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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 355 (1981), S. 502-502 
    ISSN: 1435-2451
    Keywords: Nerve surgery ; Nerve transplantation ; Results ; Experiences ; Nervenchirurgie ; Nerventransplantation ; Ergebnisse ; Erfahrungen
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Von 1969-1977 führten wir an 171 Patienten 210 Nerventransplantationen an den oberen Extremitäten durch. Bei den nachuntersuchten Transplantationen konnten bei den gemischten Nerven hinsichtlich der Motorik in über 3/4 der Fälle, bei der Rückkehr der Sensibilität in 65 % gute bis sehr gute Ergebnisse erzielt werden. Bei rein sensiblen Nerven war oft nur eine Schutzsensibilität zu erreichen. Bei Kindern waren die Ergebnisse wesentlich günstiger als bei Erwachsenen. Eine frühzeitige Beübung der operierten Gliedmaße, z.B. durch baldige Wiederaufnahme der Berufsausübung, spielt eine wesentliche Rolle in der postoperativen Therapie.
    Notes: Summary From 1969-1977 a total of 210 nerve transplantations were performed in the upper extremities of 171 patients. The follow-up examinations showed good or very good motor function in 3/4 of all cases with mixed nerves. In 65 % of these the nerve recovery of sensory function was also good or very good. For sensory nerves alone, only protective sensitivity could be achieved in most cases. In children the results were much better than in adults. Early exercise of the limb after surgery, e.g., resuming work as soon as possible, is important in postoperative therapy.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    European journal of plastic surgery 17 (1994), S. 261-263 
    ISSN: 1435-0130
    Keywords: Fournier's gangrene ; Scrotal defects ; Splitthickness skin grafting
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Fournier's gangrene is a rare but life-threatening condition in western countries; it consists of acute subcutaneous necrotizing infection of the genital and perineal region. Predisposing diseases are characteristically those which impair the patient's immunological defense and wound healing. After emergency debridement, there is extensive loss of scrotal and perineal tissue, usually these defects heal satisfactorily by secondary intention, and reconstructive procedures are seldom indicated. Defects of the penis, abdomen or thighs are split skin grafted, while for scrotal reconstruction, various methods are recommended, such as medial thigh fasciocutaneous flaps, bilateral superolateral thigh flaps or bilateral gracilis musculocutaneous flaps. In Fournier's gangrene due to predisposing disease, split-thickness skin grafting in scrotal reconstruction can, in the authors' opinion, achieve excellent results. In addition, it is the least disabling reconstructive procedure in such patients.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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