PubMed Health⌕ Search

Biomedical subjects

F Muysoms

Publications and source records attributed to F Muysoms.

8 recordsLinked to original sources
PubMed1998

The use of extracorporeal membrane oxygenation in postpneumonectomy pulmonary oedema.

A 59-year-old male developed a severe adult respiratory distress syndrome following a right pneumonectomy for pulmonary cancer. Extracorporeal membrane oxygenation for 11 days was life-saving. The operation was considered curative, but the patient died nine months later with multiple metastases. The pathogenesis and treatment for postpneumonectomy pulmonary oedema and an explanation for rapid dissemination of the cancer are stated.

Adenocarcinoma↗
PubMed1997

Intratracheal ectopic thyroid tissue mass.

A diagnosis of severe stridor due to a subglottic tracheal mass was made in a 62-year-old woman. The tumor was removed by external transtracheal surgery, and the pathologic study disclosed that it was intratracheal ectopic thyroid tissue. In this particular case, 10 years prior to the onset of the stridor, normal thyroid tissue was seen in biopsy specimens of the same subglottic localization. Although the pathogenesis of a mass composed of intratracheal thyroid tissue is not known, this case shows that it can be a slowly progressive tumor that is asymptomatic for several years.

Choristoma↗
PubMedDate not supplied

Laparoscopic intraperitoneal repair of incisional and ventral hernias.

BACKGROUND: After reports in the literature on the safety and feasibility of laparoscopic repair of ventral hernia, and with the potential advantages of the minimal invasive approach, we started to perform this technique in 2001. This study was done to evaluate the results of our initial experience. METHODS: From March 2001 to October 2003, all patients with a ventral hernia greater than 4 cm were planned to have a laparoscopic repair. Patients were studied retrospectively, collecting data on preoperative and intraoperative variables, complications and recurrences. RESULTS: In 49 patients, out of 52 patients planned, laparoscopic repair was performed. The indication was incisional hernia in 88% and recurrence after open hernia repair in 43%. The mean hernia surface area was 86,6 cm2 and 43% had a width greater than 10 cm. There were no intraoperative complications and the mean operating time was 103 min. Postoperative complications were seen in 9 patients (18,4%). Mean hospital stay was 5,9 days. Mean follow-up was 14,3 months. Late complications were seen in three patients (6,1%). Recurrence was present in one patient (2,0%). CONCLUSIONS: Laparoscopic repair of incisional and ventral hernia is a safe alternative for open mesh repair. Further definition of indications is needed, based on the dimension and the localization of the hernia. If the omission of transabdominal wall sutures improves the postoperative course with no adverse effect on recurrence rate, will be the subject of a randomized trial we have started this year.

Adult↗
PubMedDate not supplied

Thoracoscopic talc pleurodesis for the treatment of spontaneous pneumothorax.

BACKGROUND: During the Belgian Surgical Week in May 2004 some controversy existed on the optimal treatment of spontaneous pneumothorax. Doubts raised about the safety of talc in performing pleurodesis because of reported complications. METHODS: A retrospective analysis of a consecutive series of thoracoscopic pleurodesis with talc was performed. Patients operated for spontaneous pneumothorax were analysed focusing on complications and freedom of recurrence. A literature search was performed on complications from the use of talc to treat pleural disease. RESULTS: From September 1999 till August 2004 forty-one patients had a thoracoscopic pleurodesis with talc. In 21 patients this was performed for recurrent malignant pleural effusion and in 20 for spontaneous pneumothorax. In 5 of these 20 patients we faced a secondary spontaneous pneumothorax. In seven patients an apical pulmonary wedge resection of bullae was performed. No intra-operative or serious postoperative complications were seen in these patients. All drains were removed after 4 to 6 days. No episodes of respiratory insufficiency occurred. No recurrence was encountered during a mean follow-up of 22.7 months. CONCLUSION: Thoracoscopic talc pleurodesis for spontaneous pneumothorax was effective and safe in our experience. In the literature no convincing evidence against the use of talc to treat pleural disease was found. Although some cases of ARDS are attributed to the pleural administration of talc, the incidence of complications after talc poudrage appears to be low.

Adolescent↗
PubMedDate not supplied

Technical note: the use of arterialized arm veins in infrainguinal bypass.

In order to augment the vein donation area of arm veins for infrainguinal bypass, we performed an arteriovenous AV fistula prior to the revascularization procedure. This technique was used in 5 patients. The diameter enlargement of the vein obtained by this technique enabled us to construct completely autologous grafts with gratifying results.

Aged↗
PubMedDate not supplied

Muscle-saving lateral axillary thoracotomy.

Seventy-five consecutive thoracotomies through a lateral axillary thoracotomy incision are reviewed. The limited approach is a muscle-splitting incision with preservation of the Latissimus Dorsi and Pectoralis Major muscles and splitting of the Serratus Anterior muscle. Detailed description of the operative technique is given, and a review of morbidity and mortality is included. We conclude that the lateral axillary incision is a good alternative to the standard postero-lateral approach, as it provides excellent visibility and allows for all pulmonary surgical procedures, with minimal postoperative discomfort.

Adult↗