4,499 results match your criteria Helvetica chirurgica acta[Journal]


[Technique of laparoscopic descendo-rectostomy for reconstruction of intestinal continuity after Hartmann operation].

Helv Chir Acta 1994 Dec;60(6):997-9

Klinik für Viszeralchirurgie, Universitätsspital Zürich.

Reestablishing bowel continuity subsequent to sigma resection with terminal descendostomy and blind closure of the rectum (Hartmann procedure) by a descendo-rectostomy (DR) is well suited for a laparoscopic approach. One part of the operation is performed extracorporally, and with the laparoscopic operation there is no need to consider radical tumor surgery or staging rules. We demonstrate our techniques for laparoscopic DR. Read More

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December 1994
12 Reads

[Surgical therapeutic possibilities in pediatric shaft fractures using intramedullary nailing].

Authors:
V Rehli T h Slongo

Helv Chir Acta 1994 Dec;60(6):991-6

Chirurgische Klinik, Kantonales Spital Walenstadt.

We can report our experience of this operative method by internal rush pin fixation of shaft fractures in childhood. Our results are very convincing and we can say that this method is successful and a good alternative in future by the possibility of a functional treatment. Read More

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December 1994
4 Reads

[Signet ring cell carcinoma of Vater's papilla: a very rare malignancy].

Helv Chir Acta 1994 Dec;60(6):987-90

Chirurgische und Medizinische Klinik, Kantonsspital Liestal.

We describe a rare variant of carcinoma of the ampulla of Vater. A 70-year-old man with several illnesses and a newly appeared jaundice was investigated and a signet-ring cell carcinoma of the ampulla of Vater diagnosed. We performed a local transduodenal excision. Read More

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December 1994
4 Reads

[Lichtenstein alloplastic repair of inguinal hernia].

Helv Chir Acta 1994 Dec;60(6):981-5

Allgemeine Chirurgie, Chirurgische Universitätsklinik Tübingen.

Tension-free repair, a prerequisite for long-term stability, cannot always be achieved with conventional techniques established for groin reconstruction. Lichtenstein gathered substantial experience simply by closing the hernia in a tension-free fashion using prosthetic material. However, most surgeons fearing graft infection are reluctant to further evaluate this technique. Read More

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December 1994
3 Reads

[Herniation of the cecum and ascending colon through the Winslowi foramen in the bursa omentalis].

Helv Chir Acta 1994 Dec;60(6):977-80

Chirurgische Abteilung, Bezirksspital Zofingen.

Herniation through the foramen of Winslow (HFW) is exceedingly rare, the ileum, coecum or ascending colon is involved mostly. One new case is presented here to illustrate the clinical findings, which are often discreet, and the characteristical radiographic features, which can lead to definitive preoperative diagnosis. Treatment is by surgical reduction of the hernia, resection of non-viable bowel or fixation of coecum and ascending colon. Read More

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December 1994
4 Reads

[Therapeutic approach to para-esophageal hernia].

Helv Chir Acta 1994 Dec;60(6):971-5

Service de chirurgie générale, CHUV, Lausanne.

The charts of all the patients operated upon for paraesophageal hernia (HPO) were reviewed. 24 patients could be found between 1976 and 1992. The mean age was 64 years, with 15 men and 9 women. Read More

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December 1994
4 Reads

[Continuous distance suture of the colon--an alternative to the stapler].

Helv Chir Acta 1994 Dec;60(6):969-70

Ospedale Regionale La Carità, Locarno.

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December 1994
3 Reads

[Laparoscopically assisted formation of end stage and loop ileostomies and colostomies].

Helv Chir Acta 1994 Dec;60(6):965-7

Chirurgische Klinik, Kantonsspital Liestal.

Especially in obese or severely ill patients, forming of an ileostomy or colostomy can be very difficult and laparotomy itself can lead to many complications. The intraabdominal part of this operations can easily be performed laparoscopically. The method is quick and simple and many complications can be avoided. Read More

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December 1994
3 Reads

[Laparoscopic cholecystectomy: heat damage to the liver caused by hooked electrode and laser].

