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Biomedical subjects

G Monfort

Publications and source records attributed to G Monfort.

At least 37 records · Page 2Linked to original sources
PubMed1989

[Food poisoning by scombroid fish (tuna) in a communal dining room of a company].

We report a collective tuna fish poisoning which developed on June 10, 1988, in a staff dining room in Castellón. Twenty-one people were involved (attack rate 42.9%). The major symptoms were diarrhea, abdominal pain, headache, facial flushing and oral burning. The mean duration of the symptoms was 15 hours. The ingestion of tuna fish was significantly associated with the illness (p less than 0.001) when the other foodstuffs were controlled. Tuna fish had been defrosted at room air temperature during 14 hours. The analysis of several foodstuffs (there were no tuna fish remains available) and the food handling staff did not disclose pathogens. We discuss the etiology, pathogenesis, epidemiology and control of this type of food poisoning.

Animals↗
PubMed1989

[Pediatric organ transplantation].

Since we started our pediatric kidney transplant program in 1970, we advocate children's transplantation to be performed in pediatric surgery units. Recent progress in immuno-suppression with ciclosporine and in operative procedures lead us to extend the program to liver transplantations in 1986, then to heart and lung transplantations in 1988. The Pediatric Transplant Unit was designed to assume the pre-operative evaluation of the recipients and the post-operative course of transplanted patients, closely connected to all specialists dealing with medical and surgical diseases of children. 29 patients were transplanted (kidney: 8, liver: 14, heart: 1, lungs: 6) with a 83% overall survival rate. The goal of this paper is not to discuss and compare indications or results with others series. Through our experience of pediatric organ transplantation, we shall try to point out the main advantages of a Pediatric Transplantation Unit: it optimizes the management of the rare pediatric donnors, and allows better skill and efficiency of the numerous specialities concerned by organ transplantation, such as intensive care, infectiology, immunology, radiology... The common medical and para-medical staff, common operative theater, and common use of equipment in the same department for transplantation of different organs is also an important matter to be considered now in term of cost-effectiveness.

Adolescent↗
PubMed1989

[Urologic complications secondary to sacral agenesis].

In a series of 41 cases of caudal regression syndrome, 6 cases of misdiagnosed partial sacral agenesis are reported. All had been previously treated surgically and only poor results led to diagnosis. Major symptoms were recurrent urinary tract infection and/or incontinence. Associated anomalies were ano-rectal malformations (1 case), male hermaphrodism (1 case), lipoma and tethered cord in 3 patients, myelocystocele in 1 case. Neuro-surgical associations must be cured first. Urologic implications are the same as in other forms of neurogenic bladder. The authors stress the need for careful examination of plain standard X-rays.

Child↗
PubMed1988

Ureteropelvic junction obstructions: prenatal diagnosis and neonatal surgery in 47 cases.

In a series of 150 patients with congenital urologic disorders diagnosed in utero and managed in the neonatal period from 1980 to 1985, 48 cases were ureteropelvic junction obstructions. One was a false positive, and 47 were documented pyelocaliceal distension and retention; 12 of them were bilateral. Five cases had a spontaneous resolution. Three had a nephrectomy performed (destroyed kidney). Fifty kidneys have been operated on (Anderson-Hynes dysmembered pyeloplasty). Ninety percent of the cases are reported as clinically, biologically, and radiologically fair. Six percent postoperative complications are reported. The authors pointed out the great interest in neonatal repair of this condition, using microsurgical techniques without stent or nephrostomy. A comparison is made of the overall results with an identical series of older patients operated on during the same period.

Female↗
PubMed1988

The Mayer-Rokitansky syndrome. Report of 5 cases.

Five cases of uterus didelphys, unilateral imperforate vagina and ipsilateral renal agenesis are reported with a follow-up from 1 to 5 years. Diagnosis included typical revelation at puberty (2 cases) but also in the first months of life (2 cases). One case was only diagnosed at the age of 6 years, and the presence of an ectopic ureter was noted in the imperforate vagina. The authors point out the necessity of precise evaluation and careful management in order to maintain an intact reproductory tract. Simple excision of the septum is recommended which can most of the time be done by the vaginal approach.

Adolescent↗
PubMed1988

[Artificial urinary sphincter in the treatment of neurogenic bladder in children].

