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Biomedical subjects

J Huyghe

Publications and source records attributed to J Huyghe.

At least 19 recordsLinked to original sources

[Surgeon. Unde venis? Quo vadis?].

From the Old Age period until the middle of the 20th century, the surgeon was an artisan, whose medical activities were confined to the treatment of the external pathology. After World War II progress in knowledge and technology provided surgery with a scientific basis. The introduction of new anesthetic methods added to the explosion of surgical possibilities. The ancestral general surgeon gave birth to different subspecialties. To share increasing responsibilities the formerly individual surgeon was compelled to practice in a pluridisciplinary team. In the face of threatening governmental interference, the author claims more dedication to the welfare of the patient by better surgical training and increased ethical concern. "Quo vadis" looks ahead into the future; the final outcome, however, is unpredictable, due to rapid technical evolution. According to the author there is still hope for young colleagues who cherish the alliance of spirit and manual skill. In spite of bitter disappointments in recent years he calls upon future surgeons to renew efforts for surgical assistance in developing countries.

Belgium

[Gallstones, current surgical advances].

A short survey of the recent advances in the treatment of gallstones is followed by a video-report of the laparoscopic cholecystectomy: the last acquisition in surgical practice. Since the excellent results the authors prefer the endoscopic way to the open cholecystectomy in the treatment of non-complicated symptomatic gallstone disease. This procedure can be considered as the "first choice", so far as indications are severed, and operation is performed by a surgeon credentialed in general biliary surgery.

Bile Acids and Salts

[Surgery of acute cholecystitis in patients 80 years of age or older].

In 17 Belgian surgical centers, 324 operations have been performed for acute cholecystitis in patients 80 years of age or older. In this group of patients: 1. The incidence of acute cholecystitis is hardly higher in women than in men. 2. The patients were operated within 24 hours of admission in 38% of cases. The main bile duct was surgically explored in 1/3 of patients. Cholecystostomy or simple drainage were used in 1/10 of cases only. 3. Operative mortality was 19%. It was higher for patients operated as emergencies than for delayed operations and higher also when the cholecystectomy was associated with an exploration of the bile duct. The ideal treatment for such patients should thus be a cholecystectomy with an endoscopic sphincterotomy.

Acute Disease

[Surgery in the octogenarian (introduction). Results of a national survey].

Presentation of the results of a national, multicentric and retrospective study regarding the surgery of the octogenarian. The series counts 7,407 patients accepted for surgery, and which can be divided into 4,581 women (61.8%) and 2,826 men (38.2%) of an average age of 84.4 years old (extremities 80-101 years old). The global mortality of this population of elderly (whether operated on or not) amounts to 16.7%. The postoperative mortality of the 4,177 operated patients is 18.2% with different rates according to the surgical disciplines: 34.7% for surgery of the colon, 23.2% for bone surgery, 22.4% for vascular surgery, 15.3% for biliary surgery, 8.7% for urologic surgery and 5.6% for cardiac surgery.

Age Factors