[Problematic aspects of the Structural Health Regulation and minimal invasive surgery].

Abstract:

:Decisions in surgery will have to consider economic obligations more than ever before. Consequences are evident: the assessment of surgical efficiency will be insufficient when only considering the accuracy and results of a clinical study. We actually will have to document, moreover, the economic impact of therapeutic procedures, particularly with respect to minimally invasive surgery.

journal_name

Zentralbl Chir

authors

Kunz E

subject

Has Abstract

pub_date

1997-01-01 00:00:00

pages

1142-4

issue

12

eissn

0044-409X

issn

1438-9592

journal_volume

122

pub_type

杂志文章
  • [Bassini-Kirschner inguinal hernia surgery--follow-up of 781 primary operations in adult men].

    abstract::We report on the early and late complications after hernia repair in this retrospective study. Over a period of five years, 920 adult men underwent Bassini-Kirschner repair for inguinal hernia as first operation. There occurred six hematomas (0.6%), 11 seromas (1.2%) and 10 wound infections (1.0%). There were no death...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Emmanouilidis T,Westenhoff D

    更新日期:1993-01-01 00:00:00

  • [Effects of roentgen contrast media containing barium sulfate on enterocutaneous fistulas].

    abstract::Fistulation in the wake of thoracic and epigastric interventions are conservatively treated, as a rule, because of the high rate of complications expected from reoperation. With properly functioning anastomotic transit, insufficiencies usually undergo spontaneous healing, within four to six weeks. Enterocutaneous fist...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Pelster FW,Reichelt S,Arndt M,Eising EG

    更新日期:1989-01-01 00:00:00

  • [Anomaly of the pancreatico-biliary junction and etiology of choledochal cysts].

    abstract::The etiology of choledochal cysts isn't yet clarified unequivocably. Numerous theories have been worked out. One of them is the 1969 by Babbitt postulated "common-channel"-theory, which is based on an anomaly of the pancreaticobiliary connection. In case of a fusion of ductus choledochus and ductus pancreaticus widely...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Benhidjeb T,Ridwelski K,Wolff H,Münster B,Naundorf M,Schulz HJ

    更新日期:1991-01-01 00:00:00

  • [Plastic reconstructive options for chronic pilonidal disease].

    abstract:INTRODUCTION:Chronic pilonidal disease represents an infectious disease of the gluteal cleft that often requires surgical resection. AIM:In this article, several plastic-surgical reconstructions are presented. METHODS AND RESULTS:Based on our experience and the current literature, different plastic surgical reconstru...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0035-1545723

    authors: Behr B,Ring A,Kolbenschlag J,Damert HG,Lehnhardt M,Daigeler A

    更新日期:2015-04-01 00:00:00

  • [Etiology of colon cancer--current aspects].

    abstract::Multiple factors such as tumour initiating, tumour promoting, tumour inhibiting are known to be involved in the aetiological process of most colon tumours. Dominant factors are associated with life style habits. Yet in spite of many experimental and epidemiological data it has not been possible, hitherto to give convi...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Schramm T,Ziebarth D,Denner J

    更新日期:1985-01-01 00:00:00

  • [Evaluation of postoperative pain therapy with patient-controlled analgesia from the viewpoint of the patient and nursing staff].

    abstract::Patient-controlled analgesia has been proven to be an effective technique in postoperative pain management. The aim of our study was to evaluate PCA on general surgery wards. 311 patients and their nurses were questioned about their experiences in using PCA for postoperative pain management. Satisfaction with pain rel...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Breme K,Stehr-Zirngibl S,Anthuber M,Jauch KW,Taeger K,Altmeppen J

    更新日期:1999-01-01 00:00:00

  • [Quality and quality assurance of teaching in surgery - recommendations from a workshop of the surgical cooperative for quality assurance].

    abstract::The shortage of surgeons in the operative disciplines field has in recent years further increased. The training of a surgeon and the required lifestyle combined with the work-life balance of the surgeons are perceived as being less attractive, so that young doctors after finishing medical school rarely decide for surg...

