Langenbecks Archiv fur Chirurgie最新文献_第7页

Langenbecks Archiv fur Chirurgie Pub Date : 1997-01-01 DOI: 10.1007/S004230050053

G. D. Giebel, M. Doehn, M. Müller-Gorges, R. Stuttmann

引用次数: 0

[Violation of patient education responsibility. Implications and outlook]. 【违反患者教育责任。】启示与展望]。

Langenbecks Archiv fur Chirurgie Pub Date : 1997-01-01

G D Giebel, H Troidl

{"title":"[Violation of patient education responsibility. Implications and outlook].","authors":"G D Giebel, H Troidl","doi":"","DOIUrl":"","url":null,"abstract":"In both jurisdiction and medical science, given conditions require appropriate intervention, which may in turn result in norms being created. Norms, however, counteract individuality. An essential prerequisite for free decision--making is an absolute awareness of all possibilities available. Therefore the physician/surgeon too, is obliged to impart all relevant information to the patient prior to an operation to enable the patient to reach a decision, either to agree to or refuse the operation. This process of information transfer may sometimes fail on one or both sides. Treatment errors are usually classified according to scientific medical practice. In the case of \"breach to duty in information patient\" the final decision is the judges. As judicial decisions are not foreseeable, the communication between patient and surgeon thus becomes standardized and doctors tend to become defensive, resulting in the information becoming even more extensive covering all possible situations. There is no guarantee of success in surgery. Selective perception on the part of the patient is unavoidable and confidence in the relationship between patient and surgeon is beneficial to the patient's rehabilitation. Therefore, we should strive to decriminalize the preoperative talk held between surgeon and patient.","PeriodicalId":17985,"journal":{"name":"Langenbecks Archiv fur Chirurgie","volume":"382 2","pages":"111-5"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20144656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Incidence of contralateral inguinal hernias in infancy and childhood]. [婴幼儿对侧腹股沟疝的发生率]。

Langenbecks Archiv fur Chirurgie Pub Date : 1997-01-01

G Steinau, J Schleef, M Lambertz, V Schumpelick

引用次数: 0

[Myocutaneous flap as reliable defect coverage in high grade pelvic decubitus ulcers. Classification, therapeutic concept and presentation of personal patient sample of 16 years]. 肌皮瓣作为高度盆腔褥疮的可靠缺损覆盖。[16年个人患者样本的分类、治疗理念及表现]。

Langenbecks Archiv fur Chirurgie Pub Date : 1997-01-01

K Warbanow, A Krause-Bergmann, P Brenner, B Reichert, A Berger

{"title":"[Myocutaneous flap as reliable defect coverage in high grade pelvic decubitus ulcers. Classification, therapeutic concept and presentation of personal patient sample of 16 years].","authors":"K Warbanow, A Krause-Bergmann, P Brenner, B Reichert, A Berger","doi":"","DOIUrl":"","url":null,"abstract":"Infected pelvic pressure sores of Campbell stages IV-VII require soft tissue reconstruction, which means stable, multi-layered filling cover of the defect and reliable prophylaxis of relapse. Myocutaneous flaps meet these conditions well. Depending on the extent and the area of the sore, with predilection for the sacrum, the ischial tuberosity and the femoral trochanter, the gluteus maximus, biceps femoris and tensor fasciae latae muscles are most often used for myocutaneous flaps. Primary sutures, split skin grafts or local fasciocutaneous flaps are often sufficient treatment for smaller, superficial defects. Between 1981 and 1996, 133 patients (average age 50 years) with 212 pelvic pressure sores of all stages were treated in our clinic. After radical decubitus excision with pseudotumor technique and resection of the osseous prominences, one-stage reconstruction of solitary as well as multiple defects was performed with myocutaneous flaps in 135 cases. The postoperative general complication rate for all treatments was about 10-30%. With regard to the muscle flaps, one third healed without any problems, partial flap necrosis occurred in 6% and there was total loss of flap in 2% of all myocutaneous flaps. According to present knowledge, myocutaneous flaps seem to be the most reliable method for definitive covering of deep pelvic pressure sores, independent of the cause of the ulcer.","PeriodicalId":17985,"journal":{"name":"Langenbecks Archiv fur Chirurgie","volume":"382 6","pages":"359-66"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20422339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Preoperative diagnosis of laparoscopic cholecystectomy. Is there an indication for routine intravenous cholangiography?]. 腹腔镜胆囊切除术的术前诊断。有常规静脉胆管造影的指征吗？

Langenbecks Archiv fur Chirurgie Pub Date : 1997-01-01

S Truong, M Jansen, S Willis, J Neuerburg, C Schraven, V Schumpelick

引用次数: 0

[Value of intraluminal intestinal decompression by endoscopic placement of a Dennis tube in therapy of ileus. Retrospective clinical study of 174 patients]. 内镜下置入丹尼斯管进行肠腔内减压治疗肠梗阻的价值。174例患者回顾性临床研究[j]。

