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Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress最新文献

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[Plastic reconstruction of the irradiated thoracic wall]. [胸壁辐照后的塑性重建]。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
P M Vogt, K Busch, F W Peter, C Möcklinghoff, A Torres, H U Steinau
{"title":"[Plastic reconstruction of the irradiated thoracic wall].","authors":"P M Vogt,&nbsp;K Busch,&nbsp;F W Peter,&nbsp;C Möcklinghoff,&nbsp;A Torres,&nbsp;H U Steinau","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Chest-wall reconstruction following irradiation requires a surgical approach that addresses the specific healing disorders associated with irradiation: (1) biopsy of any open wound to rule out recurrence or persistence of tumor; (2) aggressive debridement of all necrotic or infected tissue, especially osteonecrosis of the chest wall; (3) reconstruction with well-vascularized muscle or musculocutaneous flaps. Coverage with muscle flaps provides a very reliable and effective single-stage reconstruction. Most types of flaps employed involve the latissimus, rectus abdominis and pectoralis muscle or musculocutaneous flaps. Rarely, stabilization of the thoracic wall is required, mostly facilitated by nonresorbable mesh. Respecting these principles, the irradiated chest wall can be reconstructed safely and with low morbidity. Plastic reconstructive techniques may also be employed safely to reconstruct the breast simultaneously in irradiated tissue by use of latissimus or rectus abdominis flaps.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"507-11"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837172","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
[Secondary resection of soft tissue sarcomas within the scope of a multimodality therapy concept]. 【多模式治疗理念范围内的软组织肉瘤二次切除】。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
M Peiper, H J Weh, R Schwarz, C Zornig
{"title":"[Secondary resection of soft tissue sarcomas within the scope of a multimodality therapy concept].","authors":"M Peiper,&nbsp;H J Weh,&nbsp;R Schwarz,&nbsp;C Zornig","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We treated 95 patients with primary soft tissue sarcoma of the extremities or trunk between 1988 and 1995, who were operated on initially elsewhere and their tumors were supposed to be excised completely. We performed a primary re-excision in all patients and found residual tumor in 46%. After a median follow-up of 61 months, 16 patients developed a local recurrence and 6 patients died due to the tumor disease. Primary re-excision is therefore indicated in most cases where the histology report of an assumed benign tumor reveals malignancy.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1316-8"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837377","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
[Flow cytometry controlled induction therapy with ATG and noninvasive monitoring of rejection--a modern management concept after heart transplantation]. [流式细胞术控制ATG诱导治疗和无创监测排斥反应——心脏移植后的现代管理理念]。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
F M Wagner, S M Tugtekin, K Matschke, U Platzbecker, V Gulielmos, S Schüler
{"title":"[Flow cytometry controlled induction therapy with ATG and noninvasive monitoring of rejection--a modern management concept after heart transplantation].","authors":"F M Wagner,&nbsp;S M Tugtekin,&nbsp;K Matschke,&nbsp;U Platzbecker,&nbsp;V Gulielmos,&nbsp;S Schüler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We introduce our concept of non-invasive transplant monitoring. The introduction of individualized immunosuppression by means of flow cytometry leads to a lower incidence of acute graft rejection and preserves immuncompetence. With the simultaneous use of echocardiography and intramyocardial electrogram (IMEG) acute graft rejections can be safely identified without using any invasive method.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1566-7"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837393","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
[Short distal venous bypass for saving the extremity diabetic foot]. [短距离远端静脉旁路术挽救糖尿病足]。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
A Neufang, W Schmiedt, E Küstner, H Oelert
{"title":"[Short distal venous bypass for saving the extremity diabetic foot].","authors":"A Neufang,&nbsp;W Schmiedt,&nbsp;E Küstner,&nbsp;H Oelert","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>If inflow to the distal superficial or popliteal artery is not compromised in diabetic patients with critical leg ischemia short distal vein bypass grafts can be constructed to tibial or foot arteries. By restoration of foot perfusion, durable limb salvage with only minor tissue loss can be achieved in most patients. Postoperative progression of inflow artery disease is uncommon.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1249-51"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837525","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
[Surgical anatomy of the esophagus and stomach in relation to stomach pull-through]. [与胃拉通有关的食道和胃的外科解剖]。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
D Liebermann-Meffert
