Biomedical subjects

P Vaneukem

Publications and source records attributed to P Vaneukem.

7 recordsLinked to original sources

PubMed2002

Mesenteric cysts. A case treated by laparoscopy and a review of the literature.

Mesenteric cysts are one of the rarest abdominal tumors. Since the first report of a mesenteric cyst by Benevienal in 1507, only 820 cases have been reported. The symptoms depend on the size and location of the cyst. The main presenting symptom is abdominal pain, followed by nausea and vomiting. Some mesenteric cysts may present as an acute abdomen due to a possible complication, such as hemorrhage, rupture, or torsion of the cyst. The treatment of choice for mesenteric cyst is complete excision to avoid recurrence and possible malignant transformation. We report an additional case of mesenteric cyst which, to our knowledge, is the first to be treated by laparoscopy.

Adult↗

PubMed2001

[An acute pseudo-cholecystitis].

In an emergency department, many patients were admitted with abdominal pain. The problem is to made the right diagnosis between an acute abdomen that must be manage by a medical approach and an acute abdomen with immediate surgical treatment. We present the case of a 44 year-old man admitted in our emergency department with clinical signs of acute cholecystitis. After a new interrogation and the inadequacy of the diagnostic procedures a lead intoxication treated by a medical approach was diagnosed.

Abdominal Pain↗

PubMed1989

[Idiopathic retroperitoneal fibrosis].

Reviewing three recent cases of idiopathic retroperitoneal fibrosis, we describe the clinical symptoms, the evolution, the biological data and the histological features. We emphasize the importance of C.T. scan in the investigation of such patients. Treatment was either surgical or medical.

Adrenal Cortex Hormones↗

PubMedDate not supplied

Stromal tumour of the rectum: laparoscopic approach of a rare localization of GIST.

The authors present the case of a 60 year-old man known for a rectal polyp which was diagnosed in 1994 and since then followed-up by means of a colonoscopy associated with periodic biopsies. Recently, the results of a biopsy revealed positive markers for the diagnosis of Gastro-Intestinal Stromal Tumor (GIST). Despite the absence of malignant criteria, an anterior resection of the rectum was performed by laparoscopy and the patient rapidly recovered. Epidemiology, diagnosis and management of this rare location of GIST's are discussed.

Gastrointestinal Stromal Tumors↗

PubMedDate not supplied

[Indications and surgical technic in gynecomastia].

In our opinion, very few publications represent a practical attitude on surgical level concerning a gynaecomasty; so we tried to sum up the operative indications and to establish a classification of the useful surgical techniques, not only in function of the existence or non-existence of a cutaneous excess, but also of the type and the localization of the vascular stalk feeding the nipple-plate. The post-operative complications are described and finally, we present you our personal experience in 21 cases.

Adolescent↗

PubMedDate not supplied

[Indications for and limitations of celioscopic digestive surgery].

Digestive laparoscopic surgery, which appeared in 1987, has developed rapidly, and has effected many procedures. After seven years, the time has come for surgeons to analyse whether their operative results are conclusive in justifying the continual use of this surgical procedure. If laparoscopic surgery respects the basic principles of conventional surgery, it should increase the patient's comfort during the postoperative period. In this article we shall consider similar fields where this new surgical technique could be beneficial.

Appendectomy↗

PubMedDate not supplied

Laparoscopic Toupet fundoplication: prospective study of 100 cases. Results at one year and literature review.

We report a prospective evaluation of 100 patients who underwent laparoscopic fundoplication according to Toupet. All these cases where suffering from gastro-oesophageal reflux resistant to medical treatment or recurring after stopping it. Only one conversion into laparotomy was required. Perioperative morbidity (4%), mortality (0%), median hospital stay (4 days) and return to work (3 weeks) were lower than in case of open surgery in the literature. One year after the operation, clinical results were similar to those of laparotomy with 93% of patients free of symptoms. Excellent results of this technique lead us to assert that laparoscopic Toupet procedure is an interesting way of treating the gastro-oesophageal reflux that does not respond to medical treatment.

Adolescent↗