venous capacitance, the venous outflow and the venous pressure. These values are always compared with the contralateral limb. The decision to stop an anticoagulant treatment is made after observing an increase of the venous capacitance and outflow and, simultaneously, a decrease of the venous pressure. During the last three years, we have followed up 200 patients with this method. It allows a rational therapeutic management which is based on the objective monitoring of the functional potentialities of the venous system.

Adolescent↗
PubMed1984

[Aneurysm ruptures of the abdominal aorta].

Rupture of an abdominal aortic aneurysm remains a dramatic complication and its operative mortality is still about 50%. The authors reviewed 41 cases of ruptured abdominal aortic aneurysms which were operated from 1978 to 1983. On arrival at the hospital and after clinical diagnosis, the patients were rapidly brought to the theatre without specialized complementary examinations. Coated Dacron prostheses were used in all cases. The operated patients were brought to the intensive care unit where special attention was given to central venous pressure, arterial pressure and capillary wedge pressure (Swan-Ganz-catheter). The authors tried to determine the influence of shock, preoperative delay, blood loss, age and associated diseases on the mortality rate. In this series the perioperative mortality (30 days) could be reduced to 39%.

Aged↗
PubMedDate not supplied

[Cutis marmorata telangiectatica congenita. Apropos of 4 new cases].

Cutis Marmorata Phlebectasica is a rare congenital disorder characterized by persistent erythrocyanotic mottled areas associated with superficial phlebectases with cutaneous atrophy and ulcerations. The anomaly is present at birth. Spontaneous improvement is the rule. Four cases are described with vascular investigations, coloured echo-Doppler and phlebography. The deep venous tracts are shown to be dilated. Reflux is shown to the superficial veins.

Child↗
PubMedDate not supplied

[Effect of "anti-thrombosis" stockings on the venous hemodynamics of the lower extremities. Study using mercury gauge plethysmography].

Study by plethysmography with mercury gauge. The authors have analyzed the effects of "anti-thrombosis" stockings on venous hemodynamics of 18 lower extremities, by plethysmography with mercury gauge (Periflow J.S.I.). With this method, they delineate the limits of efficacy of the use of only elastic stockings as prophylactic treatment of the thrombo-embolic disease in immobilized patients.

Clothing↗
PubMedDate not supplied

[Management of mycotic aneurysms. Apropos of 3 cases].

The diagnosis of mycotic aneurysms remains rather difficult. When a mycotic aneurysm is found, two therapeutic measures should be taken without delay: on the one hand an antibiotherapy which is started preoperatively and continued at least six weeks postoperatively, and on the other hand a surgical intervention. In this review, the authors present three types of operations: ligation and excision of the aneurysmal mass, restoration of the arterial tree with a venous graft or extra-anatomical bypass with prosthetic material.

Aged↗
PubMedDate not supplied

[Microbial contamination of the bile and its effects on the course of the surgical wound after cholecystectomy].

From a series of 58 cholecystectomies for chronic cholecystitis or for asymptomatic cholelithiasis, the authors have retrieved: 1) gall microbial contamination in 15,5% of the samples under study; 2) a complicated evolution--according to criteria defined for this research--of the operative wounds in 37,5% of the cases with positive gall cultures, and in 11% when the gall was sterile. It is the authors' opinion that cholecystectomy shows an actual septic risk, even in a non-acute clinical stage.

Adult↗