abstract：:This manuscript gives a review about important studies addressing problems in intensive care medicine that have been published in journals focussing on critical care medicine and surgery in 2004. Only clinical studies are included in this review, mostly metaanalyses, randomized controlled trials and a few important or...

journal_title：Zentralblatt fur Chirurgie

authors： Flohé S,Lendemans S,Schmitz D,Waydhas C

更新日期：2005-06-01 00:00:00

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

authors： Pavelka T,Lihart M,Matejka J,Vyskocil V

更新日期：2005-04-01 00:00:00

abstract：:By the mean of a prospective multicenter observational study (East German Gastric Cancer Study - EGGCS), 1 139 consecutive patients with gastric cancer were enrolled in 80 East German surgical departments from January 1 to December 31, 2002. Out of them, 1,031 (90.5%) underwent surgical intervention. The resection rat...

journal_title：Zentralblatt fur Chirurgie

authors： Meyer L,Steinert R,Nowak L,Gellert K,Ludwig K,Saeger D,Gastinger I,Lippert H

更新日期：2005-04-01 00:00:00

abstract：BACKGROUND:Although in hospitals focussing on minimal invasive surgery laparoscopic appendectomy (LA) is widely practiced as method of choice in patients with acute appendicitis, the decision for the laparoscopic or the conventional technique (OA) is usually ensued by individual viewpoints. Aim of this prospective obse...

journal_title：Zentralblatt fur Chirurgie

authors： Horstmann R,Tiwisina C,Classen C,Palmes D,Gillessen A

更新日期：2005-02-01 00:00:00

abstract：INTRODUCTION:Etiology of osteochondral lesions of the talus remains uncertain, a myriad of treatment options exists. The purpose of this study is to evaluate the clinical and radiological results of fixation of osteochondral lesions of the talus using K-wires. An unstable osteochondral fragment or osteosclerotic change...

journal_title：Zentralblatt fur Chirurgie

authors： Schuh A,Salminen S,Zeiler G,Schraml A

更新日期：2004-12-01 00:00:00

abstract：AIMS:Laparoscopic splenectomy has been established as standard procedure for elective splenectomy and is performed for a variety of haematological diseases. However, different techniques have been used and a four- to five trocar technique is applied in most instances. We report our experience with a three-trocar techni...

journal_title：Zentralblatt fur Chirurgie

authors： Seelig MH,Senninger N,Kocher T

更新日期：2004-10-01 00:00:00

abstract：:Based on the example of the sigmoid resection, we did a cost-income analysis evaluating the particular expenses and effects of the new DRG-based medical financing system. We analysed the cost of diagnostic tests, medication and nutrition, surgery, personnel and non medical expenses for 20 open and 27 laparoscopic oper...

journal_title：Zentralblatt fur Chirurgie

authors： Krüger IM,Nilius J,Krings F,Bullermann C

更新日期：2004-08-01 00:00:00

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

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

更新日期：2004-06-01 00:00:00

abstract：BACKGROUND:Operative treatment of high-grade carotid stenosis is an established procedure. The question whether a temporary - either selective or routine - shunt is needed, is a matter of controversy, and the decision is based on a number of available monitoring procedures. Within the framework of quality assurance bas...

journal_title：Zentralblatt fur Chirurgie

authors： Uberrück T,Meyer L,Schmidt H,Gastinger I

更新日期：2004-06-01 00:00:00

abstract：:In 1920 Braun described a technique of skin grafting particularly designed for areas where shearing forces, high pressure and extensive secretion cause repetitive loss of conventionally transplanted skin. During the last 10 years we successfully used this technique when impaired wound healing was encountered due to va...

journal_title：Zentralblatt fur Chirurgie

authors： Kopp J,Bach AD,Kneser U,Polykandriotis E,Loos B,Krickhahn M,Jeschke MG,Horch RE

更新日期：2004-05-01 00:00:00

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

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

abstract：:Thermal injury applied to living tissue results in zones of injury. Cell death is complete in the zone of coagulation. Beneath this area, there is the zone of lesser injury, where most of the cells are initially viable. If this zone of stasis is not reversed, the burn wound will progress. One of the major aspects to p...

journal_title：Zentralblatt fur Chirurgie

authors： Haslik W,Kamolz LP,Andel H,Meissl G,Frey M

更新日期：2004-05-01 00:00:00

abstract：:Vacuum assisted closure of sternal wounds is a sound strategy for patients with severe poststernotomy mediastinitis and sternal bone necrosis. As a bridging therapy to reconstructive surgery it provides an adequate temporary stabilization of the thorax. It enhances lung function and reduces pulmonary complications. ...

journal_title：Zentralblatt fur Chirurgie

authors： Kutschka I,Frauendorfer P,Harringer W

更新日期：2004-05-01 00:00:00

abstract：UNLABELLED:Peritoneal tumor dissemination has been considered as an incurable condition with fatal outcome. However cytoreductive surgery followed immediately by hyperthermic chemoperfusion has been described both for the treatment and prevention of locoregional cancer spread from various origins. This paper summarizes...

