abstract：:The analysis of the genetic causes of tumor development led to the identification of many genes affected in these diseases, which play a role in the control of cell proliferation and apoptosis. However, these studies also suggested that not all alterations are equal with regard to their effect on tumor growth, and the...

journal_title：Zentralblatt fur Chirurgie

authors： Troppmair J,Rapp UR

更新日期：2000-01-01 00:00:00

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

authors： Padberg WM,Jäger E,Buhr J,Zimmermann T

更新日期：2000-01-01 00:00:00

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

authors： Stölzel U,Tannapfel A

更新日期：2000-01-01 00:00:00

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

authors： Windhorst T,Hupe K,Wenning M

更新日期：2000-01-01 00:00:00

abstract：BACKGROUND:Since 1983 gastric banding has become a proven operative method, which reduces effectively excess weight in morbid obesity. Gastric banding has been popularized as a minimally invasive, completely reversible surgical treatment for morbid obesity. We report here our 4 year experiences of gastric banding with ...

journal_title：Zentralblatt fur Chirurgie

authors： Stroh C,Schramm H

更新日期：2000-01-01 00:00:00

abstract：:Since 1984 we have been using the opportunity to registrate the dissected lymph nodes at different locations of the lymph nodes and the carcinoma in case of D-2 dissection by means of a lymph node dissection protocol. The total rate of lymph nodes by the several patients is an indirect sign for the quality of the lymp...

journal_title：Zentralblatt fur Chirurgie

authors： Schramm H,Volkert S,Stroh C,Schmid M

更新日期：2000-01-01 00:00:00

abstract：:Normal ranges, which were set up for quality control, serve to define an acceptable qualitative niveau of treatment. To establish such criteria, it is important to consider group-specific characteristics during investigations. Results of clinical trials are the basics to determine the normal range of parameters of qua...

journal_title：Zentralblatt fur Chirurgie

authors： Haeske-Seeberg H

更新日期：2000-01-01 00:00:00

abstract：BACKGROUND:Bile duct anastomoses are still associated with a high failure rate. Although following iatrogenic bile duct transection only a positive selected group of patients get a primary end-to-end reconstruction, long-term results demonstrate an incidence of postoperative strictures up to 78%. Also in orthotopic liv...

journal_title：Zentralblatt fur Chirurgie

authors： Birth M,Gerberding J,Markert U,Wohlschläger C,Brugmans F,Bruch HP

更新日期：2000-01-01 00:00:00

abstract：:Quality of life (QL) assessment by means of standardised scales allows a valid representation of an individual's subjective sense of well-being in three dimensions: somatic (intensity and frequency of symptoms), psychological (anxiety, depression) and social (family life, employment, sexuality). The question, however,...

journal_title：Zentralblatt fur Chirurgie

authors： Kopp I,Koller M,Rothmund M,Lorenz W,Mitglieder des Qualitätszirkels.

更新日期：2000-01-01 00:00:00

abstract：:Intraabdominal cystic lymphangiomas are rare tumor-like lesions, predominantly found in the pediatric age group, but also in juveniles or young adults. Lymphangiomas are always benign and do not recur after complete excision. In this paper we report on two 4-year old children with a history of abdominal discomfort due...

journal_title：Zentralblatt fur Chirurgie

authors： Witzel K,Kronsbein H,Pleser M,Hunfeld H,Rumpf KD

更新日期：1999-01-01 00:00:00

abstract：:The importance of psychosocial indicators for the course and the evaluation of organ transplantation is being more and more recognized. The following paper tries to point out what should be, at the present, the "state of the art" in psychosocial evaluation and quality of life measurement in organ transplantation. ...

journal_title：Zentralblatt fur Chirurgie

authors： Johann B,Senf W

更新日期：1999-01-01 00:00:00

abstract：:Tissue injury following reperfusion represents an essential problem of reconstructive vascular surgery. Pathogenetically toxic oxygen radicals are considered to play a pivotal role. Pharmacotherapeutical approaches are based particularly on antioxidants and vasodilators. However, a standardized regimen is not yet clin...

journal_title：Zentralblatt fur Chirurgie

authors： Luther B,Lehmann C,Grune T,Meyer R,Schwenke G,Beutel H,Bürger K

更新日期：1999-01-01 00:00:00

abstract：:The use of hydroxyethylstarch (HES) as an alternative to glycerol for cryopreservation of erythrocytes is presented. Immediately after thawing erythrocytes showed alterations in the membrane skeleton and a lowered rigidity of their membrane. However, a few minutes after resuspension in a physiological salt solution th...

journal_title：Zentralblatt fur Chirurgie

authors： Henrich HA,Langer R

更新日期：1999-01-01 00:00:00

abstract：:The combined lesion of the anterior cruciate ligament (ACL) with simultaneous or secondary meniscal tears has severe consequences for the knee joint. By a synopsis of the literature and own experimental investigations in sheep it can be shown that in ACL deficient knees secondary meniscal lesions occur, what finally e...

