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Biomedical subjects

M Gordji

Publications and source records attributed to M Gordji.

12 recordsLinked to original sources

[The Infraguide system in laparoscopic surgery].

Infraguide is a system to transmit laser beams into the abdominal cavity through multiple reflexions in a hollow tube of ceramic mirror. The latter is protected by a metal tube of 3 mm outside diameter. After an experience of 45 cases, the authors analyse the advantages and the disadvantages of this system. The advantages are: the manageability, the small diameter, the excellent visibility of the pilot beam and the easy evacuation of the smoke. The disadvantage is minor: the focused spot cannot be smaller than 0.78 mm.

Equipment Design↗

[The use of Fogarty's catheter for salpingoplasties in laparoscopic surgery].

Nowadays new techniques of laparoscopic surgery make it possible to carry out fimbrioplasties and salpingostomies with results as good as those obtained by microsurgery. We describe a new use for the Fogarty catheter as a means of traction and for demonstrating the ampulla and the fimbrial end of the tube. The pneumatic balloon of the end of the catheter is blown up in the tubal ampulla. This makes it possible to bring the tube close to the laparoscope which makes it possible to carry out precise precise maneuvers with such degrees of enlargement as make it like a form of microsurgery. This kind of procedure helps in these delicate and difficult operations.

Catheterization↗

[Acute fatty liver of pregnancy. Diagnostic value of hyperuricemia in the pre-jaundice stage].

Acute fatty liver of pregnancy, with a case history where an early diagnosis could have been made, and a review of the French literature. Acute fatty liver of pregnancy, or Sheehan's syndrome is a rare but very serious complication of pregnancy. The disease is demonstrated by vomiting, abdominal pain and a high level of uric acid in the blood before jaundice is noted. Within a few days the triad of jaundice, pruritus and encephalopathy occur. These are often associated with toxaemia of pregnancy and with polyuria and polydipsia. A raised white blood count and a high level of bilirubinemia are almost always present. The outlook is very serious when haemorrhage appears. This malignant form of the disease is characterised by liver and kidney failure. Liver biopsy confirms the diagnosis. The prognosis is related to an early diagnosis and is good when labour is induced or caesarean section performed. Acute fatty liver of pregnancy is an emergency from the diagnostic as well as the therapeutic angles.

Acute Disease↗

[A comparative study of salpingotomies with or without suture. An experimental microsurgical research carried out on rabbits' tubes (author's transl)].

Two techniques of salpingotomy have been compared in two series of rabbit experiments with the aim of finding out whether, when carrying out conservative surgery in extra-uterine pregnancy with rupture of the tube, it is better to suture the salpingotomy or to leave it open without suture. The two series show that there is no difference as far as the frequency of large adhesions, as far as ovulation and the strength of the scar and the pregnancy rate g out conservative surgery in extra-uterine pregnancy with rupture of the tube, it is better to suture the salpingotomy or to leave it open without suture. The two series show that there is no difference as far as the frequency of large adhesions, as far as ovulation and the strength of the scar and the pregnancy rate g out conservative surgery in extra-uterine pregnancy with rupture of the tube, it is better to suture the salpingotomy or to leave it open without suture. The two series show that there is no difference as far as the frequency of large adhesions, as far as ovulation and the strength of the scar and the pregnancy rate following the two methods. On the other hand, implantation is less good when the tube is left open than when the salpingotomy is sewn up. In the first series there was a significant difference between the side that was operated on and the control side, whereas the second series there was very little difference. In spite of the fact that the scar seemed to be apparently of the same type, the eggs were able to descend more easily in the oviduct when it had been sutured.

Animals↗