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  • Articles: DFG German National Licenses  (2)
  • Incisional hernia  (1)
  • Indicators of dose  (1)
  • 1
    ISSN: 1248-9204
    Keywords: Incisional hernia ; Preperitoneal prosthesis ; Absorbable mesh ; Postoperative complications
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The surgical approach for the treatment of abdominal incisional hernias is a difficult problem. Only the use of prosthetic materials can provide a solution, yet their use in case of abundant loss of peritoneum can involve complications due to direct contact between the mesh and the intestine. The use of prosthetic materials in reconstruction of the abdominal wall highlights two closely connected problems: the kind of mesh to be used and the best implant site The prosthesis should be positioned only in the pre-peritoneal space or in the retromuscular prefascial plane. We report our experience with a surgical technique in which the peritoneum is integrated with an absorbable prosthesis and the nonabsorbable prosthesis is positioned in the neo-preperitoneal plane. From January 1992 to January 2000 65 patients underwent surgery for large incisional hernias. The follow-up period ranged from 6 to 60 months. There were 15 (23.1%) early complications (seromas, hematomas and infections) and 2 (3.1%) late complications: a fistula between the skin and the prosthesis and a subacute infection of the abdominal wall. No recurrence was noted. In patients with abundant loss of substance there is no real pre-peritoneal space; therefore a new one must be created to restore the mechanical and functional structure of the peritoneum. The prosthetic Vicryl® mesh permits good tissue repair with almost no involvement of the intestinal loop. Follow-up studies confirm the efficacy of this method.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    International archives of occupational and environmental health 54 (1984), S. 155-161 
    ISSN: 1432-1246
    Keywords: Aluminium ; Biological monitoring ; Indicators of dose ; Prevention
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Aluminium in urine (A1U) and in plasma (AlP) was determined in seven subjects occupationally exposed to environmental concentrations of aluminium below or equal to the TWA (5 mg/m3). The AlU levels in these workers were markedly higher than those found in the control group. The levels of the indicator were definitely higher at the end of the shift than at the beginning of the same working day; also, the AlU levels were higher on Friday morning than on Monday morning. After an interruption in work of two weeks, the values of the indicator underwent a marked reduction and were then only slightly higher than those of the control group. Occupational exposure to fumes produced higher AlU levels than exposure to dusts, and in the subjects exposed to fumes the AlU levels were clearly influenced by the degree of exposure. The levels of aluminium in plasma in the exposed workers on the other hand, hardly differed from the levels found in the control group. These data appear to indicate that, whereas AlU allows daily and weekly exposure to be evaluated, AlP cannot be used as an indicator of occupational exposure, at least in the case of brief exposures to environmental concentrations below or equal to the TWA.
    Type of Medium: Electronic Resource
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