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  • Life and Medical Sciences  (3)
  • Laparoscopy  (2)
  • Positron emission tomography  (2)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Der Chirurg 70 (1999), S. 1025-1030 
    ISSN: 1433-0385
    Keywords: Key words: Hernia ; Hernia ; diaphragmatic ; Morgagni-Larrey hernia ; Laparoscopy ; Charcot-Marie-Tooth disease. ; Schlüsselwörter: Hernie ; Zwerchfellhernie ; Morgagni-Larrey-Hernie ; Laparoskopie ; Charcot-Marie-Tooth-Hoffmann-Syndrom.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung. Wir berichten über 3 Patienten mit Morgagni-Larrey-Hernien, die zwischen 1992 und 1998 erfolgreich laparoskopisch operiert wurden. Der Verschluß des Zwerchfelldefekts erfolgte bei einem Patienten mittels Direktnaht, in den beiden anderen Fällen war eine zusätzliche alloplastische Verstärkung einmal aufgrund der Größe des Defekts und einmal aufgrund einer Muskelatrophie auf dem Boden eines Charcot-Marie-Tooth-Hoffmann-Syndroms erforderlich. Die Verläufe waren komplikationslos, die Patienten konnten zwischen dem 3. und 4. postoperativen Tag nach Hause entlassen werden. Der Nachbeobachtungszeitraum liegt zwischen 10 Monaten und 6 Jahren, alle 3 Patienten sind rezidivfrei und asymptomatisch. Wir sehen die laparoskopische Therapie als ein geeignetes und sicheres Verfahren zur Behandlung dieser seltenen Zwerchfellbrüche an. Die Ergebnisse der verschiedenen Techniken, Direktnaht oder Einsatz eines Kunststoffnetzes, werden unter Berücksichtigung der aktuellen Literatur diskutiert.
    Notes: Summary. Three patients with Morgagni-Larrey hernias are reported who underwent successful laparoscopic repair between 1992 and 1998. The hernia was closed by direct suturing in one case; in the two other cases a polypropylene mesh was used because of the size of the hernia in one case and in the other because of muscle atrophy in a patient with Carcot-Marie-Tooth disease. There were no complications, and the patients were discharged 3–4 days after surgical treatment. The current follow-up is between 10 months and 6 years; there have been no hernia recurrences and all patients are asymptomatic. We consider laparoscopic repair to be a suitable and safe procedure for treatment of Morgagni hernias. We discuss the two different techniques, direct suturing or using polypropylene mesh by reviewing the results of the current literature.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Surgical endoscopy and other interventional techniques 9 (1995), S. 82-87 
    ISSN: 1432-2218
    Keywords: Laparoscopy ; Small bowel anastomosis ; Suture technique ; Hernia stapler ; Linear stapler
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The aim of the study was to prove that laparoscopic stapling devices can be used to create a bowel anastomosis. Three groups with n=6 pigs each were subjected to different techniques of small-bowel anastomoses. In groups I and II anastomosing of the bowel ends was carried out with singly placed staples using a hernia stapler. (Group I: Two-thirds of the circumference became inverted and one-third everted. Group II circumferentially everted). In group III triangular everted anastomoses were produced using a linear noncutting stapler. All animals survived the observation period of 14 days and were postmortally examined. Average construction time was 59 min for groups I and III and 47 min for group II. Average diameters were 14 mm, 16 mm, and 18 mm for groups I, II, and III, respectively. There were no significant differences between the techniques concerning the stability of the anastomoses as expressed by bursting pressures. There were two stenoses in group I animals caused by electrocautery during preparation of the bowel ends prior to anastomosing. Anastomotic insufficiencies or fistulas were not observed clinically or with Gastrografin studies. We conclude that anastomoses in the pig can laparoscopically be constructed by employing singly placed staples as well as a linear stapler. Further investigations of these techniques on large bowel and human specimens are required prior to their clinical use in humans.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    European journal of nuclear medicine 15 (1989), S. 764-766 
    ISSN: 1619-7089
    Keywords: Brain ; Neuro-Behçet syndrome ; Positron emission tomography ; Magnetic resonance ; Vasculitis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Positron emission tomography (PET) and magnetic resonance imaging (MRI) studies were performed on a case of neuro-Behçet's syndrome. In accordance with the clinical signs, FDG PET (using18F-labeled 2-F-2′-desoxyglucose) revealed disseminated storage defects in the cerebrum and cerebellum. Focal regions of enhanced signal intensity were demonstrated in the parietal white matter of the cerebrum in T2-weighted images and in the brain stem by MRI.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1619-7089
    Keywords: Positron emission tomography ; PET ; Radiopharmaceuticals ; Quality criteria ; Toxicology ; Dosimetry ; Survey