    journal_title:Zentralblatt fur Chirurgie

    pub_type:

    doi:10.1055/s-0029-1224764

    authors: Brauer RB,Harnoss JC,Lang J,Harnoss J,Raschke R,Flemming S,Obertacke U,Heidecke CD,Busemann A

    更新日期:2010-02-01 00:00:00

  • [Vacuum assisted closure therapy for the treatment of sternal wound infections after heart transplantation: preliminary results].

    abstract::Sternal wound infection after heart transplantation is a feared and potentially life threatening complication with reported incidences between 2.5 % and 3.6 %. However, optimal therapy of sternal wound infections in heart transplant recipients remains a matter of controversy, particularly the effect of immunosuppressi...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2007-960650

    authors: Fleck T,Moidl R,Grimm M,Wolner E,Zuckermann A

    更新日期:2007-04-01 00:00:00

  • [Are there new aspects in thoracic surgery in children?].

    abstract::A comparison was made between the operations of the respiratory tract in childhood and their associated bronchological examinations were analyzed and also there were other kinds of indication for examination and operation. The surgical therapy of abnormalities has the priority. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Diestelhorst C,Wild L,Bennek J

    更新日期:1990-01-01 00:00:00

  • [A retroperitoneal hydatid cyst--a rare manifestation of Echinococcus granulosus].

    abstract::A rare case of a retroperitoneal cyst of Echinococcus granulosus in a male adult is presented. Due to its extension and infiltration of important anatomical structures the hydatid cyst could not be completely removed by operation. Therefore the patient was treated with albendazole for 10 months after surgery. The effi...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Gutermuth L,Corvin S,Bauer H

    更新日期:1995-01-01 00:00:00

  • [Reconstruction surgical therapy of esophageal cancer. Personal experiences and results].

    abstract::Within the last nine years 125 patients underwent surgery for carcinoma of the oesophagus. In our cases oesophagogastrostomy has proved to be the most successful operative technique. The disappointing results of the first years could be improved significantly by standardized perioperative therapeutic measures. Because...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Kessler B,Lingemann B,Arndt M,Keferstein RD

    更新日期:1984-01-01 00:00:00

  • [Laparoscopic incisional hernia repair -- an alternative to the conventional procedure?].

    abstract:INTRODUCTION:Tension-free incisional hernia repair using alloplastic material increasingly replaces conventional repair techniques. The aim of the present study was to evaluate the early and long-term complications as well as patients' satisfaction. METHODS:Laparoscopic hernia repair with intraperitoneal mesh implanta...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2005-836526

    authors: Angele MK,Löhe F,Dietz J,Hernandez-Richter T,Jauch KW,Heiss MM

    更新日期:2005-06-01 00:00:00

  • [Poorly differentiated neuroendocrine small-cell carcinoma of the gallbladder].

    abstract:BACKGROUND:Neuroendocrine tumours of the gastroenteropancreatic system (GEP-NETs) are rare, in particular those of the gallbladder. Due to the limited therapeutic options, surgical resection is favoured. CASE REPORT AND METHODS:Described below is the case of a 69-year-old male with a lymphogenically metastasising, poo...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0030-1262764

    authors: Benkel M,Brasch F,Neumann JD,Altendorf-Hofmann A,Sendt W

    更新日期:2012-02-01 00:00:00

  • [Effectiveness of nephroprotection by the selection of contrast media used during vascular interventions in patients with chronic renal failure?].

    abstract:BACKGROUND:The increasing number of endovascular procedures made aware of a kidney disease induced by contrast media (CM). Contrast-induced nephropathy (= CIN) can develop in 0.6-44 % of the treated patients by angiography and / or endovascular intervention. The incidence in high-risk patients ranges from 50 to 70 %. I...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0031-1283759

    authors: Schönefeld E,Höwler S,Osada N,Torsello G

    更新日期:2011-10-01 00:00:00

  • [Cryosurgery in carcinomas of the rectum and anus (author's transl)].

    abstract::3 years of clinical experience in cryosurgical treatment of carcinomas of the rectum and anus and of malignant polypi is reported. Nearly all patients were in so a poor condition not to underwent conventional operations. In these cases cryosurgery offers an alternative to the usual local procedure of tumour resection....

