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Biomedical subjects

W Peze

Publications and source records attributed to W Peze.

10 recordsLinked to original sources
PubMed1991

[Ballistic hand trauma].

46 victims of projectile accidents or explosions were treated over a 5 years period between 1984 and 1989. 3 categories were distinguished: injuries due to a single projectile (12 cases), only inducing serious bone damage and, apart from 3 immediate amputations, the final result was satisfactory. Injuries due to multiple scattered projectiles (11 cases), less severe in terms of the initial lesions, not requiring any amputations, with good results in 8 cases. Explosion injuries (23 cases) in which the effect of the explosion induced considerable initial lesions leading to one hand amputation and 33 finger amputations; the association of skeletal and soft tissue lesions raises the problem of excision and primary cover, requiring large flaps. The course is long and 8 out of 26 hands had serious sequelae, while the reconstruction of an elementary pinch can be considered to be an acceptable result in the other cases.

Amputation, Traumatic↗
PubMed1990

[Comparative study of the effects of a local antibiotic and a local antiseptic in emergency hand surgery].

An open randomised comparative study was conducted in patients presenting with a hand injury requiring a surgical operation, in order to compare the efficacy of topical application of rifamycin SV with that of iodinated polyvidone dermal solution, in terms of the quality and rate of healing evaluated by the clinician, 268 patients were included in the study and 223 of them participated in the analysis of the results. Analysis of the results demonstrated the following conclusions: signs of infection developed in 8 patients in the rifamycin SV group (7%) and in 20 patients in the iodinated polyvidone group (18.5%). This difference was significant (p = 0.011) in favour of rifamycin SV. The rate of healing was considered to be rapid in 10% of patients in the rifamycin SV group and in 4% of patients in the iodinated polyvidone group. It was considered to be slow in 14% of the subjects in the rifamycin SV group and in 21% of those in the iodinated polyvidone group. This difference was also significant in favour of the rifamycin SV group (p = 0.038). In terms of local tolerance, 32 patients equally distributed between the two treatment groups developed signs of cutaneous intolerance.

Administration, Topical↗
PubMed1988

[Dorsal Dupuytren's disease].

Two different manifestations of the disease are discussed: hyperextension of the distal interphalangeal joint through mechanical fibrous contracture or through pathological involvement of the retinacular ligaments. Surgical correction is performed by transection of the contracted structures but this manifestation tends to be found in severe disease and thus to presage a poor prognosis. Dorsal localisations of the disease itself in the form of (1) knuckle pads when localized on the dorsal aspect of the PIP joint where they do not impair flexion, or (2) distal nodules situated dorsal to the extensor tendon and the IP joints and restricting the range of flexion. Surgical excision in group 2, when requested by patients, has enabled us to determine that the histological aspect is of Dupuytren's disease and that the post-operative course has been uneventful in our 12 operated cases.

Adult↗