[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 surgical treatment with a preoperative visualization therapy. Group B (n = 105) underwent the surgical treatment without a preoperative therapy. Patients with age under 18 years, ASA-status IV-V, recurrent inguinal hernia or recurrent goiter and malignant neoplasms were excluded from the study. There were no differences in age, sex, duration of the operation, training of the surgeon, and preoperative blood parameters between the two groups. RESULTS:During the postoperative follow-up we observed more hematomas (group A with visualization therapy: 30.3%, group B without visualization therapy: 44.4%) as well as more pain (group A: 4.2, group B: 5.2) and analgesic consumption (group A: 59.7 mg Tramadol HCL, group B: 72.5 mg Tramadol HCL) in group B (p < 0.05). There were no significant differences in infections, nausea, hypocalcemia, tetania, recurrent nerve palsy, fever. CONCLUSIONS:Preoperative visualization therapy reduces significantly the number of postoperative hematomas after inguinal hernia repair. Furthermore a decrease of analgesic requirements after surgical treatment was observed.

journal_name

Zentralbl Chir

authors

Omlor G,Kiewitz S,Pietschmann S,Roesler S

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

380-5; discussion 385-6

issue

4

eissn

0044-409X

issn

1438-9592

journal_volume

125

pub_type

临床试验,杂志文章,随机对照试验
  • [Etiology of colon cancer--current aspects].

    abstract::Multiple factors such as tumour initiating, tumour promoting, tumour inhibiting are known to be involved in the aetiological process of most colon tumours. Dominant factors are associated with life style habits. Yet in spite of many experimental and epidemiological data it has not been possible, hitherto to give convi...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Schramm T,Ziebarth D,Denner J

    更新日期:1985-01-01 00:00:00

  • [Colo-anal pouch after total rectum resection].

    abstract::The coloanal anastomosis is in low rectal cancer for oncological reason the appropriate procedure, if the sphincter is not involved, but is followed often by impaired continence. For better continence a colonic-J-pouch anal anastomosis was performed in 11 consecutive operated patients after rectal resection predominan...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Gross E,Amir-Kabirian H

    更新日期:1994-01-01 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

  • [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...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/a-0713-0457

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

    更新日期:2018-10-01 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

  • [Pressure conditions under VVS-foams - an experimental in-vitro- and in-vivo-analysis].

    abstract::The aim of this study was to determine the pressure conditions in the tissue beneath and on the surface of wounds. This was done in vitro both on a plain surface and on a bovine muscle. In comparison we measured the pressure of the anterior tibial muscle of a patient with compartment syndrome. Besides, we applied nega...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2004-822650

    authors: Von Lübken F,Von Thun-Hohenstein H,Weymouth M,Kossmann T,Gerngross H,Willy C

    更新日期:2004-05-01 00:00:00

  • [Laparoscopic splenic surgery--report of 17 personal cases].

    abstract::Since the beginning of the decade we can remark an increasing of publications about laparoscopic approach in splenic surgery. We report about 17 unselected own cases (8 males, 9 females). Main indications were 12 hematologic diseases: 9 idiopathic thrombopenic purpuras, 1 hemolytic anemia, 1 Hodgkin's disease and 1 re...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Schwetling R,Anders S,Bärlehner E

    更新日期:1997-01-01 00:00:00

  • [Surgical repair of injured ligaments of the knee-joint; functional results (author's transl)].

    abstract::38 patients who had undergone surgical repair of injured ligaments of the knee joint were reexamined. Best results were obtained in cases of osseous avulsions. Early suture of lacerated ligaments in combination with primary plasty of the ligament showed good results. The author emphasizes the active cooperation of the...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Hemmrich H

    更新日期:1982-01-01 00:00:00

  • [Surgical therapy of chronic arterial obstructions of the lower extremities in elderly patients].

    abstract::The aim of this study was to determine whether arterial reconstructions in old age carry an acceptable risk and are reasonable as far as long term results are concerned. The operative mortality was 3,4% for reconstructions distal to the inguinal ligament and 20.5% for reconstructions in the aorto-iliac region. Limb am...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Stosiek C,Gall FP,Husfeldt KJ,Franke F,Schmidt J

    更新日期:1980-01-01 00:00:00

  • [Late stage stenoses of bile ducts after iatrogenic bile duct injuries following cholecystectomy].

