[Yes, but - consent with reservations].
Published in Zentralblatt für Chirurgie
[Postoperative long-term results in high-grade traumatic ruptures of the spleen in children].
Published in Zentralblatt für Chirurgie
The majority of primarily partially spleen-preserving operations result from OIS grade IV ruptures of the spleen. Use of a partially spleen-saving surgical approach was successful in ¾ of these patients. Low morbidity and documented perfusion of the remnant spleen at long-term follow-up indicate that a spleen-preserving technique is warranted if an...
[Development of diagnosis-related groups in different surgical disciplines].
Published in Zentralblatt für Chirurgie
Reductions of mean and upper thresholds of length of stay are present in all surgical disciplines. Total reimbursements developed partially in a contradictory manner. Negative growth involves the danger that hospital investments cannot be realised, especially in the presence of high personnel costs.
[Primary interdisciplinary reconstruction of perineal defects to reduce wound complications after abdominoperineal resec...
Published in Zentralblatt für Chirurgie
A primary perineal reconstruction after APRE can reduce the rate of perineal wound complications. Furthermore, neoadjuvant treatment was shown to carry a major risk for wound complications. Patients after radio-/chemotherapy should undergo a primary reconstruction to prevent procedure-related perioperative morbidity. Subsequently, delays in adjuvan...
[The significance of minimally invasive surgery in the treatment of inguinal hernia and hypertrophic pyloric stenosis].
Published in Zentralblatt für Chirurgie
Laparoscopic pyloromyotomy and paediatric inguinal hernia repair require special skills. As a minimum, a surgeon's first 20 cases should therefore be performed under competent supervision. Besides resulting in smaller scars, both procedures have concrete advantages and the same complication rates compared to the open techniques. Therefore, both ope...
[Time of operative treatment of maldescensus testis in childhood - wishes and reality].
Published in Zentralblatt für Chirurgie
Regarding guidelines the average age of cryptorchid boys receiving orchidopexy at the University Clinic of Würzburg was way too high between 2005 and 2010. To some extent this fact can be attributed to the hesitant manner of therapy shown by local paediatricians. An improvement in the time of operation is definitely possible and necessary in order ...
[Cytoreductive surgery and HIPEC for peritoneal malignancies in children].
Published in Zentralblatt für Chirurgie
Peritoneal tumour dissemination represents an advanced tumour stage and survival rates are usually low. In the past, cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) has been established in adults leading to increased survival rates in comparison to chemotherapy alone. CRS and HIPEC are indicated in primar...
[New aspects of neoadjuvant therapy of malignant tumors of the upper gastrointestinal tract].
Published in Zentralblatt für Chirurgie
[Leg swelling following inguinal and ilioinguinal dissection of melanoma metastases].
Published in Zentralblatt für Chirurgie
Our results suggest that the iliac part of an ilioinguinal lymph node dissection significantly contributes to lymphoedema. Because of the multitude of reasons for swellings of the lower leg, volumetry of the thigh seems to be most adequate for quantifying the amount of postoperative lymphoedema.
[Strategies in the treatment of supracondylar fractures of the humerus in children - proven and controversial].
Published in Zentralblatt für Chirurgie
Elbow fractures are the 2nd most frequent fractures in children. Their therapy needs high expertise. Particularly an adequate analgesic therapy as well as an efficient and differentiated non-surgical or surgical therapy depending on the fracture type needs to be chosen. Secondary damage, especially growth disturbances, has to be prevented. Type I f...
