[The influence of taurolidine on physiological and pathological blood coagulation and implications for its use].

Abstract:

:Taurolidine is an anti-infective agent with an unusually broad spectrum of effectivity against gram-positive and gram-negative bacteria, anaerobic organisms, and fungi. The effective principle is explained by the decomposition of the substance and the transfer of methylol groups to specific molecular structures of the cell walls of microbes. The acceptors are amino groups of the amino sugars and the lysine residues of glycoproteids. More recent investigations have shown that the effect of taurolidine is not limited to microorganisms, but can be detected in cells of the macrorganism as well. Here the influence of taurolidine on different blood clotting factors is described. The results can be explained by a transfer of methylol groups to residues of arginine and histidine in the active region, in analogy to the transfer to lysine residues in microorganisms. It is therefore to be expected that taurolidine will influence other vital systems of the macroorganism, dependently of concentration, as long as their biological function is connected to residues of arginine or histidine. Examples are the complement system and the fibrinolysis system. The implications of these observations have to do with new indications in connection with clotting phenomena in extracorporal circulatory systems or with thrombolysis, as well as with known indications in cases of shock and sepsis.

journal_name

Zentralbl Chir

authors

Reinmüller J

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

13-8

eissn

0044-409X

issn

1438-9592

journal_volume

124 Suppl 4

pub_type

杂志文章
  • [Pathophysiology of ileus].

    abstract:OBJECTIVE:To review the endogenous alterations generating critical illness in bowel obstruction. DATA SOURCES:Own experimental and clinical investigations and relevant articles published in international literature. DATA SYNTHESIS AND CONCLUSIONS:Large bowel obstruction is mostly confined to the colon. Passive dilata...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Roscher R,Lommel K

    更新日期:1998-01-01 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

  • [Implementation of Medical Emergency Teams to Improve Perioperative Patient Safety. Who? When? How?]

    abstract::In contrast to prehospital emergency medicine, there are no comparable established structures or statutory requirements for structural and procedural organisation, or qualification of personnel and equipment for in-hospital emergency care in Germany. However, in perioperative patients, unexpected complications are fai...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/a-0631-4867

    authors: Schewe JC,Lenkeit S,Ganser J,Heller AR,Koch T

    更新日期:2020-10-01 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

  • [Complications of 279 elective radical colonic operations and results of their management (author's transl)].

    abstract::Out of 279 cases of elective radical colonic surgery 109 complicated cases are dealt with. Most of them (66%) were caused by infection. The postoperative mortality came up to 10%. Three quarters of the postoperative deaths were caused by septicaemia and gastrointestinal bleeding. Some of the complications can be effec...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Nagy A,Baradnay G,Zöllei I

    更新日期:1981-01-01 00:00:00

  • [Fractures of the distal end of the humerus in children (author's transl)].

    abstract::This study reports on follow-up controls of 53 children with fractures of the humerus near the elbow-joint. 31 children had supracondylar fractures, 11 condylar fractures and 11 other lesions of the lateral epicondylus. The examination was carried out with special attention to functional aspects. A new own method for ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Festge OA,Tischer W,Schwock G,Christiansen C,Estel S

    更新日期:1980-01-01 00:00:00

  • [Psychooncology in the acute treatment setting].

    abstract::Psychooncology is an interdisciplinary field that focuses on the various somatic, social and psychological factors influencing the well-being of oncological patients. Although the importance of psychooncological support of cancer patients is well accepted, universal standards for psychooncological care have not been e...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2008-1004664

    authors: Schumacher A

    更新日期:2008-02-01 00:00:00

  • Physiologic significance of the residual stomach after proximal gastrectomy from the view-point of serum gastrin.

    abstract::The physiological significance of the residual distal stomach after proximal gastrectomy (PG) was evaluated in dogs from the view-point of serum gastrin. The fasting gastrin levels in both (1/2 and 2/3) PG groups were high, especially in the 1/2 PG group. The serum gastrin levels did not decrease with time after test ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Koga S,Mizumoto K

    更新日期:1985-01-01 00:00:00

  • [Local treatment of thermal injuries in children. Results of a multicenter study].

    abstract::The study described in this paper helped to establish the present position in locally delimited treatment of children for thermic injuries. 25 hospitals or other medical institutions were involved in the inquiry programme, including 16 departments of paediatric surgery and nine departments of general surgery. Studies ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Reuter G,Laskus S

    更新日期:1986-01-01 00:00:00

  • [Animal experiments in electrophysiology of the canine stomach in reference to esophageal substitution with a tubal stomach in man].

    abstract::In an effort to demonstrate and explain the peristalsis and intact pylorus-function of an oesophagus substituted by a transformed stomach-tube and despite total vagotomy, acute tests were undertaken on 14 dogs of mixed breed in the form of electromyographic examinations on the normal stomach, the stomach after vagotom...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Lindecken KD

