abstract：:The emergency room functions as a junction between preclinical and early clinical treatment of patients with multiple trauma and should have defined technical and room possibilities. The personal staff should continue resuscitation measures and perform clinical and technical diagnostic procedures according to trained ...

journal_title：Zentralblatt fur Chirurgie

authors： Frank J,Marzi I,Mutschler W

更新日期：1996-01-01 00:00:00

abstract：:The Heidelberg University Hospital meets the standards required of medical services in terms of efficiency, optimizing procedures, cost-effectiveness, staff-satisfaction, and reducing infection rates etc., by implementing the Modular concept for quality within hospitals that has now proven its worth in practice. This ...

journal_title：Zentralblatt fur Chirurgie

authors： Möller J,Bach A,Sonntag HG

更新日期：1996-01-01 00:00:00

abstract：UNLABELLED:In 35 patients with diabetic gangrene, amputation above the ankle (n = 18) or below the ankle (n = 17) was planned by nonspecialised general surgical departments or practicing surgeons. Prior to the operation, these patients presented to a specialised diabetic foot clinic; their clinical courses were analyse...

journal_title：Zentralblatt fur Chirurgie

authors： Jung V

更新日期：1996-01-01 00:00:00

abstract：:Early postoperative intestinal motility after conventional and laparoscopic cholecystectomy was registered in dogs (n = 10) by implanted serosal electrodes to compare the abdominal trauma. In addition postoperative adhesions after laparoscopic and conventional resection of the cecum were measured in dogs (n = 14). A s...

journal_title：Zentralblatt fur Chirurgie

authors： Tittel A,Schippers E,Anurov M,Titkova S,Ottinger A,Schumpelick V

更新日期：1996-01-01 00:00:00

abstract：:A surgical association between skeletal muscle and heart muscle dates back to experiments at the beginning of this century. Initially, the use of skeletal muscles aimed at plastic reconstructions of myocardial defects and enhancement of myocardial blood flow. The application of the contractile force of the skeletal mu...

journal_title：Zentralblatt fur Chirurgie

authors： Lange R,Hagl S

更新日期：1996-01-01 00:00:00

abstract：:The German Stomach Cancer TNM Study Group registered 1444 patients from 1982 to 1984 in a multicenter observational study to validate the tumor node metastasis stage groupings. The follow-up-rate in 1989 was 99.4%. Among others the pattern of lymph node metastases and the benefit of systematic lymphadenectomy (SLA) wa...

journal_title：Zentralblatt fur Chirurgie

authors： Keller E

更新日期：1996-01-01 00:00:00

abstract：:Heavily injured patients, patients who underwent operations on pelvis, hips, abdomen or malignoma surgery, as well as gynaecology patients suffering from malignoma or previous deep femoral vein thrombosis in connection with pregnancy or obesity are at risk to suffer from pulmonary embolism with potentially lethal cour...

journal_title：Zentralblatt fur Chirurgie

authors： Zwaan M,Lorch H,Kagel C,Wenk H,Schwieder G,Eberhard J,Müller G,Weiss HD

更新日期：1996-01-01 00:00:00

abstract：:Since 1982 a total number of 1062 patients underwent surgical treatment of bronchogenic carcinoma. There were 972 men and 89 women, with a mean age of 62.5 years. In 484 cases a squamous cell carcinoma was diagnosed and in 416 patients an adenocarcinoma. An alveolar cell carcinoma was found in 54 and a polymorphocellu...

journal_title：Zentralblatt fur Chirurgie

authors： Gellert K,Agnes A,Noack F,Benhidjeb T,Jacobi C

更新日期：1996-01-01 00:00:00

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

authors： Sailer M,Thiede A

更新日期：1996-01-01 00:00:00

abstract：OBJECTIVE:The carbohydrate balance and nutritive efficacy of a completed nutritional solution with maltose were compared to an isocaloric completed nutritional solution with glucose by means of a hypocaloric parenteral nutrition after colorectal resections. METHODS:Prospective, randomised, double blind phase II trial ...

