Journal de chirurgie
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Journal de chirurgie · Oct 1985
Case Reports[Associated lesions in closed injuries of the thorax: right bronchial rupture, rupture of the right subclavian artery, and bilateral fracture of the 1st rib].
A patient presented with rupture of right bronchus associated with rupture of the homolateral subclavian artery (diagnosed secondarily at the false aneurysm stage) and bilateral fracture of the 1st rib. Two stage repair operation provided lasting recovery. This case is used as a basis for emphasizing the diagnostic problems raised by combined endothoracic lesions, the need for systematic investigation of possible presence of a lesion of subclavian artery in patients with fracture of 1st rib, and finally various operative tactics (in the framework of false aneurysms of proximal subclavian vessels).
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Results of the use of music in the operating room are described, the study being conducted in 72 patients by recording cardiac and respiratory functions in 29 cases and from a questionnaire in the 43 others. Surgery had been performed under local or regional anesthesia in all these patients. It appears certain that the musical environment assists relaxation of patients and the comfort of those in the operating room, but it cannot be affirmed that it allows suppression of conventional premedication and reduction of quantities of anesthetic agents. These findings confirm those reported in the literature.
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Non-woven textiles are still not widely used in France, despite the great variety of their presentations. These products are clearly superior to traditional textiles in terms of a bacteriological barrier, which results in a lower rate of post-operative sepsis. It costs the same or less than classical textiles and it reduces the tasks of personnel and administration. Its presently limited used is essentially due to the reticence of surgeons, based on a poor understanding of the products and a psychological barrier which is difficult to overcome.
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The authors report a number of rare traumatic lesions which can be described under the heading of "safety belt syndrome". The superficial haematoma which is invariably present ("seat belt sign") would seem to be a reliable indication of improper wearing of the seat belt which has been attached too loosely. ⋯ It is important to be aware of such lesions which must be suspected in case of accident with a seat belt since the diagnosis is often difficult. The superficial haematoma is a valuable sign which should suggest the possibility of underlying deep lesions.