desarticulation

AIM: The surgical assumption of responsibility of the pancreatic pain requires either a truncular coelioscopic or radicular neurectomy of greater splanchnic nerves (gsn). The goal of our work is to describe the way and relations of the right gsn which are variable and rarely described. This constitutes an undeniable peroperational hemorrhagic risk during splanchnicectomy. MATERIAL AND METHODS: After a double side thoracotomy and a bilateral sterno-clavicular desarticulation on 15 adult cadaveric subjects preserved by method of Winckler we removed the sterno-costal drill plate as well as the ventral rib arch and proceeded to a mediastinal evisceration of the thorax...

Proximal screw pullout is a well-recognized problem in anterior scoliosis surgery, with a rate of pseudarthrosis or screw pullout ranging from 15 to 30%. To prevent screw pullout at the top of the construct, the authors have devised the concept of a claw for the top instrumented vertebra. The claw consists of a classic anterior vertebral body screw inserted parallel to the inferior end-plate and in the posterior portion of the vertebral body 8 mm in front of the spine canal. After rib desarticulation, a laminar hook of a small size is inserted over the superior aspect of the pedicle of the same vertebra...

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Born in a small village of Ardèche, Ollier became, still in his youth, chief surgeon at the Hôtel Dieu of Lyons and later professor of surgical clinic at the Faculty. His experimental works carried on during his lifetime showed the role played by the periosteum in bone regeneration and established the rules of the success or failure of homo and heterografts. Utilizing clinically the periosteum capacities, he codified the osteo-articular resections in many traumatic and inflammatory diseases of the members, ensuring the superiority of the resections on the amputations and desarticulations...

Almost all malignant bone tumors in children are either osteogenic sarcomas or Ewing's sarcomas. Their origin and their site are different as well as the course of the disease and its treatment. Amputation or desarticulation in still the best local treatment for osteogenic sarcoma. Irradiation can benefit some patients. Conservative resection, followed by internal prosthesis, is still an experimental procedure. Results of chemotherapy combining high-dose methotrexate and adriamycin have been controversial. Prophylactic pulmonary irradiation seems to lessen the number of metastases...

The authors describe the results of five pediatric patients with nonmetastatic osteosarcoma of an extremity, admitted from 1987 to 1989 to the Hospital Infantil del Estado de Sonora. Four patients presented with their primary tumor located at the distal end of the femur, whereas one had a primary lesion of the humerus. All of them received preoperative chemotherapy consisted of two cycles of cisplatin and adriamycin. One of the patients presented immediate complications after first cicle and died due to overwhelming sepsis by Candida albicans...