[The unstable patient with pelvic fracture].

Abstract:

:For the hemodynamically unstable patient with pelvic fracture a target focussed and rapid diagnostic and therapy is mandatory. After hemorrhage control at crash site the direct transport in a trauma center follows. Primary therapy in the emergency room sometimes includes stabilization by a pelvic clamp or an external fixator. If the patient is still hemodynamically unstable the life threatening bleeding is packed. After that simple internal osteosynthesis is allowed. The presented article shows the possible options of the therapy. The main message is: hemorrhage control is not possible without stabilization of the pelvic ring.

journal_name

Zentralbl Chir

authors

Thannheimer A,Woltmann A,Vastmans J,Bühren V

doi

10.1055/s-2004-44882

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

37-42

issue

1

eissn

0044-409X

issn

1438-9592

journal_volume

129

pub_type

杂志文章
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    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...

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    pub_type: 杂志文章

    doi:

    authors: Gastinger I,Eckhardt W,Herwig H

    更新日期:1990-01-01 00:00:00

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

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    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

  • [Combined laparoscopic/endoscopic treatment of gastric stroma tumors].

    abstract:INTRODUCTION:Surgical therapy of Gastrointestinal stroma tumor (GIST) is the treatment of choice. Local resection will be carried out if technically possible. We describe the technique of laparoscopic wedge resection combined with intraoperative gastroscopy in order to achieve complete tumor resection. METHOD:We repor...

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    authors: Schäfer H,Schneider PM,Baldus SE,Wolfgarten E,Hölscher AH

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  • [Disordered postoperative course. A retrospective analysis].

    abstract::A brief definition of the term of "relaparotomy" is followed by reference to some causes of erroneous or delayed decisionmaking on re-operation. The background of postoperative disorders is, basically, one and the same throughout acute surgery: haemorrhage, peritonitis, ileus. Relaparotomy was necessary in 0.6 per cen...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Günther K,Taubert E,Mehwald J

    更新日期:1988-01-01 00:00:00

  • [Open Repair of the Thoracic Aorta Using the Clamshell Approach Because of Aortooesopheagel Fistula - a Multidisciplinary Approach].

    abstract:INTRODUCTION:Aortoesophageal fistula (AEF) following open or endovascular operations of the thoracoabdominal aorta is a rare, yet life-threatening condition. In this case, the whole thoracic aorta has to be replaced using a "clamshell approach" because of an AEF following open repair of the ascending aorta after type A...

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    doi:10.1055/a-0713-0457

    authors: Gombert A,Grommes J,Kotelis D,Jacobs MJ

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  • [Laparoscopic-assisted mobilisation and resection of a sacrococcygeal teratoma Altman type III].

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    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0043-100015

    authors: Gödeke J,Engel V,Münsterer O

    更新日期:2017-06-01 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

  • [Indications and results of para-sternal mediastinoscopy in tumors of the anterior mediastinum].

    abstract::From January 1990 to December 1995 79 patients with mediastinal lesions were seen for parasternal mediastinoscopy at the Ruhrlandklinik Essen. Diagnosis was achieved in 91.1%. In 7 cases (8.9%) the diagnosis was not established. Six intraoperative complications occurred following mediastinoscopy: minor bleeding in fiv...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Hillejan L,Cassina P,Stamatis G,Greschuchna D

    更新日期:1997-01-01 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

  • [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

  • [Benign peptic stricture of the middle third of the esophagus].

    abstract::By means of a case report classification, etiology and pathogenesis of benign esophageal strictures are discussed. In the presented case an endobrachyesophagus with peptic stricture of the middle third of the esophagus was found. The most common conservative treatment consists of esophageal bouginage combined with lon...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2002-20233

    authors: Korenkov M,Yücel N,Neugebauer E,Troidl H

    更新日期:2002-01-01 00:00:00

  • [Validity of Recommendations for Secondary Prevention of Colon Cancer].

    abstract:BACKGROUND:Prevention programmes should only be recommended if they achieve what they promise to achieve. Therefore, we checked the variation and validity of recommendations for screening for colorectal cancer of nine organisations. METHODS:We analysed the information concerning recommended screening age, guaiac faeca...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1328074

    authors: Porzsolt F,Ittner D,Henne-Bruns D

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  • [Internal drainage surgery in pancreatic pseudocysts].

    abstract::60 pancreatic pseudocysts are reported. 29 cystojejunostomies, 22 cystogastrostomies, 2 cystoduodenostomies and 7 external drainages were performed. Most favourable results could be recorded by cystojejunostomy. The total operative mortality was 8.3%, after cystojejunostomie 3.4%. Most dangerous complications were hae...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Schröder H,Friedel R,Pfefferkorn S

    更新日期:1989-01-01 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

  • [Kidney transplantation in Germany - 2002].

    abstract::In Germany the number of kidney transplantations has increased rather slowly during recent years. While living donations increased, the number of postmortal donations decreased during the same time. In order to lower the number of patients on the waiting lists in Germany, the rate of postmortal or living donations as ...