Authors:
R Hoffmann R Flury

Helv Chir Acta 1994 Dec;60(6):961-4

Klinik für Viszeralchirurgie, Universitätsspital Zürich.

To control heat damage in the liver after cholecystectomy caused by electrosurgery or Laser, gallbladders were resected at autopsy partly by the Holmium:YAG-Laser and Nd:YAG-Laser and partly by electrosurgery. Heat damage was documented by histological examinations of the liver-bed of the gallbladder. Microscopical evaluation showed that electrocautery tends to produce deeper heat damage in the liver-tissue than the Holmium:YAG-Laser. Read More

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December 1994
7 Reads

[Panniculitis mesenterialis, a rare disease].

Authors:
H K Streuli B Stamm

Helv Chir Acta 1994 Dec;60(6):957-9

Klinik für Allgemeine Chirurgie, Kantonsspital Aarau.

Panniculitis mesenterialis is an illness of the mesenterium of the small intestine and is not familiar to all clinical physicians. The rare reports in the literature mostly describe a good outcome with a few cases ending lethal. Pathologists paying attention to detect panniculitis during postmortem examination report about an incidence of about 1%. Read More

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December 1994
26 Reads

[Mesenteric infarct in acute mesenteric vein thrombosis].

Helv Chir Acta 1994 Dec;60(6):953-6

Servizio di chirurgia, Ospedale San Giovanni, Bellinzona.

Mesenteric venous thrombosis is an infrequent but distinct form of intestinal ischemia. We report 2 cases of acute mesenteric venous thrombosis, treated successfully by carrying out intestinal resection and postoperative anti-coagulation (Heparin, Sintrom). Both patients were diagnosed in the operating room. Read More

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December 1994
5 Reads

[Pneumatosis intestinalis: a rare and difficult problem].

Helv Chir Acta 1994 Dec;60(6):949-52

Service de chirurgie, Hôpital San Giovanni, Bellinzona.

We present a case of a 74-year-old-woman who developed 3 episodes of intestinal pneumatosis, 2 times complicated by pneumoperitoneum, with consequent lethal outcome after 4 months. Intestinal pneumatosis, according to the literature, is a difficult and rare problem, associated with a large number of current diseases, can be complicated by pneumoperitoneum, mostly without clear etiology, whose treatment remains empirical (antibiotics, O2-therapy), not excluded laparotomy, if the clinical situation requires it. Read More

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December 1994
4 Reads

[Volvulus of the small intestine as a cause of primary acute abdomen].

Helv Chir Acta 1994 Dec;60(6):945-7

Service de chirurgie générale, CHUV, Lausanne.

As a cause of small intestine occlusion, volvulus is often a consequence of a band or adhesions. Except in infants, it is rarely the primary cause of symptomatology. Between January 1976 and December 1992, 13 patients (7 women and 6 men, mean age of 56. Read More

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December 1994
5 Reads

[Perityphlitic abscess after perforated appendicitis with carcinoid of the appendix].

Helv Chir Acta 1994 Dec;60(6):943-4

Kinderchirurgische Klinik, Kinderspital St. Gallen.

Appendix carcinoid in children is a rare condition which is found by accident at the histological examination of the appendix. We report on a rare case in which a covered perforation of a diverticulum had occurred. First of all the patient was treated conservatively with antibiotics and 2 months later the appendectomy à froid was performed. Read More

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December 1994
5 Reads

[Quality assurance in surgery].

Authors:
M Weber N Ganzoni

Helv Chir Acta 1994 Dec;60(6):939-41

Chirurgische Abteilung, Kantonsspital Schaffhausen.

Since 1990 the Surgical Department of the Kantonsspital Schaffhausen has been taking part in a quality assurance program organized by the "Bundesland Baden-Württemberg". The traceroperation "appendectomy" will be used to demonstrate the principle of quality assurance and our results for the years 1991 and 1992 will be presented. Read More

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December 1994
2 Reads

[Intestinal drug transport: a surgical problem?].

Helv Chir Acta 1994 Dec;60(6):935-8

Departement Chirurgie, Universitätskliniken des Kantonsspitals Basel.

