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

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[Ascending varicose vein phlebitis--classification and therapy]. 【升静脉曲张炎——分类与治疗】。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
F Verrel, B Steckmeier, A Parzhuber, G Rauh, F Tato
{"title":"[Ascending varicose vein phlebitis--classification and therapy].","authors":"F Verrel,&nbsp;B Steckmeier,&nbsp;A Parzhuber,&nbsp;G Rauh,&nbsp;F Tato","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ascending varicophlebitis can cause pulmonary embolism by entering the deep venous system. Classification into four stages permits a differentiated therapeutic strategy: if the thrombus reaches or enters the deep venous system, immediate surgery consisting of crossectomy, resection of the saphenous vein, radical excision of all varicosed veins and ligature of insufficient perforating veins are indicated.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1237-9"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20838241","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
[Fair distribution in transplantation medicine]. [移植医学公平分配]。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
H Kliemt
{"title":"[Fair distribution in transplantation medicine].","authors":"H Kliemt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Organ allocation according to medical criteria is unjust, incoherent and violates the autonomy of donors. Those who are not willing to donate do not act unjustly. However, those who allocate an organ to a person who is not willing to donate, while a person who has been willing to serve as a donor is left untreated, act unjustly. Respecting the autonomy of a potential donor to such an extent that organs may not be explanted even though this may cause the death of another person implies that the wish not to donate to those refusing to donate themselves, should be respected as well.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"197-9"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837097","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
[Birth-related brachial plexus paralysis]. [与出生有关的臂丛麻痹]。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
G Ingianni
{"title":"[Birth-related brachial plexus paralysis].","authors":"G Ingianni","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>According to the literature, in Europe 0.4-1.2 cases of obstetrical plexus brachial paresis occur per 1000 births. A 4-6 times higher energy in axial delivery of the newborn leads to a neurotmesis of the plexus. If the energy used is more than 10 times higher, root avulsion occur. Early operative therapy for obstetrical plexus paresis is mandatory. The best period for an operation is between the 3rd and 6th months of age. CT and MRI imaging as well as electrophysiological investigations are of the utmost importance. Birch, Gilbert and Gu think there is an indication for operation if no active elbow flexion can be performed at the age of 6 months. Primary coaptation is easier in babies than in adults. However, large defects have to be a bridged by autologous nerve grafts. For root avulsions, neurotization with the accessory and phrenic nerves (Gu) is being used more and more. In 362 children with 52 operated cases, after a follow-up from 2 to 10 years, we found 37 functional, useful recoveries. Nine operations were unsatisfactory and two had poor results. In four cases the operation was unnecessary.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"560-7"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837110","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
[Stereotactic tumor biopsy and tumor excision]. 【立体定向肿瘤活检及肿瘤切除】。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
K J Winzer, S Filimonow, H Guski, B Hamm, J M Müller
{"title":"[Stereotactic tumor biopsy and tumor excision].","authors":"K J Winzer,&nbsp;S Filimonow,&nbsp;H Guski,&nbsp;B Hamm,&nbsp;J M Müller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Stereotactic procedures are indicated in nonpalpable breast lesions that are suspicious in mammography. Using the ABBI system all established procedures (stereotactic needle biopsy, fine needle biopsy, core needle biopsy) can be performed. Also the resection of cylindrical tissue specimen with a maximum diameter of 20 mm can be carried out, controlled by digital mammography. For the exact diagnosis of lesions with a diameter up to 15 mm, cylindrical extirpation is recommended. In several cases this can be considered as definitive lumpectomy. Neither lesions localized close to the thoracic wall nor retromamillary lesions can be treated by using the ABBI system. While digital mammography is the method of choice for the detection of microcalcifications, the visualization of opacifications may be difficult. Overall the ABBI system was used in 40.7% of our patients with nonpalpable breast lesions.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"374-8"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837350","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
[Surgery of extensive retroperitoneal soft tissue sarcoma]. [腹膜后广泛软组织肉瘤的外科手术]。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
T Junginger
{"title":"[Surgery of extensive retroperitoneal soft tissue sarcoma].","authors":"T Junginger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>For retroperitoneal soft-tissue tumours the only treatment capable of having an impact on the course of the disease still is complete surgical resection. Therefore, the pre- and intraoperative assessment of resectability is of particular interest. MRT imaging has gained importance for preoperative imaging. Distant metastases and infiltration of non-resectable vascular or neural structures preclude resection. In approximately two thirds of patients with retroperitoneal soft-tissue tumors complete resection with clear margins (R0 resection) is feasible. The histological differentiation of the tumor is the most important predictor of prognosis following resection. For patients with non-resectable tumors new adjuvant and neo-adjuvant treatments are currently being reconsidered in an EORTC trial.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"388-92"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837353","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
