[Therapy of deep leg vein thrombosis. When is surgical therapy indicated?].

Abstract:

:In spite of quite a few clinical trials the benefit of venous thrombectomy is seen controversially. The primary objectives of treating venous thrombosis are survival rate, prevention of pulmonary embolism and of postthrombotic syndrome. We report our experience with 47 patients who underwent venous thrombectomy. The mortality rate was 0%. We did not observe clinically relevant pulmonary embolism. After two years 90% of thrombectomised veins were patent. The mortality rates given in the literature of conservative treatment with heparin and following oral anticoagulation are 0.4 to 1.6%. Fibrinolysis shows mortality rates of 1 to 2.4, and thrombectomy of 3.8%, respectively. Venous thrombectomy is an effective treatment to prevent pulmonary embolism. In our own experience we saw no clinically significant pulmonary event. The danger of embolism rises with the proximity of the venous thrombus. Therefore those patients may have the greatest potential benefit from thrombectomy who present with a mobile inguinal thrombus or a thrombus in the iliac vein. So far there are no statistically sufficient data to support the indication of thrombectomy to prevent a postthrombotic syndrome.

journal_name

Zentralbl Chir

authors

Ockert D,Schellong S,Bergert H,Scholz A,Zimmermann T,Nagel M,Saeger HD

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

7-11

issue

1

eissn

0044-409X

issn

1438-9592

journal_volume

124

pub_type

杂志文章
  • [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

  • [Development and critical evaluation of pancreatic duct occlusion].

    abstract::The three original aims of pancreatic duct occlusion (PDO) were first the reduction of early complications after Whipple's operation in chronic pancreatitis and carcinoma as well as segmental pancreas transplantation, second to finish the inflammation in cases of chronic pancreatitis and third to protect the B-cell fu...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Lorenz D,Waclawiczek H

    更新日期:1990-01-01 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

  • [Basedow disease hyperthyroidism--is there a therapeutic standard? Conservative therapy].

    abstract::In patients with the first manifestation of hyperthyroidism of Graves' disease, antithyroid drug treatment is the therapy of first choice. Treatment has to be carried out depending on iodine supply of the individual patient with the lowest possible drug dose. Controls of treatment have to be done in short intervals (e...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Schumm-Draeger PM

    更新日期:1997-01-01 00:00:00

  • [What is the value of neoadjuvant therapy in bronchial carcinoma?].

    abstract::Neoadjuvant chemotherapy is obligatory for small-cell lung cancer. When combined with radio-therapy, it reduces the incidence of recurrence and increases the survival rate to a level similar to that seen in non-small-cell lung cancer. Preliminary results suggest that complete remissions (3-year-survival rate 56%) can ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Digel W,Brethner L,Hasse J

    更新日期:2000-01-01 00:00:00

  • [How Steady are Hospitals in Complying with Minimum Volume Standards? A Retrospective Longitudinal Data Analysis of the Years 2006, 2008, and 2010].

    abstract:BACKGROUND:The outcome volume relationship has been analysed for more than 30 years and debated ever since. For German hospitals minimum volume standards (MVS) have been introduced for some procedures in 2004. Hospitals have to report procedure volumes in their quality reports. This study analyses for the first time ho...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0034-1383371

    authors: de Cruppé W,Geraedts M

    更新日期:2016-08-01 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

  • [Value of electrotherapy within the scope of conservative treatment of anorectal incontinence].

    abstract::The following study reports on transanal electric stimulation as a conservative method of treatment in anal incontinence. In the centre of interest are clinical examinations on 45 patients that underwent a combined treatment with the IT-system 100 from Reha-Medi and pelvic floor training. A collective of 29 patients o...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 临床试验,杂志文章

    doi:

    authors: Sprakel B,Maurer S,Langer M,Diller R,Spiegel HU,Winde G

    更新日期:1998-01-01 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

  • [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

  • [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

  • [Maggot therapy for treatment of severe infections in trauma surgery: "back to the future!"].

    abstract::The ancient method of larval therapy for treatment of acute and chronic infections has become a revival and a new dimension with introduction of the Biobag (Vitapad). With use of this therapy trauma patients suffering infectious complications can be treated very effective, which can reduce the overall time needed for ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2006-921510

    authors: Jukema GN,Steenvoorde P,Wong CY,Bernards AT,van Dissel JT

    更新日期:2006-04-01 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

  • [Therapy of vesicoureterorenal reflux in childhood--report of 10 years' experience with Lich-Gregoir antireflux-plasty].

    abstract::In a ten years period 186 extravesical antireflux operations (Lich-Gregoir) were performed in 145 children. Indications, surgical technique, postoperative complications, reflux recurrence, and pyelonephritis are described and discussed with regard to the literature. In 66 children followed up for more than 4 years the...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Vinz H,Krause M

    更新日期:1985-01-01 00:00:00

  • [Colon carcinoma after ureterosigmoidostomy--a case report].

    abstract::Ureterosigmoidostomy was the method of choice for continent urinary diversion in cases of bladder exstrophy. The development of colonic cancer at the ureterocolic junction is one of the major complications in the late course of this procedure. The risk of large bowel carcinoma is increased 150-500-fold compared to the...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Jansen M,Schippers E,Schumpelick V

    更新日期:1998-01-01 00:00:00

  • [Perforation of sigmoid diverticula. A complication following allogenic kidney transplantation].

    abstract::In the early post-operative follow-up after allogenic kidney transplantation sigmoid perforation due to diverticula is a life-threatening complication. As immunosuppression is indispensable perforation is favoured. Due to pharmacotherapy the risk of sepsis is implied because clinical symptoms might be masked. Referenc...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Goeters C,Buchholz B,Winde G