The case of a 35-year-old man is reported, who presented himself in the emergency room with anxiety and hallucinations. He then passed a small oval pack consisting of a dark paste wrapped in cellophane with his stool. This led to the suspicion of a "body packer syndrome" with cocaine intoxication. Read More

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December 1994
5 Reads

[Diarrhea and peritonitis in infection caused by type A beta hemolytic streptococcus].

Helv Chir Acta 1994 Dec;60(6):931-4

Reparto di chirurgia, Ospedale Civico, Lugano.

During the last years the cases of severe group A streptococcus infection have increased. The clinical manifestation of this streptococcal toxic shock syndrome is similar to the better known toxic shock syndrome (TSS) provocated by staphylococcus. Shock, bacteremia and acute respiratory distress syndrome are common features, and death has been associated with this infection in 30% of patients. Read More

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December 1994
3 Reads

[Sacral chordoma: a consideration in low back pain].

Helv Chir Acta 1994 Dec;60(6):923-5

Studio medico Bernasconi-Massera, Mendrisio.

We present the case of a sacral chordoma (S3-S5). Its diagnostic problems as well as its pathological properties and the epidemiologic situation are discussed. The therapy and the surgical procedure are outlined. Read More

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December 1994
3 Reads

[Preventive digitalis therapy in open thoracotomy].

Helv Chir Acta 1994 Dec;60(6):913-7

Departement Chirurgie, Universitätsspital Zürich.

Prophylactic digitalization is still recommended after open lung surgery in order to prevent cardiac arrhythmias in the postoperative period. Since a beneficial effect of this potentially harmful medication is only poorly documented, we conducted a prospective randomized trial. Patients undergoing elective open lung surgery were divided into two groups one of which received digoxin postoperatively, the other not. Read More

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December 1994
4 Reads

[Symptomatic enterothorax in right-sided dorsal rupture of the diaphragm].

Helv Chir Acta 1994 Dec;60(6):907-11

Chirurgische Klinik, Kantonsspital Aarau.

Traumatic avulsion of the right diaphragm from the lumbocostal arch is a very rare lesion. The authours report the case of a 27-year-old man who had suffered a severe polytrauma with blunt thoracic injury, fracture of the lumbar spine, Malgaigne-type fracture of the pelvis and fracture of the femoral shaft on the right side, 10 years before. At the time of injury the lesion of the diaphragm went unnoticed. Read More

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December 1994
4 Reads

[Do resorbable suture materials permit safe vascular anastomoses?].

Helv Chir Acta 1994 Dec;60(6):901-5

Departement Chirurgie, Universitätsspital Zürich.

Vascular surgery in growing organisms is still problematic. Especially in surgical therapy of coarctation of the aorta, high restenose rates are documented if non-absorbable polypropylene and running suture technique ist used. Theoretically, absorbable suture material allows a running suture technique with less restenose rates. Read More

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December 1994
4 Reads

["Standing waves": differential diagnosis of fibromuscular dysplasia].

Helv Chir Acta 1994 Dec;60(6):897-9

Service de chirurgie, CHUV, Lausanne.

We report two recent observations of an angiographic artefact called "standing waves". It results in the same characteristic beaded pictures than fibromuscular dysplasia. It is induced by the angiography catheter and is related to the speed of injection. Read More

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December 1994
3 Reads

[Graft patency and saving the extremity as a function of asymptomatic/symptomatic aneurysm of the popliteal artery and the graft material used].

Helv Chir Acta 1994 Dec;60(6):893-6

Departement Chirurgie, Universitätsspital Zürich.

A 27-year experience with 252 popliteal artery aneurysms in 167 patients is reviewed. Long-term results with respect to graft patency and limb salvage rates are analyzed. The results emphasize the importance of early surgical intervention and demonstrate the superiority of autologous saphenous vein over other graft materials. Read More

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December 1994
4 Reads

[Acute Leriche syndrome in a previously healthy woman: differential diagnosis of embolic occlusion].

Helv Chir Acta 1994 Dec;60(6):887-91

Chirurgische Klinik, Kantonsspital Chur.

