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Biomedical subjects

J M Gouffrant

Publications and source records attributed to J M Gouffrant.

At least 19 recordsLinked to original sources
PubMed1990

[Anatomic pecularities of the inguinal canal in West Indians. Influence on the management of inguinal hernia].

Inguinal and umbilical hernias are much more frequent in the black and half-breed than in the white population. We have observed anatomical differences in the inguinal region between Whites and Blacks. The latter have a vertical, wide subcutaneous ring and a smaller conjoined tendon, and it is hardly possible to reconstruct the fascia of the obliquus externus abdominis anterior to the cord in them. For Black patients, we propose the suture of the conjoined tendon to the crural arch, like in the Bassini procedure, and the suture of the fascia of the obliquus externus to the arch, but in a retrofunicular position. This technique allows, so to speak, duplicating the caudal connection of the conjoined tendon to the arch by means of the extensive suture of 2 tissues of similar nature, ie. the fascia of the obliquus externus and the crural arch.

Adolescent↗
PubMed1986

[Controlled fistula of Wirsung's duct].

In order to prevent the serious pancreatic fistulae which complicate anastomoses between the pancreatic tail and a jejunal loop after cephalic duodenopancreatectomy, we propose a pancreatic fluid derivation on a temporary drain equivalent to a controlled fistula of Wirsung's duct. This already known technique consists of a punctiform anastomosis on an Escat's supporting drain between the main pancreatic duct and the jejunum. No complication occurs when the drain is removed 12 days later, as shown by a series of 24 cephalic duodeno-pancreatectomies where this technique was used.

Drainage↗
PubMed1986

[Ambulatory thrombectomy of a graft. Transcutaneous clamping].

Thrombectomy of a graft in ambulatory patients can be performed simply under local anesthesia, avoiding admission to hospital of patients with shunts. The technique is applicable to two types of shunt: arterio-arterial shunts for lower limb arteriopathy and arteriovenous shunts of a dialysis for chronic renal failure. The advantages are twofold: dissection of a subcutaneous graft is avoided and the patient can either immediately reinstitute activity if arteritic or dialysis for renal failure. The method is effective if the thrombus is of accidental origin, failures resulting from proximal or distal stenosis, their evaluation being possible during thrombectomy.

Ambulatory Surgical Procedures↗
PubMed1985

[Temporary jejunostomy].

The different techniques used for temporary jejunostomy are described. They are governed by the presence or absence of utilizable stomach. The advantages and drawbacks of each technique are examined. The simplest and most reliable one is transgastric jejunostomy. Two variants of jejunostomy after total gastrectomy and oesophagectomy are described.

Enteral Nutrition↗
PubMed1975

[Exploration and removal in focal infections of the liver (apropos of 32 resections in a 4-year period].

The surgeon can no longer be satisfied today, with a diagnosis of focal lesion of the liver. It is also necessary to give the precise localisation of the nodular image compared with the segments and vessels of the gland. The lesional topography is usually determined by coeliac arteriography but, in certain cases, complementary cavography becomes necessary. On knowledge of this hepatic angio-cartography, depends the choice of approach and the nature of the surgical operation, for there are easy methods of approach where, for example, removal may reasonably be attempted and, other segments which are difficult or impossible to approach, e.g. segments VIII and IV posteriorly. The authors report their experience of surgery of the liver between 1971 and April 1974 for 14 abscesses, 15 hydatid cysts, 5 tumours and 9 cases of trauma. They carried out 32 resections, 22 of the right lobe of the liver, 10 of the left lobe. The immediate results are studied in relation to the indications and techniques used.

Abdominal Injuries↗
PubMed1975

[Radiology of tumours of the region of the ampulla of Vater (author's transl)].

On the basis of 18 personal cases, the authors discuss the different radiological appearances of tumours of the ampulla of Vater region. After a review of the histopathological aspects, they attempt to separate the respective indications for the various endoscopic and radiological studies possible, stressing the importance of duodenoscopy. They give an illustrated classification of the different appearances seen.

Ampulla of Vater↗
PubMed1975

[Success or failure factors in the treatment of insulin-secreting nesidioblastomas].

The authors report 5 cases of insulin- secreting nesidioblastoma which is not an exceptional tumour but may be suspected clinically before being confirmed in the laboratory. Fasting hypoglycemia or hyper-insulinism may be present, leading to arteriography and surgical exploration. The only valid forms of treatment are enucleation of the tumour or pancreatectomy, depending on whether it is situated on the right or on the left. The authors consider removal must be complete, if not, medical treatment should be preferred.

Adenoma, Islet Cell↗