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  • 1
    Electronic Resource
    Electronic Resource
    Anatomical bases of echography of the liver. Applications in peroperative echography (1984)
    Springer
    Surgical and radiologic anatomy 6 (1984), S. 229-238 
    Details
    ISSN: 1279-8517
    Keywords: Liver ; Echography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé L'échographie per-opératoire du foie est appelée á prendre une place importante dans les indications d'exérése hépatique, d'autant plus qu'il s'agit d'une chirurgie anatomique et réglée. Cependant il n'est pas facile de se faire une idée précise de la représentation stéréo-spatiale de tel ou tel segment hépatique lorsque le foie est en place. Le but de ce travail est de préciser, á partir de coupes échographiques, la topographie des différents segments hépatiques et de permettre à l'opérateur de pratiquer une exploration compléte et systématisée. Elle apporte au chirurgien des renseignements qui n'étaient pas accessibles jusqu'ici aux explorations per-opératoires classiques.
    Notes: Summary Peroperative echography is bound to play an increasingly important role in indications for hepatic exeresis, particularly as this type of surgery is anatomical and patterned. It is not easy however to have a clear idea of the stereo-spatial representation of one segment or another when the liver is in situ. The aim of this investigation is to define precisely, with the help of echographic sections, the topography of the different hepatic segments, thereby enabling the surgeon to carry out a complete and systematised exploration. It provides the surgeon with information which has not been accessible until now with classic peroperative explorations.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01654456
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  • 2
    Electronic Resource
    Electronic Resource
    Anatomical basis for the use of the pectoralis major myocutaneous flap in reconstructive surgery (1984)
    Springer
    Surgical and radiologic anatomy 5 (1984), S. 245-249 
    Details
    ISSN: 1279-8517
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé L'importance prise en chirurgie cancérologique cervicofaciale par le lambeau musculo-cutané de grand pectoral a incité les auteurs à préciser la vascularisation de ce site donneur. Ce travail repose sur l'étude de 40 muscles grands pectoraux: dissection de pièces injectées au latex coloré en rouge, tout d'abord globalement, puis sélectivement dans le pédicule artériel du muscle, enfin injection du territoire cutané correspondant à ce pédicule. Cette étude confirme l'existence d'un pédicule artério-veineux principal, vascularisant le site donneur, situé à la face profonde du muscle grand pectoral et provenant de l'artère acromiothoracique; c'est autour de ce pédicule que se fait la rotation du lambeau et c'est lui qui assure la survie de ce dernier. La participation d'autres artères a également été notée.
    Notes: Summary The aim of this study was to clearly identify the vascularization of the pectoralis major myocutaneous flap owing to the importance of its use in the surgery of cervicofacial cancer. This work was based on the study of 40 pectoralis major muscles. The anatomical specimens were dissected after non selective injection of red latex followed by selective injection via the arterial pedicle of the muscle and finally injection of the cutaneous territory supplied by this pedicle. This study confirms the existence of a main arteriovenous pedicle vascularizing the donor site. The pedicle, lying at the deep surface of the pectoralis major, originates from the thoracoacromial artery. Rotation of the myocutaneous flap is achieved around this pedicle, the latter ensuring the survival of the flap. Participation of other arteries in the vascularization of the pectoralis major myocutaneous flap was also noted in this study.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01798747
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  • 3
    Electronic Resource
    Electronic Resource
    Dynamic modifications of the popliteal arterial axis in the sagittal plane during flexion of the knee (1987)
    Springer
    Surgical and radiologic anatomy 9 (1987), S. 37-41 
    Details
    ISSN: 1279-8517
    Keywords: Popliteal artery ; Topographic anatomy ; Flexion of the knee
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Les auteurs étudient, à partir de données exclusivement radiologiques, les modifications de l'axe artériel poplité au cours de la flexion du genou. Ils constatent l'apparition de flexuosités très marquées au niveau de la poplitée haute, alors que la poplitée basse décrit une courbe harmonieuse, dans le plan sagittal. Ces modifications se font entre deux points fixes: un point fixe crânial, représenté par la naissance de l'artère descendante du genou, et un point fixe caudal représenté par la naissance de l'artère tibiale antérieure. L'importance de ces modifications du trajet artériel ne doit pas être sous-estimée en pathologie lors des revascularisations artérielles prothétiques.