journal_title：Zentralblatt fur Chirurgie

authors： Metak G,Scherer MA

更新日期：1999-01-01 00:00:00

abstract：:The pig is the most likely donor organism for xenotransplantation of organs to humans. However, since this constellation is discordant, hyperacute rejection needs to be overcome. This review summarises current strategies of genetically modifying pigs for xenotransplantation. Limitations of the classical method of DNA-...

journal_title：Zentralblatt fur Chirurgie

authors： Wolf E,Schernthaner W,Müller S,Brem G

更新日期：1999-01-01 00:00:00

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

authors： Müller-Schubert A,Kox W

更新日期：1999-01-01 00:00:00

abstract：:Two questions are discussed: 1. our relation to death. Contrary to the saying "shadows of the death" and to it's modern concealment this contribution states: death gives light: it enables to be conscious of one's self and to bow to the inevitable, it shows the valuables of earthly and mortal beings, and even allows us...

journal_title：Zentralblatt fur Chirurgie

authors： Splett J

更新日期：1999-01-01 00:00:00

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...

journal_title：Zentralblatt fur Chirurgie

authors： Reinmüller J

更新日期：1999-01-01 00:00:00

abstract：:While laparoscopic cholecystectomy has become the procedure of choice for the elective treatment of symptomatic cholecystolithiasis the question whether patients with acute cholecystitis should be operated laparoscopically or conventionally is still debated. Nevertheless, more and more surgeons tend to use the laparos...

journal_title：Zentralblatt fur Chirurgie

authors： Manger T,Fahlke J,Pross M,Fuhlroth J,Röhl FW,Lippert H

更新日期：1999-01-01 00:00:00

abstract：:Although the term hierarchy isn't in keeping with the times for secular spheres, the identical term ranking omnipresent and indispensable in a political way. Without ranking there ist no final but only a general responsibility. Ranking is based on authority--to be distinguished between professional competence an offic...

journal_title：Zentralblatt fur Chirurgie

authors： Horntrich J

更新日期：1999-01-01 00:00:00

abstract：:Missed abdominal injuries after blunt abdominal trauma belong to the most frequent causes of death, especially in polytraumatized patients. Primary missing these injuries often is a tragedy due to a mortality-rate up to 50% after delayed treatment compared with a low complication- and mortality-rate after diagnosis in...

journal_title：Zentralblatt fur Chirurgie

authors： Ambacher T,Riesener KP,Kasperk R,Schumpelick V

更新日期：1999-01-01 00:00:00

abstract：:Medical responsibility and hospital management, competency for resident's training and decision making in therapy are better performed in a system of hierarchy than other kinds of organisation of a surgical department. If all the duties and responsibilities are concentrated to a head of the department, it is also nece...

journal_title：Zentralblatt fur Chirurgie

authors： Muhr G

更新日期：1999-01-01 00:00:00

abstract：:The role of total mesorectal excision for rectal cancer treatment is one of the most exciting findings in surgical oncology of the recent years. The patient's prognosis largely depends on the surgical quality of rectal resection. The excision of the cancer bearing rectum has to follow very precisely along the mesorect...

journal_title：Zentralblatt fur Chirurgie

authors： Maurer CA,Renzulli P,Meyer JD,Büchler MW

更新日期：1999-01-01 00:00:00

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

authors： Stelzner M,Foy HM

更新日期：1999-01-01 00:00:00

abstract：:From January 1986 to December 1995 307 patients with preoperatively as benign classified rectal polyps underwent transanal endoscopic microsurgery or transanal excision at the Hospital of General and Abdominal Surgery, Johannes Gutenberg-University Mainz. Mean polyp size was 3.9 cm in diameter. Postoperatively in 233 ...

journal_title：Zentralblatt fur Chirurgie

authors： Mörschel M,Heintz A,Junginger T

更新日期：1999-01-01 00:00:00

abstract：:The clinical experience with transmyocardial laser revascularization indicates that angina is relieved significantly, perfusion and treadmill tolerance are improved and hospital admissions are decreased. The exact mechanism for a laser revascularization linked improvement is still unknown. Transmyocardial laser revasc...

journal_title：Zentralblatt fur Chirurgie

authors： Lutter G,Martin J,Beyersdorf F

更新日期：1999-01-01 00:00:00

abstract：:Patient-controlled analgesia has been proven to be an effective technique in postoperative pain management. The aim of our study was to evaluate PCA on general surgery wards. 311 patients and their nurses were questioned about their experiences in using PCA for postoperative pain management. Satisfaction with pain rel...

journal_title：Zentralblatt fur Chirurgie

authors： Breme K,Stehr-Zirngibl S,Anthuber M,Jauch KW,Taeger K,Altmeppen J

更新日期：1999-01-01 00:00:00

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 m...

