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Biomedical subjects

P Bellen

Publications and source records attributed to P Bellen.

14 recordsLinked to original sources
PubMed2000

Preoperative cardiopulmonary assessment in the child with neuromuscular scoliosis.

Preoperative cardiopulmonary assessment in the child with neuromuscular scoliosis comprises two successive steps. The first is the exclusion of any preoperative factor which could make the surgery too dangerous or unacceptable, unless corrected (e.g. clotting problems, decompensated cardiomyopathy, respiratory insufficiency, etc). The second is more functional, and consists of detecting potentially higher risks of postoperative alveolar hypoventilation and secretion removal insufficiency. The authors propose a logical decision-making tree, which can identify the most essential items. Preoperative assessment is a progressive evaluation of an acceptable or unacceptable cost-benefit ratio, which can best be achieved by spending time and discussing all aspects with the patient and family.

Adolescent↗
PubMed1992

[Surgical treatment of spinal deformities in Duchenne muscular dystrophy].

Forty seven Duchenne Muscular Dystrophy patients, operated on for spinal deformity with segmental spinal instrumentation according to Luque's technique, are reviewed with a mean post-operative follow up of 4 years 4 months. The study of the results obviously showed the interest of Luque Galveston technique for the treatment of severe curves with pelvic obliquity, whereas Dove's rectangle is an interesting choice for the early instrumentation. A total spinal arthrodesis can probably be avoided in these patients, which often demonstrate a satisfying spontaneous fusion after instrumentation. The general and mechanical complications are described, according to the consequences they have on the management technique of these patients.

Adolescent↗
PubMed1992

[Prevention of peridural fibrosis following laminectomy. Apropos of a case of monoradicular paralysis due to an intracanalar hematoma on Gelfoam].

Gelfoam has routinely been used, according to Larroca and Macnab, to prevent scar formation about the dura mater and the nerve roots after laminectomy. We report a case in which postoperative monoradicular paralysis resulted from compression of the thecal cul-de-sac by a hematoma held in place by the Gelfoam. A review of the literature on prevention of adhesions after laminectomy is included.

Aged↗
PubMed1987

[Septic arthritis of a posterior vertebral inter-apaphysial articulation. Apropos of a case].

A report of a case of haematogenous infection of a lumbar zygapophysial joint. In spite of radiographic and bone scan findings that localised the lesion, the diagnosis was not made until an operative exploration was made, which also effected a cure. This is an unusual site for sepsis and the clinical picture can easily lead to confusion with spondylosis which is much more common.

Arthritis, Infectious↗
PubMedDate not supplied

[Intramuscular myxoma].

Explore the source record for details and available documents.

Diagnosis, Differential↗