journal_title：Zentralblatt fur Chirurgie

authors： Hansen O,Graupe F,Schwenk W,Stock W

更新日期：1996-01-01 00:00:00

abstract：:Electromyography (EMG) of the pelvic floor musculature is only carried out as a routine method in few clinics. There is a lack of standard patient groups and, correspondingly, standardized values do not exist. Close cooperation between proctologists and neurologists is the exception. Some surgeons use the EMG to evalu...

journal_title：Zentralblatt fur Chirurgie

authors： Jost WH

更新日期：1996-01-01 00:00:00

abstract：:We report on a 31-year-old man with a 29 x 15 x 15 cm large abdominal tumor who came to surgery under suspicion of echinococcus cyst of the liver. Histologically, the neoplasm could identified as multicystic peritoneal mesothelioma (synonyma: benign cystic mesothelioma). Additionally some cysts were located in the gre...

journal_title：Zentralblatt fur Chirurgie

authors： Horling EW,Albert C,Bassermann R,Stiegler H

更新日期：1996-01-01 00:00:00

abstract：:Patient data management in anaesthesia and intensive care should include besides medical data of individual patients economically important parameters, e.g. working time or cost of material. Integration of this data management system in the hospital information network enables case-oriented analyses for costs in relat...

journal_title：Zentralblatt fur Chirurgie

authors： Bach A,Martin E

更新日期：1996-01-01 00:00:00

abstract：:The aim of our study was to evaluate elective lymphadenectomy in surgical management of thyroid cancer. Since 1990 we have performed thyroidectomy with modified lymphadenectomy in 265 patients operated because of thyroid cancer. In 33 cases (14.5%) selective lymphadenectomies and in 232 (85.5%) cases elective lymphade...

journal_title：Zentralblatt fur Chirurgie

authors： Pomorski L,Rybinski K

更新日期：1996-01-01 00:00:00

abstract：:In case of insufficient or missing greater saphenal vein or if the saphenal vein might be of important use for future bypass grafts, the question arises which alternative bypass material is the more appropriate choice. A literature review to that topic produced only unsatisfactory results. In a prospective randomized ...

journal_title：Zentralblatt fur Chirurgie

authors： Erasmi H,Walter M,Schmitz-Rixen T,Kristen F

更新日期：1996-01-01 00:00:00

abstract：:This article describes problems some surgeons of Dresden were confronted with in the time between 1750 and 1850. These surgeons present the transition of the 'Age of Enlightment' and the period of sciences. Special achievements are mentioned: Hedenus as the founder of the modern surgery in Dresden and as a pioneer in ...

journal_title：Zentralblatt fur Chirurgie

authors： Klimpel V

更新日期：1996-01-01 00:00:00

abstract：:This clinical trial aimed to prospectively investigate the morphological structure of infrarenal abdominal aortic aneurysms (AAA) to establish a valid dataset in the preoperative assessment supporting either the conventional or endovascular (TPEG) surgical approach. Regarding both the general feasibility testing and s...

journal_title：Zentralblatt fur Chirurgie

authors： Allenberg JR,Schumacher H,Eckstein HH,Kallinowski F

更新日期：1996-01-01 00:00:00

abstract：:Surgical treatment is essential for the prognosis of colon carcinoma. The extension of the lymph node excision depends on several factors, as operative technique and quality of the histopathological examination. In a retrospective analysis of 278 patients who had undergone curative primary resection for colon carcinom...

journal_title：Zentralblatt fur Chirurgie

authors： Klupp J,Engels S,Junginger T

更新日期：1995-01-01 00:00:00

abstract：:Regional chemotherapy offers a means to enhance the local efficacy of an otherwise ineffective systemic chemotherapy. The regional concentration advantage of a drug is proportional to its total body clearance and inversely proportional to the blood flow through the organ. Regional infusion of adriamycin, cisplatin, me...

journal_title：Zentralblatt fur Chirurgie

authors： Schalhorn A,Kühl M

更新日期：1995-01-01 00:00:00

abstract：:Report on 40 patients suffering from a therapy resistant gastroesophageal reflux disease. Conventional ligamentum-teres-plastic was performed on 18 patients, while 22 patients were treated laparoscopically as minimal invasive procedure. Both techniques are described and the advantages of the laparoscopy versus the con...