    abstract:INTRODUCTION:Iatrogenic bile duct injuries represent a severe complication after cholecystectomy. For the attending physician therapy and management of these injuries are a challenge. Inadequate and delayed treatment can lead to stenoses at a late stage, which can necessitate further surgical intervention. METHODS:In ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2007-981372

    authors: Bektas H,Winny M,Schrem H,Becker T,Klempnauer J

    更新日期:2007-12-01 00:00:00

  • [Pathogenesis and therapy of gallbladder perforation].

    abstract::Findings on admission to hospital and after surgery recorded from 35 patients with gallbladder perforation were compared to findings obtained from 98 patients with cholecystitis, with a view to establishing determining factors in pathogenesis of gallbladder perforation and for the purpose of improving therapeutic stra...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Schneider JH,Lepsien G

    更新日期:1988-01-01 00:00:00

  • [Hereditary pancreatitis - a clinically relevant cause of pancreatic adenocarcinoma?].

    abstract:UNLABELLED:Hereditary pancreatitis is an autosomal dominant disease. Recently, the genetic defect has been mapped to chromosome 7q35 and consists mainly of a point mutation in exon 3 of the cationic trypsinogen gene which causes an Arg(CGC)-His(CAC) substitution at residue 117. In patients with hereditary pancreatitis ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2001-19145

    authors: Böttger T,Kirsch D,Hengstler JG,Bauer A,Wolf HK,Junginger T

    更新日期:2001-11-01 00:00:00

  • [Prophylactic Appendectomy: Yes or No?]

    abstract::Background At more than 50%, appendicitis is the leading cause of acute intra-abdominal disease requiring surgery. In the course of various other operations, prophylactic appendectomy (PA) is frequently performed. Objectives This study examines to what extent PA is justified. Patients and Methods A prospective study w...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0043-118126

    authors: Kersting S,Dimasis P,Wiesmann S,Mittelkötter U

    更新日期:2017-12-01 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

  • [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

  • [Quality assurance study of benign and malignant goiter. Prospective multicenter data collection regarding 7,617 patients].

    abstract::A quality control study was undertaken on 7,265 patients with benign goitre and 352 patients with malignant goitre who were surgically treated between 1.1.98 and 31.12.98. 3 hospital groups were defined according to surgical workload: Group 1: < 50 operations/yr; Group 2: 50-150 operations/yr; Group 3: > 150 operation...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-2001-18249

    authors: Thomusch O,Sekulla C,Ukkat J,Gastinger L,Lippert H,Dralle H

    更新日期:2001-09-01 00:00:00

  • [Arterial vascular injuries in hip prosthesis implantation].

    abstract::Implantation of total endoprosthesis (TEP) is an established method for the operative therapy of acute and chronic hip dysfunction. Beside septic complications iatrogenic injuries of the vascular system regularly occur. Immediate and adequate therapy is necessary in order to prevent loss of an extremity or even patien...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Krenzien J,Gussmann A

    更新日期:1998-01-01 00:00:00

  • [Ileus of the large intestine as a late sequela of direct diaphragmatic rupture].

    abstract::We report two patients who were administered to our hospital with an obstruction of the colon. 4 months ago one of the patients had suffered a penetrating wound with a knife in the upper left abdomen. The other patient was wounded by gunshot in the left thorax 50 years ago. The x-ray of the lung showed the ruptured di...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Schütter FW,Kiroff P,Leister I

    更新日期:1995-01-01 00:00:00

  • [Intraoperative electrophysiological monitoring of the recurrent laryngeal nerve in thyroid gland surgery--a prospective study].

    abstract:INTRODUCTION:In the last few years the use of intraoperative electrophysiological monitoring of the recurrent laryngeal nerve (RLN) in thyroid gland surgery has become more and more important. PATIENTS AND METHOD:In a prospective study 223 nerves at risk in 116 patients were monitored with the Neurosign(R)100 (Fa. Mag...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-2002-31983

    authors: Friedrich T,Staemmler A,Hänsch U,Würl P,Steinert M,Eichfeld U

    更新日期:2002-05-01 00:00:00

  • [Surgical treatment possibilities in tumors of the spine. Indications, technics, experiences].

    abstract::Widely normal stability of the vertebral column with adequate load-bearing capacity should be achieved, following osseous reconstruction of a defect area from which benign tumours or tumour-like lesions had been removed by radical surgery. In malignant processes, surgical tumour removal may add to the effectiveness of...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Hähnel H,Zippel H,Gummel J

