Biomedical subjects
Publications and source records attributed to E T Mallonga.
Fourteen patients with complete left-sided obstruction of the colon were treated by a one-stage emergency colectomy and primary ileorectal anastomosis. One patient died from anastomotic leakage. In selected patients the method should be considered as an alternative to the staged procedure.
As assistant to Professor Terrier, Henri Hartmann (1860-1952) completed his surgical training at the Hôpital Bichat in Paris, where he was later to become Chief-Surgeon. In 1909 he was appointed Professor of Surgery in the Faculty of Medicine, and in 1914 he became head of the surgical clinic of the Hôtel-Dieu in Paris. It was in 1921 that Hartmann proposed the operation that thereafter was to bear his name. He reported on two patients with an obstructive carcinoma of the sigmoid colon, who, after having received a proximal colostomy, underwent resection with closure of the rectal stump as cul de sac. The operative procedure is described in Hartmann's book Chirurgie du rectum, which was published in 1931. Hartmann retired in 1930, greatly respected both in his own country and abroad.
A retrospective study of 38 patients with Hartmann procedure for acute complicated diverticulitis. Two patients died. Continuity was restored in 30 patients (30/36). With the present mortality (2/38) and a rather low morbidity, the Hartmann procedure can be recommended in acute complicated diverticulitis.
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The surgical technique of implantation of peritoneal catheters for continuous ambulatory dialysis (CAPD) is described and the catheter-related complications are discussed. Our experience with 37 implanted catheters in 27 patients is presented. No mortality was encountered in our series in relation to implantation and CAPD.
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Twenty-five bovine arteriografts were placed in 18 patients for maintenance of haemodialysis. Type of vascular access, complications and their management and long-term results are discussed.
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