    更新日期:1988-01-01 00:00:00

  • [Surgery of old age (author's transl)].

    abstract::The importance of surgery in the aged is based on the increased life expectancy of the population. Besides the multimorbidity of geriatric people psychological and social aspects must be taken into consideration. In old age the danger of shock is increased therefore the indication for urgent surgery permits no delay. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Taubert E

    更新日期:1978-01-01 00:00:00

  • [Augmented anterior cruciate ligament replacement with the Kennedy-LAD (ligament augmentation device)--long term outcome].

    abstract::The ligament augmentation device (Kennedy-LAD) is used to protect tendon grafts during the posttransplantation decrease in strength in anterior cruciate ligament (acl) reconstructions. The augmentation with the LAD is based on the concept of load sharing. Since 1983 we used the LAD in acl-reconstructions in 856 patien...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Riel KA

    更新日期:1998-01-01 00:00:00

  • [Rahel Hirsch (1870-1953). The first Prussian woman medical professor].

    abstract::Dr. Rahel Hirsch was only the second woman to attain a professional medical position at the Charité Hospital in Berlin. For more than 16 years, she worked in Clinic II Internal Medicine. In 1906, she discovered that solid particles are able to pass from the veins and arteries into urine (Hirsch-Effect). The results of...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 传,历史文章,杂志文章

    doi:

    authors: Müller-Schubert A,Kox W

    更新日期:1999-01-01 00:00:00

  • [Alcohol intoxication and its differential diagnosis (author's transl)].

    abstract::Acute alcohol intoxication causes a lot of diagnostic problems. Every doctor should be well informed about its differential diagnostic aspects. Carelessness concerning diagnosis can be detrimental to the patient and the physician as well. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Kürzinger R

    更新日期:1979-01-01 00:00:00

  • [Influence of jejunoileostomy on the lipid fractions in morbidly obese patients (author's transl)].

    abstract::In 35 morbidly obese patients, operated by Payne-De Wind's jejunoileostomy, the serum concentration of the lipid fractions was examined before and after operation. Before the operation an increase of total cholesterol and beta-lipoproteins was noted in 1/3 of the patients. Six months after the jejunoileostomy a consid...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Tuszewski M,Smolińska K

    更新日期:1977-01-01 00:00:00

  • [Results of the surgical treatment of ankle joint fractures].

    abstract::Surgical treatment was applied to 74 cases of ankle joint fractures at the author's hospital, between 1979 and 1984. Follow-up checks were made on 59 patients, within one to seven years from surgery. Luxation fractures accounted for 39 per cent. The rates of wound edge necrosis and bone infection were three per cent e...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Langenberg R

    更新日期:1986-01-01 00:00:00

  • [Scoring--criteria for operability].

    abstract::For therapeutic recommendations three different kinds of scores are essential: 1. The severity scores for trauma; 2. Severity scores for mangled extremities; 3. Intensive care scores. The severity of polytrauma patients is measurable by the AIS, ISS, RTS, PTS and TRISS which is a combination of RTS, ISS, age, and mech...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Oestern HJ

    更新日期:1997-01-01 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

  • [Study of procreation capacity of men after treatment of their malignant tumors (melanoblastoma, thyroid carcinoma) with ionizing radiation and cytostatic agents].

    abstract::5 patients suffered from melanoblastoma or thyroid cancer were treated with irradiation and cytostatics. The results of spermiograms before, and after treatment show with regard to fertility a moderate prognosis. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Barth V,Schönfelder M

    更新日期:1990-01-01 00:00:00

  • [Plastic reconstructive options for chronic pilonidal disease].

    abstract:INTRODUCTION:Chronic pilonidal disease represents an infectious disease of the gluteal cleft that often requires surgical resection. AIM:In this article, several plastic-surgical reconstructions are presented. METHODS AND RESULTS:Based on our experience and the current literature, different plastic surgical reconstru...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0035-1545723

    authors: Behr B,Ring A,Kolbenschlag J,Damert HG,Lehnhardt M,Daigeler A

    更新日期:2015-04-01 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

  • New technique in anastomotic surgery--experimental and preliminary clinical experience.

    abstract::With the purpose to minimize the complications in anastomotic surgery, we have developed a new soluble device, the SBS-TUBE. This paper presents our first results in experimental and clinical surgery with this device. In experimental surgery the SBS-TUBE was applied in ten pigs (+ two controls) with transection of the...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Sjölin KE,Skeie E,Naver L,Svendsen O,Jacobsen SD

    更新日期:1994-01-01 00:00:00

  • [The Whipple partial duodenopancreatectomy--its value in the treatment of chronic pancreatitis].

    abstract::The surgical treatment of chronic pancreatitis is indicated only in the complicated disease. The aim is mainly the treatment of pain, of mechanical obstacles and to exclude suspicion of cancer. Between October 1972 and January 1993 713 patients with chronic pancreatitis were treated at the Surgical University Hospital...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Saeger HD,Schwall G,Trede M

    更新日期:1995-01-01 00:00:00

  • [Surgical strategies in treatment of breast carcinoma].

    abstract::The surgical strategies in the treatment of operable breast cancer have changed basically within the last decades. Today the therapy of breast cancer is indicated by the individualization of the procedure in which the extent of the operative intervention is determined in first line in dependence of the clinical and hi...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Lippert H,Fahlke J

    更新日期:1998-01-01 00:00:00