journal_title：Zentralblatt fur Chirurgie

authors： Antos F,Serclova Z,Gilbert Z,Skala M,Vitek P

更新日期：2004-04-01 00:00:00

abstract：BACKGROUND:Acquired, benign esophago-respiratory fistula occurs as a rare complication of different disorders. STUDY DESIGN:Over a period of 30 years, 37 patients with acquired, benign esophago-respiratory fistulas were treated at the authors' institutions. 35 of the 37 patients were operated upon. Acute operation inv...

journal_title：Zentralblatt fur Chirurgie

authors： Csikos M,Horváth O,Petri A,Szendrényi V,Oláh T

更新日期：2004-04-01 00:00:00

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 ...

journal_title：Zentralblatt fur Chirurgie

authors： Thannheimer A,Woltmann A,Vastmans J,Bühren V

更新日期：2004-01-01 00:00:00

abstract：:The laparoscopic resection of the colon and rectum is established for surgery of benign diseases. The main advantages compared to the open-conventional operation technique are reduced postoperative pain, reduced negative influences on pulmonary and gastrointestinal functions as well as a shorter reconvalescence. Minim...

journal_title：Zentralblatt fur Chirurgie

authors： Keller R,Roblick UJ,Schwandner O,Bruch HP

更新日期：2003-12-01 00:00:00

abstract：:This article describes the anatomical and biomechanical rationale for stable internal fixation of distal radius fractures using a dorsal approach. The three column biomechanical model is illustrated. Advances in the understanding of the anatomy, the biomechanical model of the three columns and our clinical experience ...

journal_title：Zentralblatt fur Chirurgie

authors： Rikli DA,Regazzoni P,Babst R

更新日期：2003-12-01 00:00:00

abstract：:Sequestration is defined as an area of abnormal pulmonary tissue not connected with the bronchial tree, supplied by an aberrant systemic artery and without a normal pulmonary function. Extralobar (ELS) and intralobar (ILS) forms are distinguished. During the year 2002 the authors diagnosed and operated upon two cases ...

journal_title：Zentralblatt fur Chirurgie

authors： Vodicka J,Spidlen V,Tauchman A,Chudácek Z,Ferda J,Mukensnabl P

更新日期：2003-11-01 00:00:00

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

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

更新日期：2003-11-01 00:00:00

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 ...

journal_title：Zentralblatt fur Chirurgie

authors： Lutz J,Stangl M,Heemann U

更新日期：2003-10-01 00:00:00

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

authors： Rümenapf G

更新日期：2003-09-01 00:00:00

abstract：INTRODUCTION:We report on our results of MIVAT operations. METHOD:Nineteen Patients including 15 females and 4 males were operated with MIVAT, corresponding to 11 % of all patients undergoing an operation for benign goitre in our hospital. A single node of the thyroid gland within 30 mm and enlargement of a thyroid lo...

journal_title：Zentralblatt fur Chirurgie

authors： Kapischke M,Bley K,Deltz E

更新日期：2003-08-01 00:00:00

abstract：INTRODUCTION:Recent innovations in laser scanning technology provide a potentially useful tool for three-dimensional surface registration for image-guided surgery. The purpose of this study is to evaluate the clinical reliability of this technique in oral and maxillofacial surgical procedures using image-guided navigat...

journal_title：Zentralblatt fur Chirurgie

authors： Troitzsch D,Hoffmann J,Dammann F,Bartz D,Reinert S

更新日期：2003-07-01 00:00:00

abstract：PURPOSE OF THE STUDY:The current study presents a new technique and results of minimal invasive screw osteosynthesis in the treatment of Bennett's fractures and discusses its advantages and disadvantages. OPERATIVE TECHNIQUE:The Bennett's fragment has to be of sufficient size (at least one quarter of the articular sur...

journal_title：Zentralblatt fur Chirurgie

authors： Meyer C,Hartmann B,Böhringer G,Horas U,Schnettler R

更新日期：2003-06-01 00:00:00

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

authors： Goodnough LT

更新日期：2003-06-01 00:00:00

abstract：:Obstructive jaundice is a common clinical sign in patients with pancreatic cancer. 52% of all patients with a potentially resectable pancreatic cancer suffer from painless obstructive jaundice. There are no prospective studies showing a beneficial effect of preoperative drainage in patients with resectable pancreatic ...

journal_title：Zentralblatt fur Chirurgie

authors： Kahl S,Zimmermann S,Pross M,Schulz HU,Malfertheiner P

更新日期：2003-05-01 00:00:00

abstract：:To avoid or reduce postoperative ileus, the operative trauma should be minimized and epidural anesthesia for spinal inhibition of the sympathetic nervous system or i. v. lidocaine should be used, all of which probably act by reducing visceral afferent nerve fiber activity. Recent data suggest that perioperative fluid ...