The case report describes an acute total ischemia of both legs in a young otherwise healthy woman. Based on the patient's history, the physical findings and further investigations, the differential diagnosis is discussed. The emergency procedure with a successful desobliteration of a strictly localized arteriosclerotic plaque by Fogarty catheter was followed by open thrombendarterectomy 10 days later because of a persistent stenosis. Read More

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December 1994
3 Reads

[Adventitia resection in cystic degeneration of the popliteal artery].

Authors:
V Lazic P Stierli

Helv Chir Acta 1994 Dec;60(6):883-6

Chirurgische Klinik, Kantonsspital Aarau.

Adventitial cystic disease is a rare form of non-atherosclerotic stenosis of the popliteal artery. It is caused by synovial-like cysts in the subadventitial tissue layer of the arterial wall causing compression of the lumen. The cysts contain mucinous material similar to that found in joint-ganglia. Read More

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December 1994
2 Reads

[Differential surgical therapy of popliteal entrapment syndrome 1967 to 1992].

Helv Chir Acta 1994 Dec;60(6):879-81

Abteilung für periphere Gefässchirurgie, Universitätsspital Zürich.

From 1967 to 1992 at the University Hospital of Zurich 16 patients (14 male, 2 female) with 22 popliteal artery entrapment syndromes underwent a surgical treatment. In this period several different operation procedures were used. The modern operative procedure depends on the degree of the arteries wall compression. Read More

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December 1994
4 Reads

[Clinical aspects and diagnosis of arterial embolism of the upper extremity].

Helv Chir Acta 1994 Dec;60(6):875-7

Département de chirurgie, Hôpital cantonal universitaire, Bâle.

The upper limb embolus is rarely encountered (upper limb:lower limb emboli 1:4-5). Our problem was to determine in which way the paraclinical investigations influence the operation indication. In 1992, we have seen 10 consecutive patients with an upper limb embolus. Read More

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December 1994
4 Reads

[Arthroscopic intra-articular drainage as the therapy of choice in meniscus ganglia of the knee joint].

Helv Chir Acta 1994 Dec;60(6):871-3

Departement Chirurgie, Universitätsspital Zürich.

The meniscusganglion of the knee is rare but it's an indication for the operation, because it is painful and in the most cases it is connected with an injury of the meniscus. Between 1987 and 1992, 23 patients with meniscusganglion were operated only with the method of the inner drainage. There was no recurrence. Read More

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December 1994
4 Reads

[Osseous extensor tendon rupture of the finger joint: surgical technique and results].

Helv Chir Acta 1994 Dec;60(6):867-70

Chirurgische Klinik, Kantonsspital Bruderholz.

Mostly mallet finger can be treated conservatively. In cases of fracture of the distal phalanx open reduction and fixation is recommended. We favour the well-established cerclage, yet perform it in a more comfortable way with the use of cannulated drilling. Read More

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December 1994
4 Reads

[Complex distal radius fracture: value of spongiosa-plasty in combination with external fixator treatment].

Helv Chir Acta 1994 Dec;60(6):863-6

Chirurgische Klinik, Kantonsspital Aarau.

22 Patients with complex fracture of the distal radius (Fernandez III/Frykman VII-VIII/AO 23.C) underwent treatment with external fixation and auxiliary autologous bone grafting in purpose to reconstruct and stabilize the radiocarpal articular surface, reset the radius length, obtain a quicker bone healing and avoid secondary radius shortening after removing of the external fixation. In spite of reassessment of radius length in 80% and reconstruction of the radiocarpal articular surface in 75%, late control showed the development of radiological signs of radiocarpal arthritis. Read More

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December 1994
3 Reads

[Can hyperlipidemia after heart transplantation be optimally and safely treated?].

Helv Chir Acta 1994 Dec;60(6):1163-8

Herzchirurgie München-Bogenhausen.

"Is there any safe and optimal treatment of hyperlipidemia following heart transplantation?" The problem of hypercholesterolemia following heart transplantation if often underestimated. Up to now there is no concept of therapy allowing an optimal adjustment of lipid parameters. Therapeutical trials using ion exchange resins, derivatives of nicotinic acids and fibrates were not successful due to cyclosporine A interaction, hepatotoxicity and limited efficacy of the applied substances. Read More

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December 1994
3 Reads

[Hemodynamic properties of the hemopump].

