[Socioeconomic studies of hemostaseologic therapy and anticoagulation].

Abstract:

:Since hemostaseologic therapies have a great impact on the budget of public health insurance companies, the therapy of hemophilia, prophylaxis of thrombosis and thrombolysis should be evaluated in a socioeconomic way. The substitution therapy in hemophilia is consuming a great deal of health care resources. The patients require an expensive, chronic therapy which enables them to be integrated in a normal social life. A lot of patients get a prophylaxis against thrombosis. Anticoagulants have to be valued with respect to their cost-effectiveness-relation. If thrombolysis is evaluated economically, one will have to consider carefully the high letality of thrombosis, the savings for the prevention of an operation and the high impact of this therapy on health care bills. The steady increase in health care costs emphasizes the necessity of health economics. Physicians should run socioeconomic evaluations to prove the use of different medicines and therapies and to represent the clinical point of view and the part of the patients.

journal_name

Zentralbl Chir

authors

Schramm W,Offner A,Szucs T

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

593-7

issue

8

eissn

0044-409X

issn

1438-9592

journal_volume

120

pub_type

杂志文章
  • [Effect of perioperative allogenic blood transfusion on prognosis of colorectal cancer].

    abstract::In 1973 the observation was published that in patients who had received non specific blood transfusions before kidney transplantation graft survival was improved. An immunosuppressive effect of blood transfusion was suggested. Indeed, modulation on the cellular and humoral immunologic system has been demonstrated duri...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Zimmermann T,Dobroschke J,Borowek U,Padberg W

    更新日期:1991-01-01 00:00:00

  • [Internal intubation of the small intestine for preventing ileus in peritonitis and recurrent adhesions].

    abstract::Preventive intestinal intubation for ileus prophylaxis in cases of diffuse peritonitis and extended adhesion ileus had often been discredited for the technically demanding and thus time-consuming technique involved. Yet, tube-related complications in the context of tube insertion or removal can be minimised by the exp...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Waclawiczek HW,Henkel M,Rieger R

    更新日期:1987-01-01 00:00:00

  • [New perspectives in laparoscopic simulation: from students' skills lab to stress evaluation].

    abstract:BACKGROUND:Application of a LapSim-training model in the Students' Skills Lab as well as the objective evaluation of stress in a virtual operating room scenario offer new perspectives in laparoscopic simulation. METHODS:In a Students' Skills Lab , assessment of learning curves of laparoscopic basic skills and complex ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2008-1004744

    authors: Gockel I,Hakman P,Beardi J,Schütz M,Heinrichs W,Messow CM,Junginger T

    更新日期:2008-06-01 00:00:00

  • [Interdisciplinary cooperation between anaesthesiology and surgery from the surgeon's point of view (author's transl)].

    abstract::The development of anaesthesiology has brought about a great variety of problems e.g. unforeseen capacities, money, vacancies and equipment. The patients welfare, of course necessitates the establishment of anaesthesiological departments wherever operations are being performed. We believe that in hospitals without ana...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Bünte H

    更新日期:1978-01-01 00:00:00

  • [Comments on the induction of anesthesia in arthroscopy of the knee joint].

    abstract::Anaesthesia was applied to 1,036 patients for diagnostic or therapeutic knee-joint arthroscopy, between 1983 and 1985. Different indications for general and regional anaesthesia, setbacks of spinal anaesthesia, and advantages likely to result from combined use of peridural anaesthesia and peridural analgesia are discu...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Krieg H,Beyer S,Jansen J

    更新日期:1987-01-01 00:00:00

  • [Laparoscopic pancreatic resection].

    abstract:UNLABELLED:Over a long time laparascopy for pancreatic diseases was performed only as staging laparoscopy in order to find hidden metastasis. The laparoscopic pyloric preserving duodeno-pancreatectomy showed many problems and could not establish. Laparoscopic distal resection of pancreas is much more feasible due to la...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2006-947366

    authors: Böttger T,Terzic A,Müller M

    更新日期:2006-08-01 00:00:00

  • [Dorsal double plating for fractures of the distal radius--a biomechanical concept and clinical experience].

    abstract::This article describes the anatomical and biomechanical rationale for stable internal fixation of distal radius fractures using a dorsal approach. The three column biomechanical model is illustrated. Advances in the understanding of the anatomy, the biomechanical model of the three columns and our clinical experience ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2003-44839

    authors: Rikli DA,Regazzoni P,Babst R

    更新日期:2003-12-01 00:00:00

  • [Our surgical heritage: the tragic destiny of surgeons. A professional tragedy 1914: Emil Dagobert Schumacher].

