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Your search keyword '"Chavoin, J.-P."' showing total 184 results
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184 results on '"Chavoin, J.-P."'

24. Technique de la 'boucle vasculaire saphene' dans le traitement des pertes de substance du membre inferieur. A propos de 5 cas

Author

Quinodoz, Pierre Dominique, Lanfrey, E, Grolleau, J L, Chavoin, J P, and Costagliola, M

Subjects
body regions, Adult, Male, Leg Injuries/surgery, Treatment Outcome, ddc:617, Amputation, Traumatic/surgery, Saphenous Vein/transplantation, Surgical Flaps/blood supply, Humans, Female, Middle Aged
Abstract

Five patients with high energy trauma of the lower limb with tissue defect located in the knee or the proximal third of the leg underwent reconstruction with a free latissimus dorsi flap. This flap was connected to a vascular saphenous loop which initially creates an arterioveous shunt between proximal femoral vessels. This was performed in a single operation with two teams of surgeons. This technique was chosen because a healthy recipient pedicle was not available in the vicinity of the defect. Application of vein grafts is not the usual procedure but there are situations in which it becomes necessary. Our aim in this paper is to discuss these situations, to describe the technique used in our Hospital and to analyze the advantages and disadvantages of a one or two-stage operation.

Published
1998

50. Intérêt d’un « second look » systématique à 48–72heures dans les injections à haute pression de la main : une étude rétrospective

Author

Chaput, B., Nouaille de Gorce, H., Courtade-Saïdi, M., Apredoaei, C., Rongières, M., Chavoin, J.-P., Grolleau, J.-L., and Garrido, I.

Subjects
*HAND injuries, *RETROSPECTIVE studies, *HIGH pressure biology, *INFLAMMATION, *NECROSIS, *DEBRIDEMENT
Abstract

Abstract: Objectives: Poorly standardized, the management of high pressure injections (HPI) is frequently too late and inadequate, some teams reporting up to 50% of amputations. HPI causes inoculation of toxic particles in depth, particularly difficult to remove surgically. The persistence of this foreign material maintains local inflammation and increases the risk of infection. The objective of this article is to validate the benefit of a systematic “second look” at 48–72hours in HPI. Methods: We conducted a retrospective study from 2006 to 2010, of patients who had a HPI into the hand. All patients had initial debridement surgery and a “second look” was systematically performed at 48–72hours. Results: During this period, six patients were treated for a HPI of paint (n =4) or oil (n =2). The time between the accident and surgery was 12.4hours (2–24). Four patients had good functional outcome with no disabling sequelae. We performed two amputations. At six months, five patients returned to work. Conclusions: Early management determines the prognosis of the HPI. Extended debridement within six hours showed a better functional outcome than later treatment. Performing a systematic “second look” allows further washing/debridement and gives the possibility to be more conservative during the initial procedure. This second debridement allows excision of the newly formed necrosis and to evacuate the remaining toxic residues. Finally, patients reported good functional outcome. [Copyright &y& Elsevier]

Published
2012
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