journal_title：Zentralblatt fur Chirurgie

authors： Kunz W,Usmiani J,Wilker DK

更新日期：1995-01-01 00:00:00

abstract：:The pancreas has been excluded from laparoscopic surgery ever since. The technical possibilities of laparoscopic left resection of the pancreas in pigs are examined in this study. Mobilization of the left pancreatic segment up to the confluence area (splenic vein and upper mesenteric vein) was possible preserving the ...

journal_title：Zentralblatt fur Chirurgie

authors： Pistorius GA,Schüder G,Hildebrandt U,Plusczyk T

更新日期：1995-01-01 00:00:00

abstract：:For the first time the surgical technique of right and left adrenalectomy by a posterior percutaneous retroperitoneoscopic access is described. The adrenal gland is mobilized after creation of a pneumoretroperitoneum and insertion of 3-4 trocars beneath the 12th rip. Indications for this new method are small, benign a...

journal_title：Zentralblatt fur Chirurgie

authors： Walz MK,Peitgen K,Krause U,Eigler FW

更新日期：1995-01-01 00:00:00

abstract：:A rare case of a retroperitoneal cyst of Echinococcus granulosus in a male adult is presented. Due to its extension and infiltration of important anatomical structures the hydatid cyst could not be completely removed by operation. Therefore the patient was treated with albendazole for 10 months after surgery. The effi...

journal_title：Zentralblatt fur Chirurgie

authors： Gutermuth L,Corvin S,Bauer H

更新日期：1995-01-01 00:00:00

abstract：:We report two patients who were administered to our hospital with an obstruction of the colon. 4 months ago one of the patients had suffered a penetrating wound with a knife in the upper left abdomen. The other patient was wounded by gunshot in the left thorax 50 years ago. The x-ray of the lung showed the ruptured di...

journal_title：Zentralblatt fur Chirurgie

authors： Schütter FW,Kiroff P,Leister I

更新日期：1995-01-01 00:00:00

abstract：:Since hemostaseologic therapies have a great impact on the budget of public health insurance companies, the therapy of hemophilia, prophylaxis of thrombosis and thrombolysis should be evaluated in a socioeconomic way. The substitution therapy in hemophilia is consuming a great deal of health care resources. The patien...

journal_title：Zentralblatt fur Chirurgie

authors： Schramm W,Offner A,Szucs T

更新日期：1995-01-01 00:00:00

abstract：:This review gives a summary of historical developments of the technique of epidural anaesthesia as well as a synopsis of current knowledges in this method of regional anaesthesia. Besides of anatomical basics, the technique of epidural anaesthesia and its use in postoperative pain relief including indications, contrai...

journal_title：Zentralblatt fur Chirurgie

authors： Standl T

更新日期：1995-01-01 00:00:00

abstract：:Fractures of the femoral shaft are combined in 2-5% of all cases with an ipsilateral fracture of the proximal femur. These double fractures are mostly caused by high energy trauma. An analysis of 9 selected papers points to the problem. In more than 10% the proximal fracture is not diagnosed initially. In the literatu...

journal_title：Zentralblatt fur Chirurgie

authors： Haas NP,Schütz M,Mauch C,Hoffmann R,Südkamp NP

更新日期：1995-01-01 00:00:00

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

authors： Saeger HD,Schwall G,Trede M

更新日期：1995-01-01 00:00:00

abstract：:We report a retrospective analysis of 61 patients admitted during the years 1974 to 1992 after having recently swallowed a corrosive agent. Within 24 hours, the localisation, severity and extent of the injury had been determined by endoscopy. In 13 patients the injury was restricted to the oropharynx, and in 48 it inv...

journal_title：Zentralblatt fur Chirurgie

authors： Eggstein S,Langkau S,Rückauer K,Salm R,Farthmann EH

更新日期：1995-01-01 00:00:00

abstract：UNLABELLED:The aim of this study was to analyse the causes of death after liver transplantation in order to find and to avoid preventable fatal complications if possible. METHODS:Between September 1988 and September 1993 415 orthotopic liver transplantations in 382 patients were performed at the Rudolf Virchow Univers...

