Annales de chirurgie
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Annales de chirurgie · Jan 1998
Review Comparative Study[Diagnostic strategy in abdominal injuries].
There is persistent controversy concerning the management of patients with abdominal trauma. The major point is to determine whether or not the abdominal trauma is penetrating. ⋯ In the case of anterior penetrating abdominal trauma, diagnostic peritoneal lavage, which is an over sensitive method, could be replaced by laparoscopy, which allows both diagnosis and treatment. Triple-contrast CT scan is the first-line diagnostic modality in penetrating back and flank trauma.
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Annales de chirurgie · Jan 1998
Review Case Reports[Value of celioscopy in treatment of isolated torsion of the Fallopian tube. Review of the literature. Apropos of 3 cases].
Isolated fallopian tube torsion (ITT) is infrequent and associated with morphologic and dynamic disturbances. Mr L, 31 years old, suffered from right lower quadrant pain which became worse during the following 48 hours. Laparoscopy revealed a right necrotic ITT which was resected by laparotomy. ⋯ Diagnosis was easily established by laparoscopy. In case of clinical symptoms suggestive of ITT, pelvic and endovaginal ultrasonography and laparoscopy are indicated. Tubal preservation must be the rule.
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Annales de chirurgie · Jan 1998
Historical Article[One hundred years of bone surgery in the Lyons Teaching Hospitals (1897-1997)].
Throughout the XIXth century and until 1945, bone surgery focused primarily on correcting deformities in children. The treatment of injury-related bone lesions in adults (compound fractures and dislocations) remained within the province of general surgeons until circa 1970. Lyons played a unique role in the XVIIIth and XIXth centuries, for three reasons. 1) The term "orthopedics" (which means "straight children", or "children to be made straight") was coined in 1743 by an 80-year-old inhabitant of the Saint Nizier parish in Lyons, Nicolas Andry or André, a former dean of the Paris School of Medicine. ⋯ Although societies for surgery of the hip, knee, spine, hand, foot, and so on now exist, meetings of the Lyons Society for Bone Surgery remain useful since new ideas and techniques sometimes stem from experience acquired in other fields. It is worthy of note that in other European countries traumatology is a specialty in itself, which includes visceral and bone traumatology. It can be anticipated that harmonizing the traumatology specialty in Germay and the orthopedic surgery and traumatology specialty in France may raise a number of problems.
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Annales de chirurgie · Jan 1998
Historical Article[The origins of the National Academy of Surgery].
The French Academy of Surgery was not created easily largely due to the frequent quarrels between physician and surgeons. Founded in 1731, it experiented many trials and tribulations for three centuries. Disbanded in 1793 by the Convention, it was transformed into Société Nationale in 1843 and only regained the name of Académie in 1935.