Clinicians should be alert to the possibility of this injury. An arteriography for Doppler ultrasound should be performed. Treatment is mainly surgical and produces excellent long-term results.

We attempted to determine the relationship between the cephalic vein and the sensory branch of the radial nerve at the wrist to help prevent lesions of the radial nerve when the cephalic vein is cannulated. We examined the anatomy of 33 postmortem specimens and suggest that puncture of the cephalic vein 12 cm or more proximal to the styloid process can prevent radial nerve lesions.

No abstract

The aim of the present study was to evaluate retrospectively the results of resection for volvulus of the right colon. Over a 15-year period, 39 patients (29 women, i0 men, mean age: 63 years) were admitted with acute right colon volvulus. Preoperative diagnosis was obtained in 48% of the cases. A right hemicolectomy was performed in all the cases,'with primary anastomosis in 37 cases and double ilial and transverse stomy in 2 cases. Gangrene was observed in 20 patients (5 i %). Postoperative mortality was 7.7% (n = 3) due to septic shock and multi-organ failure in 2 tases, and respiratory failure in the other case. Postoperative morbidity was 21% (n = 8) including 2 cases of anastomotic leaks. On the basis of this study anda review of the literature, it appears that right hemicolectomy is the treatment of choice for volvulus of the right colon, as it avoids all risks of recurrente and mortality is lower than conservative treatment.

Using a series of 20 dissections and two anatomic transverse sections of a lower limb, the authors investigated the lateral approaches to the popliteal artery. The high lateral approach (above the knee) is not very aggressive and gives access to the retro-genicular part of the popliteal artery. After cutaneous and fascial incision, a simple gap between the vastus lateralis and biceps femoris mm. allows easy exposure of the popliteal vessels after backward retraction of the sciatic nerve. The low lateral approach to the artery (below the knee) is very aggressive for the vessels, nerves, and ligaments of the area. It involves the resection of the upper fourth of the fibula and the isolation and protection of the common peroneal nerve Nevertheless, these lateral approaches must be known and used when classic approaches (medial and posterior) are impossible.