journal_title：Zentralblatt fur Chirurgie

authors： Rayes N,Bechstein WO,Keck H,Blumhardt G,Lohmann R,Neuhaus P

更新日期：1995-01-01 00:00:00

abstract：:Forty-eight acute distal aortic occlusions were treated on an inpatient basis from January 1973 to December 1993. The mean age was 66 years. Twenty-seven patients had an acute thrombotic occlusion of the distal aorta, and a cardiogenic embolism was the cause of occlusion in 21 cases. The 43 operated patients evidenced...

journal_title：Zentralblatt fur Chirurgie

authors： Lorenz EP,Trabhardt S,Diermann J,Weber B,Boese-Landgraf J

更新日期：1995-01-01 00:00:00

abstract：:In a prospective study, the results following PTA of 30 short stenoses > 70% in 17 infrainguinal arterial bypass grafts were examined. The stenoses were detected after a mean follow-up of 7.2 months by Duplex-ultrasound. The initial success rate after PTA was 100%. After an average time of 4.6 months recurrent graft s...

journal_title：Zentralblatt fur Chirurgie

authors： Wölfle KD,Mayer H,Tietze W,Bruijnen H,Mayer B,Loeprecht H

更新日期：1994-01-01 00:00:00

abstract：AIM OF INVESTIGATION:The treatment of nonunions complicated by infection and bone loss is divided into two stages. Having calmed down the infection by stabilizing, removal of infected and necrotic tissue and local antibacterial measures, the bone loss has to be filled up. Bridging the gap by means of autogenous cancell...

journal_title：Zentralblatt fur Chirurgie

authors： Schultz JH,Schmidt HG,Jürgens C,Kortmann HR

更新日期：1994-01-01 00:00:00

abstract：:The treatment and outcome of the respiratory failure decisively depend on its pathophysiological background. Besides simple blood gas analysis the investigation of the respiratory mechanics, interstitial lung water and the monitoring of the pulmonary pressure are necessary for an exact diagnosis. As a scoring method o...

journal_title：Zentralblatt fur Chirurgie

authors： van Ackern K,Bender HJ,Quintel M

更新日期：1994-01-01 00:00:00

abstract：:Hybrid systems with hepatocyte cultures in bioreactors are in development for therapeutical liver assistance. Here, a culture model with a special bioreactor construction was developed: Capillary membrane systems create a three dimensional artificial framework for hepatocyte adhesion, aggregation and reorganization of...

journal_title：Zentralblatt fur Chirurgie

authors： Gerlach J,Encke J,Müller C,Neuhaus P

更新日期：1994-01-01 00:00:00

abstract：:The case history of a 75 year old man is demonstrated, who developed an abscess in the scar after B-II-resection 30 years ago. In this abscess S. typhi murium was detected. Diabetes mellitus was an additional risk factor. A review of the literature is given concerning extraintestinal manifestations of salmonellosis wi...

journal_title：Zentralblatt fur Chirurgie

authors： Hager K,Albrecht D,Häring R,Hamm B

更新日期：1994-01-01 00:00:00

abstract：UNLABELLED:The preperitoneal approach with implantation of a dacron sheet was applied in 37 patients with recurrent hernias and in 30 patients with primary bilateral hernias. In total 120 hernias were repaired. The patients were controlled prospectively for serious complications. The patients were examined every 3 mont...

journal_title：Zentralblatt fur Chirurgie

authors： Gross E,Köfüncü O

更新日期：1994-01-01 00:00:00

abstract：:There is no disagreement over the advantages of minimal-invasive surgical procedures even in the older patient. However the criteria for indication and patient selection concerning cardiopulmonary contraindications for CO2-pneumoperitoneum must be strictly considered. Using cholecystectomy and colorectal surgery as an...

journal_title：Zentralblatt fur Chirurgie

authors： Gastinger I,Köckerling F

更新日期：1994-01-01 00:00:00

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

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

更新日期：1994-01-01 00:00:00

abstract：:There are various ways and means of performing the callus distraction procedures used more and more frequently in the clinic today. The interplay of numerous factors affects the macroscopical and microscopical morphological appearance and thus the quality of the bone regenerate. The radiological appearance during and ...

journal_title：Zentralblatt fur Chirurgie

authors： Wiedemann M

更新日期：1994-01-01 00:00:00