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Knoch HG,Köbernick H

    更新日期:1978-01-01 00:00:00

  • [Technique and pathophysiology of isolated hypoxic perfusion of the abdomen].

    abstract::Isolated hypoxic perfusion (IHP) is a commonly used technique in the treatment of abdominal malignancies. During a phase II-study the pathophysiology of this technique was explored in patients with advanced pancreatic cancer. Twenty perfusions of the abdomen were performed in 17 patients. Under general anesthesia, fem...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Petrowsky H,Heinrich S,Janshon G,Staib-Sebler E,Poloczek Y,Gog C,Oremek G,Lorenz M

    更新日期:1999-01-01 00:00:00

  • [Augmented anterior cruciate ligament replacement with the Kennedy-LAD (ligament augmentation device)--long term outcome].

    abstract::The ligament augmentation device (Kennedy-LAD) is used to protect tendon grafts during the posttransplantation decrease in strength in anterior cruciate ligament (acl) reconstructions. The augmentation with the LAD is based on the concept of load sharing. Since 1983 we used the LAD in acl-reconstructions in 856 patien...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Riel KA

    更新日期:1998-01-01 00:00:00

  • [Primary- and revision-reconstruction of the anterior cruciate ligament with allografts: a retrospective study including 325 patients].

    abstract:UNLABELLED:At our institution we have used fresh-frozen allografts for the reconstruction of the anterior and posterior cruciate ligament since 1993. METHOD:In this retrospective study we evaluated the clinical outcome of 325 fresh-frozen allografts (bone-patellar-tendon-bone allografts and Achilles-bone-tendon allogr...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2002-35129

    authors: Siebold R,Buelow JU,Boes L,Ellermann A

    更新日期:2002-10-01 00:00:00

  • [How Steady are Hospitals in Complying with Minimum Volume Standards? A Retrospective Longitudinal Data Analysis of the Years 2006, 2008, and 2010].

    abstract:BACKGROUND:The outcome volume relationship has been analysed for more than 30 years and debated ever since. For German hospitals minimum volume standards (MVS) have been introduced for some procedures in 2004. Hospitals have to report procedure volumes in their quality reports. This study analyses for the first time ho...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0034-1383371

    authors: de Cruppé W,Geraedts M

    更新日期:2016-08-01 00:00:00

  • [Malignant hyperthermia: clinical aspects and treatment (author's transl)].

    abstract::The essential epidemiologic, pathophysiologic and clinical data of malignant hyperthermia are presented. Prophylactic measures, early recognition and an effective therapy schedule may reduce the appallingly high lethality of this rare complication during general anaesthesia. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Freitag B

    更新日期:1979-01-01 00:00:00

  • [Risk factors and pathogenic microorganisms in patients with insufficient esophagojejunostomy after gastrectomy].

    abstract:UNLABELLED:It was the aim of the study to find by retrospective analysis of data from totally gastrectomized patients risk factors for the development of esophago-jejunal anastomotic leakage, that may be avoidable or influenced therapeutically. PATIENTS AND METHODS:The study design was retrospective involving 838 pati...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Schardey HM,Krämling HJ,Cramer C,Kusenack U,Hadersbeck J,Schildberg FW

    更新日期:1998-01-01 00:00:00

  • [Primary tumours of the small bowel (author's transl)].

    abstract::In a period of 21 years we observed 28 tumours of the small bowel (14 benign, 14 malignant), what comes up to 0.85% of all tumours of the GI-tract seen at our hospital. The low rate of incidence of malignomas of the small bowel is supposed to be in relation with the carcinogenic indifference of its contents. 60% of th...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Hildebrandt J

