abstract：:The medical responsibility has been clearly defined in the Royal Decree no. 78 dated November 11, 1967 concerning the medical practice. Moreover, several articles from the Ethical Code (Code de Déontologie) have clarified some social and economical responsibilities in the medical practice (articles 99 to 103) and the ...

journal_title：Acta chirurgica Belgica

authors： Squifflet JP

更新日期：2003-04-01 00:00:00

abstract：:Public health and financial aspects of cholecystectomy related bile duct injury (BDI) are highlighted in a National Cholecystectomy Survey carried out through 'datamining' the Federal State Medical Records Summaries and Financial Summaries of all Belgian hospitals in 1997. All cancer diagnoses, children < or = 10 year...

journal_title：Acta chirurgica Belgica

authors： Van de Sande S,Bossens M,Parmentier Y,Gigot JF

更新日期：2003-04-01 00:00:00

abstract：:Emphysematous cholecystitis is a relatively rare variant of acute cholecystitis with infection by gas-producing organisms. Diagnosis involves the demonstration of gas within the lumen or wall of the gallbladder by ultrasound or CT scan. In contrast to acute cholecystitis, emphysematous cholecystitis occurs more common...

journal_title：Acta chirurgica Belgica

authors： Lallemand B,De Keuleneer R,Maassarani F

更新日期：2003-04-01 00:00:00

abstract：:Heterotopic pancreas is a rare developmental anomaly usually reported as an incidental finding. We describe a 1 cm diameter gallbladder heterotopic pancreas identified at pathological study. The patient, a 23-year-old woman, was suffering from cholecystitis. She underwent cholecystectomy with an uneventful course. ...

journal_title：Acta chirurgica Belgica

authors： Mboti F,Maassarani F,De Keuleneer R

更新日期：2003-02-01 00:00:00

abstract：OBJECTIVE:Analysis of the long-term results of video-assisted thoracic surgery (VATS) for spontaneous pneumothorax in patients treated in two surgical centres from May 1994 until December 2000. METHODS:A cohort of 86 patients was studied retrospectively. For final analysis, 74 patients undergoing 76 VATS procedures we...

journal_title：Acta chirurgica Belgica

authors： de Vos B,Hendriks J,Van Schil P,Van Hee R,Hendrickx L

更新日期：2002-12-01 00:00:00

abstract：:A 54-year old male patient was admitted with a tentative diagnosis of biliary pancreatitis. After 3 days, he developed an acute abdomen with a pneumoperitoneum. A laparotomy was performed: multiple perforations of the terminal ileum and a necrotic gallbladder were found. A right hemicolectomy with 30 cm of the termina...

journal_title：Acta chirurgica Belgica

authors： Bos WT,Willemsen PJ

更新日期：2002-10-01 00:00:00

abstract：PURPOSE:Hypothermia has some protective effect against ischemia of the spinal cord in thoracoabdominal aneurysm repair. Its method is divided into systemic or regional cooling. Several experimental studies of the regional cooling of the spinal cord have been performed, however, clinical reports are few. The purpose of ...

journal_title：Acta chirurgica Belgica

authors： Tabayashi K,Motoyoshi N,Akimoto H,Tsuru Y,Sakurai M,Itoh T,Fukuju T,Iguchi A

更新日期：2002-08-01 00:00:00

abstract：:A 68-year old man suffered severe respiratory distress, secondary to massive pleural effusion on the right side several hours after removing the nephrostomy tube from both right and left kidneys. A chest tube was placed and a yellowish fluid was evacuated. This was found to be urine from a fistula between the right pe...

journal_title：Acta chirurgica Belgica

authors： Hendriks J,Michielsen D,Van Schil P,Wyndaele JJ

更新日期：2002-08-01 00:00:00

abstract：:Epidermal cysts are commonly encountered in surgical practice. Malignant degeneration of epidermal sebaceous cyst is uncommon. The authors report the case of a 38-year Filipino woman presenting with a voluminous sebaceous cyst of the left buttock. Ultrasonography and computer tomography were made preoperatively withou...

journal_title：Acta chirurgica Belgica

authors： Debaize S,Gebhart M,Fourrez T,Rahier I,Baillon JM

更新日期：2002-06-01 00:00:00

abstract：:This case report concerns a spontaneous rupture of a Dacron prosthesis 19 years after its insertion. The rupture occurRed in the mid-graft portion, remote from the anastomoses and was not associated with proved infection. It was the result of an intrinsic deterioration of the graft textile structure. The patient recov...

