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

authors： Jansen M,Schippers E,Schumpelick V

更新日期：1998-01-01 00:00:00

abstract：:Therapeutic bronchoscopy is widely used in the treatment of airway stenosis, fistula, and pulmonary bleeding. Recanalisation of tracheobronchial stenoses can be treated by Nd: YAG-laser or stent implantation. While the use of laser irradiation is limited to intraluminal obstruction, stenting is also effective in steno...

journal_title：Zentralblatt fur Chirurgie

authors： Schmidt B,Witt C

更新日期：1998-01-01 00:00:00

abstract：UNLABELLED:With regard to the factors of graft damage the role of rapid cooling during cold in situ perfusion should not be underestimated. The aim of this study was to analyse the effect of rapid cooling on microperfusion of rat livers in an in vitro model. MATERIAL AND METHODS:During harvest of 14 rat livers the org...

journal_title：Zentralblatt fur Chirurgie

authors： Drews G,Deckert F,Witzigmann H,Hauss J,Spiegel HU

更新日期：1998-01-01 00:00:00

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

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

更新日期：1998-01-01 00:00:00

abstract：:Based on animal trials the presented study results describe a laparoscopic assisted removal of an extra-long free jejunal graft to reconstruct voice and swallowing after a total laryngo-pharyngectomy in cases with advanced malignancies of the larynx including invasion in the upper oesophagus. With a microvascular anas...

journal_title：Zentralblatt fur Chirurgie

authors： Marusch F,Koch A,Kluge J,Stöbe R,Immer P,Gastinger I

更新日期：1998-01-01 00:00:00

abstract：:This case demonstrates the importance for surgeons to use the endoscope. A multimorbid patient in nearly dying condition, with a megacolon due to a functional sigmastenosis could be successfully treated by endoscopic intervention. After the patients recompensation, an early elective sigmaresection could be performed. ...

journal_title：Zentralblatt fur Chirurgie

authors： Wolfsdorf U

更新日期：1998-01-01 00:00:00

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

authors： Ensink FB,Bautz MT,Hirn AM,Nass S,Kettler D,Hanekop GG

更新日期：1998-01-01 00:00:00

abstract：:Recommendations for adjuvant treatment of patients with breast cancer are given based on the International Consensus panel of adjuvant Therapy of Breast Cancer in St. Gallen in 1998. Possible therapeutical options (antihormonal therapy, chemotherapy with CMF or EC/AC) are discussed in dependence on the risc of recurre...

journal_title：Zentralblatt fur Chirurgie

authors： Ridwelski K,Fahlke J

更新日期：1998-01-01 00:00:00

abstract：UNLABELLED:Modified radical mastectomy remains the standard for treatment of breast cancer. Women faced with the diagnosis of breast cancer often find it difficult to cope with the arousing emotions. Fear of death or cancer recurrence and a perceived loss of femininity often coexists with the desire for a return to nor...

journal_title：Zentralblatt fur Chirurgie

authors： Plogmeier K,Handstein S,Schneider W

更新日期：1998-01-01 00:00:00

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

authors： Lippert H,Fahlke J

更新日期：1998-01-01 00:00:00

abstract：:A new technique for breast imaging is presented. This technique combines radiographic mammography directly with automated ultrasound. The combined examination, which is performed without decompression of the breast, yields the conventional mammography films as well as a complete set of B-mode scans and ultrasound proj...

journal_title：Zentralblatt fur Chirurgie

authors： Richter K,Winzer KJ,Frohberg HD,Guski H,Prihoda H,Schmitt HJ,Hamm B

更新日期：1998-01-01 00:00:00

abstract：:Surgical tactics for the teatment of complicated diverticulitis are in constant evolution and remain a subject of controversy. Amongst 53 patients operated on for complicated sigmoid diverticulits over a 10 year period in our hospital, 29 underwent a Hartmann's procedure (3 Hinchey's stage II, 19 stage III and 7 stage...

journal_title：Zentralblatt fur Chirurgie

authors： Gertsch P,al-Muaid J,Pelloni A,Bogen M

更新日期：1998-01-01 00:00:00

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

authors： Roscher R,Lommel K

更新日期：1998-01-01 00:00:00

abstract：:The future development of endoscopic surgery depends on a medical and economical benefit. Medical advantages are demonstrated under professional conditions of practice in a retrospective study: endoscopical repair of the groin (TEP n = 44) vs. conventional Shouldice- (n = 17) and Lichtenstein (n = 19) method, laparosc...

