The Sauvé-Kapandji procedure for post-traumatic distal radio-ulnar arthrosis: Long-term results and analysis of risks factors for revision surgery.

Introduction: The Sauvé-Kapandji (SKp) procedure is a frequently used surgery for the management of post-traumatic sequelae of the distal radio-ulnar joint (DRU). Series evaluating long-term outcomes and the risk of complications are rare. The main objective was to describe the long-term clinical and radiographic results after SKp performed in a post-traumatic context.

ADHD prevalence in patients with hypersexuality and paraphilic disorders: a systematic review and meta-analysis.

Hypersexuality and paraphilic disorders have been associated with increased ADHD in several studies. To determine the prevalence of ADHD in hypersexuality and paraphilic disorders. Three databases (Medline, Web of Science and Google Scholar) were explored.

Popliteal arteriovenous fistula due to a gunshot injury.

We report the case of a 22-year-old man who presented with a popliteal arteriovenous fistula after a gunshot injury to his right knee. The diagnosis, made in the Emergency Department, was confirmed by arteriography, allowing quick therapeutic intervention. The lesions to the popliteal artery and vein were repaired with a double venous bypass, followed by relieving fasciotomy.

Particularities of peripheral arterial disease managed in vascular surgery in the French West Indies.

Background: Epidemiology of peripheral arterial disease is currently unknown in French West Indies (Antilles).

Aims And Methods: The aim of this study is to present peripheral arterial disease (PAD) occurring in the French West Indian subjects through the analysis of our database of vascular surgery. The study population included 754 patients (mean age 73 +/- 10 years), mostly from African descents.

Gunshot wounds to the chest with arterial bullet embolization.

This report describes two cases involving small-caliber gunshot wounds to the chest with embolization of the bullet (.22 long rifle). In the first patient, hemodynamic status permitted additional imaging before surgery.

Survival and quality of life after arterial revascularization or major amputation for critical leg ischemia in Guadeloupe.

Functional outcome and survival in 253 patients treated for critical leg ischemia (CLI) in Guadeloupe (French West Indies) were analyzed. Analysis included calculation of quality-of-life score (QLS) from telephone survey data, with a median follow-up time of 42 months (range 12-109). A slight but significant benefit was observed in the 140 patients who underwent arterial reconstruction, with 76% autonomous ambulatory function, 51% independent residential status, and a QLS of 6.

Transjugular preoperative portal embolization (TJPE) a pilot study.

Background/aims: Because of our previous experience with transjugular intrahepatic portosystemic shunt, we decided to apply the transjugular approach to preoperative portal embolization. The aim of this pilot study was to determine the feasibility and the potential advantages and disadvantages of this new method.

Methodology: Under ultrasound guidance the right or left portal branch was punctured from the right, median or left hepatic vein.

Morbidity of percutaneous tube thoracostomy in trauma patients.

Objectives: This prospective study was designed to evaluate the complications of percutaneous tube thoracostomy (PTT) performed for chest trauma in our institution and to determine predictive factors.

Methods: One hundred and thirty-four primary PTTs were performed in 128 patients for blunt (83) and penetrating (45) chest traumas. Failure was defined as undrained hemothorax or pneumothorax, post-tube removal complications and empyema.

Infection of PTFE grafts used to create arteriovenous fistulas for hemodialysis access.

Between January 1993 and December 1994, we treated 19 patients for infection involving expanded polytetrafluoroethylene (ePTFE) grafts used to create arteriovenous fistulas (AVF) for hemodialysis. Manifestations included false aneurysm in nine cases, periprosthetic abscess in seven cases, and tunnel contamination in three cases. The port of entry was the puncture site or catheter in 63% of cases.

Injury of the pulmonary artery and its branches due to penetrating chest trauma.

This study describes the treatment of seven wounds involving the pulmonary artery or its main branches in six men (36 +/- 12 years). Injury was associated with hemoptysis or massive hemothorax in four patients, three of whom had arrest on the way to the operating room. The mean interval between injury and admittance and between injury and surgery was 18 +/- 8 min and 39 +/- 14 min, respectively.

[Computed tomography study of the sigmoid colon: discriminating diagnostic criteria and interobserver correlations].

Purpose: To assess the value of pericolonic findings at CT in the evaluation of the sigmoid colon.

