[Cost effectiveness of V.A.C. therapy after post-sternotomy mediastinitis].

Abstract:

:Since November 2001 all patients with postoperative sternum bone infections were treated with V.A.C. therapy. The mean length of stay at intensive care unit was reduced from 9 to 1 day and reduces costs for 33 714.- USD per patient. Additionally patients who had to be closed with pectoralis muscle flap had significant reduced length of stay at ICU (1 vs 4 days, cost effectiveness 14 984.- USD per patient). The V.A.C. therapy after post-sternotomy mediastinitis significantly reduces morbidity and mortalità and is cost effective.

journal_name

Zentralbl Chir

authors

Moidl R,Fleck T,Giovanoli P,Grabenwöger M,Wolner E

doi

10.1055/s-2006-921492

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

S189-90

eissn

0044-409X

issn

1438-9592

journal_volume

131 Suppl 1

pub_type

杂志文章
  • [Pullout resistance of conventional pedicle screw implantation in comparison to fluoroscopic computer-assisted technique].

    abstract:AIM:Aim of the study was to compare pullout resistance of pedicle screws after conventional and fluoroscopic computer-assisted implantation in the cadaveric thoracic and lumbar spine. METHODS:Pedicle screws were inserted in a total of 10 vertebrae of different human specimens: 10 screws were placed using conventional ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2006-950383

    authors: Linhardt O,Perlick L,Renkawitz T,Matussek J,Plitz W,Grifka J

    更新日期:2006-10-01 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

  • [Inguinal hernia: mesh or no mesh in open repair?].

    abstract::The operative repair of inguinal hernias is the most common surgical procedure in general surgery. This review gives a survey of the current data on the "mesh or no mesh" question in open inguinal hernia surgery. The Cochrane Database Systematic Review of 2002 has the highest level of evidence. Five randomised control...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2008-1076955

    authors: Jaenigen BM,Hopt UT,Obermaier R

    更新日期:2008-09-01 00:00:00

  • [Device related problems of thoracic stent-grafts].

    abstract:UNLABELLED:The outcome of the endovascular repair of abdominal aortic aneurysms seems to be device related. The presented study evaluated the outcome of endovascular procedure in cases of thoracic aortic pathology according to the implanted thoracic stent graft devices. METHODS:Since November 1999 a variety of thoraci...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2007-960755

    authors: Gawenda M,Brunkwall J

    更新日期:2007-06-01 00:00:00

  • [Simulation of a hypophyseal tumor in carotid-ophthalmic aneurysms].

    abstract::Case report. A 59 year old woman was thought to suffer from a neoplasm of the hypophysis. This "tumour" was simulated by a giant aneurysm of the infraorbital segment of the left carotid artery. For technical reasons the left carotid artery had not been demonstrated in the angiogram. For final clarification CT as well ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Assmann H,Basche S,Pothe H,Dietrich J

    更新日期:1983-01-01 00:00:00

  • [Registration using three-dimensional laser surface scanning for navigation in oral and craniomaxillofacial surgery].

    abstract:INTRODUCTION:Recent innovations in laser scanning technology provide a potentially useful tool for three-dimensional surface registration for image-guided surgery. The purpose of this study is to evaluate the clinical reliability of this technique in oral and maxillofacial surgical procedures using image-guided navigat...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2003-40811

    authors: Troitzsch D,Hoffmann J,Dammann F,Bartz D,Reinert S

    更新日期:2003-07-01 00:00:00

  • [Surgery of malignant hepatoma of the cirrhotic liver].

    abstract::The surgical approach to malignant hepatoma in cirrhotic liver has continued to be an unresolved problem. Early diagnosis, differentiated indication, and surgical techniques need further improvement, before adjuvant therapy can be discussed. All surgeons are called upon to verify experience of the past and to integrat...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Esser G

    更新日期:1989-01-01 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

  • [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...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Kunz E

    更新日期:1997-01-01 00:00:00

  • [Epidural analgesia in thoracic surgery--optimising postoperative rehabilitation].

    abstract:INTRODUCTION:A multimodal perioperative therapy strategy (fast-track) decreases the morbidity of general thoracic interventions and increases postoperative reconvalescence after lung resections. Thoracic surgery is associated with relevant pain and sufficient pain relief is essential for postoperative recovery. Epidura...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2008-1076975

    authors: Dango S,Offner K,Kirschbaum A,Loop T,Passlick B

    更新日期:2008-09-01 00:00:00

  • [Surgical management of reno-vascular hypertony (author's transl)].

    abstract::Only in 2/3 out of a total of 33 patients suffering from renal artery stenosis surgery was indicated. Thrombendarterectomy and saphenous patch are the method of choice for reconstructive procedures. In 87% of successful reconstructions the functional result was satisfactory. The follow-up gave evidence of change to th...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Halm M,Wolff H,Platzbecker H,Köhler K

    更新日期:1979-01-01 00:00:00

  • [Current status of treatment of appendicitis. Results of 2 prospective multicenter studies in East Germany. East German Working Group "Outcome Assessment and Quality Assurance in Surgery" of the CAQ of the German Society of Surgery].

    abstract::In a period of 10 years we carried out two prospective multicentric trials to evaluate the state of the art in treatment of appendicitis. One study was performed before introduction of laparoscopy. Important criteria like new diagnostic methods (sonography, laparoscopy), frequency of operation, perforation rate, frequ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Gastinger I,Koch A,Lippert H,Lorenz D

    更新日期:1998-01-01 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

  • [Liver rupture in peliosis hepatis].

    abstract::A 44-year old woman had pain in the epigastric region under the thorax aperture on the left side 6 weeks prior to admission. Her doctor had prescribed Rewodina and Myocuran without success. Then she suffered circulatory collapse twice. Upon hospitalization, she experienced colicky upper abdominal pain and vomiting....