journal_title：Zentralblatt fur Chirurgie

authors： Bürk CG,Shekarriz H,Pöppl SJ,von Detmering WD,Bruch HP

更新日期：1998-01-01 00:00:00

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

authors： Jobst M

更新日期：1998-01-01 00:00:00

abstract：:Ultrasonography has been shown to be valuable in diagnosis of appendicitis in children. For the management of cases where clinical and ultrasonography findings lead to different results, we evaluated standard therapeutical concepts which have been proved to be reliable in our clinic. ...

journal_title：Zentralblatt fur Chirurgie

authors： Scholz M,David S,Stöver B,Wit J,Mau H

更新日期：1998-01-01 00:00:00

abstract：:In a period of 10 years we carried out two prospective multicentric trials to evaluate the state of the art in treatment of appendicitis. One study was performed before introduction of laparoscopy. Important criteria like new diagnostic methods (sonography, laparoscopy), frequency of operation, perforation rate, frequ...

journal_title：Zentralblatt fur Chirurgie

authors： Gastinger I,Koch A,Lippert H,Lorenz D

更新日期：1998-01-01 00:00:00

abstract：UNLABELLED:It was the aim of the study to find by retrospective analysis of data from totally gastrectomized patients risk factors for the development of esophago-jejunal anastomotic leakage, that may be avoidable or influenced therapeutically. PATIENTS AND METHODS:The study design was retrospective involving 838 pati...

journal_title：Zentralblatt fur Chirurgie

authors： Schardey HM,Krämling HJ,Cramer C,Kusenack U,Hadersbeck J,Schildberg FW

更新日期：1998-01-01 00:00:00

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

authors： Krenzien J,Gussmann A

更新日期：1998-01-01 00:00:00

abstract：:Retrograde intramedullary fixation of proximal humerus fractures with flexible wires was evaluated in a prospectively documented study. Seventy-four fractures in 73 patients with unstable proximal humerus shaft or neck fractures were fixed with 3-11 flexible intramedullary wires. The age of the patients averaged 72 ye...

journal_title：Zentralblatt fur Chirurgie

authors： Hoffmann R,Khodadadyan C,Raschke M,Melcher I,Maitino PD,Haas NP

更新日期：1998-01-01 00:00:00

abstract：:With the new method of gas exchange and dialysis carried out simultaneously with a standard dialysis module, for the first time normothermic ex-vivo whole blood perfusion of pig kidneys becomes practicable under nearly physiological conditions. To show the possibility of animal experiment replacements we use slaughter...

journal_title：Zentralblatt fur Chirurgie

authors： Dittrich S,Schuth A,von Baeyer H,Grosse-Siestrup C,Lange PE,Kaczmarczyk G

更新日期：1998-01-01 00:00:00

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

authors： Oestern HJ

更新日期：1997-01-01 00:00:00

abstract：:In the case of acute cholecystitis and chronic cholecystitis of lang standing, the inflammatory changes in Calot's triangle make the risk of damaging the bile duct during laparoscopic cholecystectomy particularly high. In view of the difficult anatomical situation in Calot's triangle, such patho-anatomical conditions ...

journal_title：Zentralblatt fur Chirurgie

authors： Köckerling F,Schneider C,Reymond MA,Hohenberger W

更新日期：1997-01-01 00:00:00

abstract：:The synthesis of radioiodinated meta-iodobenzylguanidine (MIBG), a physiologic norepinephrine analog, was first accomplished by a group from the University of Michigan. Since the first report of the detection of pheochromocytoma with MIBG in humans, there have been several studies about the role of this agent in the d...

journal_title：Zentralblatt fur Chirurgie

authors： Farahati J,Reiners C

更新日期：1997-01-01 00:00:00

abstract：:Currently available replacement therapies for the treatment of acute renal failure are reviewed. Particular interest is focused on their application in intensive care, especially in septic patients. Underlying principles and mechanisms of action are explained. The continuous "High flux-dialysis" is shown to be a parti...

journal_title：Zentralblatt fur Chirurgie

authors： Ronco C,Bellomo R,Hensel M

更新日期：1997-01-01 00:00:00

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

authors： Schwetling R,Anders S,Bärlehner E

更新日期：1997-01-01 00:00:00

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

authors： Schumm-Draeger PM

更新日期：1997-01-01 00:00:00

abstract：:The necessity of limiting health care costs requires adequate service recording and quality control even in visceral surgery. In this field, the safety of the anastomoses is of greatest importance. Anastomoses at risk are esophageal connections to jejunum or colon and deep rectal anastomoses. At these locations expens...

journal_title：Zentralblatt fur Chirurgie

authors： Fuchs KH,Heimbucher J,Geiger D,Thiede A

更新日期：1997-01-01 00:00:00

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

authors： Bauer H

更新日期：1997-01-01 00:00:00

abstract：:Ascending thrombophlebitis of the superficial leg veins is known to propagate into the deep leg veins and to embolize. In a prospective study we followed up 44 patients with sonographically diagnosed ascending thrombophlebitis into the deep veins (V. saphena magna n = 40, V. saphena parva n = 4). In 15 of 44 cases (34...

