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J F Besset

Publications and source records attributed to J F Besset.

4 recordsLinked to original sources

[My experience with cryosurgery].

The author presents his experience with cryosurgery of varicose veins of the lower extremities. The technique consists in performing an Internal Saphenous crossectomy, followed with ascending cooling of the vein with a cryoprobe, which results in a step by step inflammatory reaction. The final result may be compared to the one obtained with crossectomy combined with sclerosis of the saphenous trunk from the ankle to the groin. The main drawback of this procedure is its high rate of early or rapid recurrences by lack of precision in the degree of cooling of the vein.

Cryosurgery↗

[2 Complications following hemorrhoidectomy performed by the technic used at Saint Mark's Hospital in London].

The author discusses two minor, but nevertheless very unpleasant, complications which can occur following haemorrhoidectomy according to the St Mark's Hospital London technique. The first consists of a healing defect in one of the two or three incisions with local reorganization and inadequate granulation tissue, which results in the classical picture of anal fissures(s) several weeks after the operation. The reasons for this are quite complicated, but in general there is a persistence of local inflammation which should have resolved after the phase of simple wound toilet. The treatment is that for ordinary fissures. The second complication is the post-operative pain itself, which should be much less severe with modern techniques. It is caused by local inflammation. It is easily controlled with anti-inflammatory agents like phenylbutazone. Both these complications have in common the persistence of harmful inflammatory phenomena.

Female↗