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Biomedical subjects

M Premont

Publications and source records attributed to M Premont.

At least 19 recordsLinked to original sources
PubMed1990

[Madelung's disease and lesions of the extensor tendons. A case report].

A case of incomplete rupture of the extensor tendon to the little finger is reported in a 64-year-old woman with an idiopathic Madelung's deformity which had been present since adolescence but had given rise to no problems. Surgical treatment by resection of the head of the ulna with fixation of the ulna to the radius gave a satisfactory result. Only two similar case reports of rupture of extensor tendons associated with Madelung's deformity have been published. In spite of its rarity, this complication deserves to be known and possibly prevented by resection of the head of the ulna when it is very prominent. It should be recognized before any loss of extension of the little finger, however slight, develops. Lesions of extensor tendons in contact with an excessive prominence of the head of the ulna are among the best known complications of rheumatoid arthritis. Occasionally, the same type of lesion can be seen in Madelung's deformity.

Female↗
PubMed1989

[Mesenchymatous tumor of the spermatic cord with late recurrence in the retroperitoneal space. Apropos of a case].

The reported case is characterized by the original tumor site as well as by the recurrence site; by the slowly evolutive nature of the lesion over nine years from the time of surgical tumor excision to relapse; and by histological variations raising a nosological problem. Our clinical, anatomopathological and therapeutical observations are based on the characteristics of the case as well as published data. We only traced 5 cases in the literature of spermatic cord tumors with retroperitoneal localization. The progressive histologic polymorphism of these tumors compels us to raise the question of the very nature of this neoplasm: liposarcoma or malignant mesenchymoma. The potential clinical and histologic outcome of mesenchymal tumors of the spermatic cord cause us to propose direct orchidectomy and surveillance of the retroperitoneal space throughout the evolution of the process, even far off into the future.

Aged↗
PubMed1987

Conservation treatment of early breast cancer: long term results and complications.

Results of radiation therapy following breast-conserving surgery were analyzed for 410 patients with clinical Stage I-II mammary carcinoma having a minimum and median follow-up time of 5 years and 11 years, respectively. Crude survival rates were 82.2% at 5 years, 62.5% at 10 years, and 45.4% at 15 years. Local-regional recurrence was observed in 9.7% of patients. Seventy-five percent of these recurrences could be controlled locally by further treatment. Both local recurrences and metastatic deaths were more frequent in patients in clinical Stage II and in patients 40 years of age or younger. The cosmetic result was judged good to excellent in 77% of patients, with unacceptable results in 6.7%. The majority of poor results were seen in patients receiving 60 Gy or more to the entire breast. Arm edema occurred in 25% of patients having had axillary dissection, and in 3.4% of patients without axillary surgery. Edema was confined mainly to patients having had axillary doses of 60 Gy or more, and was never disabling. This study demonstrates that excellent long-term results are obtainable with breast-conserving techniques in early breast cancer. Satisfactory cosmetic results and a very low complication rate can be expected if extensive axillary surgery is avoided in conjunction with axillary radiation, and if the radiation dose applied to large treatment volumes is restricted to 50 Gy.

Adult↗
PubMed1983

[Peroperative estimation of the imperviousness of choledochoduodenal anastomoses].

Fistulae occurring after choledochoduodenostomy always have severe consequences. The following procedure aimed at checking for leakage is suggested by the authors. After completion of the posterior stage of the operation, a naso-gastric tube is introduced into the common bile duct, exposing the anterior suture; once the anastomosis has been performed, a fluid is injected into the tube by the anaesthetist, thus revealing any leakage. Once the incisions are covered, the naso-gastric tube is simply withdrawn on a few centimetres.

Biliary Fistula↗
PubMed1982

[Post-traumatic disinsertions of the terminal brachial biceps tendon. Surgical technique in five cases (author's transl)].

The many techniques proposed for repair of post-traumatic desinsertions of the terminal brachial biceps tendon well illustrate the therapeutic difficulties encountered when attempting to treat these lesions, none of them being currently unanimously employed. After describing these various operative methods, the authors discuss their technique, as used in five cases, this method allowing restauration of both flexion and supination of the muscle.

Arm Injuries↗