[Hemoptysis of medical origin: endobronchial hemostasis with a Fogarty catheter under endoscopic control]. / Hémoptysies de cause médicale: hémostase endobronchique par sonde de Fogarty sous contrôle fibroscopique.

The authors present a case of haemoptysis which caused tracheo-bronchial inundation and which was treated by the insertion of a Fogarty catheter. They describe the technique and discuss its advantages and disadvantages.

A new island flap transfer from the dorsum of the index to the thumb.

We describe here a new island flap from the dorsum of the index finger, transferred on the first dorsal metacarpal artery with one or two veins and the terminal branches of the radial nerve. This vascular bundle is a reliable one, for we have had no necrosis in 12 consecutive cases. The quality of its venous outflow and the use of a dorsal donor site give it advantages over the Moberg-Littler island flap, unless a dorsal vein from the latter flap is preserved and sutured to a vein in the recipient site. The arterial vascularization without any skin pedicle makes this "kite" flap a more practical one than the "flag" flaps of Vilain or Holevitch or Kuhn. Finally, a one-stage transfer is usually preferable to a two-stage one (e.g. Adamson, Braillar). In a single operation, this transfer provides composite resurfacing of the thumb while bringing in new blood and nerve supply.

[Radio-anatomical study of the arteries of the hand. Anastomoses (radiological incidences). Digital vascularization (apropos of 25 anatomo-radiological preparations)]. / Etude radio-anatomique des artères de la main. Anastomoses (incidences radiologiques). Vascularisation digitale (à propos de 25 préparations).

METHOD: An original procedure is used for the specimens. The hands of fresh corpses preserved in a cialit solution are prepared by an injection of resin mixed with a leadsalt into the arteries. The accurate dissection of the hand's arteries is compared to the X rays. RESULTS: 1) Palmar arci are rare. We found an arcus palmaris superficialis in 10% and an arcus palmaris profundus in about 50% of the specimens. To avoid a misinterpretation of X rays, three incidences were used (one full-face and two oblique incidence: a transversal one at 15 degrees and a vertical or longitudinal one at 30 degrees). 2) All fingers receive arteries of double origin in 80% of the cases. Only in 20% of all cases, the thumb or the little finger have an exclusive vascularisation (radial for the thumb and ulnar for the little finger). 3) All digital anastomoses are dissected--Retrotendineous anastomoses are patent and large.