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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Hernia 1 (1997), S. 9-14 
    ISSN: 1248-9204
    Keywords: Incisional hernia ; Fibrin glues ; Mesh repair ; Prosthesis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The purpose of this work is to report on the results of a series of 110 operations for incisional hernia treated either by primary suture or by a plasty reinforced with a prosthesis placed anterior to the rectus sheath, and fixed by a new method involving a spray of fibrin glue. The composition and properties of the two fibrin glues presently available commercially in France are analysed, together with the procedures undertaken to prevent viral contamination. Several techniques of suture and hernioplasty have been used in this series, prostheses were all placed anterior to the myo-fascial layer. The arguments in favor of the choice of technique are put forward, as well as details of the surgical procedure. There was no mortality in this series. Minor complications were seen in 10% of cases. There was no significant difference between the two types of glue employed. Analysis of the results favors the routine use of suction drainage and a volume of glue of 2 ml. The use of a prosthesis fixed with fibrin glue reduces the definitive recurrence rate to 0.97%, against 9.02% for techniques using a prosthesis only and 18.3% for techniques without a prosthesis, in an overall series of 389 operations.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1248-9204
    Keywords: Desmoid tumor ; Inguinal region ; Abdominal wall
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The authors report a clinical case of desmoid tumor of the left inguinal region whose excision necessitated removal of the anterior wall of the inguinal region and of the entire walls of the femoral canal. The reconstruction of these different walls was made by means of two prostheses: one to reconstitute the sheath of the iliofemoral vascular canal, the other to reconstitute the anterior wall of the left inguinal region. The report of this clinical case is taken as an opportunity to review the special nature of these tumors and their course and treatment.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Hernia 1 (1997), S. 139-142 
    ISSN: 1248-9204
    Keywords: Rectus sheath ; Biomechanics ; Mechanical properties
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The anterior layer of the sheath of the rectus muscles is often used in the repair of incisional hernias through the linea alba. This practice has led us to undertake an anatomical and biomechanical study of its structure. Thirty fresh cadavers were divided into three groups of ten. All were dissected and biomechanical tests were carried out on the latter two groups: in Group 2 a dynamometer was used to measure the resistance to linear traction and to deformation. In Group 3 a bursting strength tester was used in order to determine the resistance to pressure. Morphological studies included measurements of the mean dimensions of the sheath, and of its composition at different levels. The biomechanical results show that the anterior sheath is more resistan to traction below the arcuate line than above it, whereas the resistance to pressure shows an opposite pattern. The resistance to traction of the posterior sheath is similar in its aponeurotic portion both above and below the umbilicus, the resistance to pressure being slightly less in the region of the arcuate line. The figures for deformation are essentially the same at all levels. The implications of these results for the repair of abdominal wall defects are discussed.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Surgical and radiologic anatomy 10 (1988), S. 52-52 
    ISSN: 1279-8517
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Surgical and radiologic anatomy 12 (1990), S. 3-7 
    ISSN: 1279-8517
    Keywords: Surgical flaps ; Periosteum ; Grafts
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Cette étude anatomique réalisée sur 25 sujets frais, injectés a permis de dresser une cartographie des lambeaux périostés susceptibles d'être prélevés aux membres. Les sites donneurs préférentiels sont le tiers distal de l'humérus, la fosse iliaque et le tiers distal du fémur. Pour les 2 derniers sites, des lambeaux composites ostéo-périostés ou musculo-ostéo-périostés peuvent être prélevés. Ces possibilités techniques concrétisent l'intérêt des études expérimentales qui ont montré le pouvoir ostéogénique des greffes de périoste vascularisé.
    Notes: Summary An anatomical study made in 25 injected fresh subjects made it possible to map out the periosteal flaps capable of being raised on the limbs. The preferred donor sites are the distal third of the humerus, the iliac fossa and the distal third of the femur. At the last 2 sites composite osteo-periosteal or musculo-osteo-periosteal flaps can be raised. These technical possibilities illustrate the importance of experimental studies which have shown the osteogenic capacity of grafts of vascularized periosteum.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Surgical and radiologic anatomy 11 (1989), S. 148-148 
    ISSN: 1279-8517
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Surgical and radiologic anatomy 17 (1995), S. 285-286 
    ISSN: 1279-8517
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Surgical and radiologic anatomy 2 (1979), S. 159-168 
    ISSN: 1279-8517
    Keywords: foie ; voies biliaires intra-hépatiques
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Résumé Les anastomoses bilio-digestives intra-hépatiques peuvent être réalisées à trois niveaux: sur la convergence biliaire, sur les voies gauches ou sur les voies droites. La compréhension des diverses voies d'abord chirurgicales impliquent la connaissance de la plaque hilaire, de la scissure portale principale, des voies biliaires intra-hépatiques et de la scissure ombilicale, dont le rappel anatomique fait l'objet de cet article.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Springer
    Surgical and radiologic anatomy 2 (1979), S. I 
    ISSN: 1279-8517
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 10
    Electronic Resource
    Electronic Resource
    Springer
    Hernia 1 (1997), S. 2-2 
    ISSN: 1248-9204
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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