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    pub_type: 杂志文章

    doi:10.1055/s-2003-44335

    authors: Lutz J,Stangl M,Heemann U

    更新日期:2003-10-01 00:00:00

  • [Borderline amputations in diabetics--open questions and critical evaluation].

    abstract::Minor amputations are frequently performed in neuroischemic or neuropathic lesions of the diabetic foot. In German-speaking countries, the term "Grenzzonenamputation" was created to describe the combination of minor amputation exactly in the border zone to vital tissues, necrosectomy and débridement. For early and opt...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2003-42748

    authors: Rümenapf G

    更新日期:2003-09-01 00:00:00

  • [The way to establish laparoscopic donor nephrectomy as the method of choice in live kidney donation--a single centre experience].

    abstract:INTRODUCTION:In contrast to the USA, laparoscopic donor nephrectomy is rarely practised in German transplant centres. Safety concerns and difficulties with the learning curve of this advanced laparoscopic procedure are the main obstacles to the establishment of this operation. PATIENTS AND METHODS:From 1998-2005, we p...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2008-1004740

    authors: Saad S,Arns W,Paul A,Nagelschmidt M,Heiss M,Treckmann J

    更新日期:2008-04-01 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

  • [Effectiveness of regular after-care in R0-resected rectal carcinoma].

    abstract::Regular follow-up programs after radical resections of rectal carcinoma have been introduced in numerous hospitals. The main goal of a regular follow-up program is the early diagnosis of tumor recurrence in the asymptomatic stage to allow further radical resection. We evaluated the efficiency (quote of further resecti...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Schwenk W,Stock W

    更新日期:1994-01-01 00:00:00

  • [Therapeutic strategy of transgastral stenting in retrogastral abscesses].

    abstract::We report on two patients with postinterventional retrogastric abscesses, one as a postoperative complication after partial pancreatectomy, one as a complication of biliary pancreatitis. In both cases, the abscess cavity could be completely drained by EUS-guided endoscopic application of a short "Amsterdam" stent, len...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2002-31978

    authors: Berthold G,Wanzar I,Jünemann K

    更新日期:2002-05-01 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

  • [Systemic treatment for hepatocellular carcinoma].

    abstract::Hepatocellular carcinoma (HCC) is one of the most frequent malignancies worldwide. A variety of pharmacological strategies has been evaluated in the treatment of HCC: classical chemotherapy, tamoxifen, octreotide, thymostimulin, pravastatin, (131)I-lipiodol as well as transarterial chemoperfusion (TAC) and chemoemboli...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2003-44797

    authors: Spangenberg HC,Zuber-Jerger I,Thimme R,Blum HE,Von Weizsäcker F

    更新日期:2003-11-01 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

  • [Change in concept--from vascular centre to interdisciplinary organ-oriented clinic for vascular medicine].

    abstract::Demographic developments have led to an exponential increase of cardiovascular illness. Additionally, the technical development of conservative and invasive treatment modalities has added to an increase of differentiated therapy. The development of vascular centres led to optimised processes in diagnostic and therapy ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0031-1271602

    authors: Diener H,Larena-Avellaneda A,Koelbel T,Tato F,Debus S

    更新日期:2013-10-01 00:00:00

  • [Abdominal surgery in Togo (West-Africa) and Central Europe (author's transl)].

    abstract::Experience of two African and one German Surgical Units on abdominal operations in a two-years period are reported. Appendicitis, gall-stones, cancer of the colon and intestinal diverticulosis are rare in Africa, but frequent in Europe. Possible relations to dietry habits are discussed. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Gögler H

    更新日期:1977-01-01 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

  • [Liver metastases from neuroendocrine tumours of the gastroenteropancreatic system--therapeutic strategies].

    abstract::Neuroendocrine tumours (NET) differ appreciably with regard to their biological behaviour from tumours of epithelial origin. In general this leads to a better 5-year survival rate. Liver metastases per se and also in cases of NET result in a significantly poorer survival in comparison to tumours without metastases. In...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0029-1224607

    authors: Auernhammer CJ,Jauch KW,Hoffmann JN

    更新日期:2009-09-01 00:00:00

  • [Autologous blood procurement--acute normovolemic hemodilution vs. preoperative autologous blood donation].

    abstract::Autologous blood procurement remains in evolution. Interest in preoperative autologous blood donation (PAD) increased substantially in the 1980's due to the recognition that HIV was transmissible by blood. Concomitant with increased blood safety, however, PAD activity has declined approximately 40% since 1992. Reasons...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2003-40618

    authors: Goodnough LT

    更新日期:2003-06-01 00:00:00

  • [Extracorporeal Lung Support in Thoracic Surgery: Basics and Pathophysiology].

    abstract::Extracorporeal lung support (ECLS) is of increasing importance in general thoracic surgery. Different modes of ECLS may be applied in several situations throughout the perioperative phase and are adapted to the individual patient's needs and the planned surgical procedures. ECLS is not a static procedure and should be...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/a-0655-2326

    authors: Redwan B,Akil A,Freermann S,Fischer S

    更新日期:2019-02-01 00:00:00

  • [Acute upper gastrointestinal hemorrhage caused by ruptured aneurysm of the right gastroepiploic artery].

    abstract::Visceral aneurysms are very rare (0.1% in autopsy-statistics). In our own review of literature we have found only 9 described cases of an aneurysm of the gastroepiploic artery. In the presented case an aneurysm was found when the patient developed an acute upper gastrointestinal bleeding. Due to the high risk of ruptu...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Jakschik J,Decker D,Vogel H,Hirner A

    更新日期:1993-01-01 00:00:00