Materials And Methods: A total of 210 CT examinations were retrospectively reviewed by 3 blinded radiologists. Data was analyzed to determine the interobserver correlation and the value of pericolonic and colonic wall findings in diagnosis of sigmoid colon pathology.

Fatty acid composition of phospholipids and neutral lipids from human diabetic small arteries and veins by a new TLC method.

It has been suggested that lipid peroxidation of polyunsaturated fatty acids (PUFA) may play a role in the pathogenesis of diabetic complications. To test this hypothesis, we aimed to compare PUFA composition of small arteries and veins (< 500 microm diameter) obtained from diabetic or non-diabetic Guadeloupean patients undergoing arterio-venous shunt surgery before renal dialysis. Small forearm subcutaneous vessels were analysed by a new TLC method which involved inclusion of vascular biopies directly in alveoles made in the TLC gel and lyophilization onto the plate.

Surgical management of critical limb ischaemia in the French West Indies.

This retrospective study analyses the clinical presentation, surgical management and early outcome of 174 patients (mean age +/- SEM: 73 +/- 15 yrs) admitted for critical limb ischaemia. 145 (84%) had tissue loss at admission: toe gangrene or ischaemic ulcer in 77, and gangrene extending beyond the forefoot in 68. 87 primary limb amputations and 107 revascularisations were performed at iliofemoral (n = 20), suprapopliteal (n = 22) or infrapopliteal level.

[Which is the best performing imaging method for demonstrating residual renal calculi?].

Objectives: To compare the results of plain abdominal films, tomography, ultrasonography and spiral computed tomography in the detection of residual stone fragments after extracorporeal lithotripsy or percutaneous nephrolithotomy.

Material And Methods: Prospective study on 31 patients and 40 renal units comparing the results obtained by plain abdominal films, tomography, ultrasonography and spiral CT.

Results: This study demonstrates the superiority of spiral CT over the other examinations for detection of renal stones (sensitivity of 100% for spiral CT, 89.

[The role of percutaneous drainage in acute calculous cholecystitis. Apropos of 27 cases].

Surgery is the treatment of acute calculous cholecystitis. Mortality and morbidity are considerable for patients with anesthetic risk factors. In this context, ultrasound-guided percutaneous drainage seems to be a alternative to urgent surgery.

Infrapopliteal bypass for critical limb ischaemia. Early experience in the French West Indies.

From December 1992 to October 1995, 42 infrapopliteal arterial bypass operations for limb salvage were performed in 39 patients (including 22 diabetics) with critical limb ischaemia (mean age, 71 years). Thirty-four patients (87%) had tissue loss at admission (8 ulcers, 13 digit gangrenes and 13 extensive foot infections). Angiographic findings were consistent with atherosclerotic involvement of femoral and crural arteries.

Acute mesenteric ischemia: diagnosis with contrast-enhanced CT.

Purpose: To evaluate the accuracy of dynamic, contrast material-enhanced computed tomography (CT) in the diagnosis of acute mesenteric ischemia.

Materials And Methods: Reviewers blinded to patient diagnoses retrospectively compared the CT scans in a study group with those in a control group. The study group comprised 39 consecutive patients (23 men, 16 women; aged 55-88 years) with surgically proved acute mesenteric ischemia.

What are the small bowel obstructions to operate and how to do it?

Small bowel obstruction is one of the main surgical emergencies. CT scan is today the best exam to detect occlusions requiring an urgent surgical procedure. It also specify the cause of the obstruction.

[Actinomycosis and non-Hodgkin's malignant lymphoma: fortuitous association?].

Two cases of actinomycosis associated with non Hodgkin's lymphoma (NHL) are reported. In one case, low grade NHL was diagnosed many years after actinomycosis because of the persistence of abdominal lymphadenopathy in spite of antibiotic therapy. In the second case, hepatic metastasis were initially suspected until actinomycosis diagnosis was made by percutaneous liver biopsy under scanography.

[New imaging techniques in pulmonary embolism].

Acute pulmonary embolism is a medical emergency and diagnostic certitude must be obtained as early as possible. In clinically serious situations, spiral CT is a reliable diagnostic tool. It provides direct signs of embolism with visualisation of thrombi in the pulmonary arteries as far as the segmental branches and its diagnostic value does not change in cases of pulmonary parenchymal involvement.