    Notes: Summary The authors have studied, on the basis of purely radiologic data, the modifications of the popliteal arterial axis during flexion of the knee. They note the appearance in the sagittal plane of very marked flexures of the upper part of the artery, while the lower part describes a harmonious curve. These modifications take place between two fixed points: a cranial fixed point, represented by the origin of the descending artery of the knee, and a caudal fixed point represented by the origin of the anterior tibial artery. The pathologic importance of these modifications of the course of the artery should not be underestimated when obtaining revascularization by means of an arterial prosthesis.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02116852
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  • 4
    Electronic Resource
    Electronic Resource
    The crura of the diaphragm and diaphragmatic passage (1985)
    Springer
    Surgical and radiologic anatomy 7 (1985), S. 271-283 
    Details
    ISSN: 1279-8517
    Keywords: Gastroesophageal reflux ; Crura of the diaphragm ; Esophageal hiatus ; Esophageal canal of the diaphragm
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Les auteurs rapportent un travail anatomique, morphologique et fonctionnel, sur la traversée diaphragmatique de l'œsophage. Cette étude leur permet de conclure que la place réservée aux structures anatomiques dans la continence gastro-œsophagienne est importante. La notion de ≪ sphincter physiologique ≫ doit être élargie en tenant compte des piliers du diaphragme qui forment un véritable sphincter anatomique extrinsèque. Ils insistent sur l'aspect dynamique de cette région et sur les variations de pression en relation avec les mouvements respiratoires. Dans la pratique les conclusions de ce travail devraient permettre au chirurgien de faire une exploration dynamique du reflux gastro-œsophagien et d'adapter son geste à un mécanisme physiopathologique précis.
    Notes: Summary The authors report an anatomical, morphological and functional study on the diaphragmatic passage of the esophagus. This study allows to conclude that the anatomical structures of the region play an important role in gastroesophageal continence. The idea of “physiological sphincter” must be broadened and take into account the crura of the diaphragm which from a true extrinsic anatomic sphincter. The authors also insist on the dynamic aspect of this region and on the variations of pressure related to the respiratory movements. From a practical standpoint, the conclusions of this study should permit the surgeon to make a dynamic investigation of gastroesophageal reflux and adapt treatment to a more precise physiopathological mechanism.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01784644
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  • 5
    Electronic Resource
    Electronic Resource
    Right nonrecurrent inferior laryngeal nerve and arteria lusoria: the diagnostic and therapeutic implications of an anatomic anomaly (1998)
    Springer
    Surgical and radiologic anatomy 20 (1998), S. 237-238 
    Details
    ISSN: 1279-8517
    Keywords: Non recurrent inferior laryngeal nerve ; Retroesophageal subclavian artery ; Thyroid ; Surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The authors report 17 cases of a right non-recurrent inferior laryngeal n. (NRILN) observed during 15 years of practice of thyroid and parathyroid surgery. In their last two cases, the existence of an aberrant right subclavian a., constantly associated with NRILN, was confirmed by MRI angiography. On the basis of the literature and their own experience, the authors review the incidence of this double anomaly, its embryologic explanation and its anatomic and surgical importance. They stress the diagnostic factors and the therapeutic implications, very different in children and adults, of a particular vascular anomaly whose outcome is little understood.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s00276-998-0237-5
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  • 6
    Electronic Resource
    Electronic Resource
    Right nonrecurrent inferior laryngeal nerve and arteria lusoria: the diagnostic and therapeutic implications of an anatomic anomaly: Review of 17 cases (1998)
    Springer
    Surgical and radiologic anatomy 20 (1998), S. 227-232 
    Details
    ISSN: 1279-8517
    Keywords: Non recurrent inferior laryngeal nerve ; Retroesophageal subclavian artery ; Thyroid ; Surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The authors report 17 cases of a right non-recurrent inferior laryngeal n. (NRILN) observed during 15 years of practice of thyroid and parathyroid surgery. In their last two cases, the existence of an aberrant right subclavian a., constantly associated with NRILN, was confirmed by MRI angiography. On the basis of the literature and their own experience, the authors review the incidence of this double anomaly, its embryologic explanation and its anatomic and surgical importance. They stress the diagnostic factors and the therapeutic implications, very different in children and adults, of a particular vascular anomaly whose outcome is little understood.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s00276-998-0227-7
