[Differentiated treatment strategy for peritonitis: single stage closure with drainage or open with programmed reintervention/lavage?].

Abstract:

:307 Patients with intraabdominal infections were operated between 8/1988 to 8/1991. Simple clinical parameters (according to the Mannheimer Peritonitis-Index) were evaluated before treatment. The classical therapeutic concept of one-stage laparotomy with drainage of the abdomen was performed in 223 patients initially. Because of recurrent infection and other complications in 19% of them 1 - 2 relaparotomies had to be done, and in 8% change to open treatment was necessary. Open treatment with planned relaparotomy was necessary in alltogether 101 patients, 93 abdominal complications due to primary disease or sepsis were detected in 43 of them. Abdominal treatment was successful (eradication of source of infection, no recurrence of infection) in 98% of the patients after closed and in 84% after open treatment. Mortality was 6.8% vs. 32.7% and on the whole 15.3%.

journal_name

Zentralbl Chir

authors

Demmel N,Osterholzer G,Günther B

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

395-400

issue

7

eissn

0044-409X

issn

1438-9592

journal_volume

118

pub_type

杂志文章
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    abstract::Between 1971 and 1988 74 operations for intestinal complications following radiotherapy were performed on 67 patients at the Second Surgical Department, University of Vienna. The lesions were located in the small bowel (n = 41) and in the sigmoid colon/rectum (n = 33). 98.5% of the patients were females, the most freq...

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    doi:

    authors: Moeschl P,Miholic J,Wolner E

    更新日期:1989-01-01 00:00:00

  • [Improved survival rate of postoperative renal failure caused by high volume hemofiltration].

    abstract::Continuous arteriovenous hemofiltration is the treatment of choice for postoperative acute renal failure (ARF). The clinical value of two different treatment modalities (spontaneous vs. pump-driven hemofiltration PDHF) were compared in two groups of patients with postoperative ARF. There were no differences in both gr...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Inthorn D,Storck M,Hartl WH,Zimmerer E

    更新日期:1991-01-01 00:00:00

  • [Surgical treatment of esophageal cancer: Part I. European results 1980-1991].

    abstract::During the past 10 years, postoperative mortality associated with resection of oesophageal carcinoma has been reduced from 30% to 11%. However, all efforts to improve longterm survival with extensive excisional procedures and adjuvant chemotherapy and radiotherapy have failed. Fifty-three of 100 patients presenting to...

    journal_title:Zentralblatt fur Chirurgie

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    doi:

    authors: Müller JM,Jacobi C,Zieren U,Adili F,Kaspers A

    更新日期:1992-01-01 00:00:00

  • [Fiction and facts about multi-modal therapy in rectal cancer].

    abstract::The prognosis of patients with rectal cancer has been improved significantly after introduction of the total mesorectal excision (TME). Just by performing TME, the local recurrence rates could be decreased to less than 10 %, independent of multi-modal therapeutic concepts. In contrast, the local recurrence rate reache...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2006-921552

    authors: Ulrich A,Weitz J,Friess H,Büchler M

    更新日期:2006-04-01 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

  • [Blunt abdominal injuries in childhood (author's transl)].

    abstract::Traffic accidents are among the most important causes of child death. It is sometimes quite difficult to diagnose blunt abdominal traumata due to traffic accidents. 35 blunt hepatic and splenic injuries treated in our clinic during the period of 1971 to 1976 have been evaluated and pertinent references reviewed. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Belgerden S,Emre A,Erer M,Türel O

    更新日期:1978-01-01 00:00:00

  • [Perforated aneurysm of the left hepatic artery].

    abstract::Aneurysms of the hepatic artery are second (20%) to the splenic artery the most common site of splanchnic artery aneurysms. The frequency of location in the branches of the hepatic artery is as follows: common hepatic 63%, right hepatic 28, left hepatic 5%, both left and right hepatic artery 4%. Today atherosclerosis ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Noah EM,Psathakis D,Bruch HP,Kagel C

    更新日期:1992-01-01 00:00:00

  • [Laparoscopic hernia surgery].

    abstract::While classical inguinal hernia repair has recently been brought up for discussions among surgeons, at present various modified techniques are being reintroduced in general surgery. Surgical hernia repair techniques which partly are known since several decades are being carried out laparoscopically since 1989. Between...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Said S,Zieren J,Pichlmaier H

    更新日期:1993-01-01 00:00:00

  • [Possibilities for using emergency abdominal ultrasound study and its significance in acute diseases of the abdominal cavity].

    abstract::Studies were conducted by the authors' of this paper into the diagnostic value of ultrasonic examination to clear up suspicion of acute abdominal problems, with 381 examinations being actually evaluated. Definitely valid diagnosis was obtained from the method in 37.7 per cent of these cases. The tentative diagnosis wa...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Baricza S,Vadnai M,Varga Z,Herczeg B