journal_title：Zentralblatt fur Chirurgie

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

更新日期：1999-01-01 00:00:00

abstract：:Hydroactive wound dressings retain exsudate in the wound region or incorporate wound exsudate by gel formation. They create the local environment for moist wound healing which is experimentally and clinically characterized by accelerated reepithelialization, inflammatory reaction and angiogenesis as well as reduced wo...

journal_title：Zentralblatt fur Chirurgie

authors： Mohr VD,Spelter H,Schmidt J,Zirngibl H

更新日期：1999-01-01 00:00:00

abstract：:Diabetic foot syndrome represents a challenge for every practicing physician. The multifactorial genesis requires a broad therapeutic approach. ...

journal_title：Zentralblatt fur Chirurgie

authors： Potrawa C

更新日期：1999-01-01 00:00:00

abstract：:Isolated hypoxic perfusion (IHP) is a commonly used technique in the treatment of abdominal malignancies. During a phase II-study the pathophysiology of this technique was explored in patients with advanced pancreatic cancer. Twenty perfusions of the abdomen were performed in 17 patients. Under general anesthesia, fem...

journal_title：Zentralblatt fur Chirurgie

authors： Petrowsky H,Heinrich S,Janshon G,Staib-Sebler E,Poloczek Y,Gog C,Oremek G,Lorenz M

更新日期：1999-01-01 00:00:00

abstract：:CT and MRI have become more frequently established in the diagnosis of the pelvis for the last few years. CT and even more MRI are technically essential for the diagnosis of problems of the pelvis like anal carcinoma, anal atresia, anal fistula of the anal canal and rectum. Modern technical equipment allow a scanning ...

journal_title：Zentralblatt fur Chirurgie

authors： Heinrichs T

更新日期：1999-01-01 00:00:00

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

authors： Riel KA

更新日期：1998-01-01 00:00:00

abstract：:Over a period of 9 years in 48 patients already operated on for ulcerative colitis secondary surgical interventions had to be planned. 25 patients had an ileostomy (IS), 10 a Kock-pouch (KP), 11 an ileoanal pouch (IAP) and 2 an ileorectal anastomosis (IRA). Whereas in 4 patients only the subjective wish for another pr...

journal_title：Zentralblatt fur Chirurgie

authors： Kreissler-Haag D,Haberer M,Feifel G,Ecker KW

更新日期：1998-01-01 00:00:00

abstract：:Most patients with Crohn's disease have to be operated on. Necessity to loose some amount of the intestine and time-point of the surgical intervention may be derived from the irreversible cascade of the inflammatory process and the limitations of the conservative treatment. In ileocecal disease indications for surgery...

journal_title：Zentralblatt fur Chirurgie

authors： Ecker KW,Hultén L

更新日期：1998-01-01 00:00:00

abstract：:Biliary tract injury, although uncommon, is the most feared complication of laparoscopic cholecystectomy. Early identification or exclusion of such injury is essential for successful management. Over a two year period (1995-1996) twenty-one from a total of 413 ERCPs in this Surgical Endoscopy Unit were performed becau...

journal_title：Zentralblatt fur Chirurgie

authors： Kähler G,Müller C,al-Sibaie A,Scheele J

更新日期：1998-01-01 00:00:00

abstract：PATIENTS AND METHODS:In a retrospective study, the results of percutaneous transhepatic therapy of bile duct stones under cholangioscopic control (PTCS) were evaluated in 32 patients in which a endoscopic retrograde stone removal was impossible or failed. RESULTS:Previous gastric surgery was the most common reason for...

journal_title：Zentralblatt fur Chirurgie

authors： Martin P,Lotterer E,Kleber G,Fleig WE

更新日期：1998-01-01 00:00:00

abstract：:This paper gives a short historical overview of the evolution of biliary surgery from John Stough Bobbs (1867) until the present day. The development of different diagnostic methods (from cholangiography to sonography) are described also, as well as the different therapeutic methods including laparoscopic cholecystect...

journal_title：Zentralblatt fur Chirurgie

authors： Trebing G,Schröder H

更新日期：1998-01-01 00:00:00

abstract：:The repair of multiple recurrences of inguinal hernias remains a surgical challenge. In 38 patients with a problematic recurrent inguinal hernia we implanted a polypropylene mesh (Prolene) in order to reinforce the transversalis fascia and to repair the inguinal hernia. 20 of these were medial and 14 lateral hernias; ...

journal_title：Zentralblatt fur Chirurgie

authors： Bauer KH,Kemen M,Senkal M,Zumtobel V

更新日期：1998-01-01 00:00:00

abstract：:For the surgical treatment of liver tumors, two initial steps are necessary: functional operability must be proven and oncological and local inoperability must be ruled out. The diagnostic process consists of a series of steps, beginning with non-invasive procedures such as laboratory findings and sonography, continui...

journal_title：Zentralblatt fur Chirurgie

authors： Hinterthaner M,Müller A,Ulrich A,Decker P,Hirner A,Layer G

更新日期：1998-01-01 00:00:00