    更新日期:1992-01-01 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

  • [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

  • [New Approaches for Young Surgeons - Students' Symposium on Minimally Invasive Surgery].

    abstract::Background Physician shortage is particularly striking in surgical specialities. Umbrella organisations are making an effort to recruit medical students. Students' symposia during congresses seem to provide a promising approach to developing motivation and promoting interest. An exemplary students' symposium took plac...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0043-120450

    authors: Roch PJ,Friedrich M,Kowalewski KF,Schmidt MW,Herrera JG,Müller PC,Benner L,Romero P,Müller-Stich BP,Nickel F

    更新日期:2017-12-01 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

  • [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

  • [Diagnosis of appendicitis in early childhood].

    abstract::89 preschool children, 2-4 years old, treated under the diagnosis of appendicitis were analyzed, 46 of them were operated. In 40% of those children the diagnosis of an acute nonperforated appendicitis could have been ensured, in 40% the diagnosis of a perforated appendicitis was found, in 20% the laparotomy was negati...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Jobst M

    更新日期:1998-01-01 00:00:00

  • [Operated mechanical ileus of the small intestine].

    abstract::Causes, pathophysiology, diagnosis, therapy and a retrospective analysis of small bowel obstruction were reviewed. 85 patients were operated during a 5-year period. The etiology of obstruction were adhesions (45 cases), hernia (20 cases) and 20 other cases. The mortality rate for the series was 8%. The most important ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Haarmann W,Ahrens O,Kozuschek W

    更新日期:1991-01-01 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

  • [General practice-relevant conclusions based on 74,400 documented biliary surgery interventions].

    abstract::A statewide report card system for cholecystectomy as a surgical tracer has been established in Westfalia-Lippe as part of a program of external quality assurance. 74,400 data between 1993 and 1997 were analyzed. Pathologic findings in preoperative diagnostics (sonography, elevated bilirubin) do not lead to therapeuti...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Windhorst T,Hupe K,Wenning M

    更新日期:2000-01-01 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

  • [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

  • [Pathology, diagnosis and therapy of liver abscess].

    abstract::Bacterial hepatic abscesses are a rare but serious disease. They develop either secondary to injuries or ischemia of the liver, infections in the drainage area of the portal vein, systemic sepsis or biliary infections. An abscess secondary to injuries or ischemia of the liver or infections in the drainage area of the ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Hau T,Hartmann E

    更新日期:1987-01-01 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

  • [The use of a thermomechanical cleaning procedure for removal of residual particles of corund blasted or glass bead peened implants in total hip arthoplasty].

    abstract:INTRODUCTION:Shot peening and grit blasting techniques are used to modify surfaces of hip endoprostheses. Alumina blasting techniques using highly pure corund (Al (2)O (3)) particles create a rough surface of Titanium implants to achieve a better osteointegration in cementless total hip arthroplasty. An increasing numb...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2005-836801

    authors: Schuh A,Uter W,Holzwarth U,Kachler W,Göske J,Müller T

    更新日期:2005-08-01 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

  • [Prevention of venous thromboemboli with low doses of heparin in patients with proximal femur fractures].

    abstract::The value of low dosage heparin in preventing venous thromboembolism was studied in 150 patients with proximal femoral fractures. This was a prospective, randomized, clinical trial, consisting of 116 women and 34 men with a mean age of 73 years (38 to 92). 5000 units of subcutaneous heparin was given twice a day for a...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Kiviluoto O,Julkunen H,Honkonen K

    更新日期:1980-01-01 00:00:00

  • [Chronic venous compartment syndrome].

    abstract::Various forms of compartment syndrome can now be distinguished. Acute compartment syndrome is the result of a discrepancy between the volume of the compartment and its contents. This leads to increased pressure at rest and during load, which cuts off the micro-circulation and hence destroys the intracompartmental stru...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2001-14770

    authors: Hach W

    更新日期:2001-06-01 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

  • [Significance of special reimbursement and case sums in visceral surgery].

    abstract::From the new payment system of procedure (covering anesthesia and surgery with all personal and material costs) or case related payment (including all costs of operation and hospital stay, medical as well as room-and-care and administrative), in 1996 for all German hospitals obligatory introduced, 22 respectively 9 co...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Bauer H

    更新日期:1997-01-01 00:00:00

  • [The endovenous laser therapy of varicose veins--substantial innovation or expensive playing?].

    abstract:INTRODUCTION:The aim of the study was to evaluate the efficiency of the endovenous use of laser for treatment of varicose veins. In particular the influence of laser energy on the perivenous temperature, the postoperative clinical and duplex ultrasound course was taken into account. METHOD:The patients were divided in...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-2006-921389

    authors: Lahl W,Hofmann B,Jelonek M,Nagel T

    更新日期:2006-02-01 00:00:00