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The increasing use of radiopharmaceuticals for positron emission tomography (PET) has come to the attention of regulatory bodies. In order to help authorities in all aspects, the EANM has formed a task group for licensing PET radiopharmaceuticals; this group has surveyed the use of these compounds in Europe by a questionnaire. The number of PET centres that responded to the questionnaire was 26, which included more than 90% of the larger European PET centres. The survey showed that 2-[18F]fluoro-2-deoxyglucose is by far the most important PET radiopharmaceutical with more than 200 applications per week, followed by [15O]water, [15O]carbonmonoxide, [13N]ammonia, [11C]-l-methionine, andl-6-[18F]fluoro-DOPA. More than 25 other PET radiopharmaceuticals are in regular use, however, at rather low application frequencies. The data were used by the European Pharmacopoeia Commission for its priority rating for requesting the formulation of monographs. Since it is likely that group registrations will be issued by authorities for the PET radiopharmaceuticals, relevant data on toxicity and dosimetry for the formulation of summaries of product characteristics have been collected by the task group as well.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    New York, NY [u.a.] : Wiley-Blackwell
    The @Anatomical Record 232 (1992), S. 612-619 
    ISSN: 0003-276X
    Keywords: Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The first appearance and early development of two circumventricular organs, the area postrema (AP) and the subfornical organ (SFO), were investigated in human embryos and fetuses from the 4th to the 40th gestational weeks (GW). The AP appears very early in development, during the GW 10; its high vascularization can be seen from GW14, and differentiated neurons are observed from GW 16. The SFO is characterized by a late onset of development. It can first be distinguished at GW 17, but it does not attain cytological differentiation until the last weeks of gestation. It is suggested that the AP has important functions during fetal life, which are related to normal fetal weight and growth; in contrast the SFO, which is connected with drinking behavior and salt/water balance, seems to play a less essential role in early fetal life.
    Additional Material: 4 Ill.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    New York, NY [u.a.] : Wiley-Blackwell
    American Journal of Anatomy 172 (1985), S. 87-99 
    ISSN: 0002-9106
    Keywords: Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The synthesis and secretion of progesterone by the corpus luteum (CL) may be limited or controlled by transport mechanisms operating between circulating blood and luteal cell cytoplasm. To examine this possibility, the structural features involved in transport, including membrane surface areas and diffusion distances, were quantitated in the CL of 16-day pregnant rats. One ovary from each of eight rats was fixed by perfusion via a cannula inserted into the parametrial artery, and two CL from each ovary were processed for electron microscopy and examined with standard morphometric techniques. For comparison, one CL from each of a further eight ovaries was diced into small cubes, fixed by immersion, and analyzed similarly. In perfusion-fixed CL, there was a substantial volume of vascular space (20% of the total) and interstitial space (5%) and an extensive surface area of capillaries (441 mm2 per CL). The luteal-cell membrane had numerous projections which increased its surface area by a factor of 3.08. Almost 60% of the luteal-cell surface directly faced a capillary, and a further 37% faced interstitial space which probably extended to a capillary surface. Only 3% was in direct contact with a neighboring luteal cell. Despite the extensive interstitial space the harmonic mean thickness, an estimate of likely effective diffusion distance between luteal cell cytoplasm and blood, was only 0.42 μm. This was less than half of the calculated arithmetic mean thickness owing to the presence of surface projections and an uneven capillary endothelium. Results from immersion-fixed CL were qualitatively similar; but the proportion of interstitial space was only 59% of that in perfusion-fixed CL, and the contribution of surface projections to the total area of luteal-cell membranes was significantly reduced. Collectively, these results suggest that membranes and spaces between blood and luteal-cell cytoplasm are structured so as to minimize transport distances.
    Additional Material: 4 Ill.
    Type of Medium: Electronic Resource
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  • 7
    ISSN: 0002-9106
    Keywords: Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The volumes of the major tissue compartments, vascular space, interstitial space, and luteal cells, in the corpus luteum (CL) of 16-day pregnant rats were determined morphometrically after different fixation procedures. Ovaries were fixed by perfusion at physiologic pressures (PF), by immersion directly in fixative (IF), by immersion after clamping blood vessels to prevent escape of blood (IFC), or by immersion after administration of heparin to prevent blood clotting (IFH). Three CL in each of eight ovaries were examined for each fixation method. Total volumes were significantly larger in CL fixed by PF and IFC, and approximated physiologic volumes as assessed from frozen ovaries. Perfusion-fixed CL had significantly larger vascular and interstitial spaces and smaller cell volumes than immersion-fixed CL. Capillary surface area varied significantly between the four groups in accordance with absolute volume of vascular space. Estimated numbers of endothelial cells and amounts of connective tissue differed significantly, presumably due to difficulties in identifying these components in immersion-fixed CL with collapsed vessels. The fixation methods used caused substantial fluid shifts between the three major compartments. A theoretical approach for considering these shifts and the likely physiologic situation was developed.
    Additional Material: 5 Ill.
    Type of Medium: Electronic Resource
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