PubMed Health⌕ Search

Biomedical subjects

R Stoppa

Publications and source records attributed to R Stoppa.

At least 37 records · Page 2Linked to original sources
PubMed1988

[Esophageal and gastric leiomyoma. Apropos of a case with double localization].

A case of double localization of a leiomyoma is reported and used as a basis for an update review of the relevant literature. Esophageal and gastric leiomyomas, of relatively simple diagnosis by radiologic and endoscopic imaging, require surgery in most cases: enucleation of esophageal and resection of gastric tumors. Leiomyoma of esophagus is usually diagnosed during investigation of atypical clinical symptomatology or when it is associated with another disorder, such as hiatus hernia as in the present case. Leiomyoma of stomach is usually revealed by a complication initially, frequently of the hemorrhagic type. Despite the absence of documented data on leiomyoma of double localization in two digestive organs simultaneously, this possibility does exist and extensive digestive investigations are necessary prior to therapy.

Aged↗
PubMed1987

[Mechanism of hernia of the groin].

Utilitarian aspects of hernia pathogenicity are envisaged to assist comprehension of surgical gestures, the choice of effective techniques and the abandon of those which are not and may be of medicolegal interest: all inguinal hernias are due to parietal weakness. Anatomical factors are studied based on data from dissection, from in front backwards and then from behind forwards, from which certain major notions are drawn: that of role of transverse fascia in imperviousness to intra-abdominal pressure; that of uniqueness of inguinal hernias, all of which cross the transverse fascia in the region of the regional osteomuscular framework; that of the necessary degradation of musculofascial plane for a hernia to develop, with as a corollary the need for inguinal imperviousness at the transverse fascia level to be restored. Factors may be present that increase the "natural weakness" of the groin: anatomical variations affecting inguinal triangle; biological disorders affecting inguinal structures (aponeurotic and fascial senescence, collagen diseases, musculo-tendino-aponeurotic dystrophy). A breakdown in mechanisms of protection against increased intra-abdominal pressure promoted a summary of features defining intra-abdominal pressure under physiologic conditions and classical herniogenic circumstances. A summary of pathogenic mechanisms of inguinal hernia is presented while emphasizing the two principal theories: the saccular theory and that of musculo-fascial weakness, with their consequences for choice of therapies to be opposed to the polymorphism of hernial lesions.

Abdominal Muscles↗
PubMed1986

[A simple technic of true pyroloclasia: crushing with a rubber-sheathed clamp].

For more than 10 years the authors have been using a pyloroclasia derived from the Hivet and Lagadec technique of digital dilatation, in place of gastric drainage pyloroplasty. The procedure is simple, effective and easily reproducible. It only requires a rubber sheathed clamp to crush the anterior part of the pyloric annulus; the pyloroclasia is then confirmed by digital exploration. This technique has been used regularly without any per-operative problem and post-operative complications ascribable to pyloroclasia. The long-term results have been satisfactory with complete absence of gastric stasis or biliary reflux. When performed, post-operative radiography and fibroscopy have shown adequate gastric emptying and little changes in pyloric morphology. Pyloroclasia is simpler and less septic than pyloroplasty, and it reduces the incidence of dumping syndrome. Pyloroclasia with a rubber sheathed clamp is simpler and more reproducible than digital pyloroclasia. In view of its regularly good results it can certainly be recommended.

Constriction↗
PubMed1986

[Double breast and vertebral plasmacytoma. Acute myeloblastic leukemia 8 years later].

We report in a 40 year-old woman a bifocal mammary and vertebral plasmocytoma attended by surgery and "preventive" chemotherapy. Eight years later, an acute and apparently non secondary myeloblastic leukemia is observed without sign of diffuse myelomatosis. Plasma cell tumors of the breast are uncommon. Eleven cases have been published, combining solitary plasmocytoma and infiltration occurring in multiple myeloma.

Adult↗
PubMed1985

[Postoperative eventrations. Apropos of 247 surgically treated cases].

The 247 eventrations operated upon concerned 230 patients (60% women and 40% men) mean age 54.5 years. Eventrations were large (collar greater than 10 cm) in 18, 5% and were in the median line in 81%. Serial laparotomies by the same approach had been performed in 21%, the principal causes of eventration being biliary and gynecologic surgery. Parietal sepsis developed in 31,5% of cases after operation for the original affection. Classical favoring factors found included obesity (51%), multiparity (42% of women) and chronic lung disease (14%). Preoperative preparation involved the use of Goni Moreno's progressive pneumoperitoneum in 18,5% of patients. Procedures used were parietal repair by raphe (22%), the same but with the addition of a dacron prosthesis (6%) or the large dacron tulle prosthesis for wide reinforcement of the visceral sac (67% of cases). Early sepsis was a slightly more frequent occurrence after dacron tulle, predisposing factors being the prosthesis itself, a previous history of parietal sepsis, swabs and the number of Redon tubes. After use of dacron tulle complications were mainly also hematoma (3.2%) and skin necrosis (2,6%). Postoperative course in general was uncomplicated in 91% of the 247 operations. Follow up of 67% of operated patients for a mean of 5 1/2 years showed recurrence in 50% of raphe procedures and 18.5% of prosthesis implantations; factors of aseptic recurrence (16,5%) were multiparity and chronic lung disease. Delayed sepsis after dacron tulle use affected 8% of patients and were related to chronicity of early sepsis, nonresorbable sutures and sepsis complicating the primary laparotomy. Doming of the parietal wall was noted in 4% of cases repaired by prosthesis.(ABSTRACT TRUNCATED AT 250 WORDS)

Female↗
PubMed1985

[Eosinophilic tumors of the duodenum and pancreas. Apropos of a case].

The authors relate about a case of tumorlike eosinophilic infiltration of the duodenum and pancreas. The preoperative workup included the traditional gastroduodenography and arteriography but also more modern investigations as echography and scanography which have not been often employed previously in this pathology. This case shows also how the involvement of the duodenum by the infiltration usually leading to carry out a cephalic duodenopancreatectomy for a benign lesion. The authors recommend conservative management if clinic, duodenographic, echographic and scanographic findings are not associated with the evident signs of carcinoma of the pancreas or of the Vater's region especially in tired patients.

Diagnosis, Differential↗
PubMed1984

[Prosthetic surgical treatment of inguinal hernias. Parietalization of the spermatic cord].

We confirm the advantages offered by "parietalization" of the spermatic chord components in prosthetic repair of inguinal hernias. The term is particularly well suited to the procedure when the abdominal approach is used: there is no need to split the dacron mesh to let the chord through; the zigzagging transparietal course of the chord is extended laterally. We must add that ligation of the epigastric vessels is unnecessary with the abdominal approach.

Hernia, Inguinal↗
PubMed1984

[Pitfalls of mechanical circular anastomoses].

To the list of pitfalls of circular mechanical anastomoses the authors add another type of incident involving catching of an intestinal fold. While the pitfalls recently published by M. Adloff include occlusive stapling, those encountered by the authors make mechanical stapling impossible. Two diagrams illustrate the mechanism of failure of circular mechanical anastomoses and suggest an easy way of avoiding this pitfall.

Colon↗