Helv Chir Acta 1994 Dec;60(6):1159-62

Department Chirurgie, Universitätsspital Zürich.

The hemopump HP 31 is an improved version of a catheter-mounted, transvalvular, left ventricular assist device, which can be placed into the left ventricle through the ascending aorta. The purpose of this study was to examine the influence of hematocrit and afterload on the pump flow. The hemopump was tested using a flow bench model filled with heparinized bovine blood. Read More

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December 1994
2 Reads

[Type B aortic dissections: surgical technique and results].

Helv Chir Acta 1994 Dec;60(6):1151-7

Klinik für Herz- und Gefässchirurgie, Universitätsspital Zürich.

Between 1978 and 1992, 70 patients were operated for type B aortic dissection (tear in the descending aorta without involvement of the ascending aorta). 15/70 (21%) patients had an acute dissection (onset of symptoms < 24 h), 19/70 (27%) a subacute dissection (onset of symptoms < 14 days), and 36/70 (51) a chronic dissection (onset of symptoms > 14 days). The indications for surgery in cases of acute dissection were: hematothorax, oliguria, leg ischemia and persistent pain. Read More

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December 1994
6 Reads

[The value of myocardia protection in chronic hypoxic immature rat hearts].

Helv Chir Acta 1994 Dec;60(6):1143-50

Abteilung für Herz- und Gefässchirurgie, Universitätsklinik Kiel.

This study examines the efficacy of three methods for myocardial protection during 8 hours of global ischema at 10 degrees C in immature (28 days) rat hearts subjected to lifelong hypoxia afforded by exposure to simulated high altitude. Hearts in group 1 were protected by rapid topical cooling alone, in group 2 by slow pre-arrest cooling with Krebs-Henseleit solution plus topical cooling and in group 3 by coronary perfusion with St. Thomas' Hospital cardioplegia No 2 (STS 2) plus topical cooling. Read More

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December 1994
3 Reads

[Emergency bypass operation after failed elective percutaneous transluminal coronary angioplasty].

Helv Chir Acta 1994 Dec;60(6):1137-42

Klinik für Thorax-, Herz- und Gefässchirurgie, Klinikum Fulda.

This retrospective study was performed to evaluate the clinical and angiographic characteristics and the in-hospital complications after failed percutaneous coronary angioplasty (PTCA) that necessitates coronary artery bypass graft surgery (CABG). The study population consisted of 123 patients from January 1990 to December 1992. The failed PTCA was secondary to an acute occlusion of the dilated but dissected vessel in 36. Read More

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December 1994
4 Reads

[Bile duct carcinoma after abdominal irradiation for urologic malignancies].

Helv Chir Acta 1994 Dec;60(6):1131-6

Abteilung für Allgemeinchirurgie, Universitätskrankenhaus Eppendorf, Hamburg.

Malignancies of the biliary tract are rare diseases. Tumor inductions after radiotherapy are reported in several papers. We report about 3 cases with consecutive biliary tract carcinoma 18-32 years after manifestation of an urogenital carcinoma. Read More

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December 1994
3 Reads

[Primary detection of malignant mesothelioma of the tunica vaginalis testis using the BMA-120 monoclonal antibody].

Helv Chir Acta 1994 Dec;60(6):1127-9

Urologische Universitätsklinik, Ruhr-Universität Bochum, Marienhospital Herne.

Malignant mesothelioma of the tunica vaginalis testis is an extremely rare tumor, with only 40 cases previously described in the literature. Treatment consists of inguinal orchiectomy with close-follow up [1]. Asbestose exposure, trauma and hydrocele have been implicated as risk factors. Read More

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December 1994
5 Reads

[Squamous epithelial carcinoma of the kidney pelvis--a rare tumor].

Helv Chir Acta 1994 Dec;60(6):1121-5

Urologische Klinik, Städtisches Krankenhaus Singen.

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December 1994
4 Reads

[Tumor induction in intestinal urinary reservoirs].

Helv Chir Acta 1994 Dec;60(6):1115-20

Urologische Klinik, Zentralklinikum Augsburg.