    更新日期:1987-01-01 00:00:00

  • [Effects of roentgen contrast media containing barium sulfate on enterocutaneous fistulas].

    abstract::Fistulation in the wake of thoracic and epigastric interventions are conservatively treated, as a rule, because of the high rate of complications expected from reoperation. With properly functioning anastomotic transit, insufficiencies usually undergo spontaneous healing, within four to six weeks. Enterocutaneous fist...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Pelster FW,Reichelt S,Arndt M,Eising EG

    更新日期:1989-01-01 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

  • [Creation of centres in high-volume hospitals -- promotor of communication].

    abstract::The number of patients with a diagnosis of cancer is alarming: according to new figures from the Robert Koch Institute about 435 000 patients are diagnosed annually in Germany. 210 000 patients die annually of this diagnosis. Even if no significant progress in prevention has been achieved, in 2020 about 25 % more case...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0031-1283923

    authors: Möbius C,Schumacher G

    更新日期:2013-02-01 00:00:00

  • [Gallstone ileus].

    abstract::Aetiopathogenesis, diagnosis as well as typical and atypical courses are described and discussed with regard to 50 patients with gallstone ileus. Overall lethality amounted to 36 per cent, including 15 per cent for patients with enterotomy alone and 53 per cent for patients who had undergone enterotomy with faecal asp...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Unger W

    更新日期:1987-01-01 00:00:00

  • [New Applications and Indications for Contrast-Enhanced Sonography in Endovascular Aortic Repair].

    abstract::After edovascular repair of infrarenal aortic aneurysms (EVAR) endoleaks may occur necessitating further therapy. Therefore a reliable method for follow-up imaging after EVAR for detection and control of endoleaks is of high importance. Contrast-enhanced sonography (CEUS) does not require the application of nephrotoxi...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0035-1546147

    authors: Zimmermann H,Reiser M,Meimarakis G,Paprottka P,Clevert DA

    更新日期:2015-10-01 00:00:00

  • [The Transverse Coloplasty Pouch (TCP)--function and subjective judgement in comparison with the surgically more complicated J-Pouch].

    abstract::The present study shows the comparison of function and subjective judgement between two pouch-constructions after TME as treatment for rectal cancer. In 61 cases we constructed a J-Pouch, in 25 cases a transverse coloplasty pouch (TCP). The sex distribution was nearly the same. The influence of additional treatment li...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2002-33958

    authors: Kanne V,Kim NH,Ulrich B

    更新日期:2002-09-01 00:00:00

  • [Intervention radiologic treatments of the bile ducts as an alternative to reoperation].

    abstract::Balloon dilatation and diathermic cutting of the papilla of Vater through a T-drainage tube or a percutaneous transhepatic biliary drainage catheter were performed in 12 patients with jaundice, cholangitis, or acute pancreatitis due to retained common duct stones or benign papillary stenosis. Both methods are an alter...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Reichenbach F

    更新日期:1983-01-01 00:00:00

  • [Pilonidal Sinus -- Primary Closure also in Case of Abscess?].

    abstract::After excision of pilonidal sinus treatment consists either in open procedure or primary closure. We present the results of 45 consecutive patients (male 29, female 16, age 32 +/- 13 years), who underwent surgery between September 2001 and December 2002. Fourteen patients had simple fistula without infection, 18 had f...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2004-822742

    authors: Ommer A,Pitt C,Albrecht K,Marla B,Peitgen K,Walz MK

    更新日期:2004-06-01 00:00:00

  • [Indications for liver biopsy in liver tumors].

    abstract::Significant progress has been made in the assessment of liver dysfunction by application of non-invasive physical and biochemical test procedures. However, liver biopsy remains an important tool for diagnosis, evaluation and prognosis of chronic liver diseases and hepatic neoplasms. Liver biopsy results are most usefu...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Stölzel U,Tannapfel A

    更新日期:2000-01-01 00:00:00

  • [Surgery education in the USA].

    abstract::Surgical education in the United States historically was influenced by the German educational system. Currently residents spend five years to become general surgeons. Education focuses on the teaching of surgical basic sciences and practical instruction in the operating room and at the bedside. Students interested in ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Stelzner M,Foy HM

    更新日期:1999-01-01 00:00:00