    abstract::When in 1910 F. Sauerbruch became head of the Surgical Dept. of Zurich-University (Switzerland) he took over a young promising surgeon from his predecessor: E. D. Schumacher. Soon Schumacher became a close and well accepted coworker of the head of the Dept, thus beginning an extraordinary career as an outstanding thor...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 传,历史文章,杂志文章

    doi:

    authors: Schober KL

    更新日期:1984-01-01 00:00:00

  • [Myocardial protection in surgery of the arrested open heart (author's transl)].

    abstract::The authors report on their experience concerning myocardial protection during open heart surgery making use of hypothermic cardioplegia. From September 1977 to April 1980 they operated on 637 patients applying this method. 155 cases were evaluated. Hypothermic cardioplegia extends the tolerance of the myocardium to i...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Moll J,Sadowski R

    更新日期:1982-01-01 00:00:00

  • [Incidental finding of an acute appendicitis in a premature newborn with haematochezia].

    abstract::In newborns, acute appendicitis is a very rare condition associated with significant lethality. Due to mostly non-specific symptoms, it is difficult to find the correct diagnosis preoperatively. Interestingly, rectal bleeding as a clinical sign in neonatal appendicitis is very uncommon. Here, we report on a 4-day-old ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0028-1098922

    authors: Sachwitz D,Hass HJ,Aumann V,Herrmann K,Krause H

    更新日期:2009-12-01 00:00:00

  • [Differential treatment of fractures of the distal radius].

    abstract::Treatment of distal fractures of the radius has undergone considerable change during recent years. The cause for this lies primarily in the poor results of conservative treatments. In addition to osseous instability, the fractures of the radius are frequently combined with ligamentary instability as well, thereby exce...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Oestern HJ,Hüls E

    更新日期:1994-01-01 00:00:00

  • [Endoscopic interventions in the tracheobronchial system].

    abstract::Therapeutic bronchoscopy is widely used in the treatment of airway stenosis, fistula, and pulmonary bleeding. Recanalisation of tracheobronchial stenoses can be treated by Nd: YAG-laser or stent implantation. While the use of laser irradiation is limited to intraluminal obstruction, stenting is also effective in steno...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Schmidt B,Witt C

    更新日期:1998-01-01 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

  • [Foot salvage in diabetic gangrene].

    abstract:UNLABELLED:In 35 patients with diabetic gangrene, amputation above the ankle (n = 18) or below the ankle (n = 17) was planned by nonspecialised general surgical departments or practicing surgeons. Prior to the operation, these patients presented to a specialised diabetic foot clinic; their clinical courses were analyse...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Jung V

    更新日期:1996-01-01 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

  • [160 years St. Mark's Hospital in London--a brief historical excursion].

    abstract::The St. Mark's Hospital in London is one of the oldest and most renown centers of colorectal surgery and science. The historical building in the City Road was inaugurated by Frederick Salmon in 1835 who founded the "St. Mark's Hospital for Fistula". In the summer of 1995 the institution left City Road to be relocated ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 历史文章,杂志文章

    doi:

    authors: Sailer M,Thiede A

    更新日期:1996-01-01 00:00:00

  • [Significance of combined anterior cruciate ligament and meniscus injury].

    abstract::The combined lesion of the anterior cruciate ligament (ACL) with simultaneous or secondary meniscal tears has severe consequences for the knee joint. By a synopsis of the literature and own experimental investigations in sheep it can be shown that in ACL deficient knees secondary meniscal lesions occur, what finally e...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Metak G,Scherer MA

    更新日期:1999-01-01 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

  • [Laparoscopic operations in the aged].

    abstract::There is no disagreement over the advantages of minimal-invasive surgical procedures even in the older patient. However the criteria for indication and patient selection concerning cardiopulmonary contraindications for CO2-pneumoperitoneum must be strictly considered. Using cholecystectomy and colorectal surgery as an...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Gastinger I,Köckerling F

    更新日期:1994-01-01 00:00:00

  • [Minimal invasive cannulated screw osteosynthesis of Bennett's fractures].

