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P Détrie

Publications and source records attributed to P Détrie.

At least 19 recordsLinked to original sources

[Cure of inguinal hernia by sub-peritoneal abdominal approach (author's transl)].

Cure of inguinal hernia by a medial sub-peritoneal approach is tricky to carry out because the anatomy of the inguinal duct on it's inner side may not be clearly perceived. The layout of the peritoneums, it's adherence zones, the position of the vas deferens and the spermatic vessels are defined. The pathological aspect of the hernial sacs in direct and oblique hernias is carefully described as well as the dissection and resection methods. Finally the parietal refection stage, using a prothetical procedure is abundantly illustrated.

Hernia, Inguinal

[The functional result of surgery of hiatus hernia (author's transl)].

The authors study 50 case records of hiatus hernia operated according to the modified technic of Nissen or Toupet. There was no anatomical relapse, but they observed in five cases an imperfect functional result. In three cases, this imperfect result with dysphagia and esophageal dilatation, is transient and is due to restoration of the sphincter. In two other cases, the dysphagia persisted for years after the operation. The latter cases were in young subjects with digestive dystonia. From these cases, the authors distinguish hernias due to ageing and those due to deterioration of the meso-esophagus, easily curable surgically, and hernias in young subjects due to a neuro-hormonal disturbance where surgical reconstruction of the sphincter does not produce the expected functional cure.

Adult