journal_title：Acta chirurgica Belgica

authors： Opsommer JP,Fastrez J

更新日期：2002-04-01 00:00:00

abstract：:A case of a solid and cystic tumor of the pancreas occurring in a 15 year-old girl is reported. This patient was admitted with epigastric and left upper quadrant pain and vomiting. A mass was detected in the pancreas on CT scan and the patient was referred for surgery. A distal pancreatectomy was performed. A patholog...

journal_title：Acta chirurgica Belgica

authors： Gün F,Celik A,Abbasoglu L,Okumus M,Kapran Y

更新日期：2002-02-01 00:00:00

abstract：:Thyrotoxicosis is the clinical syndrome that results when tissues are exposed to high levels of circulating thyroid hormones. In most instances, thyrotoxicosis is due to hyperthyroidism, a term reserved for disorders characterized by overproduction of thyroid hormones by the thyroid gland. Nevertheless, thyrotoxicosis...

journal_title：Acta chirurgica Belgica

authors： Meurisse M,Preudhomme L,Lamberty G,Meurisse N,Bataille Y,Defechereux T,Hamoir E

更新日期：2001-11-01 00:00:00

abstract：:Groin swelling first evokes inguinal or femoral hernia but many other conditions may account for it. We describe varicosities of round ligament in a 27-year-old pregnant woman. She presented with a groin mass mimicking an inguinal hernia. Diagnosis was made during surgical exploration. This case report strengthens the...

journal_title：Acta chirurgica Belgica

authors： Guillem P,Bounoua F,Duval G

更新日期：2001-11-01 00:00:00

abstract：:We report our preliminary experience with a new surgical endoscopic technique, the Transilluminated Powered Phlebectomy (TriVex System, Smith + Nephew) to remove varicose veins. TriVex System combined an irrigated illuminator device and a powered vein resector. There were 15 patients with a mean age of 50 years, nine ...

journal_title：Acta chirurgica Belgica

authors： Scavée V,Theys S,Schoevaerdts JC

更新日期：2001-09-01 00:00:00

abstract：:Aortic dissection is an uncommon however catastrophic disease with extremely high mortality rate in untreated patients. Proper diagnosis and treatment can favourably modify natural history. This review will discuss following topics: 1. Pathophysiology, incidence and classification 2. Clinical manifestation 3. Diagnost...

journal_title：Acta chirurgica Belgica

authors： Szpakowski E,Biederman A

更新日期：2001-07-01 00:00:00

abstract：:The UK Small Aneurysm Trial has shown that ultrasound surveillance is a safe management option for patients with small abdominal aortic aneurysms (4.0 to 5.5 cm in diameter), with an annual rupture rate of only 1%. We investigated baseline risk factors associated with aneurysm rupture in the 1090 trial patients and an...

journal_title：Acta chirurgica Belgica

authors： Powell JT,Brown LC

更新日期：2001-01-01 00:00:00

abstract：PURPOSE:The indications for Percutaneous Transluminal Angioplasty (PTA) in the treatment of infrainguinal peripheral arterial occlusive disease are controversial. We have attempted to provide up to date data and compare the techniques of both conservative management and surgical approaches. REVIEW UNDERTAKEN: A literat...

journal_title：Acta chirurgica Belgica

authors： Jackson MJ,Wolfe JH

更新日期：2001-01-01 00:00:00

abstract：:The use of a tourniquet as an adjunct for lower limb revascularization is safe, effective and improves visualization of the operative field. Less dissection of the target vessels is required and combined with non-use of clamps and other occluding devices, we project a decrease in host hyperplastic response that will i...

journal_title：Acta chirurgica Belgica

authors： Dardik H

更新日期：2000-09-01 00:00:00

abstract：:Surgical techniques always imply uncertainty about risks and outcome. Many law systems explicitly recognise the patient's right with respect to informed decision-making. This right refers to information about the risks and benefits, the experience of the surgeon, and the performance of the surgical team. In practice, ...

journal_title：Acta chirurgica Belgica

authors： de Mol BA

更新日期：2000-07-01 00:00:00

abstract：:Lipodermatosclerosis and chronic ulceration have been longstanding and vexing problems caused by chronic venous insufficiency (CVI). While traditional approaches have been mainly medical with the use of compression, bedrest, and elevation; operative therapy for CVI has now been shown to cause earlier healing with fewe...

