L'art de prolonger la vie / par le Dr C.-W. Hufeland ; [édité par le Dr J. Pellagot]

Collection : Bibliothèque médicale variée

Chirurgie endoscopique endonasale des tumeurs de la base du crane : historique, état de l'art et perspectives d'avenir [Shifting paradigm in skull base surgery: Roots, current state of the art and future trends of endonasal endoscopic approaches].

During the last two decades, endoscopic endonasal approach has completed the minimally invasive skull base surgery armamentarium. Endoscopic endonasal skull base surgery (EESBS) was initially developed in the field of pituitary adenomas, and gained an increasing place for the treatment of a wide variety of skull base pathologies, extending on the midline from crista galli process to the occipitocervical junction and laterally to the parasellar areas and petroclival apex. Until now, most studies are retrospective and lack sufficient methodological quality to confirm whether the endoscopic endonasal pituitary surgery has better results than the microsurgical trans-sphenoidal classical approach. The impressions of the expert teams show a trend toward better results for some pituitary adenomas with the endoscopic endonasal route, in terms of gross total resection rate and probably more comfortable postoperative course for the patient. Excepting intra- and suprasellar pituitary adenomas, EESBS seems useful for selected lesions extending onto the cavernous sinus and Meckel's cave but also for clival pathologies. Nevertheless, this infatuation toward endoscopic endonasal approaches has to be balanced with the critical issue of cerebrospinal fluid leaks, which constitutes actually the main limit of this approach. Through their experience and a review of the literature, the authors aim to present the state of the art of this approach as well as its limits.

Transvaginal specimen extraction in colorectal surgery: current state of the art.

Aim  Background The expected benefit of transvaginal specimen extraction is reduced incision-related morbidity. Objectives A systematic review of transvaginal specimen extraction in colorectal surgery was carried out to assess this expectation. Method  Search strategy The following keywords, in various combinations, were searched: NOSE (natural orifices specimen extraction), colorectal, colon surgery, transvaginal, right hemicolectomy, left hemicolectomy, low anterior resection, sigmoidectomy, ileocaecal resection, proctocolectomy, colon cancer, sigmoid diverticulitis and inflammatory bowel diseases. Selection criteria Selection criteria included large bowel resection with transvaginal specimen extraction, laparoscopic approach, human studies and English language. Exclusion criteria were experimental studies and laparotomic approach or local excision. All articles published up to February 2011 were included. Results  Twenty-three articles (including a total of 130 patients) fulfilled the search criteria. The primary diagnosis was colorectal cancer in 51% (67) of patients, endometriosis in 46% (60) of patients and other conditions in the remaining patients. A concurrent gynaecological procedure was performed in 17% (22) of patients. One case of conversion to laparotomy was reported. In two patients, transvaginal extraction failed. In left- and right-sided resections, the rate of severe complications was 3.7% and 2%, respectively. Two significant complications, one of pelvic seroma and one of rectovaginal fistula, were likely to have been related to transvaginal extraction. The degree of follow up was specified in only one study. Harvested nodes and negative margins were adequate and reported in 70% of oncological cases. Conclusion  Vaginal extraction of a colorectal surgery specimen shows potential benefit, particularly when associated with a gynaecological procedure. Data from prospective randomized trials are needed to support the routine use of this technique.

El deterioro del soporte de contrachapado: propuesta de restauración de 9 obras de Francesc Artigau

Francesc Artigau (Barcelona 1940) pintó en los años setenta una serie de obras al temple sobre contrachapado. De éstas, dos trípticos y un díptico estaban destinados a decorar un hotel en Masquefa (Lérida), pero fueron rechazados por su atrevimiento y sus colores, y quedaron en propiedad del agente intermediario, junto con otra obra de menor formato. Las nueve obras sufrieron después un grave proceso de deterioro causado por una conservación en condiciones deplorables, al estar almacenadas en un local en el que se guardaba un grupo indeterminado de perros. Las obras, actualmente propiedad del Museo de l'Hospitalet (Barcelona), han permanecido fuera del circuito artístico hasta la actualidad. Se exponen los primeros resultados de la fase de estudio del soporte de las nueve obras y las propuestas de intervención en los soportes dañados

Evaluación de los efectos causados por el uso de poli (vinil acetato) —PVAc— en los entelados de carteles modernos

En este trabajo de investigación se estudian los efectos causados por el uso de poli (vinil acetato) —PVAc— en el entelado de carteles modernos para evaluar el estado actual de las obras intervenidas con este tratamiento, los efectos de la presencia del adhesivo en su estado de conservación, y las alteraciones que pueden aparecer en el futuro comprometiendo la estabilidad a largo plazo.

La pintura mural romànica: estudi de la tècnica i anàlisi dels materials

Els objectius de partida d’aquesta recerca han estat l’estudi de les tècniques i dels materials dela pintura mural medieval a Catalunya, tot i establint paraŀlelismes amb el coneixement que ensaporten els tractats tècnics d’època medieval. S’ha revisat també l’estat actual del coneixement sobre les tècniques d’alguns conjunts de pintura mural aragonesos i d’àmbit europeu.

Terracota, Arquitectura y Barcelona: siglos XIX y XX

Creemos que la terracota, en cuanto que materia, posee sufi cientes cualidades, por sí mismay por su vinculación con la arquitectura en la que se ubica, que la hacen merecedora de unestudio profundo y de un acercamiento respetuoso. Un producto cerámico que aporta comopropiedad fundamental su carácter escultórico. Valores que pretendemos sean totalmente explícitos, con la condición que sean fácilmente reconocibles. Un material que defi ne un momento de la historia y de la historia de la arquitectura de Barcelona, incompleta sin el estudio sistemático que presentamos.

Assessing the pH and DP of canvasses with NIR spectroscopy

The canvas support in easel paintings is composed mainly of cellulose. One of the maindegradation paths of cellulose is acid-catalysed hydrolysis, which means that in an acidic environment (low pH), its degradation proceeds at a faster rate (Strlič et al., 2005).The main effect of acid-catalysed hydrolysis is the breaking up of the polymer chains,measured by the “Degree of Polymerisation” (DP). The lowering of the DP value impliesa lower mechanical strength of the textile (Scicolone, 1993), and thus this parameter canbe used to monitor degradation. Knowing these two parameters can, therefore, be veryinformative regarding the condition of the canvas support.

Los adhesivos empleados en el entelado de carteles modernos. Uso de la Espectrometría de Masas de Ionización/Desorción por Láser asistida por Matriz y analizador de Tiempo de Vuelo (MALDI-TOF-MS) para la identificación de éteres de celulosa

"XVIII Congreso Internacional de Conservación y Restauración de Bienes Culturales - 18th International Meeting on Heritage Conservation", Granada 9 al 11 novembre de 2011