[OPS-301/ICPM: experiences and problems]. [OPS-301/ICPM:经验与问题]
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
R Thurmayr, G R Thurmayr
{"title":"[OPS-301/ICPM: experiences and problems].","authors":"R Thurmayr,&nbsp;G R Thurmayr","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>For over 2 years, the classification of procedures OPS-301 has been uniformly used in all German hospitals. The ICPM in German extension has 5-6 digits and is totally compatible with the OPS-301 restricted to operations. This ICPM is qualified for scientific documentation beyond efficiency control. The OPS-301 needs some better representation and some extensions proposed by medical experts. A program that searches for invalid code numbers and uses the relations of OPS-301 to sex, age, and department in a knowledge base, detects a 10% error rate in manual coding with OPS-301. A coding program reduces them to 1.4%. After mapping the OPS-301 by SNOMED this monohierarchical classification becomes multihierarchical. This is advantageous for coding and retrieval.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"748-51"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837365","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
[Induction of early endotoxin tolerance with atoxic endotoxin--a new method for preventing sepsis syndrome]. 【用毒性内毒素诱导早期内毒素耐受——预防脓毒症综合征的新方法】。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
K H Staubach, H Weber, H Brade, H P Bruch
{"title":"[Induction of early endotoxin tolerance with atoxic endotoxin--a new method for preventing sepsis syndrome].","authors":"K H Staubach,&nbsp;H Weber,&nbsp;H Brade,&nbsp;H P Bruch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The induction of early-phase endotoxin tolerance in a procine endotoxin shock model by atoxic LPS from Rhodobacter sphaeroides led to a significant extension of the survival time (p < 0.0179). The protective effect of the non-specific tolerant state also led to an enhancement of cardiorespiratory parameters during the continuous endotoxin challenge. Non-specific stimulation of host defense mechanisms with atoxic endotoxin as prophylactic agent in surgical patients at risk may prove to be beneficial in the future.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1067-70"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837371","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
[Cause-oriented prevention of nosocomial pneumonia: the HI-LO EVAC tube]. [病因导向预防院内肺炎:HI-LO EVAC管]。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
G Stöhr, M Kunze, C Ohmann, H D Röher, H Becker
{"title":"[Cause-oriented prevention of nosocomial pneumonia: the HI-LO EVAC tube].","authors":"G Stöhr,&nbsp;M Kunze,&nbsp;C Ohmann,&nbsp;H D Röher,&nbsp;H Becker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Surgical high-risk patients were studied in a prospective randomized trial regarding nosocomial pneumonia (NP) using a subglottic lavage (SL). A total of 100 patients were investigated, in whom the primary infection was localized in the oropharynx. Independent of the kind of stress ulcer prophylaxis, intermittent subglottic lavage reduces the incidence of NP drastically to 3%, which is however, without statistical significance.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1071-3"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837372","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
[Therapy planning and surgical indications for Crohn-associated anal fistulas]. [克罗恩相关性肛瘘的治疗方案和手术指征]。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
W U Schmidt, F P Müller, A Wolmershäuser, R Hesterberg, H D Röher, P R Verreet
{"title":"[Therapy planning and surgical indications for Crohn-associated anal fistulas].","authors":"W U Schmidt,&nbsp;F P Müller,&nbsp;A Wolmershäuser,&nbsp;R Hesterberg,&nbsp;H D Röher,&nbsp;P R Verreet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A prospective study conducted from April 1988 to April 1998 in 83 patients with anal fistulas associated Crohn's diseases registers and evaluates data regarding the type of fistula, the planned therapy, the operative procedure, and the therapy itself. The choice of the operation time with special regard to the type of fistula and the presence of proctitis as well as the interdisciplinary management in cooperation with the gastroenterologist and the strict observance of the operative procedure for the different types of fistulas enable individually defined surgical treatment of anal fistulas associated with Crohn's disease. It is important that the primary intervention be performed by a surgeon who is experienced in classifying the different types of fistulas because of the recurrence rate of 23% and the required interval between the first and final surgical intervention and so that patients are well informed.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"998-1001"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837514","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
[Megacolon in adults--the spectrum of underlying intestinal innervation disorders]. [成人巨结肠——潜在肠道神经紊乱的频谱]。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
T Wedel, J Gleiss, T Schiedeck, A Herold, H P Bruch
{"title":"[Megacolon in adults--the spectrum of underlying intestinal innervation disorders].","authors":"T Wedel,&nbsp;J Gleiss,&nbsp;T Schiedeck,&nbsp;A Herold,&nbsp;H P Bruch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The association of megacolon in adults and Hirschsprung's disease was reevaluated by the morphological assessment of the enteric nervous system. Whole-mount preparations of the resected colonic segments and an immunohistochemical treatment with the pan-neuronal marker protein gene product 9.5 allowed an optimal visualization of the entire intramural nervous plexus layers. The findings included different forms of intestinal neuronal malformations (hypoganglionosis, neuronal intestinal dysplasia, and heterotopic ganglia) apart from classic aganglionosis, thus indicating their etiologic relevance to the development of megacolon in adults.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"979-81"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837658","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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