[Optimizing delayed reconstruction of complex pressure sores by V.A.C. therapy].

Abstract:

:V.A.C.-therapy has improved the treatment of extended pressure sores, because of its beneficial effect on the wound surface and the safe microbial barrier. Definitive reconstructive surgery can be performed earlier. Using modern aids fixation of the device will be possible even in difficult locations as the perianal area. This is important for immobile and multi-morbid patients. On the other hand, this area still shows limitations of the method. In recurrent cases it is difficult to use classical methods of reconstruction. Long-term-treatment is necessary, which is economically difficult. It is important for hospitals to cooperate with specialised wound therapeutics so that these patients can be dismissed earlier. This may allow reconstructive procedures, even if this takes several hospital stays over a long period of time.

journal_name

Zentralbl Chir

authors

Reichert B

doi

10.1055/s-2006-921448

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

S24-8

eissn

0044-409X

issn

1438-9592

journal_volume

131 Suppl 1

pub_type

杂志文章
  • Evaluation of toupet antireflux operation, by means of gastroesophageal scintiscan.

    abstract::The Toupet operation (270 degrees posterior fundoplication) has been performed in 99 patients suffering from symptoms of gastro-oesophageal reflux secondary to a hiatal hernia. To assess the effects of the Toupet antireflux procedure, we performed in 20 cases oesophageal manometry, intraoperatively and gastro-oesophag...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Vara-Thorbeck R,Morales OI,Guerrero JA,Ruiz-Morales M,Salvi M,Vara C

    更新日期:1989-01-01 00:00:00

  • [Ciprofloxacin levels in pleural fluid and serum during systemic administration after pneumonectomy].

    abstract::Postpneumonectomy empyema represents a frequently lethal complication. It remains unsolved whether prophylactic antibiotics achieve a bactericidal concentration in the pleural cavity after pneumonectomy. 12 patients undergoing pneumonectomy received ciprofloxacin intravenously (2 x 200 micrograms/d) and orally (2 x 50...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Padberg WM,Jäger E,Buhr J,Zimmermann T

    更新日期:2000-01-01 00:00:00

  • [Surgical statistics--an important performance record in surgery].

    abstract::An account is given in this paper of computer-assisted statistical records of surgery, with reference being made to the example of annual evaluation in 1988 as compared to 1985/86 data. Surgical statistics are shown to be important to administrative and medical management of a surgical hospital or department as well a...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Gastinger I,Eckhardt W,Herwig H

    更新日期:1990-01-01 00:00:00

  • [Incidence of Candidaemia Following Abdominal Surgery in German Hospitals].

    abstract:BACKGROUND:Invasive Candida infections following abdominal surgery represent a significant medical problem. This study initiates a benchmarking project to pinpoint the current role and epidemiology of candidemia in this patient group in German hospitals. MATERIAL AND METHODS:During the year 2010 data derived from 47 7...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0033-1350814

    authors: Kuhns M,Rosenberger A,Bader O,Reichard U,Gross U,Weig M

    更新日期:2015-12-01 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

  • [Effectiveness of conservative treatment following distal radius epiphyses injuries].

    abstract::From 1966 to 1978, 122 infants and children suffering from injuries of the distal radial epiphysis were treated by reposition and repeated reposition. 68 of them were followed-up from 2 to 13 years later. In most cases spontaneous correction of remaining deformities by growth could be demonstrated. This remodelling of...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Ansorg P,Graner G

    更新日期:1985-01-01 00:00:00

  • [The clinical relevance of the dynamics of ventricular changes in surgically treated hydrocephalus of children with myelomeningocele].

    abstract::The normalisation of head circumference and ventricular dilatation are aims of the therapy of hydrocephalus. Sonographic follow-up after ventriculo-peritoneal shunt demonstrates a changed ventricular morphology and inform about clinical relevant questions in regard of effectivity and complications of the shunt. The di...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Gräfe G,Hörmann D

    更新日期:1990-01-01 00:00:00

  • [Effect of forced organ cooling on microperfusion of donor livers].

    abstract:UNLABELLED:With regard to the factors of graft damage the role of rapid cooling during cold in situ perfusion should not be underestimated. The aim of this study was to analyse the effect of rapid cooling on microperfusion of rat livers in an in vitro model. MATERIAL AND METHODS:During harvest of 14 rat livers the org...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Drews G,Deckert F,Witzigmann H,Hauss J,Spiegel HU