Over a two years period, the model AS 800 artificial urinary sphincter was implanted in 10 children (mean 14 years old) with incontinence due to a neurogenic bladder (7 spina bifida; 3 sacral agenesis). Goal of continence was achieved in 100% of 7 boys and 3 girls with a follow up between 6-32 months (mean 17 months). Patients selection was rigid and incontinence have failed to response at pharmaceutic manipulation (6) intermittent catheterisation (5) and previous classical surgery enterocystoplasty (2), Young-Dees procedure (1). Age minimum was 8 years. All sphincters were implanted around the bladder neck. Associated surgical techniques were performed in 4 cases: 2 detubularized enterocystoplasties, 1 Teflon injection for vesico ureteral reflux, 1 closure of previous cystostomy. Sphincterotomy was never done. 5 patients are submitted post implantation to intermittent catheterisation without any problem. 2 patients required one revision. Nocturnal desactivation is used in 2 cases. Authors focus on the necessity of correcting previously or at the time of implantation bladder compliance and vesico ureteral reflux.

Adolescent↗
PubMed1988

[Magnetic resonance imaging of high anorectal malformations. A preliminary study apropos of 15 cases].

High level ano-rectal anomalies were evaluated by Magnetic Resonance Imaging (MRI) in 15 patients. One neonate and two infants were evaluated preoperatively. Sagittal slices identified properly the blind rectal end in the 3 cases. Associated anomalies (tethered spinal cord, right ectopic kidney in 1 case, recto-urinary fistula in another case, upper excretory dilatation in 2 cases) were found during the same examination. In the post-operative period (12 cases), major data were obtained on axial transverse slices. When pulled-through intestine is outside the levator sling, re-do-surgery can be indicated. MRI appears as an accurate tool to assess these anomalies.

Adolescent↗
PubMed1987

Transverse island flap and double flap procedure in the treatment of congenital epispadias in 32 patients.

According to major reports in the literature satisfactory cosmetic and genital results after correction of male epispadias have been achieved in only 50 per cent of the patients. Since 1976 we have been using the Duckett transverse island flap principle adapted to epispadiac anatomical conditions. The original technique was used in our initial 18 patients and the Asopa double flap technique was performed in the subsequent 14. Excellent results were obtained in both series. However, there was a high percentage of fistulas that required secondary repair. The techniques and results are described.

Abnormalities, Multiple↗
PubMed1986

[Enterocystoplasty in the treatment of neurological bladders. Can the results be improved?].

Over a period of 3 years. 10 cases of enterocystoplasties have been done in congenital neurologic bladder in children. Seven patients have been operated using sigmoide (6), caecum (1) in their tubular form. In the last 3 cases sigmoide was used as a patch without any resection of the bladder. Post-operative urodynamic testings were better with sigmoide patch. The authors pointed out this technique.

Adolescent↗
PubMed1985

Endoscopic treatment of ureteroceles revisited.

Cystoscopic incision for the treatment of ureterocele is a controversial procedure. With the advent of prenatal diagnosis of obstructive uropathy, neonates with asymptomatic ureteroceles are being encountered. We discuss several situations in which transurethral cystoscopic incision of the ureterocele may have merit.

Cystoscopy↗
PubMed1985

[The reno-calyceal index. Radiological evaluation of pyelocalyceal distensions in children].

The ratio length of one kidney width of the lower calyx, measured pre and post-operatively, is proposed as an objective index to assess the result of pyeloplasty in surgical treatment of hydronephrosis. Statistical approach on a series of 25 children with unilateral hydronephrosis and normal contralateral kidney has demonstrated the reliability of this index to determine the evaluation of the dilatation in the post-operative period. An increase of the ratio was present in all cases in which the result of surgery, as far as distension was concerned, was satisfactory.

Adolescent↗
PubMed1985

[Simplified treatment of ureteroceles].

Out of series of 95 ureteroceles in a 15 years period, 17 cases have been treated by simplified method, either endoscopic (7 cases) or polar nephrectomy alone (9 cases). Endoscopic incision alone can be used. In neonates with ureterocele simplex (4 cases cured with no secondary reflux). To assess upper pole function in ureterocele duplex (followed by reconstruction or nephrectomy). To drain some very difficult cases (bilateral, infected). In our experience, the upper heminephrectomy alone as a simplified approach of this pathology has failed in the vast majority of cases, leading to a secondary intervention to cure the intra vesical pathology. It is our opinion that this approach must be restrained to the cases of intra cervical or intra ureteral, the secondary pathology will almost lead to a secondary trans vesical approach with is neither more difficult nor easier that a primary one. Herein is described the present position of the authors concerning rare indication of these simplified approach.

Endoscopy↗
PubMed1982

Transvesical approach to utricular cysts.

Utricular cyst is an uncommon problem, mainly encountered in intersex conditions and is usually asymptomatic. These lesions have been classified in three main groups following the degree of masculinization by Howard. Three of our patients nevertheless have presented with very severe utricular and urinary infections, one of these having developed a scrotal fistula. Another was incontinent due to intra-utricular trapping. The first patient was operated upon by a perineal approach which we found extremely difficult. The next two patients were operated by a transvesical approach which offered many advantages: excellent exposure, ease of surgery, good reconstruction, and no sequellae.

Child↗