Annales de chirurgie
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Annales de chirurgie · Jun 2001
[Antibiotic prophylaxis and surgery. Prescription compliance in Franche-Comté with the national reference system].
To evaluate the practice of antibiotic prophylaxis for surgery in the Franche-Comté region of France. ⋯ This prospective surveillance showed that less than 50% of patients received an antibiotic prophylaxis that was conformed to the regulations. To ensure the efficiency of prophylaxis and to prevent deleterious effects, such as the emergence of antibiotic-resistant bacteria, the recommendations must be regularly respected. Frequent audits of practices should be carried out by the teams responsible for fighting nosocomial infections.
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Annales de chirurgie · Apr 2001
[Acute traumatic rupture of the thoracic aorta and its branches. Results of surgical management].
The aim of this retrospective study was to report a series of 102 patients with acute traumatic rupture of the thoracic aorta and its branches (TRA) and to evaluate long-term results. ⋯ RTA remains a surgical emergency with multiple difficulties. Despite the development of new imaging modalities, angiography remains the gold standard for the work-up of these patients. Venous arterial femorofemoral assistance with a pump remains the best procedure in order to avoid paraplegia and vascular prosthesis implantation when possible. Endovascular stent graft insertion, although still under investigation, holds tremendous promise for non-surgical treatment of these patients.
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Annales de chirurgie · Apr 2001
[Hydatid cysts of the liver opening in the biliary tract. Report of 64 cases].
The aim of this retrospective study was to report a series of patients with hydatid cyst opened in the biliary tract, who were operated in Morocco. ⋯ The opening of hyatid cysts of the liver into the biliary tract may be silent or revealed by biliary symptoms. The results of this series favour a conservative procedure, including resection of the protruding wall of the cyst and cysto-biliary disconnection, in spite of a high morbidity rate and a long hospital stay.
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Annales de chirurgie · Nov 2000
Case Reports[Pneumatosis cystoides intestinalis, treated with laparoscopic colectomy].
The authors report a case of pneumatosis cystoides intestinalis which, after failure of medical treatment, was treated by laparoscopic partial colectomy. Surgical treatment is a last resort and the laparoscopically-assisted approach seems to be a good indication in colectomy for pneumatosis cystoides intestinalis.