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Biomedical subjects

W Allegaert

Publications and source records attributed to W Allegaert.

At least 19 recordsLinked to original sources
PubMed1976

[Ruptured aneurysm of the inferior pancreatic-duodenal artery (author's transl)].

The authors stress the insidious onset of the lesion, which first presented as a hepatic or a gallbladder disease. Diagnosis was established later by an arteriography after the occurrence of a state of shock. Evacuation of the hematoma surrounding the aneurysm appeared satisfactory to re-establish the circulation; this was confirmed by an arteriogram. A review of the literature reveales 18 such cases, with a high mortality rate, up to 100% where surgery was not performed.

Aneurysm↗
PubMed1975

[On frozen vena saphena magna as an allograft in peripheral vascular surgery. Report of a case].

The case of a 75 year old white male, with severe ischemia of the left lower limb and gangrene of its fifth digit, is presented. Because of early post-operative thrombosis after insertion of an autogenous composite femoro-popliteal venous by-pass graft and recurrence of symptoms, a fresh frozen human varicose vein allograft procedure was performed. A pseudo-aneurism which occurred along the graft on the 13th postoperative day was successfully treated by segmental excision with "end-to-end" reconstruction of the allograft itself. This was followed by plastic reconstruction of his foot with primary healing and complete disappearance of symptoms. The patient is now eight months post- op with excellent functional result. Only twenty two similar cases were gathered from the literature. All problems associated with allograft transplantation of fresh and frozen veins are discussed. This case further supports the facts that bloodgroup incompatibility is not a major problem and that reinterventions on such grafts are feasable.

Aged↗
PubMedDate not supplied

[Evaluation of local anesthesia in inguinal hernia operations].

The results of a group of General, Peridural and Epidural Anesthesia (162 operations) and a group of Local Anesthesia (87 operations) were compared. It was concluded that in the local anesthesia group: 1. A minimal dose of medication was needed (inclusive the anesthetics). 2. Postoperative complication rate was very low. 3. Recurrence rate was nihil after 2 years. 4. The hospitalization time was very low. 5. The acceptance rate was high (96.6%). 6. The cost of this type of anesthesia was up to half the cost of general or regional anesthesia.

Adult↗
PubMedDate not supplied

[Considerations in the training of surgeons].

There are several reasons why this topic has been chosen by the Royal Belgian Surgical Society: the general malaise in the profession; the increased number of applicants; the interference of the government in the organization of surgical postgraduate training; the misjudgment which probably has been made in the past in the organization of surgical training programs. The many factors which have led to the present "misgrown" situation are discussed: principally there has been a fundamental oversight: general surgeons have promoted themselves as procedural specialists rather than surgical experts in specific organ systems or a well defined pathology. Finally a certain number of proposals are made to adjust the surgical training programs to the needs in this era: Junior year: in depth study of anatomy; in depth study of pathophysiology; specific training in basic surgical techniques, skills, and handcraft, all three with a test at the end of that year. 2nd-3rd-4th year: acquisition of surgical skills in a wide range of surgical interventions (elective and emergency cases). Final training years (2): acquisition of: a specific "general surgery attest" specifying the conditions where it is exclusively applicable (suburban or small town district hospitals), or an attestation of special interest in a specific organ or in a well defined pathology; formal study of management and meeting techniques; acquisition of a flexible contemporary philosophical and ethical insight.

Belgium↗
PubMedDate not supplied

[Computer hardware for a surgical service].

While the bulk of all medical information is text, we think that the hardware needed to collect this information and to store it in a databank, must be essentially a first class work processor, working in a multi-user system with terminals where this information is gathered: the nursing stations, operating theatres, outpatient clinics and a working and archiving station centrally placed and capable to link those different terminals and those from other services as well.

Computers↗
PubMedDate not supplied

[Inguinal hernia].

Explore the source record for details and available documents.

Europe↗
PubMedDate not supplied

Pilonidal sinus. Excision--marsupialization--phenolization?

Too often still this disease is called sacrococcygeal cyst, pointing into the direction of congenital etiology. With this paper (and a review of the literature) we try to proof that the theory of acquired origin of pilonidal sinus is the only one logically to be accepted. We indicate that extensive surgical procedures such as Z-plasty rotated flap or broad excision--are really unnecessary and that a simple and accurate technique--marsupialization--gives excellent results with a minimum of recurrences. The last few years phenolization of the pilonidal sinus has become a popular, and eventually a worthwhile alternative.

Adult↗