[Parietal suppurations disclosing colonic cancers].
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Biomedical subjects
Publications and source records attributed to J F Chantriaux.
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For more than 10 years the authors have been using a pyloroclasia derived from the Hivet and Lagadec technique of digital dilatation, in place of gastric drainage pyloroplasty. The procedure is simple, effective and easily reproducible. It only requires a rubber sheathed clamp to crush the anterior part of the pyloric annulus; the pyloroclasia is then confirmed by digital exploration. This technique has been used regularly without any per-operative problem and post-operative complications ascribable to pyloroclasia. The long-term results have been satisfactory with complete absence of gastric stasis or biliary reflux. When performed, post-operative radiography and fibroscopy have shown adequate gastric emptying and little changes in pyloric morphology. Pyloroclasia is simpler and less septic than pyloroplasty, and it reduces the incidence of dumping syndrome. Pyloroclasia with a rubber sheathed clamp is simpler and more reproducible than digital pyloroclasia. In view of its regularly good results it can certainly be recommended.
The authors relate about a case of tumorlike eosinophilic infiltration of the duodenum and pancreas. The preoperative workup included the traditional gastroduodenography and arteriography but also more modern investigations as echography and scanography which have not been often employed previously in this pathology. This case shows also how the involvement of the duodenum by the infiltration usually leading to carry out a cephalic duodenopancreatectomy for a benign lesion. The authors recommend conservative management if clinic, duodenographic, echographic and scanographic findings are not associated with the evident signs of carcinoma of the pancreas or of the Vater's region especially in tired patients.
We confirm the advantages offered by "parietalization" of the spermatic chord components in prosthetic repair of inguinal hernias. The term is particularly well suited to the procedure when the abdominal approach is used: there is no need to split the dacron mesh to let the chord through; the zigzagging transparietal course of the chord is extended laterally. We must add that ligation of the epigastric vessels is unnecessary with the abdominal approach.
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