[Large esophagogastric caustic burns in the adult]. / Les grandes brûlures caustiques oeso-gastriques de l'adulte

The authors treated, as an emergency, severe caustic burns in adults. They present 13 cases and discuss four deaths. Critical analysis of these observations,compared with the findings of pathology and in the literature, permit one to consider the therapeutic indications. The place of often major surgical operations is discussed in relation to further specialist investigations or the appearance of complications. The results are assessed in 8 patients who were followed up for a long period.

[Ischemia or acute vascular stasis of a limb related to psychopathological behavior. Pathominia]. / Ischémie ou stase vasculaire aiguë d'un membre liées a un comportement psycho-pathologique. Pathomimie

Disorders due to voluntary use of a tourniquet may produce numerous therapeutic errors with serious consequences. The difficult diagnosis of this hysterical behavior is recalled here and the authors report two cases.

[Direct approach for bypass of the distal deep femoral artery. The supra mediocrural route]. / Abord direct pour pontage de l'artère fémorale profonde distale. La voie sus-médiocrurale

The medio-femoral route permits a simple, direct approach to the distal part of the profunda femoris artery outside Scarpas triangle, i.e. below the first perforating artery. The quadriceps femoris and sartorius muscles are separated. This segment may reach the lower part of the popliteal artery through various collaterals supplying the muscle and nerve arteries and, hence, the leg. In selected cases with severe ischemia and absent femoral pulse, a by-pass operation carried out at this level permitted one to obtain a satisfactory arterial blood supply to the leg and foot. Used in only three patients, with a follow-up of several months, we cannot yet draw final conclusions, but the quality of the early results is evidence for the interest of the method.