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J Dortu

Publications and source records attributed to J Dortu.

8 recordsLinked to original sources
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

[Clinical anatomy of collateral varicose veins (essential varicose veins of the legs)].

Performance of ambulatory phlebectomies has greatly enhanced the anatomo-clinical description of collateral varicosities (CV), permitting a better understanding of their physio-pathological role, and acknowledging, in some instances, their true autonomy. Physio-pathological role:--Reflux transfer--The function of CV is not limited to a mere acknowledgment (vector function) of the refluxes from the long pathological axes on which they branch. This function also consists in ensuring the diversion (transfer function) from one territory to another.--Pathology transfer--This reflux transfer is sometimes accompanied with a pathology transfer in the new territory (pathology steals). Anatomo-clinical description:--Supra-limb collaterals--These are CV with a parieto-abdominal course and pelvic CV, developed below the origin of the limb.--Proximity collaterals--These are "ladder-shaped" collaterals with oblique bars!, uniting adjacent long axes.--Inter-axial collaterals--These are crural, tibial of cruro-tibial CV, uniting distant long axes and providing junctions between medial and lateral saphenous veins, lateral and medial saphenous veins, saphenous veins-peroneal axis... Situations of autonomy: Independence regarding long axes, is demonstrated by the autonomous nature of the original reflux and affects, more especially: the antero-lateral crural slings, the lateral pudental vessels, the popliteal veins. The treatment of collateral varicosities involves surgery, ambulatory phlebectomy, sclerosis with could be implemented separately or concomitantly.

Collateral Circulation↗
PubMedDate not supplied

[Study of venous insufficiency in the light of ambulatory phlebectomy].

Considering an ambulatory phlebectomy is, first, a thorough analysis of the venous insufficiency: visual and manual analysis, provides macroscopic informations on the varicose veins disease; superficial venous Doppler is irreplaceable to monitor the reflux and screen varicose tracts and insufficient perforators, without clinical manifestations, as well as recurrent sources if neglected; ultra-sonography and varicose veins phlebography will enlighten borderline cases; the evaluation of the results of previous treatments on the tissues (surgery, sclerosis, thrombectomy), of trophic complications (sclerous hypodermatitis, calcinosis) and of scarred or pigmented abnormalities, will permit to "evaluate the area" of this ambulatory phlebectomy.

Ambulatory Surgical Procedures↗
PubMedDate not supplied

[Leg ulcer caused by a monkey's bite].

35 days following a monkey's bite, the ulcer observed showed total necrosis associated with spotted zones of necrosis due to the deep penetration of the animal's teeth. It was treated like a regular ulcer and healed within seven weeks without complications. One should keep in mind that such ulcers involve infectious episodes due to the transmission of a pathogenic human-type flora through a septic orodental milieu: Pathogenic cocci; Pasteurella, Shigella, Salmonella; Polio viruses or microbial and viral agents of the animal itself, which can cause lethal diseases such as: Yellow fever, Marburg's disease, Rabies.

Aged↗