journal_title：Zentralblatt fur Chirurgie

authors： Kreis ME,Kasparek MS,Becker HD,Jehle EC,Zittel TT

更新日期：2003-04-01 00:00:00

abstract：:The use of robotics and navigated systems to prepare, perform and reinforce surgical interventions is described by the term "computer aided surgery" (CAS). CAS is expected to make surgery even more precise, safer and cheaper. It comprehends computer based supporting systems (e. g. therapy planning, simulation, navigat...

journal_title：Zentralblatt fur Chirurgie

authors： Dotzel V,Wetzel D,Wilhelm D,Schneider A,Wessels G,Feussner H

更新日期：2003-03-01 00:00:00

abstract：UNLABELLED:Treatment of complex fractures of the humeral head remains an obviously unsolved problem. Under consideration of the problems of head preserving methods, the development of the last years tended towards the hemiprosthetic replacement. As the discussion about the methods and implants continues to be controver...

journal_title：Zentralblatt fur Chirurgie

authors： Kollig E,Kutscha-Lissberg F,Roetman B,Mielke E,Muhr G,Hahn MP

更新日期：2003-02-01 00:00:00

abstract：BACKGROUND:Beside non-operative treatment the therapeutic options for proximal fractures of the humerus range from closed reduction and transcutaneous K-wiring to total joint replacement. While the first is regarded as minimally invasive the latter is a rather complex intervention. Plating has been disregarded as combi...

journal_title：Zentralblatt fur Chirurgie

authors： Lungershausen W,Bach O,Lorenz CO

更新日期：2003-01-01 00:00:00

abstract：:Experience with gastro-restrictive obesity showed the necessity of detailed research in three main tasks: 1. characteristics of morbidly obese people 2. psychological effects of surgery 3. interaction of these characteristics and effects of surgery. We carried out 7 studies with a total of 650 participants. Clinical i...

journal_title：Zentralblatt fur Chirurgie

authors： Ardelt-Gattinger E,Lechner H

更新日期：2002-12-01 00:00:00

abstract：BACKGROUND:In spite of dynamic development of modern diagnostic and therapeutic methods, the long-term results of surgical therapy in pancreatic cancer are still unsatisfying. The aim of this study was to analyse long-term results of surgical palliation for pancreatic cancer in a pancreatic surgery centre. METHODS:We ...

journal_title：Zentralblatt fur Chirurgie

authors： Popiela T,Kedra B,Sierzega M,Kubisz A

更新日期：2002-11-01 00:00:00

abstract：:During the period from January 1990 to December 1998 65 patients were operated upon for a Baker's cyst. 41 patients (43 operations) were subjected to a clinical and sonographical follow-up examination and interrogation. In 11 cases, the cysts were merely removed, while an open synovectomy was carried out four times (r...

journal_title：Zentralblatt fur Chirurgie

authors： Krüger T,Niedermanner I,Hube R,Hein W

更新日期：2002-10-01 00:00:00

abstract：UNLABELLED:At our institution we have used fresh-frozen allografts for the reconstruction of the anterior and posterior cruciate ligament since 1993. METHOD:In this retrospective study we evaluated the clinical outcome of 325 fresh-frozen allografts (bone-patellar-tendon-bone allografts and Achilles-bone-tendon allogr...

journal_title：Zentralblatt fur Chirurgie

authors： Siebold R,Buelow JU,Boes L,Ellermann A

更新日期：2002-10-01 00:00:00

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

authors： Kanne V,Kim NH,Ulrich B

更新日期：2002-09-01 00:00:00

abstract：OBJECTIVE:The use of a limited incision for abdominal aortic aneurysm (AAA) repair was evaluated, and its outcome was analyzed in comparison to standard open repair. PATIENTS AND METHODS:Between February 2000 and August 2001, 20 patients with an AAA underwent minimal incision repair (MINI) for tube graft implantation....

journal_title：Zentralblatt fur Chirurgie

authors： Kawaharada N,Morishita K,Fukada J,Muraki S,Yamada A,Satsu T,Abe T

更新日期：2002-09-01 00:00:00

abstract：AIM:Evaluation of the diagnostic and therapeutic management of peripheral steal syndrome after placement of an autologous arteriovenous (av-) fistula and presentation of treatment results after its surgical correction. METHODS:During a time period from 1994 to 1999, 1 253 av-fistulas for hemodialysis were placed in ou...

journal_title：Zentralblatt fur Chirurgie

authors： Meyer F,Müller JS,Grote R,Halloul Z,Lippert H,Bürger T

更新日期：2002-08-01 00:00:00

abstract：:7.6 % (n = 134/1 769) of all inpatients in Leuven, but 30.1 % of risk patients suffer of pressure sores (Norton Scale 10.4 points). Predisposed are geriatric patients or those of intensive care units. While fasciocutaneous flap likewise the superior gluteal artery perforator flap are more resistant to mechanical force...

journal_title：Zentralblatt fur Chirurgie

authors： Brenner P,Krause-Bergmann A

更新日期：2002-06-01 00:00:00

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

authors： Berthold G,Wanzar I,Jünemann K

更新日期：2002-05-01 00:00:00