    更新日期:1998-01-01 00:00:00

  • [Hypothermic perfusion and cold storage of the dog pancreas].

    abstract::The results of 18-hours of hypothermic pulsatile perfusion and 18-hours of cold storage of canine pancreas are compared. Both methods of preservation yield the same endocrine pancreas function. However preservation of pancreas by perfusion results in considerable oedema of the gland and high enzyme activity in the per...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Panzig E,Rosenbaum KD,Tietz W,Kiene S

    更新日期:1984-01-01 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

  • [The treatment of large incisional and abdominal hernias using a modification of E. Rehn's skin-flap].

    abstract::Modified skin grafting can be helpful in restoring the abdominal wall to adequate anatomic condition and full functionality, even in the wake of large and very large postoperative incisional hernias. The rate of recurrence recorded by the author from 66 skin grafts amounted to 7.6 percent and was thus below the averag...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Kranich H

    更新日期:1990-01-01 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

  • [Evaluation of therapy of patients with rectal carcinoma. Goals of healing (outcome) and implementation of the quality of life concept in total medical care].

    abstract::Quality of life (QL) assessment by means of standardised scales allows a valid representation of an individual's subjective sense of well-being in three dimensions: somatic (intensity and frequency of symptoms), psychological (anxiety, depression) and social (family life, employment, sexuality). The question, however,...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2000-10069

    authors: Kopp I,Koller M,Rothmund M,Lorenz W,Mitglieder des Qualitätszirkels.

    更新日期:2000-01-01 00:00:00

  • [Ulcerative colitis-associated colorectal carcinoma. DNA ploidy as indicator of impending malignant transformation?].

    abstract::The onset of a malignant transformation in long-standing ulcerative colitis is difficult to predict. The value of the clinical and histomorphological parameters in current use is limited. It was thus aim of the present study to investigate the value of DNA-ploidy for the early detection of a malignant transformation i...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2000-10063

    authors: Schimmelpenning H,Habermann J,Krüger S,Roblick UJ,Stange E,Ludwig D,Kujath P,Broll R,Auer G,Bruch HP

    更新日期:2000-01-01 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

  • [Liver biopsy in cholecystectomy? A study on the need for liver biopsy in cholecystectomy based on the morphologic findings in both organs].

    abstract::On the basis of 341 liver biopsies routinely taken during cholecystectomies using Menghini's technique the pathological changes of the liver in comparison to the degree of cholecystitis were studied. Because of the frequency of morphological changes detected in the liver tissue, the low risk of the procedure and the p...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Quednow C,Theuring F

    更新日期:1982-01-01 00:00:00

  • [Surgical therapy of complicated sigmoid diverticulitis: single stage or multi-stage operation?].

    abstract::Surgical tactics for the teatment of complicated diverticulitis are in constant evolution and remain a subject of controversy. Amongst 53 patients operated on for complicated sigmoid diverticulits over a 10 year period in our hospital, 29 underwent a Hartmann's procedure (3 Hinchey's stage II, 19 stage III and 7 stage...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Gertsch P,al-Muaid J,Pelloni A,Bogen M

    更新日期:1998-01-01 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

  • [Management of ipsilateral fractures of the femur shaft and proximal femur--therapy overview and current management].

    abstract::Fractures of the femoral shaft are combined in 2-5% of all cases with an ipsilateral fracture of the proximal femur. These double fractures are mostly caused by high energy trauma. An analysis of 9 selected papers points to the problem. In more than 10% the proximal fracture is not diagnosed initially. In the literatu...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Haas NP,Schütz M,Mauch C,Hoffmann R,Südkamp NP

    更新日期:1995-01-01 00:00:00

  • [Pain therapy in tumor patients and in palliative medicine. 1: Drug therapy].

    abstract::Like other industrial countries Germany experiences a significant increase of cancer prevalence. Recent advances in the treatment of various types of cancer resulted in prolonged survivaltimes of patients. Cancer--especially in advanced incurable stages--often is accompanied by severe pain. Therefore, the need for suf...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Ensink FB,Bautz MT,Hirn AM,Nass S,Kettler D,Hanekop GG

