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Biomedical subjects

R Stoppa

Publications and source records attributed to R Stoppa.

At least 19 recordsLinked to original sources
PubMed1992

[Laparoscope and hernia surgery].

Attempts are now progressing to improve laparoscopic hernia surgery, which need our interest and reflexion. Widely informed on these new techniques, though not directly dealing with them, the author proposes, here, his own remarks.

Herniorrhaphy↗
PubMed1992

[Prosthesis used in the surgery of the abdominal wall. Focus on a comparative experimental protocol: difficulties and limits].

During many years the use of prosthesis for abdominal wall repair was not accepted by all surgeons. Now the laparoscopic repair has brought some surgeons to do it nearly systematically and industry proposes new materials. To allow comparing new materials the authors have developed an experimental proceeding of which they analyse technical difficulties and limits.

Abdominal Muscles↗
PubMed1991

[Short hospital stay, a step towards ambulatory surgery for hernia repair in 1990?].

In the first part the authors report their experience in Hernia surgery from 1980 to 1989. The comparison between 4 personal series shows that local anesthesia favoured short hospital stay, that the length of hospital stay decreased from 95% of more than 7 days hospitalization to 49% of less than 2 days; local anesthesia has almost suppressed post-anesthetic functional, respiratory and urinary troubles; no patient operated under local died; lastly the recurrence rate has not been related to hospital stay duration. Comments follow on Ambulatory surgery in general, technical and deontological principles. Ambulatory and short stay hospitalization in Hernia Surgery, and on advantages and pitfalls of these type of Surgery. The authors conclude on the feasibility, acceptability, benefits and usefulness of to day ambulatory surgery in hernia repair in the frame of a Universitary Hospital Center.

Ambulatory Surgical Procedures↗
PubMed1991

[Crural hernia, strangulation and surgical treatment].

Anatomical reasons explain that the diagnosis of femoral hernia is sometimes difficult, that controversies still exist on their treatment and that their strangulation is often ignored. The authors propose some remarks on the anatomy of the femoral canal and the femoral hernias, the repair of the latter, and some of the problems related to strangulating. They conclude that research on the femoral canal and hernias anatomy should be valuable; similarly stimulation of surgeons for a better management of the diagnosis of strangulated femoral hernias and for systematically considering surgical repair of all femoral hernias whatever be the risk, should be beneficial. Lastly they underline that a prospective comparison between prosthetic and non prosthetic repairs of common femoral hernias could be organized easily because they are comparative lesions.

Emergencies↗
PubMed1977

[Primary cancer of the gallbladder. Analysis of a surgical series of 24 cases. Attempted anatomical classification of its prognosis. Proposal of a preventive approach].

This analysis of 24 cases of primary carcinoma of the gall bladder is compared with series in the literature. The extremely poor prognosis of this carcinoma, recognised by all authors, may be explained by the unfavourable background, delay in diagnosis at all stages, early regional spread, difficulty in laying down the therapeutic indications. A Pathological classification for prognosis has been proposed for the surgeon with stages: O, I, II, II a and b, IV a and b, in relation to the spread of the gall bladder carcinoma and reflexions inspired by analysis of the operative results in the literature. Even with better knowledge of predisposing factors, and if new methods of treatment gave greater hope in the future, more frequent use of cholecystectomy seems the best prevention of bladder carcinoma in any case of cholelithiasis whether symptomatic or not, in the absence of any contra-indication.

Adult↗