Fernando M. Martin

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Background: Despite being one of the most exact indications, laparoscopic treatment of eventrations and ventral hernias is barely known among the array of laparoscopic techniques. Methods: A total of 60 patients were assigned at random over a 3-year period to two homogeneous groups to be operated on for major ventral hernias with mesh. Half of them were(More)
This paper proposes a theory of government debt which, as opposed to previous theories, delivers an interior steady state that is independent of initial debt. The key elements are nominal public debt and a benevolent government that cannot commit to future policy choices. Governments face a trade-off. On the one hand, they would like to increase the debt(More)
The incidence of trocar site hernia (TSH) after laparoscopic ventral hernia repair (LVHR) is reported to be low. The present study investigates the associated risk factors, with a view to preventing this complication. A retrospective study was made of the incidence of TSH in a personal series of LVHR, recording anthropometric and clinical data on the(More)
An 80-year-old male developed ascites as the first indication of an adenocarcinoma of the gastroesophageal junction. Laparoscopy was performed during the diagnostic study of the ascites and, 7 days later at the point of introduction of the laparoscope, a metastasis developed in skin and subcutaneous cellular tissue. This is the third case of subcutaneous(More)
OBJECTIVE The laparoscopic treatment of eventrations and ventral hernias has been little used, although these hernias are well suited to a laparoscopic approach. The objective of this study was to investigate the usefulness of a laparoscopic approach in the surgical treatment of ventral hernias. METHODS Between January 1994 and July 1998, a series of 100(More)
Congenital anomalies of the gallbladder are rare and can be accompanied by other malformations of the biliary or vascular tree. Being difficult to diagnose during routine preoperative studies, these anomalies can provide surgeons with an unusual surprise during laparoscopic surgery. The presence of any congenital anomaly or the mere suspicion of its(More)
OBJECTIVE To evaluate four ELISAs (commercialized by Panbio and Serion) for IgM and IgG detection in an outbreak of Q fever. METHODS Fifty-three serum samples corresponding to 29 persons were processed. An indirect immunofluorescence assay was used as the reference method. RESULTS The sensitivity and specificity for IgM were 100% and 74% (Panbio), and(More)
(e) absence of atherogenic risk factors. It is not easy to ascertain whether a patient suffered from migrating phlebitis before his or her first visit, and it is unjustified that the diagnosis of Buerger's disease greatly depends on the patient's memory. When phlebitis migrans or upper limb involvement was recognized, in addition to the other criteria, the(More)
Takotsubo syndrome can mimic an acute myocardial infarction. It is characterized by anginal chest pain with ST elevation in precordial leads, no coronary obstruction on angiography, and typical and reversible deformation of the left ventricular due to antero-apical ballooning with basal hyperkinesis. The pathophysiology of this syndrome is uncertain. It is(More)
BACKGROUND Clostridium difficile (DCD) is the main etiologic agent of nosocomial diarrhea of infectious origin. Most of the cases of DCD have been detected in a hospital environment. PATIENTS, MATERIAL AND METHODS From October to November 1996 five cases of nosocomial diarrhea were detected with the presence of the toxin A of Clostridium difficile being(More)