journal_title：Acta chirurgica Belgica

authors： De Palma RG,Kowallek DL,Barcia TC

更新日期：2000-05-01 00:00:00

abstract：:Laparosopy is now a well established tool in abdominal surgery. More often it is used in acute abominal situations. We present our experience with laparoscopy and laparoscopic treatment in patients with acute small bowel obstruction. Although it is technically challenging, in carefully selected patients laparoscopy an...

journal_title：Acta chirurgica Belgica

authors： Willemsen P,Appeltans B,Vanderveken M

更新日期：1999-12-01 00:00:00

abstract：:Anal fissure is one of the most common and painful proctological pathologies affecting mainly young individuals. The physiopathology in the development of a chronic anal fissure seems to be a combination of internal anal sphincter hypertonia and poor vascularization at the posterior midline. Treatment of acute fissure...

journal_title：Acta chirurgica Belgica

authors： Brugman T,Bruyninx L,Jacquet NJ

更新日期：1999-10-01 00:00:00

abstract：:We report the case of a young girl with Kartagener's syndrome who suffered from severe bronchiectasis confined to the left middle lobe. Due to chronic abscedation which failed to respond to medical therapy, resection of the left middle lobe was performed. Although there was an initial clinical benefit, afterwards she ...

journal_title：Acta chirurgica Belgica

authors： Thijssens K,Van Schil P,Van den Brande F,Stappaerts I,Eyskens E

更新日期：1999-10-01 00:00:00

abstract：:We report a case of renal artery stenosis most probably secondary to chronic pancreatitis. The patient had a traumatic pancreatic fistula. This was followed by numerous attacks of pancreatitis in the following years. At a relatively young age, he developed hypertension. Examinations revealed a right renal artery steno...

journal_title：Acta chirurgica Belgica

authors： Baykal A,Kaynaroglu V,Aran O,Onat D

更新日期：1999-08-01 00:00:00

abstract：:Obesity poses a serious health hazard and its treatment is often disappointing. Major advances have been made during recent years in the understanding of body weight regulation, with the discovery of leptin, a protein produced by adipocytes and acting on the central nervous system to reduce food intake, and that of be...

journal_title：Acta chirurgica Belgica

authors： Scheen AJ,Luyckx FH

更新日期：1999-05-01 00:00:00

abstract：:A patient with cystic dystrophy in heterotopic pancreatic tissue, localized in the second duodenum, is described. Diagnosis was assessed by computed tomography, endosonography and magnetic nuclear resonance (MNR). Medical treatment with octreotid during three weeks was effective but duodenal stenosis persisted. Finall...

journal_title：Acta chirurgica Belgica

authors： Rubay R,Bonnet D,Gohy P,Laka A,Deltour D

更新日期：1999-04-01 00:00:00

abstract：:This study was carried out to evaluate the reliability of a diagnostic approach with close cooperation between radiologists and surgeons for minimal breast disease. From 1993 to 1995, 152 evaluable patients with non palpable breast lesions were examined by mammography and their lesion was localized with a hook wire be...

journal_title：Acta chirurgica Belgica

authors： Jortay AM,Daled H,Faverly D

更新日期：1999-02-01 00:00:00

abstract：UNLABELLED:Laparoscopic herniorraphies have been used to reduce the pain and convalescence associated with open approaches. However, there is still not any consensus of the best approach. We compared open preperitoneal and laparoscopic total extraperitoneal approaches in groin hernia repair. METHODS:Thirty-two patient...

journal_title：Acta chirurgica Belgica

authors： Bostanci BE,Tetik C,Ozer S,Ozden A

更新日期：1998-12-01 00:00:00

abstract：:Clinical, diagnostic and therapeutic characteristics of a case of a fallopian tube adenocarcinoma splenic metastasis are reported. This case illustrates the diagnostic difficulties of this situation. These difficulties are both related to the poorly specific symptomatology and the low specificity of the current imager...

journal_title：Acta chirurgica Belgica

authors： Kouame J,Vankemmel M

更新日期：1998-10-01 00:00:00

abstract：:Hydatid cyst of the heart is an uncommon lesion which usually develops in the left ventricle. A 34-year-old patient with hydatid cyst of the left ventricle, who was operated under cardiopulmonary bypass, is presented. Postoperative course at one year was uncomplicated. ...

journal_title：Acta chirurgica Belgica

authors： Erentürk S,Kocazeybek B,Oner A,Sönmez B

更新日期：1998-08-01 00:00:00

abstract：:The hypothenar hammer syndrome is a rather rare vascular injury. It is seen in posttraumatic digital ischaemia caused by irregularity or occlusion of the distal ulnar artery at the level of the hamate bone. It characteristically occurs in the dominant hand of middle-aged men whose occupational or recreational activiti...

