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Biomedical subjects

L Coupris

Publications and source records attributed to L Coupris.

25 records · Page 2Linked to original sources
PubMed1984

[One complication can mask another: chance discovery of a rare lesion during screening for arthritis of the hip].

The authors report the case of a new born baby in whom at the fourth day of life, a severe hypocalcemia was discovered. An umbilical arterial catheterization was performed. The evolution was characterized by a staphylococcic septicemia with hip arthritis and partial immune deficit. The mid term survey of the joint status, allowed the unexpected discovery, during an examination held under general anesthesia, of a probable mycotic aneurysm, by abdominal palpation. The lesion was localized on the right common iliac artery and was successfully treated by resection; arterial continuity was possible without venous patch nor prosthesis.

Aneurysm, Infected↗
PubMed1984

[Comparison of the therapeutic results at the end of growth of dislocation of the hips diagnosed at the time of walking and treated by slow reduction and correction of the axis of the femoral neck with or without arthrotomy (open reduction)].

The study concerns the results at the end of growth of an homogeneous series of congenital dislocation hips, treated by slow reduction, and secondary femoral neck osteotomy. Some of these hips were initially treated orthopaedically, others were operated for open reduction, more often, on account of a principle of treatment than due to necessity. The comparison of these two series allows the conclusion that the nocivity of the surgical procedure was demonstrated in most cases. The study demonstrated some harmful actions in the treatment of congenital dislocation hip at the age of walking. According to the authors, they aggravate the rate of deformities due to vascular lesions. The authors stress some therapeutic necessities, and describe their present attitude towards these hip dislocations. Their attitude is based upon a mild reduction, under progressive traction, abduction, and medial rotation. Tenotomies are, if necessary, performed previously. A plaster immobilization is then applied, until a sufficient penetration of the femoral head into covering acetabulum. In most cases, an abnormal femoral neck orientation was corrected by an osteotomy. An innominate osteotomy to improve the cover of the head was only performed when the centering of the head remained imperfect. By modifying an already ancient technique, which was proved by 84% good results in a series of 112 hips reviewed at the end of growth, the authors expect an actual decrease of the late trophic deformities.

Age Factors↗
PubMed1979

[Gastroschisis: study of a series of 50 cases from 1960 to 1976 and therapeutic indications].

Fifty cases of gastroschisis were treated at the Hôpital des Enfants Malades from 1960 to 1976. Up to 1973, 90% of the babies died. From 1974-1976, 17 infants were treated and 10 (59%) were cured. The authors emphasise the importance of intravenous feeding, the prevention of infections and intensive respiratory care. Complete intestinal ileus for more than one month is associated with a bad prognosis. The use of drugs and further surgery in this situation in discussed.

Abdominal Muscles↗
PubMed1976

Manometric assessment of continence after surgery for imperforate anus.

Of 49 children with imperforate anus, 23 underwent an abdominoperineal procedure for a high and seven for a low maliformation, 17 had a perineoplasty for a low and two for a high malformation. In each subject, rectal and anal sphincteric resting pressures were studied at least 1 yr after surgery. Of 30 subjects who had undergone an abdominoperineal procedure, eight were continent in contrast to 15 out of 19 patients who had had a perineoplasty (p less than 0.001). In patients who had undergone an abdominoperineal procedure, the rectal motility was of the colonic type, with waves of higher amplitude and lower frequency (p less than 0.01) than in the normal rectum in 23 cases and in most of these, peristalsis was recorded down to the anal margin. Incontinence was most frequently associated with abnormally short anal resistance, low anal pressure, reduced sensibility, weak voluntary contraction and absence of rectoanal inhibitory reflex. In the group of patients who underwent perineoplasty, continence was associated with normal mechanical parameters and normal physiologic behavior of the anal sphincter.

Adolescent↗
PubMedDate not supplied

[Appendicular abcess presenting as an abdominal mass in early childhood. Radiological diagnosis (author's transl)].

Two boys (two years and a half old) were admitted in this hospital for an abdominal tumor. In both cases a pelvic abcess was present, secondary to a pelvic appendicitis. Symptoms have been deeply modified by previous antibiotherapy. Radiological examinations including opacification of the urinary tract by a intravenous pyelogram and opacification of the recto-sigmoid by a baryum enema allowed in both cases to localize the mass and to lead to the diagnosis with the clinical data.

Abscess↗