PubMed Health⌕ Search

Biomedical subjects

J C Schmitt

Publications and source records attributed to J C Schmitt.

15 recordsLinked to original sources
PubMed1978

Operative injuries to the bile ducts. Report on 12 cases.

We have reported on a series of 12 operative injuries to the bile ducts. We estimate the frequency of these accidents at 0.2% during cholecystectomy and 0.4% after gastroduodenectomy. We stress the importance of systematic cholangiography during the operation to prevent unrecognized lesions. Immediate repair of these lesions by an end-to-end anastomosis appears to be the best technical method. When faced with a high mortality rate, often due to non-recognition of a lesion, we stress the importance of prevention to limit the risk of such accidents occurring and non-recognition of those that do occur.

Adult↗
PubMed1977

[Volvulus of the ascending colon. Apropos of 5 cases].

The authors report five cases of volvulus of the right side of the colon, including 3 with complications, which required segmental colonic resection. They recall the diagnostic and therapeutic problems, emphasising the interest of barium enema, the necessity of early diagnosis, the high level of mortality and the treatment of choice which is right hemicolectomy.

Adult↗
PubMed1976

[Acute cholecystitis without stones (author's transl)].

The authors report on ten cases of cholecystites without stones. Two were typhic in origin, six apparently primitive, one postoperative and one posttraumatic. They stress the importance of histologic lesions in each of these etiologies and insist on the high frequency of gangrenous forms in postoperative and posttraumatic cases. Previous antibiotherapy deserves no credit. Emergency cholecystectomy remains the best treatment.

Abdominal Injuries↗
PubMedDate not supplied

[Not Available].

Explore the source record for details and available documents.

Death↗
PubMedDate not supplied

[Operative wounds of the main biliary tract: immediate repair (author's transl)].

The authors report a series of eleven surgical wounds, all immediately repaired. They consider the frequency of these biliary accidents to be 2% in cholecystectomies and 4% in gastrectomies. In such instances end-to-end suture seems the first choice procedure with the best longterm results. They stress the importance of prevention methods that will help to limit the risks of such operative accidents and not to overlook them, should they occur.

Adult↗
PubMedDate not supplied

[Accidental papillary disinsertions during gastroduodenectomies. Report of two cases (author's transl)].

This is a report of two accidental papillary disinsertions. The first had a good result up to 23 years after a duodenal reimplantation. The second, referred from elsewhere was reimplanted in a pediculated intestinal segment interposed between the papilla and the afferent loop of the gastrectomy : the result ten years after is favorable. The authors stress the difficulty of recognizing an unexpected disinsertion and insist on the necessity of an early reoperation. Despite the optimism of some statistics there are serious operative complications. The best prevention in the surgical treatment of low situated duodenal ulcers remains a vagotomy associated to a gastric suction.

Ampulla of Vater↗