journal_title：Acta chirurgica Belgica

authors： Van de Walle PM,Moll FL,De Smet AA

更新日期：1998-06-01 00:00:00

abstract：:In this study, we evaluate retrospectively five years experience with the Swann Neck Missouri DC catheters. Sixty three catheters are placed in 51 patients. The total observation period is 695.6 months and the average time is 13.6 months per patient. The last 21 catheters are coiled type. Infectious complications rema...

journal_title：Acta chirurgica Belgica

authors： Remes J,Peeters J,Coosemans W,Donck J,Geuens M,Vlaminck H,Vanrenterghem Y

更新日期：1998-03-01 00:00:00

abstract：:We report the case of a patient with intestinal ischaemia and necrosis resulting from vasculitis of mesenteric veins and their intramural tributaries. This patient was otherwise healthy, had no prior history of inflammatory bowel disease nor clinical evidence of extra intestinal involvement or systemic vasculitis, and...

journal_title：Acta chirurgica Belgica

authors： Chergui MH,Vandeperre J,Van Eeckhout P

更新日期：1997-12-01 00:00:00

abstract：:Osteosarcoma of the proximal fibula represents about 2% of all osteosarcomas. The complexity of anatomical structures in this region led in the past to low transfemoral amputation in order to achieve local control. Three patients aged 14, 13 and 14 were treated in our institution and surgical margins were free of tumo...

journal_title：Acta chirurgica Belgica

authors： Lushiku HB,Gebhart M

更新日期：1997-10-01 00:00:00

abstract：:From January 1993 to December 1995, intraarterial catheter guided urokinase infusion was used as an initial approach in the management of 29 episodes of infrainguinal graft thrombosis (12 venous and 17 prosthetic grafts) in 27 patients. The infusion catheter was embedded inside the occluding clot which was infiltrated...

journal_title：Acta chirurgica Belgica

authors： Van Damme H,Trotteur G,Dongelinger RF,Limet R

更新日期：1997-08-01 00:00:00

abstract：:A case of type III aortic dissection which occurred fourteen months after heart transplantation is presented. Medical therapy was instituted to achieve controlled hypotension. The evolution was favorable and the patient could be discharged after one month. Hypertension and increased ejection fraction after transplanta...

journal_title：Acta chirurgica Belgica

authors： Defraigne JO,Demoulin JC,Detry O,Bertrand O,Limet R

更新日期：1997-06-01 00:00:00

abstract：:The authors present a case of laparoscopic repair of a symptomatic Morgagni hernia in an adult patient. The indication for surgery was based on symptoms of dyspnea and sensation of thoracic tightness. A tension-free closure of the defect using a Marlex mesh was carried out. Recovery was quick and uneventful. One year ...

journal_title：Acta chirurgica Belgica

authors： Vanclooster P,Lefevre A,Nijs S,de Gheldere C

更新日期：1997-04-01 00:00:00

abstract：:The authors present a new technique for the treatment of atherosclerotic occlusive disease of the superficial femoral artery in highly symptomatic cases. The endovascular technique consists of recanalization, dilation and intraluminal positioning of a distally stented and dilated polytetrafluoroethylene (P.T.F.E.) gra...

journal_title：Acta chirurgica Belgica

authors： Casselman F,Van Elst F,Spoelstra H

更新日期：1997-01-01 00:00:00

abstract：:In experienced hands, the value of the laparoscopic Nissen fundoplication as antireflux correction is established. The case report concerns a woman who underwent an emergency laparotomy for acute intrathoracic stomach volvulus with incarceration, one year after a laparoscopic Nissen fundoplication was carried out with...

journal_title：Acta chirurgica Belgica

authors： Yvergneaux JP,Berghs B,Kint M

更新日期：1996-11-01 00:00:00

abstract：:In the treatment of diffuse peritonitis, planned relaparotomies with peritoneal lavages using a zipper system (EthiZip Ethicon) are sometimes necessary to obtain a complete eradication of the infectious focus. While most reported series are dealing with an adult population, this review focuses on the treatment of peri...

journal_title：Acta chirurgica Belgica

authors： Roeyen G,Hubens G,Vaneerdeweg W,Mahieu L,Eyskens E

更新日期：1996-09-01 00:00:00