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Biomedical subjects

J A Dortu

Publications and source records attributed to J A Dortu.

7 recordsLinked to original sources
PubMed1997

[Treatment of varicose veins of the lower limbs by ambulatory phlebectomy (Muller's method): technique, indications and results].

Ambulatory phlebectomy, first described by R. Muller in 1996, is now considered to be one of the major treatments of varicose veins, either alone or in combination with surgery and sclerotherapy. The first objective of this article is to recall the technique of ambulatory phlebectomy. The second objective is to specify the indications of this method based on the results of a prospective study started 5 years ago. In 1992, we performed 897 successive ambulatory phlebectomies. Inclusion criteria in this study were based on clinical findings and pulsed Doppler ultrasound. Patients were reviewed after one month, six months, then annually until 1996 (clinical examination and pulsed Doppler ultrasound). The results of the technique were analysed as a function of the varicose territory treated. In conclusion, ambulatory phlebectomy has traditional indications (non-saphenous varicose veins, varicose veins of the foot, external pudendal varicose veins). Ambulatory phlebectomy can also be used as treatment for saphenous varicose veins when the saphenofemoral junction is continent or absent or when the saphenous termination is simple.

Adult↗
PubMed1984

[Atypical mycobacteria and mycobacteriosis].

Atypical mycobacteria were isolated from 16 patients admitted to the Versailles Hospital Center over a two-years period (1981-1982). Two cases of pulmonary disease due to M. avium-intracellulare and one case of skin disease due to M. marinum were diagnosed. Pulmonary infection remained doubtful in two patients despite repeated recovery of M. Kansasii and M. chelonei.

Adult↗
PubMedDate not supplied

[Indications for ambulatory phlebectomy].

The indications of Out-Patient Phlebectomy have been defined and confirmed. These indications are multiple and cover broad range. Anatomical indications concerning the lower limb essentially concern: primary varicose veins, residual varicose veins after surgery, varicosities affecting long or collateral veins, systems at the top of the thigh or in the popliteal fossa, varicose veins of the foot. Indications concerning the upper limb, abdomen and face must be carefully weighed. In a context of post-phlebitis, meticulous analysis of hemodynamics and careful monitoring are required. Superficial thrombophlebitis is a good indication for out-patient phlebotomy. Decisions concerning esthetic indications must be based upon a certain number of criteria: informed consent of the patient, assessment of general risk factors, assessment of esthetic risk factors.

Ambulatory Surgical Procedures↗
PubMedDate not supplied

[The external pudendal veins. An anatomo-clinical study, their treatment by ambulatory phlebectomy (Muller method)].

Forty-one cases of E.P. varices (bilateral in 3 cases) were identified after examining 1371 patient histories followed up between 1985 and 1989 inclusive, i.e., 2.99 percent. Analysis of the history, clinical signs and Doppler and arguments based on the practice of ambulatory phlebectomy of the thighs made it possible to establish an accurate anatomical description of these somewhat poorly understood venous territories: simple or complex origin, principal or secondary saphenous ending and non-saphenous endings, supramelic, para-public, labial and perineal connections, extensions into other territories, defining major EP varicoses. Physical-pathological investigation can establish the frequently autonomous nature of these EP varicoses. The high incidence of primary reflux, their wide distribution along the varicose axes prolonged over 1 to 3 segments of the limbs, characterize the 37 cases of major EP varicosis. Therapeutic analysis reveals: the inadequacy of surgery and sclerosis in severe cases, the efficacy of ambulatory phlebectomy (A.P.) AP presents specific characteristics of method and bandaging related to the quality of the skin and venous tissue and the EP site. Thirty APs were carried out with very good anatomical, functional and aesthetic results.

Adult↗
PubMedDate not supplied

[Neurological problems in the aged subject].

The neurological problems in elderly patients are dominated by cerebral vascular accidents and dementias. The incidence and the prevalence of cerebral vascular accidents has greatly decreased following measures of primary, secondary and tertiary prevention. The problem raised by dementias is one of a positive diagnosis (presently according to DSM III criteria) and mostly the problem of the differential diagnosis, i.e. the diagnosis of curable dementias or "false dementias".

Aged↗