Langenbecks Archiv fur Chirurgie Pub Date : 1997-01-01 DOI: 10.1007/BF02391869

S Truong, S Willis, K P Riesener, M Seelig, A Bötjer, V Schumpelick

{"title":"[Value of intraluminal intestinal decompression by endoscopic placement of a Dennis tube in therapy of ileus. Retrospective clinical study of 174 patients].","authors":"S Truong, S Willis, K P Riesener, M Seelig, A Bötjer, V Schumpelick","doi":"10.1007/BF02391869","DOIUrl":"https://doi.org/10.1007/BF02391869","url":null,"abstract":"For determination of the efficacy of intraluminal bowel decompression by an endoscopically placed Dennis tube, 174 patients with paralytic ileus or different kinds of partial small bowel obstruction were reviewed retrospectively. There were 66 cases (37.9%) of early postoperative ileus (A), 27 (15.5%) of late postoperative ileus (B), 38 (21.8%) of paralytic ileus (C), 31 (17.8%) with obstruction due to advanced intraabdominal tumors (D), and 12 (6.8%) of obstructive ileus caused by inflammatory stenosis of the small bowel in Crohn's disease (E). Successful endoscopic placement of the intestinal tube was achieved in 97.2% of patients. Placement of the tube was impossible in 5 cases. A total of 95 patients (54.6%) were successfully managed by long intestinal tube decompression. Success rates for the individual groups were 71.2% (A), 18.5% (B), 86.8% (C), 16.1% (D), and 41.7% (E). Some 75 patients (43.1%) had to be operated on because of insufficient conservative therapy. Four patients with advanced intraabdominal tumors died during the treatment with the intestinal tube; 13 patients died postoperatively. There was no tube-related mortality, but tube-related complications occurred in 6.9%. We conclude that intraluminal intestinal tube decompression after endoscopic placement provides a therapeutic tool with a concomitant low complication and high success rate in paralytic and early postoperative ileus.","PeriodicalId":17985,"journal":{"name":"Langenbecks Archiv fur Chirurgie","volume":"382 4","pages":"216-21"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02391869","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20373169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

[Biomechanics of femoral interlocking nails at the bone-implant transition]. [股骨交锁钉在骨-种植体过渡中的生物力学]。

Langenbecks Archiv fur Chirurgie Pub Date : 1997-01-01 DOI: 10.1007/BF02498671

P. Schandelmaier, O. Farouk, C. Krettek, J. Mannss, H. Tscherne

引用次数: 2

[Primary malignant intraluminal tumor of the aorta]. 原发性主动脉腔内恶性肿瘤。

Langenbecks Archiv fur Chirurgie Pub Date : 1997-01-01 DOI: 10.1007/S004230050042

U. Settmacher, M. Heise, K. Dette, U. Frei, P. Neuhaus

引用次数: 2

[Morphologic correlation of functional abdominal wall mechanics after mesh implantation]. [补片植入后功能性腹壁力学的形态学相关性]。

Langenbecks Archiv fur Chirurgie Pub Date : 1997-01-01

B Klosterhalfen, U Klinge, U Henze, R Bhardwaj, J Conze, V Schumpelick

{"title":"[Morphologic correlation of functional abdominal wall mechanics after mesh implantation].","authors":"B Klosterhalfen, U Klinge, U Henze, R Bhardwaj, J Conze, V Schumpelick","doi":"","DOIUrl":"","url":null,"abstract":"Modern surgical hernia repair depends increasingly on synthetic meshes for reconstruction of the abdominal wall. Despite the undisputed advantages of the synthetic meshes currently available, reports of late complications after implantation are accumulating. It is essential that the synthetic meshes be improved, but this makes a standardized animal model necessary for evaluation of their biocompatibility on both functional and morphological levels. In the present study, commercially available polypropylene and polyester meshes were implanted in a rat model, and detailed morphological and morphometric analysis were carried out. Correlations between the morphological and morphometric data and the function of the artificial abdominal wall were then sought. In summary, the data show that the mesh construction currently available are oversized and definitely restrict the function of the artificial abdominal wall. The degree of inflammation and fibrosis, the pattern of fibrosis, and the composition of the extracellular matrix exert decisive influences on the function. Fibrosis and inflammation are caused less by the material itself, however, than by its density, the way it is processed, and its surface. Future, that is to say second-generated, mesh constructions should be designed with the aims of reducing the amount of material used and finding material-specific processing methods in mind, to improve the functionally and morphologically defined biocompatibility.","PeriodicalId":17985,"journal":{"name":"Langenbecks Archiv fur Chirurgie","volume":"382 2","pages":"87-94"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20143951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Intraoperative (hyperthermic) intraperitoneal chemotherapy--considerations and aspects of safe intra- and postoperative treatment with cytostatic drugs]. [术中（高热）腹腔化疗——细胞抑制药物在术中和术后安全治疗的考虑和方面]。

Langenbecks Archiv fur Chirurgie Pub Date : 1997-01-01

J Jähne, P Piso, E Schmoll, R Haulitschek-Hauss, H Sterzenbach, H Paul, R Pichlmayr

引用次数: 0