Search results for "abdominal surgery"

Ultrasound-guided spinal fracture repositioning

1998

The management of narrowing spinal fragments in the operative treatment of spinal fractures remains an open question, in particular when the procedure is performed by a posterior approach. This article describes the use of intraoperative ultrasonography during spinal surgery. From 1990 to 1997, 116 spinal fractures were treated operatively at our clinic. Stabilization of the spine was achieved with the AO fixateur interne and the AO USS, respectively (Synthes, D-79224, Umkirch, Germany). For 60 cases who had a fractured posterior vertebral surface dislocated into the spinal canal, we used intraoperative ultrasonography to monitor the repositioning of the narrowing fragments. The patients un…

Prospective evaluation of parathyroid graft function after total parathyroidectomy and heterotopic autotransplantation in renal hyperparathyroidism b…

1998

The value of gradients for intact parathyroid hormone (PTH) in the assessment of graft function after total parathyroidectomy/autotransplantation for renal hyperparathyroidism was evaluated in a prospective follow-up study. Altogether 99 patients who underwent operation from August 1, 1987 to December 31, 1996 were prospectively investigated and reexamined postoperatively, including analyses of serum calcium, alkaline phosphatase, and intact PTH in the antecubital venous blood of both arms. The postoperative course is known for all patients. Of the 99 patients included in the study, 95 underwent one to nine reexaminations (median three) over follow-up periods of 1 month to 5 years (median 2…

A noninvasive postoperative clinical score to identify patients at risk for postoperative pulmonary complications: The air-test score

2020

BACKGROUND: Postoperative pulmonary complications (PPCs) negatively affect morbidity, healthcare costs and postsurgical survival. Preoperative and intraoperative peripheral oxyhemoglobin saturation (SpO2) levels are independent risk factors for postoperative pulmonary complications (PPCs). The air-test assesses the value of SpO2 while breathing room-air. We aimed at building a clinical score that includes the air-test for predicting the risk for PPCs. METHODS: This is a development and validation study in patients -randomly divided into two cohorts- from a large randomized clinical trial (iPROVE) that enrolled 964 intermediate-to-high risk patients scheduled for abdominal surgery. Arterial …

Abdominal wall incisional hernia repair improves respiratory function: results after 3 years of follow-up

2020

Abstract Purpose Hernias severely impact patient quality of life (QoL), and 80% of patients require a surgical operation. Moreover, hernias are responsible for respiratory function alterations. This study aims to investigate the postoperative alterations in respiratory function after open ventral hernia repair in patients with incisional hernia. Methods Patients operated on at the Policlinico “Paolo Giaccone” at Palermo University Hospital between January 2015 and December 2016 were identified in a prospective database. Fifty-one patients were enrolled in the study. The respiratory outcome measures used were forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), FEV1/FVC ratio…

Histological findings of the internal inguinal ring in patients having indirect inguinal hernia

2009

BACKGROUND: Aiming to deepen the understanding of the factors involved in the genesis of groin hernia, this study is focused on identifying the histological changes within the muscle fibers of the internal inguinal ring in patients having indirect inguinal hernia. METHODS: In eight patients with primary or recurrent bilateral indirect inguinal hernia who underwent a Stoppa open posterior inguinal hernia repair, a tissue specimen from the edge of the internal inguinal ring was biopsied and histologically examined. RESULTS: In all of the tissue samples, remarkable degenerative changes such as fibrohyaline degeneration of the muscle fibers, vascular congestion, and phlogistic infiltration thro…

Beitrag zum Phosphorstoffwechsel in Knochentransplantaten

1953

Anwendungsm�glichkeiten der intraoperativen Sonographie

1983

Sonographie, Computertomographie, Angiographie und endoskopisch retrograde Cholangiopancreaticographie haben sich in der Allgemein- und Gefaschirurgie als wertvolle Untersuchungsmethoden etabliert. Schwierigkeiten bestehen jedoch manchmal in der Korrelation der Praoperativen Befunde mit dem intraoperativen Befund. Hier ist das Anwendungsgebiet der intraoperativen Sonographie (IOS) zu sehen. Sie bietet dem Chirurgen eine zusatzliche Information durch Darstellung von pathologischen Gefasprozessen, Kontrolle von Gefasanastomosen, intraoperative FlowMessung in Gefasen, Lokalisationsdiagnostik in parenchymatosen Organen. Die intraoperative Sonographie ist somit ein neues Instrument des Chirurgen…

Zur Klinik und Pathologie raumfordernder Prozesse im Bereich des Mediastinums

1963

Wir haben die Schwierigkeit der klinischen und rontgenologischen Abgrenzung raumfordernder Prozesse im Mediastinumbereich demonstriert.

Topic: Incisional Hernia - "Difficult case" as specialistic case: real loss of substance, multi recurrences, infections, fistulas, lombocel, burst ab…

2015

Prospektive Evaluierung von Parathormongradienten (PTH-intakt) nach totaler Parathyreoidektomie und heterotoper Nebenschilddrüsenreplantation beim re…

1997

Grundlagen: In einer prospektiven Beobachtungsstudie nach totaler Parathyreoidektomie mit autologer Epithelkorperchenreplantation bei Patienten mit renalem Hyperparathyreoidismus wurden durch bilaterale Kubitalvenenblutentnahme ermittelte Parathormongradienten evaluiert.