    更新日期:1998-01-01 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

  • [Decision making in postoperative incidentally found small C-cell-carcinoma].

    abstract::Surgical therapy of incidentally postoperative diagnosed small sporadic medullary thyroid cancer (MTC) is discussed controversially. In principle completion thyroidectomy with neck dissection and regulary tumor follow-up are under discussion. A total of 277 patients with MTC were treated between 1986 and 2004. In 22 c...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2005-836891

    authors: Raffel A,Cupisti K,Krausch M,Eisenberger CF,Knoefel WT

    更新日期:2005-10-01 00:00:00

  • [Imaging of Mediastinal Tumors].

    abstract::In computed tomography, the mediastinum is split into ventral prevascular, middle visceral and dorsal paravertebral compartments. Each compartment contains specific tumours which will be presented and discussed briefly. The focus is on image-based analysis of morphological signs to differentiate between entities using...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/a-1171-2766

    authors: Ley S,Ley-Zaporozhan J

    更新日期:2020-07-06 00:00:00

  • [Effect of preoperative preoperative visualization therapy on postoperative outcome after inguinal hernia surgery and thyroid resection].

    abstract:UNLABELLED:This randomized controlled trial aims to evaluate the influence of preoperative relaxation techniques on postoperative outcomes. From January 1997 to June 1998 208 patients were operated on for primary inguinal hernia or goiter. The patients were randomized into two groups: Group A (n = 103) underwent the su...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Omlor G,Kiewitz S,Pietschmann S,Roesler S

    更新日期:2000-01-01 00:00:00

  • [The subjective element in transplantation medicine. The importance of psychosocial indicators in transplantation and their effect on the quality of life].

    abstract::The importance of psychosocial indicators for the course and the evaluation of organ transplantation is being more and more recognized. The following paper tries to point out what should be, at the present, the "state of the art" in psychosocial evaluation and quality of life measurement in organ transplantation. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Johann B,Senf W

    更新日期:1999-01-01 00:00:00

  • [Liver parameters in intensive care medicine].

    abstract::Elevated liver function tests in ICU-bound patients are associated with a greater risk of mor-tality. Chronic liver diseases as well as acute events and complications of therapy are among the causes. The disorder could further be investigated by assessment of liver cell integrity markers (AST, ALT and GLDH), cholestas...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0031-1271601

    authors: Penndorf V,Saner F,Gerken G,Canbay A

    更新日期:2013-12-01 00:00:00

  • [Hartmann's procedure for perforated diverticulitis and malignant left-sided colorectal obstruction and perforation].

    abstract:BACKGROUND:This review comments on the question whether laparoscopic techniques and interventional strategies have in the last ten years changed the emergency management of perforated diverticulitis and malignant colorectal obstruction or perforation with regard to the broad spectrum of indications for Hartmann's proce...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0030-1262753

    authors: Meyer F,Grundmann RT

    更新日期:2011-02-01 00:00:00

  • [Laparoscopic surgery of rectal carcinoma].

    abstract::Laparoscopic colorectal procedures for treatment of benign disorders are increasingly appreciated. However, laparoscopic resections for rectal cancer are controversial. In the Department of Surgery at the Medical University of Lübeck 25 patients with rectal cancer were treated by laparoscopic procedures within four ye...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Bruch HP,Herold A,Schiedeck TH,Schwandner O

    更新日期:1997-01-01 00:00:00

  • [Cartilage transplantation in the knee joint experiment - clinic - technique (author's transl)].

    abstract::In the knee joints of 195 animals autologous, stored and fresh homologous osteochondral grafts were implanted. Even after 2 years the ultrastructural examination indicates that autologous and fresh homologous grafts survive. The stored grafts are absorbed. The clinical results after transplantation of 38 patients as w...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Hesse W,Hesse I

    更新日期:1979-01-01 00:00:00

  • [Arthroscopic treatment of shoulder instability].

    abstract::Arthroscopic treatment of glenohumeral instability has become more common over the last years. Compared with open reconstruction which still is the gold standard in the treatment of glenohumeral instability the arthroscopic techniques show several advantages but also disadvantages that must be proved for every single ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2002-24251

    authors: Bartl C,Lichtenberg S,Habermeyer P

    更新日期:2002-03-01 00:00:00