    更新日期:1988-01-01 00:00:00

  • Obstructive colorectal carcinoma. Principles and technique in 134 cases.

    abstract::In order to define the influence of intestinal obstruction on therapy and prognosis of colorectal carcinoma, we analyzed retrospectively the records of 1756 patients with this type of malignancy (1966-1990). The incidence of obstruction was 8% among our patients (n = 134), 3% of which suffered perforation (n = 4). Ope...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Kasperk R,Braun J,Schumpelick V

    更新日期:1992-01-01 00:00:00

  • [Postoperative wound infections and perioperative preventive antibiotic administration].

    abstract::Nearly 200 clinical studies concerning perioperative antibiotic prophylaxis are compiled and evaluated by biometric methods, however without fulfilling the criteria of meta-analysis. Derived from its results it can be concluded, that this prophylaxis is indicated for the wound categories "clean" and "clean-contaminate...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Röding H

    更新日期:1991-01-01 00:00:00

  • [Management of large abdominal wall hernias with foreign implant materials (Gore-Tex patch)].

    abstract:OBJECTIVE:Incisional hernia repair with conventional techniques (simple closure, Mayo) is associated with high recurrence rates in the range of 30-50%. Surgical repair using different prosthetic biomaterials gains more and more acceptance. Therefore we wanted to evaluate our own results of hernia repair and analyze the...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Trupka AW,Schweiberer L,Hallfeldt K,Waldner H

    更新日期:1997-01-01 00:00:00

  • [Indications and results of surgically treated, with temporary vena cava filter managed patients].

    abstract::Heavily injured patients, patients who underwent operations on pelvis, hips, abdomen or malignoma surgery, as well as gynaecology patients suffering from malignoma or previous deep femoral vein thrombosis in connection with pregnancy or obesity are at risk to suffer from pulmonary embolism with potentially lethal cour...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Zwaan M,Lorch H,Kagel C,Wenk H,Schwieder G,Eberhard J,Müller G,Weiss HD

    更新日期:1996-01-01 00:00:00

  • [Rupture of the achilles tendon and eversion fracture of the inner malleolus - a typically combined injury in alpin skiing (author's transl)].

    abstract::5.3% of all ruptures of the Achilles tendon occurring during alpin skiing are accompanied by an eversion fracture of the inner malleolus. The frequency of this type of combined trauma has not changed in the last fifteen years. A typical eversion trauma resulting in the inner malleolus being torn off, but not involving...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Lugger LJ,Margreiter R,Glötzer W

    更新日期:1977-01-01 00:00:00

  • [Stereotaxia in phantom-limb-neuralgia and causalgia (author's transl)].

    abstract::Intractable pain is an important indication for stereotactic operations in deep structures of the brain. The targets are situated in primary and secondary sensomotoric regions of the thalamus, dependent or independent on cortical areas. In clinical practice it is necessary to combine two or three targets in the thalam...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Goldhahn WE

    更新日期:1979-01-01 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

  • [Value of interventional procedures in treatment of stenotic and occluded infra-inguinal vascular bypasses].

    abstract::In a prospective study, the results following PTA of 30 short stenoses > 70% in 17 infrainguinal arterial bypass grafts were examined. The stenoses were detected after a mean follow-up of 7.2 months by Duplex-ultrasound. The initial success rate after PTA was 100%. After an average time of 4.6 months recurrent graft s...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Wölfle KD,Mayer H,Tietze W,Bruijnen H,Mayer B,Loeprecht H

    更新日期:1994-01-01 00:00:00

  • [Colon carcinoma after ureterosigmoidostomy--a case report].

    abstract::Ureterosigmoidostomy was the method of choice for continent urinary diversion in cases of bladder exstrophy. The development of colonic cancer at the ureterocolic junction is one of the major complications in the late course of this procedure. The risk of large bowel carcinoma is increased 150-500-fold compared to the...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Jansen M,Schippers E,Schumpelick V

    更新日期:1998-01-01 00:00:00

  • [Implantation of bipolar prosthesis for treatment of medial femoral neck fractures in the elderly--clinical and radiographic outcome].

    abstract::In our study, we retrospectively evaluated 203 patients with medial or lateral femoral neck fractures who received 210 bipolar prosthesis (7 bilateral implantations) at our institution. 204 patients underwent cemented bipolar hemiarthroplasty. These included 149 females and 54 males with a median age of 82 (46-97) yea...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0028-1098711

    authors: Müller CA,Bayer J,Szarzynski E,Südkamp NP

    更新日期:2008-12-01 00:00:00

  • [Diagnostic and therapeutic procedures in actinomycosis of the liver--a case report].