    更新日期:1978-01-01 00:00:00

  • [Current treatment strategies in acute distal aortic occlusion].

    abstract::Forty-eight acute distal aortic occlusions were treated on an inpatient basis from January 1973 to December 1993. The mean age was 66 years. Twenty-seven patients had an acute thrombotic occlusion of the distal aorta, and a cardiogenic embolism was the cause of occlusion in 21 cases. The 43 operated patients evidenced...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Lorenz EP,Trabhardt S,Diermann J,Weber B,Boese-Landgraf J

    更新日期:1995-01-01 00:00:00

  • [Immunosuppression after organ transplantation].

    abstract::Immunosuppression after organ transplantation is based on pharmacologic interventions using steroids, azathioprin, sandimmun and anti-T-cell-globulins. During the induction-period the use of a high-dose combination-therapy guaranties a low incidence of rejection episodes. However infective complications may predominat...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Wagner K,Erhard J

    更新日期:1992-01-01 00:00:00

  • [Diaphramatic Herniation of Abdominal Contents: Case Series and Review of the Literature].

    abstract::Background An enterothorax with herniation of bowel segments through a diaphragmatic defect is a rare postoperative complication, which can occur in the early postoperative period as well as several months or even years after the primary procedure. In virtually all cases, this diagnosis requires surgical treatment wit...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0042-119304

    authors: Raakow J,Schulte-Mäter J,Andreou A,Biebl M,Pratschke J,Kilian M

    更新日期:2017-02-01 00:00:00

  • [Preliminary results of a prospective randomized study vascular replacement above the knee].

    abstract::In case of insufficient or missing greater saphenal vein or if the saphenal vein might be of important use for future bypass grafts, the question arises which alternative bypass material is the more appropriate choice. A literature review to that topic produced only unsatisfactory results. In a prospective randomized ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Erasmi H,Walter M,Schmitz-Rixen T,Kristen F

    更新日期:1996-01-01 00:00:00

  • [Retrograde intramedullary nailing in proximal fracture of the humerus in the elderly patient. Results of a minimally invasive management concept].

    abstract::Retrograde intramedullary fixation of proximal humerus fractures with flexible wires was evaluated in a prospectively documented study. Seventy-four fractures in 73 patients with unstable proximal humerus shaft or neck fractures were fixed with 3-11 flexible intramedullary wires. The age of the patients averaged 72 ye...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Hoffmann R,Khodadadyan C,Raschke M,Melcher I,Maitino PD,Haas NP

    更新日期:1998-01-01 00:00:00

  • [Solitary plasmocytoma (author's transl)].

    abstract::The problem of solitary plasmacytoma is demonstrated in a rare case. The diagnosis was delayed for different causes. The course was followed up over 6 years. The difficulties of diagnosis and further treatment are discussed. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Wittig KH,Motsch H

    更新日期:1977-01-01 00:00:00

  • [Role of vacuum therapy in the management of the septic abdomen].

    abstract::Progress in intensive care medicine contributed substantially in lowering the mortality rate of patients suffering from diffuse secondary peritonitis. In the medical care of patients presenting a septic abdomen the persisting septic focus is one of the greatest problems. This is associated with other problems like tem...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2006-921512

    authors: Weidenhagen R,Grützner KU,Kopp R,Spelsberg FW,Jauch KW

    更新日期:2006-04-01 00:00:00

  • [Acute scrotum in childhood].

    abstract:BACKGROUND:Due to the variety of differential diagnoses causing acute scrotum and their possible consequences, this finding is a challenge for diagnostic and therapeutic management in the daily clinical practice of paediatric medicine. PATIENTS AND METHODS:Through a defined time period, all consecutive paediatric pati...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0032-1315189

    authors: Sachwitz D,Haß HJ,Kroker S,Meyer F,Krause H

    更新日期:2014-12-01 00:00:00