Helvetica chirurgica acta最新文献_第9页

[Stable joint-bridging extension of malleolar dislocations and pilon fractures with the AO pinless external fixator]. [AO无针外固定架治疗外踝脱位和鞍部骨折的稳定桥接扩展]。

Helvetica chirurgica acta Pub Date : 1994-07-01

R Babst, N Renner, R Rosso, A Marx, M Heberer, P Regazzoni

引用次数: 0

[Isolated traumatic dislocation of the head of the fibula]. 孤立的外伤性腓骨头脱位。

Helvetica chirurgica acta Pub Date : 1994-07-01

P Saurenmann, A Marty

引用次数: 0

[Laparoscopic diagnosis in suspected acute appendicitis]. [疑似急性阑尾炎的腹腔镜诊断]。

Helvetica chirurgica acta Pub Date : 1994-07-01

J Nägeli, M Zünd, J Lange

{"title":"[Laparoscopic diagnosis in suspected acute appendicitis].","authors":"J Nägeli, M Zünd, J Lange","doi":"","DOIUrl":"","url":null,"abstract":"Since introduction of laparoscopic appendectomy we have the possibility to examine the whole abdominal cavity and not only the ileocaecal region and right adnex. The aim of the study is to find out if there is an advantage in laparoscopic diagnostics compared to conventional laparotomy for suspected acute appendicities. We compared prospectively all patients who underwent laparoscopy for acute right lower abdominal pain between August 1991 and March 1993 with a comparable group retrospectively analyzed who underwent conventional appendectomy in 1989. In both groups 20% of patients had a normal appendix. In 1% of the laparoscopically operated patients we couldn't find any pathological findings, in 12% of the conventionally operated group we couldn't find an accurate diagnosis. The average operation time of laparoscopically operated patients without acute appendicities was 20 minutes shorter compared to conventionally operated patients. We found identically results for the duration of hospital stay. The median hospital stay for conventionally operated patients was 6.6 days, for laparoscopically operated patients 4.7 days. The complications were in both groups 1-2%. We conclude that in laparoscopy the diagnostics are more reliable, and with a diagnostic accuracy of almost 100% the unnecessary appendectomy with a higher morbidity would not be necessary in 12% of patients.","PeriodicalId":75902,"journal":{"name":"Helvetica chirurgica acta","volume":"60 5","pages":"787-91"},"PeriodicalIF":0.0,"publicationDate":"1994-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18956806","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

[The value of defecography for diagnosis of rectocele and rectal prolapse]. [排便造影对直肠前突和直肠脱垂的诊断价值]。

Helvetica chirurgica acta Pub Date : 1994-07-01

A Kaiser, P Buchmann, W Brühlmann

{"title":"[The value of defecography for diagnosis of rectocele and rectal prolapse].","authors":"A Kaiser, P Buchmann, W Brühlmann","doi":"","DOIUrl":"","url":null,"abstract":"The role of defecography with respect to rectoceles and to any grade of rectal prolapses has not been defined so far. Therefore, we studied 42 out of 45 patients that were submitted to a defecography between 1988 and 1992 for defecation disorders of unknown origin. In particular, we compared the diagnosis obtained by anamnestic data and the physical examination with the defecographic results and the definitive diagnosis with regard to the chosen therapies and the results. Rectocele and rectal prolapse were very frequent pathologies with 69% and 33% respectively. Of 23 patients with a clinically palpable rectocele, defecography was false negative in 4 and moreover, it did not provide any information about the functional relevance of the rectocele. Yet, it disproved the clinically diagnosed prolapses in 6 of 15 subjects, but revealed one in 5 of 27 patients that were presumed normal. On the other hand, a previously not diagnosed rectocele was detected in 6 out of 19 patients by means of defecography, but none of them proved to be of any clinical relevance. Of all rectoceles, only 48% were regarded responsible for the patients' symptoms and were therefore operated. Hereby, the indication for a surgical approach based more on anamnestic data and the proctological examination than on radiographic findings. Contrarily, the indication for a rectopexy--even if given only in 4 of those 14 patients with any grade of invagination--mainly based on the dynamics during defecation as documented by defecography.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":75902,"journal":{"name":"Helvetica chirurgica acta","volume":"60 5","pages":"697-700"},"PeriodicalIF":0.0,"publicationDate":"1994-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18956320","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

[Intramural duodenal hematoma after blunt abdominal injury in childhood. Case report]. 儿童钝性腹部损伤后十二指肠壁内血肿。病例报告)。

Helvetica chirurgica acta Pub Date : 1994-07-01

F Fasolini, P Lichtenhahn, P Aeberhard

引用次数: 0

[Laparoscopy: obstacle or revolution in the development of surgery?]. 腹腔镜:手术发展的障碍还是革命?

Helvetica chirurgica acta Pub Date : 1994-07-01

B Bédat, C Hugonnet, M Merlini

引用次数: 0

[Ambulatory surgery--a sensible future perspective]. 【门诊手术——一个明智的未来展望】。

Helvetica chirurgica acta Pub Date : 1994-07-01

R Hollmann, A Rotzer, J Lange

引用次数: 0

[Osteosyntheses suitable for osteoporosis in malleolar fractures]. [骨合成术适用于骨踝骨折骨质疏松症]。

Helvetica chirurgica acta Pub Date : 1994-07-01

P Biegger, D Togninalli

引用次数: 0

[Selective proximal vagotomy by laparoscopy]. 腹腔镜下选择性迷走神经近端切开术。

Helvetica chirurgica acta Pub Date : 1994-07-01

V Bettschart, H Vuilleumier, J F Cuttat

引用次数: 0

[Use of the deep femoral artery as the anastomotic site in proximal or distal bypass. Indications, technique, results of a series of 19 cases]. 用股深动脉作近端或远端搭桥术吻合口。适应症、方法、结果(附19例分析)。

Helvetica chirurgica acta Pub Date : 1994-07-01

M Dusmet, M Worreth, M Merlini

{"title":"[Use of the deep femoral artery as the anastomotic site in proximal or distal bypass. Indications, technique, results of a series of 19 cases].","authors":"M Dusmet, M Worreth, M Merlini","doi":"","DOIUrl":"","url":null,"abstract":"Atherosclerosis predominantly affects the ilio-superficial femoral axis, and tends to spare the deep femoral artery which can offer excellent outflow for proximal reconstructions for occlusive vascular disease of the lower limbs. Often symptoms are relieved and ischemic lesions can heal. The deep femoral artery can also provide good, pulsatile inflow for distal reconstructions when it is desirable to avoid the groin (either because of multiple previous dissections or because of infection). Occasionally two-level sequential bypasses to and from the deep femoral artery are required for multilevel disease where the groin is to be avoided. Over the past 4 years we have performed 190 arterial reconstructions (41 central, 125 distal and 24 sequential two-level procedures). 19 times the proximal, distal or intermediate anastomosis was on the deep femoral artery. Short- and long-term results were good in these difficult patients, with relief of symptoms or significant improvement in most patients. Two major (and no minor) amputations were ultimately required. Arterial reconstructions using the deep femoral artery cannot only salvage many limbs, but offer good symptomatic relief in patients who are not suitable for usual reconstructive procedures.","PeriodicalId":75902,"journal":{"name":"Helvetica chirurgica acta","volume":"60 5","pages":"733-8"},"PeriodicalIF":0.0,"publicationDate":"1994-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18959942","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