[The female genital apparatus (4). The vulva: urethral catheterization, perineal toilette, site of episiotomies].
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Biomedical subjects
Publications and source records attributed to J M Chevallier.
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A case of basal cell epithelioma overlying a long-standing histiocytofibroma is presented. The association of these two tumors is a rare finding. The role of dermal factors in the pathogenesis of epidermal tumors is briefly discussed, just as the controversy about the reactive or neoplastic nature of the epidermal change.
A technique of resection of the ischium in paraplegics is described. It aims to avoid pressure sores arising from the development of hygromata in active paraplegics. The resection must be complete, subperiosteal and bilateral when necessary. A muscular plasty must be made by suturing the hamstrings to the pyriformis and gluteus medius.
A technique for exploring aortic aneurysms is described, and the results analysed in 50 cases (11 thoracic, 32 abdominal, 3 multiple, and 4 with both thoracic and abdominal aneurysms). The diagnostic value of this method appears evident for aneurysms in the thorax, and it can reduce the need for conventional radiological examinations. Results of examination of abdominal aneurysms were compared with those of ultrasonography and angiography. Angiography was more effective for studying collateral lesions, while ultrasonography is still a reliable, non-aggressive, low cost investigational procedure. Computed tomography, however, represents the most polyvalent, non-aggressive technique for evaluating the size of the aneurysm, its thrombotic components, and its extension to neighbouring organs.
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In France, 1,000 obese persons per month undergo a bariatric operation. Obesity surgery requires coordination and monitoring of aftercare. The French public health-care insurer asked the medical associations involved in obesity management to provide guidelines for obesity surgery. The recommendations were developed by the national associations of Obesity, Nutrition and Diabetes: the Association Française d'Etudes et de Recherches sur l'Obésité (AFERO), member of the EASO and IASO; the Association de Langue Française pour l'Etude du Diabète et des Maladies Métaboliques (ALFEDIAM); the Société Française de Nutrition (SFN); and the Société Française de Chirurgie de l'Obésité (SOFCO). This article presents the short version of the guidelines.