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December 1994
4 Reads

[Retrograde ureteroscopy and treatment of ureteral lithiasis with the lithoclast].

Helv Chir Acta 1994 Dec;60(6):1111-3

Service de chirurgie urologique et d'endourologie, C.H.U., Sahloul, Sousse, Tunisie.

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December 1994
3 Reads

[Endoscopic lithotripsy with the Swiss lithoclast. Apropos of 168 cases].

Helv Chir Acta 1994 Dec;60(6):1107-10

Service de chirurgie urologique et d'endourologie, C.H.U., Sahloul, Sousse, Tunisie.

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December 1994
4 Reads

[Rhabdomyosarcoma of the prostate and bladder in a child: radical or conservative surgery?].

Helv Chir Acta 1994 Dec;60(6):1097-100

Chirurgische Universitäts-Kinderklinik, Inselspital, Bern.

Rhabdomyosarcoma is the most common soft-tissue tumor in childhood. In infants it is frequently localized in the pelvis and in the prostata or bladder region. The aim of treatment should be to eradicate the tumor and yet maintain as normal function as possible. Read More

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December 1994
4 Reads

[Effects on the superior urinary tract caused by urinary diversion].

Helv Chir Acta 1994 Dec;60(6):1087-95

Service d'urologie, CHUV, Lausanne.

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December 1994
3 Reads

[External fixator: surgical technique, pinless fixator, change in procedure].

Helv Chir Acta 1994 Dec;60(6):1073-80

Surgical Department, Central Hospital, Honiara, Solomon Islands.

External Fixation-Technique: The advantages of external over internal fixation are as follows: a) endosteal and periosteal blood supply is undisturbed, b) "low-tech" equipment may be used, c) secondary adjustments are possible and d) easy implant removal. These benefits however are outweighed by the main disadvantages of long term external fixation i.e. Read More

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December 1994
2 Reads

[Principles for treatment of open fractures].

Helv Chir Acta 1994 Dec;60(6):1067-72

Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Rudolf Virchow, Freien Universität Berlin.

Fractures with soft-tissue injury are urgent surgical emergencies. Fracture care in the first few hours after the injury crucially determines the course of healing. In open fractures aggressive debridement of all necrotic tissues is mandatory as well as stable external or internal fracture fixation. Read More

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December 1994
5 Reads

[Integration and resorption of calcium phosphate ceramics in defect filling of fractures of the tibial head. Radiologic long-term results].

Authors:
A Leutenegger

Helv Chir Acta 1994 Dec;60(6):1061-6

Chirurgische Klinik, Kantonsspital Chur.

Calciumphosphate ceramics are considered as a substitute for cancellous bone grafts. 16 patients with traumatic impressions of the tibial plateau were treated according to the AO-principles and subchondral bone defects were filled with hydroxyapatite (10x) or tricalciumphosphate (6x). Clinical and radiological follow-up after 3 to 10 1/2 years was uneventful with primary bone healing and excellent results in all cases. Read More

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December 1994
5 Reads

[Vascular injuries. Diagnosis and technical procedure].

Helv Chir Acta 1994 Dec;60(6):1053-9

Kantonsspital Münsterlingen.

Fractures complicated by vascular trauma are rare but very complicated injuries. Clinical diagnosis is confirmed by Doppler sonography and/or arteriography. Time effectiveness in investigation and therapy is most important, cooperation between orthopedic and vascular surgeons is crucial. Read More

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December 1994
5 Reads

[The clinic as profit center and management with reference figures].

Helv Chir Acta 1994 Dec;60(6):1043-52

Chirurgische Klinik, Spital Uster.

Financial responsibility is one of the important aspects of hospital management. At the hospital of Uster a trial with a profit center concept was started in October 1991. This concept included development of management tools such as reference figures to check costs, returns and performance. Read More

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December 1994
3 Reads

[Role of the surgeon in the team and in hospital administration].

Authors:
A J Gebert

Helv Chir Acta 1994 Dec;60(6):1031-41

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December 1994
7 Reads

The management of intestinal fistulae.

Helv Chir Acta 1994 Dec;60(6):1025-9

General Hospital, Birmingham.

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December 1994
3 Reads