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  • 1995-1999  (2)
  • Intra- and postoperative measures.  (1)
  • Key words Atherosclerosis – extracellular matrix – HMG-CoA reductase inhibitors – smooth muscle – thrombospondin  (1)
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  • 1995-1999  (2)
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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Der Chirurg 67 (1996), S. 921-926 
    ISSN: 1433-0385
    Keywords: Key words: Inguinal hernia ; Operative methods ; Choice of procedure ; Suture material ; Intra- and postoperative measures. ; Schlüsselwörter: Leistenhernie ; Operationsmethode ; Verfahrenswahl ; Nahtmaterial ; intra- und postoperatives Vorgehen.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung. Der aktuelle Stand der Leistenhernienchirurgie in der Schweiz l994 wird aufgrund einer Umfrage bei allen 142 chirurgischen Ausbildungskliniken mit einer Rücklaufquote von 60,6 % dargestellt. Das Anaesthesieverfahren der Wahl ist mit 67,4 % die Regionalanaesthesie. Die „Shouldice“ bzw. Transversalisplastik wird in über 90 % aller Primärhernien bevorzugt eingesetzt. Auch bei der Rezidivhernie kommt diese Technik in über 70 % am häufigsten zur Anwendung. Die Varianz der Reparaturformen ist hier groß (28,8 %) und die Fremdmaterialeinlage bleibt mit 5,9 % ein seltenes Vorgehen. Die endoskopischen Methoden werden aus verschiedenen Gründen von 77,9 % der Klinikleiter noch abgelehnt.
    Notes: Summary. With a response rate of 60.6 % to a questionnaire sent out in 1994 it is possible to give an overview of the situation in hernia surgery at the 142 surgical clinics of Switzerland. In general, regional anesthesia is the preferred method (67.4 %). Together, Shouldice repair and fascia transversalis repair cover over 90 % of the repair techniques in primary hernias. In recurrent hernias the same techniques dominate (70.2 %) a large spectrum of different operation methods; implantation of foreign materials is rare (5.9 %). Only 4.5 % of all Swiss surgical clinics have some experience with endoscopic hernia surgery.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1435-1803
    Keywords: Key words Atherosclerosis – extracellular matrix – HMG-CoA reductase inhibitors – smooth muscle – thrombospondin
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Clinical studies have shown that treatment with 3-hydroxy-3-methyl-glutaryl-coenzyme A (HMG-CoA) reductase inhibitors can stabilize atherosclerotic plaques and slow their progression. One determinant of plaque stability and size is the composition of the vascular extracellular matrix. The aim of this study was to evaluate the effects of different HMG-CoA reductase inhibitors on the expression of major components of the vascular extracellular matrix in smooth muscle cells. Cultured human vascular smooth muscle cells were incubated for 24–72 h with the HMG-CoA reductase inhibitors lovastatin (1–50 μmol/L), simvastatin (0.05–20 μmol/L), and pravastatin ( 1–100 μmol/L). RNA expression of the extracellular matrix proteins thrombospondin-1, fibronectin, collagen type I, and biglycan as well as expression of the cytokine TGF-β1 was determined by Northern blotting. Extracellular matrix protein secretion was visualized by immunofluorescence. In addition, cell proliferation and viability were measured using BrDU-ELISAs, MTT-tests, and direct cell counting. Expression of thrombospondin-1 was significantly decreased after 24 h incubations with lovastatin in concentrations as low as 1 μmol/L. Coincubation with the cholesterol precursor mevalonate completely reversed this effect. The downregulation of thrombospondin-1 expression occured in the same concentration range that also inhibited cell proliferation. In contrast, lovatatin did not affect expression of fibronectin, whereas collagen type I and biglycan expression decreased only after long incubations with high, toxic lovastatin concentrations. Simvastatin, but not the very hydrophilic compound pravastatin, had a similar effect on extracellular matrix expression as lovastatin. In summary, lovastatin and simvastatin predominantly decrease the expression of the glycoprotein thrombospondin-1, which is functionally associated with smooth muscle cell migration and proliferation. In contrast, expression of plaque-stabilizing extracellular proteins such as collagen type I and biglycan are much less affected.
    Type of Medium: Electronic Resource
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