{"title":"[Surgical anatomy of the esophagus and stomach in relation to stomach pull-through].","authors":"D Liebermann-Meffert","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Surgical-anatomical related risks with respect to: 1. Resection of the esophagus: As long as the tumor is confined to the wall, there is no risk of bleeding because, close to the esophagus, all the vessels have become minute; when torn, hemostasis will occur. For the same reason the recurrent nerves are not endangered as long as the main trunk is not disrupted and the anastomosis not performed within the cranial 3-5 cm. 2. Substitute: Preservation of the gastroduodenal and superior mesenteric arteries is essential to supply the gastric tube via the gastroepiploic vessels. The fundus, i.e., the top of the tube in particular in gastroplasty procedures is extremely vulnerable to pressure and tension.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"951-4"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837651","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
[Reconstruction of the female breast with free transverse lower abdominal flap as perforator flap]. 游离下腹部横瓣作穿支瓣再造女性乳房
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
A M Feller
{"title":"[Reconstruction of the female breast with free transverse lower abdominal flap as perforator flap].","authors":"A M Feller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The DIEP flap was introduced to autogenous breast reconstruction to avoid defects in the abdominal rectus muscle as created in pedicled and free TRAM flaps. This flap has the same soft tissue dimension as the other transverse abdominal flaps. In addition it has the advantages of free TRAM flaps, i.e. good perfusion and excellent aesthetic qualities and offers the possibility to reduce donor site morbidity.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"971-2"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837655","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
[Prognostic factors in combined radiochemotherapy of the anal canal carcinoma]. [肛管癌放化疗联合治疗的预后因素]。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
I Schneider, G Grabenbauer, K Matzel, R Sauer, W Hohenberger
{"title":"[Prognostic factors in combined radiochemotherapy of the anal canal carcinoma].","authors":"I Schneider,&nbsp;G Grabenbauer,&nbsp;K Matzel,&nbsp;R Sauer,&nbsp;W Hohenberger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Combined radiation and chemotherapy is an effective treatment for all stages of carcinoma of the anal canal. Abdominoperineal resection is reserved for patients with incomplete regression of tumor or recurrent carcinoma.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1426-8"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837686","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
[Comparative diagnosis of locally advanced rectal carcinoma after preoperative therapy]. 局部进展期直肠癌术前治疗后的比较诊断。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
C Barth, B Rau, M Hünerbein, P M Schlag
{"title":"[Comparative diagnosis of locally advanced rectal carcinoma after preoperative therapy].","authors":"C Barth,&nbsp;B Rau,&nbsp;M Hünerbein,&nbsp;P M Schlag","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Locally advanced rectal carcinomas were increasingly treated by preoperative combined radiochemotherapy. Alterations of the rectal wall and the lymph nodes that were caused by the treatment make the assessment of the success of the therapy during the preoperative staging extremely difficult. Methods such as endorectal ultrasound, CT and MRI used for the estimation of the depth infiltration of the tumor achieved an exactness of only approximately 50%. It is thus essential to develop new criteria for the assessment of the success of the therapy.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1404-7"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837765","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
[33 years kidney transplantation in Zurich]. [苏黎世33年肾移植]。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
F Largiadèr, M Weber, D Inderbitzin, R Schlumpf, D Candinas
{"title":"[33 years kidney transplantation in Zurich].","authors":"F Largiadèr,&nbsp;M Weber,&nbsp;D Inderbitzin,&nbsp;R Schlumpf,&nbsp;D Candinas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article summarizes our experience with renal transplantation over the past 33 years and shows progressive improvement of the clinical outcome over time. In parallel we observed an increasing proportion of elderly recipients and diabetics. The increasing shortage of cadaver grafts was compensated by using donor hearts from legally dead donors (heart no longer beating) and establishing a living donor program.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1568-70"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837882","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
[Percutaneous minimal invasive autologous spongiosa transplantation]. 经皮微创自体海绵体移植。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
M Maghsudi, C Neumann, R Hente, M Nerlich
{"title":"[Percutaneous minimal invasive autologous spongiosa transplantation].","authors":"M Maghsudi,&nbsp;C Neumann,&nbsp;R Hente,&nbsp;M Nerlich","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In eight patients with delayed union or nonunion after 3 degrees open fracture of the tibia, a minimally invasive technique of autologous bone grafting was performed. Bone harvesting from the iliac crest and debridement of the fracture side were done percutaneous by using a 5.5 mm acromionizer without complications. In seven of eight patients complete fracture healing could be achieved (88%). Percutaneous autologous bone grafting can be recommended on limited bone defects in patients with nonunion or delayed union of the tibia and severe soft tissue damage in the lower leg.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1218-20"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20838235","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
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