    abstract::Actinomycosis is a rare disease. Clinical symptoms and diagnostic imaging results need to be differentiated from those of malignancies and abscesses. We report the case of a 51-year-old woman who presented with nocturnal sweating, weight loss, fever, and abdominal pains. Ultrasound and MRI showed a mass in the liver t...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2008-1076875

    authors: Braun KP,Gastinger I,May M,Kaufmann O,Ernst H

    更新日期:2009-04-01 00:00:00

  • [Regional enterocolitis--a problem rich disease picture in diagnosis and therapy].

    abstract::Etiology, symptoms and diagnosis of Crohn's disease are described in a clinical study based on 37 patients. Drug therapy, surgery and their indications are discussed. Among 37 patients suffering from Crohn's disease of the complicated chronic type postoperative lethality amounted to 8.1%, the rate of complications cam...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Schröder H,Petrat H

    更新日期:1985-01-01 00:00:00

  • [Is phonoenterography suitable for determining postoperative intestinal motility?].

    abstract::The electrico-acoustical auscultation of intestinal sounds permits a continuous recording, documentation and evaluation of the intestinal motility to be made. Temporal course and duration of the sounds as well as their amplitude as a measure of their intensity are criteria for the diagnosis. The frequency-analysis of ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Gräfe G

    更新日期:1984-01-01 00:00:00

  • [Shunt infection in hydrocephalus].

    abstract::Infection is a generally feared complication of liquor drainage. Shunt sepsis is reported in this paper with reference to 284 patients with liquor drainage. The rate of infection amounted to 9.1 percent. Therapeutic action included application of antibiotics, surgical valve removal, and delayed restitution. The mortal...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Vara-Thorbeck R

    更新日期:1990-01-01 00:00:00

  • [A temporary synthetic skin subsitute: SYSpur-derm. Comparative histopathological examination (author's transl)].

    abstract::A total of 85 skin biopsies taken from 23 pigs with experimental 3rd-degree burns was tested concerning the efficiency of the synthetic skin substitutes SYSpur-derm (GDR) and Epigard (USA). Both the materials have an excellent wound-cleansing-effect, show good adhesion to the wound surface and have no toxic or antigen...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Mahnke PF,Rose E,Riedeberger J

    更新日期:1980-01-01 00:00:00

  • [Evaluating lung failure and the limits of artificial respiration].

    abstract::The treatment and outcome of the respiratory failure decisively depend on its pathophysiological background. Besides simple blood gas analysis the investigation of the respiratory mechanics, interstitial lung water and the monitoring of the pulmonary pressure are necessary for an exact diagnosis. As a scoring method o...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: van Ackern K,Bender HJ,Quintel M

    更新日期:1994-01-01 00:00:00

  • [Borderline questions in sustaining life-prolonging life. Moral theological viewpoint].

    abstract::The subject-matter of the main topic of this contribution focuses on the question concerning the criteria for the renunciation of therapy or for the decision to desist from treatment. The normative basis is the recognition of the principle that no one can be medically treated against his or her expressed will. Age in ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2001-18250

    authors: Schuster J

    更新日期:2001-09-01 00:00:00

  • [Quantitative Intraoperative Measurement of Tissue Perfusion of Transplanted Kidneys by Indocyanine Green Angiography].

    abstract::Postoperative delayed graft function (DGF) after kidney transplantation is a risk factor for kidney failure and reduced kidney allograft survival after transplantation. The aim of this study was to measure the quantitative perfusion of kidney transplants during kidney transplantation and to investigate whether differe...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/a-0998-4424

    authors: Ellebrecht DB,Warns T,Bürk CG,Thomaschewski M,Keck T,Bausch D

    更新日期:2020-02-01 00:00:00

  • [Experimental comparison of different skin substitutes (author's transl)].

    abstract::The authors discuss indications for using different temporary skin substitutes in local burn therapy. The clinical philosophy is based on an experience of 15 years. The advantages of those biological materials containing epidermis are stressed. Experimental results obtained in laboratory pigs show the importance of lo...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Moserová J,Housková E,Königová R

    更新日期:1981-01-01 00:00:00

  • [Indications and results of sacral nerve stimulation in faecal incontinence].

    abstract:BACKGROUND:Sacral nerve stimulation (SNS) is an effective and less invasive treatment of faecal incontinence (FI). Patient selection has evolved from strict criteria to a more liberal approach, since temporary testing reliably predicts the efficacy of permanent stimulation in FI of various aetiologies. PATIENTS AND ME...

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    pub_type: 杂志文章

    doi:10.1055/s-2008-1004737

    authors: Stelzner S,Köhler K,Hellmich G,Witzigmann H

    更新日期:2008-04-01 00:00:00

  • [Quality of life after foot injuries].

    abstract:OBJECTIVE:Assessment of quality of life after foot injuries. METHODS:All patients with foot injuries treated operatively from July 1995 to December 1999 were asked to complete the SF-36 health survey. Values of four subgroups (male with foot injuries without any other injury, multiple injured male with foot injuries, ...

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    doi:10.1055/s-2002-24244

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    更新日期:2002-03-01 00:00:00