Case 1--2000. Unilateral lung edema during anesthesia for reconstructive surgery of the trachea after caustic agent ingestion.
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Biomedical subjects
Publications and source records attributed to P Wylock.
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Tarsal tunnel syndrome is a well-known but rare entrapment neuropathy involving the posterior tibial nerve in the tarsal tunnel, a fibro-osseous channel extending from the medial aspect of the ankle to the midfoot. Posttraumatic fibrosis, ganglion cyst, tenosynovitis, tumor of the nerves or other structures, dilated or tortuous veins can cause significant nerve compression in this anatomic region. Herein, we present the typical ultrasonographic and magnetic resonance features of this disorder in patient with a ganglion cyst.
Dupuytren's disease and its treatment have always been a fascinating subject. The operation technique, Guillaume Dupuytren performed the 12th of June 1831, does not appear obsolete, even today more than 150 years later (1). Almost the same technique as described in the original text was used. Guillaume Dupuytren was, in his time, a surgeon of true genius.
The results of surgical treatment of 100 carpal tunnel syndromes are discussed. With respect to paresthesias, pain, muscular weakness of the thumb and numbness, excellent or good results were obtained in 94%, 93%, 79% and 100% of the cases. There were complications (minor algodystrophy syndrome) in only 3% of the cases.
A clinical case of documented hand infection, caused by a skin pit in a patient with Dupuytren's contracture is described.
Guillaume Dupuytren's good fortune was the time of his birth. He was a product of revolutionary change in France, and without it he would never have become a surgeon. From south central France he came to Paris to become a surgeon and reached his goal, literally, "on a crust of bread". Dupuytren is remembered principally for the hand condition which bears his name; his other numerous and more-important contributions have been ignored. Never happy outside the operating room--or perhaps inside it either, due to his mania for perfection--this arrogant master surgeon constantly clashed with his colleagues, staff and the few friends he had. When he died at the age of 57 years, he had advanced surgery on many frontiers.
Two patients with vascular leiomyomas of the hand are reported. These lesions are probably not as rare as the literature suggests. There are three pathologic types--solid, cavernous, and venous type tumors. All are composed of smooth muscle bundles surrounding vascular channels.
Median mandibulotomy with mandibular swing combined with immediate reconstruction by a myocutaneous flap has been carried out in 11 patients with large intraoral tumours. Mandibular swing appeared to achieve better local control and caused less problems in resection of these T3 and T4 tumours compared to lateral mandibulotomy. The use of a myocutaneous pectoral flap instead of a deltopectoral skin flap reduced the need for reintervention and abolished that for delayed reconstruction. The combined approach also reduced the time of hospitalization.
A patient developed anthrax of his left long finger after an accidental injection with Bacillus anthracis. Early treatment with chemotherapy probably prevented the cultures from becoming positive. The patient recovered, and split-thickness skin grafting was needed for the finger wound.
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The authors present a case of spontaneous non clostridial gas gangrene and discuss the possible etiology, the microbiology as well as the treatment compared to the literature.
The authors present a case of tuberculous cyst of the wrist. The symptoms and the treatment are discussed on the basis of the literature. The symptoms are not specific. The histological and bacteriological examination leads to the diagnosis. The surgical treatment must be completed by an antituberculous treatment.
Fasciitis necroticans (F.N.) is a rapidly progressing necrotizing process of subcutaneous tissue and fascia which results in large soft tissue defects and severe systemic toxicity. During the last five years nine patients with F.N. were admitted at our department of surgery. Antibiotic prophylaxis immediately after the eliciting trauma was associated with a significant delay in treatment. Early recognition and surgical treatment are the most important factors influencing survival.
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