journal_title：Zentralblatt fur Chirurgie

authors： Kock HJ,Krause U,Albrecht KH,van der Laan E,Rudofsky G,Eigler FW

更新日期：1997-01-01 00:00:00

abstract：:From 1971 through 1996, 16 patients were operated on for atypical aortic coarctation. Three of them (two women, 18 and 27 years old, one boy, 13 years old) had typical signs of neurofibromatosis type I (NF1). All had renovascular hypertension due to suprarenal and/or interrenal aortic stenosis. Two had additional bila...

journal_title：Zentralblatt fur Chirurgie

authors： Mickley V,Lang G,Fleiter T,Sunder-Plassmann L

更新日期：1997-01-01 00:00:00

abstract：:Decisions in surgery will have to consider economic obligations more than ever before. Consequences are evident: the assessment of surgical efficiency will be insufficient when only considering the accuracy and results of a clinical study. We actually will have to document, moreover, the economic impact of therapeutic...

journal_title：Zentralblatt fur Chirurgie

authors： Kunz E

更新日期：1997-01-01 00:00:00

abstract：:Functional results after open fractures have been improved during the last decades. Especially the rates of amputation and chronic osteitis after open tibial fractures have been reduced from 30% to less than 5%. The initial management of this type of fracture includes reconstruction of the perfusion of the involved ve...

journal_title：Zentralblatt fur Chirurgie

authors： Dávid A,Ostermann PA,Möllenhoff G,Hebebrand D,Muhr G

更新日期：1997-01-01 00:00:00

abstract：:From January 1990 to December 1995 79 patients with mediastinal lesions were seen for parasternal mediastinoscopy at the Ruhrlandklinik Essen. Diagnosis was achieved in 91.1%. In 7 cases (8.9%) the diagnosis was not established. Six intraoperative complications occurred following mediastinoscopy: minor bleeding in fiv...

journal_title：Zentralblatt fur Chirurgie

authors： Hillejan L,Cassina P,Stamatis G,Greschuchna D

更新日期：1997-01-01 00:00:00

abstract：OBJECTIVE:Incisional hernia repair with conventional techniques (simple closure, Mayo) is associated with high recurrence rates in the range of 30-50%. Surgical repair using different prosthetic biomaterials gains more and more acceptance. Therefore we wanted to evaluate our own results of hernia repair and analyze the...

journal_title：Zentralblatt fur Chirurgie

authors： Trupka AW,Schweiberer L,Hallfeldt K,Waldner H

更新日期：1997-01-01 00:00:00

abstract：:Penetrating injuries of the lower thoracic wall and anterior abdominal wall cause difficulties in the decision for laparotomy. For gunshot wounds laparotomy without further investigations is in most cases justified, but in other penetrating traumata one should use every diagnostic modality to prevent unacceptably high...

journal_title：Zentralblatt fur Chirurgie

authors： Ertekin C,Yamaner S,Güloglu R,Günay K,Belgerden S

更新日期：1997-01-01 00:00:00

abstract：:Breast cancer is the most common malignancy among women. Genetic predisposition is considered to account for 5-10% of all cases while the majority of these cancers are sporadic and caused by complex interactions of exogenous and endogenous factors. The inherited predisposition can be due to germline mutations in one o...

journal_title：Zentralblatt fur Chirurgie

authors： Hampl M,Chang-Claude J,Schwarz P,Saeger HD,Schackert HK

更新日期：1997-01-01 00:00:00

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

authors： Bruch HP,Herold A,Schiedeck TH,Schwandner O

更新日期：1997-01-01 00:00:00

abstract：:By introduction of laparoscopic cholecystectomy, an increase of accidental common bile duct injuries up to 1.2% has been reported. In the present study of 325 cholecystectomies we evaluated whether mandatory intraoperative cholangiography (IOC) can reduce the rate of accidental bile duct injuries or, at least, identif...

journal_title：Zentralblatt fur Chirurgie

authors： Ludwig K,Wuschek M,Lorenz D

更新日期：1997-01-01 00:00:00

abstract：:54 patients suffering from esophageal cancer have been treated in a period from 1990 to 1994. In 29 cases curative resection was possible, corresponding to a resection rate of 54%. Average age of resected patients was 62 years. According to pTNM-classification the stages T1 and T2 amounted to 45%, T3 and T4 to 55%. Ly...

journal_title：Zentralblatt fur Chirurgie

authors： Schröder H,Trebing G,Trebing D

更新日期：1997-01-01 00:00:00