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Adam G,Lesser T,Neumann R

    更新日期:1991-01-01 00:00:00

  • [Changes in therapeutic principles in fractures of the extremities with severe soft tissue injuries exemplified by tibial fracture].

    abstract::Functional results after open fractures have been improved during the last decades. Especially the rates of amputation and chronic osteitis after open tibial fractures have been reduced from 30% to less than 5%. The initial management of this type of fracture includes reconstruction of the perfusion of the involved ve...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Dávid A,Ostermann PA,Möllenhoff G,Hebebrand D,Muhr G

    更新日期:1997-01-01 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

  • [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

  • [Benign prostatic hyperplasia].

    abstract::The aetiological background of benign prostatic hyperplasia (BPH) is still obscure, though new information is steadily gained. In the context of pathomorphogenesis, major importance seems to be attributable to fibromuscular (stromal) tissue, since evidence has been produced to significant decline in glanduloparenchyma...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Schönberger B

    更新日期:1986-01-01 00:00:00

  • [Comparison of the Masaoka-Koga Classification with the New TNM Staging of the IASLC/ITMIG for Thymoma and Thymic Carcinoma].

    abstract:BACKGROUND:The Masaoka-Koga classification describes the extent and spread of thymic epithelial malignancies. The objective of this study was to evaluate the Masaoka-Koga and the new TNM-staging system regarding differences in stage distributions, clinical implementation and therapeutic consequences. METHODS:Retrospec...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/a-0606-5603

    authors: Ried M,Eicher MM,Neu R,Kraus D,Inderhees S,Marx A,Hofmann HS

    更新日期:2018-08-01 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...

    journal_title:Zentralblatt fur Chirurgie

    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

  • [Aspergillosis in a thoracic surgery patient sample. 20 years' results].

    abstract::40 patients underwent surgery for aspergilloma at the authors' ward of thoracic surgery. Pulmonary defects or cavities were recorded from 95 per cent of them (13 cases of bronchiectasis, eight with tuberculous caverns, and six cysts). Serological methods, 100 per cent in accuracy, were superior to all other diagnostic...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Plate H,Demischew M

    更新日期:1987-01-01 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

  • [Is curative treatment of breast cancer necessarily connected with radical mastectomy after Rotter-Halsted? (author's transl)].

    abstract::Lokal recidivation rate in carcinoma of the female breast represents besides the 5- to 10-years survival rate an important parameter for primary surgical treatment. At the Chirurgische Universitätsklinik Tübingen radical mastectomy in the Rotter-Halsted technique as well as extended radical mastectomy were abandoned b...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Durst J

    更新日期:1977-01-01 00:00:00

  • [Late results of ureterosigmoidostomy in treating extrophy of the bladder (author's transl)].

    abstract::26 children with extrophy of the bladder were treated surgically during a period of 23 years. In all cases a ureterosigmoidostomy was performed with a follow up of 1-22 years in 15 of 26 cases. In 9 children the clinical, radiological, and biochemical findings were good in 4 satisfying and 2 bad due to hydronephrosis ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Sztaba R,Karcz J

    更新日期:1979-01-01 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

  • [Varicocele in children and adolescents].

    abstract::Idiopathic varicocele is quite common even among children and adolescents. Irreversible testicular damage may occur before adult age. Diagnosis and therapy for the purpose of preventing infertility constitute a challenge to youth health organisations and paediatric surgeons. Surgery according to Bernardt or Ivanissevi...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Mothes W

    更新日期:1986-01-01 00:00:00

  • [Deregulation of intracellular signal pathways in colorectal carcinoma].

    abstract::The analysis of the genetic causes of tumor development led to the identification of many genes affected in these diseases, which play a role in the control of cell proliferation and apoptosis. However, these studies also suggested that not all alterations are equal with regard to their effect on tumor growth, and the...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Troppmair J,Rapp UR

    更新日期:2000-01-01 00:00:00

  • Nerve fibre counts for an intercostal nerve to cauda equina nerve root anastomosis.

    abstract::Mean nerve root diameters of thoracal, lumbal and sacral roots have been determined and the corresponding cross section areas calculated. The myelinated axons of these roots have been counted and the axon densities calculated. The myelinated axons of 3 lower intercostal nerves have also been counted. One intercostal n...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Schalow G,Aho A,Lang G

    更新日期:1987-01-01 00:00:00

  • [Concentration of calcium and phosphorus in patients after thyroidectomy without ligation of the inferior thyroid arteries (author's transl)].

    abstract::In 150 patients who underwent surgery of the thyroid gland without ligation of the inferior thyroid arteries the concentrations of calcium and phosphorus were examined and the patients checked for clinical signs of hypoparathyroidism. In 149 patients without symptoms of tetania over the first 3 postoperative days a de...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Schmauss AK,Zech U

    更新日期:1981-01-01 00:00:00

  • Phylloides tumours of the breast. A clinicopathologic study of 19 cases.

    abstract::During a period of 29 years (1960-1989), 19 patients with benign (15 cases) or malignant (4 cases) phylloides tumours were seen at the Surgical Clinic of Fundeni Hospital. Fourteen patients were followed up for a period of 2 to 21 years (mean 9.3 years). Two patients with benign tumours developed malignant recurrences...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Popescu I,Serbănescu M,Ivăşchescu C

    更新日期:1991-01-01 00:00:00