    abstract:PURPOSE OF THE STUDY:The current study presents a new technique and results of minimal invasive screw osteosynthesis in the treatment of Bennett's fractures and discusses its advantages and disadvantages. OPERATIVE TECHNIQUE:The Bennett's fragment has to be of sufficient size (at least one quarter of the articular sur...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2003-40628

    authors: Meyer C,Hartmann B,Böhringer G,Horas U,Schnettler R

    更新日期:2003-06-01 00:00:00

  • [Diagnostics and therapy of benign bone tumours (author's transl)].

    abstract::The diagnosis of benign bone tumours must be confirmed histologically; only in rare cases this can be omitted. After having identified the kind of tumour, a specific therapy must be established, covering a wide range, like excochleation as well as amputation. Malignant degeneration and high rates of relapse are possib...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Knoch HG,Dominok GW

    更新日期:1978-01-01 00:00:00

  • [Extracorporeal membrane oxygenation in Thoracic Surgery - Lung Transplantation].

    abstract::Extracorporeal membrane oxygenation (ECMO) has become a routine method in thoracic surgery. Recent developments in lung transplantation have led to its widespread acceptance. Firstly, ECMO is increasingly being used to bridge patients to transplantation. The best results in this setting have been described with "awake...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/a-0624-9612

    authors: Aigner C,Slama A,Valdivia D

    更新日期:2019-02-01 00:00:00

  • [Laparoscopic tubular rectum and colon resection. An animal experiment study].

    abstract::As our experimental studies demonstrate save laparoscopic tubular resection of colon and rectum is possible using linear staplers for resection and circular staplers for the anastomosis. As soon as linear endostaplers are available this technique can be applied in clinical work. Open colon resection and subsequent pur...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Köckerling F,Gastinger I,Remmel E,Gall FP

    更新日期:1992-01-01 00:00:00

  • [Neuroendocrine tumors of the gastrointestinal tract. Prospective analysis of 29 patients and review of the literature].

    abstract::Neuroendocrine tumors are rare and can be observed in different gastrointestinal organs. The diagnosis often is made by incidence like in carcinoids of the appendix vermiformis, or special clinical symptoms may develop due to tumor growth. 29 consecutive patients were evaluated prospectively during 30 months. In 21 of...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2001-11721

    authors: Wenisch HJ

    更新日期:2001-01-01 00:00:00

  • [Vacuum assisted closure therapy improves early postoperative lung function in patients with large sternal wounds].

    abstract::Vacuum assisted closure of sternal wounds is a sound strategy for patients with severe poststernotomy mediastinitis and sternal bone necrosis. As a bridging therapy to reconstructive surgery it provides an adequate temporary stabilization of the thorax. It enhances lung function and reduces pulmonary complications. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2004-822607

    authors: Kutschka I,Frauendorfer P,Harringer W

    更新日期:2004-05-01 00:00:00

  • [Osteosynthesis of ipsilateral hip and femoral shaft fractures with the PFN-long].

    abstract:AIM:The paper retrospectively evaluates a set of patients with ipsilateral fractures of the proximal femur and shaft treated with PFN-long. MATERIAL:19 patients (14 males and 5 females), aged 48 in average, were treated from 1998-2003. The fractures included 2 types: combined intraarticular femoral neck and shaft frac...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2005-836368

    authors: Pavelka T,Lihart M,Matejka J,Vyskocil V

    更新日期:2005-04-01 00:00:00

  • [Stapled transanal resection for the treatment of obstructed defaecation syndrome].

    abstract::Stapled transanal rectal resection (STARR) has become a well-evaluated surgical procedure for the treatment of outlet obstruction in the context of conservative refractory obstructed defaecation syndrome (ODS). The diagnosis of ODS needs to be objectified which can be best ensured by clinical scoring systems. Besides ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1315124

    authors: Isbert C,Kim M,Reibetanz J,Germer CT

    更新日期:2012-08-01 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

  • [Angiodysplasia of the intestine--rational diagnosis and therapy].

    abstract::Vascular ectasias of the gastrointestinal tract are local changes in the development of blood vessels, frequently associated with an arteriovenous shunt. The reported rates of such angiodysplasias have been increased in the past years due to improved diagnostic procedures as well as a general increase in the age of th...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Decker P,Hirner A

    更新日期:1993-01-01 00:00:00

  • [Alcohol intoxication and its differential diagnosis (author's transl)].

    abstract::Acute alcohol intoxication causes a lot of diagnostic problems. Every doctor should be well informed about its differential diagnostic aspects. Carelessness concerning diagnosis can be detrimental to the patient and the physician as well. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Kürzinger R

    更新日期:1979-01-01 00:00:00