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    Paper (German National Licenses)
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  • 7
    Electronic Resource
    Electronic Resource
    Right nonrecurrent inferior laryngeal nerve and arteria lusoria: the diagnostic and therapeutic implications of an anatomic anomaly (1998)
    Springer
    Surgical and radiologic anatomy 20 (1998), S. 227-232 
    Details
    ISSN: 1279-8517
    Keywords: Non recurrent inferior laryngeal nerve ; Retroesophageal subclavian artery ; Thyroid ; Surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Les auteurs rapportent 17 cas de non recurrence du nerf laryngé inferieur droit, observés en 15 ans de pratique de la chirurgie thyroidienne et parathyroidienne. Dans les deux dernières observations, l'existence d'une artère subclavière droite aberrante — ou arteria lusoria, constamment associée à l'anomalie nerveuse, a pu être confirmée par une angioIRM. S'appuyant sur la revue de la littérature et sur leur expérience personnelle, les auteurs rappellent la fréquence de cette double anomalie, son explication embryologique et son interêt anatomique et chirurgical. Ils insistent sur les circonstances diagnostiques et les conséquences thérapeutiques, très différentes chez l'enfant et chez l'adulte, d'une anomalie notamment vasculaire dont on connait mal les complications évolutives.
    Notes: Summary The authors report 17 cases of a right non-recurrent inferior laryngeal n. (NRILN) observed during 15 years of practice of thyroid and parathyroid surgery. In their last two cases, the existence of an aberrant right subclavian a., constantly associated with NRILN, was confirmed by MRI angiography. On the basis of the literature and their own experience, the authors review the incidence of this double anomaly, its embryologic explanation and its anatomic and surgical importance. They stress the diagnostic factors and the therapeutic implications, very different in children and adults, of a particular vascular anomaly whose outcome is little understood.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01628900
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    Paper (German National Licenses)
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  • 8
    Electronic Resource
    Electronic Resource
    Trophic ulcers in giant incisional hernias-pathogenesis and treatment (1997)
    Springer
    Hernia 1 (1997), S. 71-76 
    Details
    ISSN: 1248-9204
    Keywords: Incisional hernia ; Surgical treatment ; Cutaneous ulcer
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The authors define a framework for the classification and pathogenesis of trophic ulcers in giant incisional hernias. These ulcers are the result of ischemic changes; they are always situated at the vertex of the herniation and their presence complicate treatment for they are always infected. The management of the ulcer and of the hernia are two distinct concerns which must be considered separately.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02427665
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  • 9
    Electronic Resource
    Electronic Resource
    The mesh plug repair of groin hernias: A three year experience (1998)
    Springer
    Hernia 2 (1998), S. 31-34 
    Details
    ISSN: 1248-9204
    Keywords: Groin hernia ; Surgical treatment ; Plug repair
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The first results of 140 mesh plug repairs for groin hernias are reported retrospectively. The procedures were performed by 4 surgeons who were totally free to choose mesh plug repair in every individual case. From January 1995 to October 1997 the choice of this operation increased from 20% to 54%. The operation was performed with slight modifications of the original technique as described by Rutkow and Robbins. 84% of the patients were available to follow-up (median 34 months, extremes 3 to 58). Results can be considered as good concerning the recurrence rate (0.9%) but tolerance of the material remains questionable: 7 patients (6.3%) experienced long-lasting pain in the groin leading to plug removal in 2 cases. These data must be considered and need further evaluation.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01207771
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  • 10
    Electronic Resource
    Electronic Resource
    Complications in incisional hernia repairs by the placement of retromuscular prostheses (2000)
    Springer
    Hernia 4 (2000), S. S25 
    Details
    ISSN: 1248-9204
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01387179
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