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  • 1
    Electronic Resource
    Electronic Resource
    Laparoskopisches gastric banding (2000)
    Springer
    Der Chirurg 71 (2000), S. 146-151 
    Details
    ISSN: 1433-0385
    Keywords: Keywords: Morbid obesity – Gastric banding – Laparoscopy. ; Schlüsselwörter: Morbide Adipositas – Magenband – Laparoskopie.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammmenfassung. Die bariatrische Chirurgie erfährt durch das laparoskopische gastric banding einen Entwicklungsschub. Diese Übersichtsarbeit stellt die Methode bezüglich Indikationen, Operationstechnik sowie präliminärer Resultate im eigenen Krankengut sowie in der Literatur vor. Es zeigt sich, daß eine dauerhafte Gewichtsreduktion von über 50 % des Übergewichtes mit einer geringen Komplikationsrate erreicht werden kann. Möglicherweise wird das laparoskopische gastric banding in naher Zukunft die Therapie der Wahl bei morbider Adipositas.
    Notes: Abstract. The introduction of laparoscopic gastric banding appears to have revolutionized bariatric surgery. This review presents this new method in terms of indications, operative technique and preliminary results according to our own experience as well as reports in the literature. It seems that a long-term weight reduction of more than 50 % excess weight can be achieved with a low morbidity rate. In the near future laparoscopic gastric banding can possibly become the procedure of choice for the treament of morbid obesity.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001040050026
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  • 2
    Electronic Resource
    Electronic Resource
    Spilled gallstones after laparoscopic cholecystectomy (1998)
    Springer
    Surgical endoscopy and other interventional techniques 12 (1998), S. 305-309 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Laparoscopy — Cholelithiasis — Spilled gallstones — Complications after laparoscopic cholecystectomy — Abdominal abscess
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: Spilled gallstones after laparoscopic cholecystectomy may cause abscess formation, but the exact extent of this problem remains unclear. Method: The data (collected by the Swiss Association of Laparoscopic and Thoracoscopic Surgery) on 10,174 patients undergoing laparoscopic cholecystectomy at 82 surgical institutions in Switzerland between January 1992 and April 1995 were retrospectively analyzed with special interest in spilled gallstones and their complications. Results: In 581 cases (5.7%) spillage of gallstones occurred; 34 of these cases were primarily converted to an open procedure for stone retrieval. Of the remaining 547 cases only eight patients (0.08%) developed postoperatively abscess formation requiring reoperation. Conclusions: Spillage of gallstones after laparoscopic cholecystectomy is fairly common and occurs in about 6% of patients. However, abscess formation with subsequent surgical therapy remains a minor problem. Removal of spilled gallstones is therefore not recommended for all patients, but an attempt at removal should be performed whenever possible.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004649900659
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    An evaluation of laparoscopic adhesiolysis in patients with chronic abdominal pain (1995)
    Springer
    Surgical endoscopy and other interventional techniques 9 (1995), S. 802-804 
    Details
    ISSN: 1432-2218
    Keywords: Chronic abdominal pain ; Laparoscopic adhesiolysis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The purpose of this prospective study was to determine whether laparoscopic adhesiolysis ameliorates chronic abdominal pain in patients with abdominal adhesions. Forty-five patients with chronic abdominal pain lasting for more than 6 months but with no abnormal findings other than adhesions found at laparoscopy underwent laparoscopic adhesiolysis. Thirty-six patients (80%) were available for follow-up after a median time interval of 10 months (range: 6–36 months). Seventeen patients (47.2%) were free from abdominal pain and 13 patients (36.1%) reported significant amelioration of their pain. Six (16.6%) patients had no amelioration. Twenty-nine patients (80.6%) judged the outcome of the operation to be good or beneficial and 35 (97.2%) said that they would undergo the operation a second time if that were necessary. Laparoscopy is an effective tool for the evaluation of patients with chronic abdominal pain, and laparoscopic adhesiolysis cures or ameliorates chronic abdominal pain in more than 80% of patients.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00190085
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  • 4
    Electronic Resource
    Electronic Resource
    Controlled multicenter trial of laparoscopic transabdominal preperitoneal hernioplasty vs Shouldice herniorrhaphy (1996)
    Springer
    Surgical endoscopy and other interventional techniques 10 (1996), S. 845-847 
    Details
    ISSN: 1432-2218
    Keywords: Inguinal hernia ; Laparoscopic repair ; Prosthetic mesh ; Shouldice repair ; Controlled trial
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: In February 1993 a prospective randomized multicenter trial was initiated to compare laparoscopic transabdominal preperitoneal hernioplasty to Shouldice herniorrhaphy as performed by surgeons of nonspecialized clinics. Methods: Until January 1994, 87 patients with 108 hernias took part in the trial (43 Shouldice and 44 laparoscopic repairs). Results: The laparoscopic procedure took significantly longer than did the open operation but caused less pain as measured by pain analogue score and consumption of paracetamol and narcotics. The postoperative complication rate was 26% in the open and 16% in the laparoscopic group. The patients in the laparoscopic group were discharged earlier and their convalescence was shorter than after open hernia repair. There has been one early recurrence in the laparoscopic and two in the open group to date with a mean follow-up of 201 days. Conclusions: Laparoscopic hernia repair causes less pain than the conventional operation and enables the patient to return to full work and usual activities earlier. The recurrence rate will not be known for 5 years.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00189547
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    Paper (German National Licenses)
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  • 5
    Electronic Resource
    Electronic Resource
    Controlled multicenter trial of laparoscopic transabdominal preperitoneal hernioplasty vs Shouldice herniorrhaphy (1996)
    Springer
    Surgical endoscopy and other interventional techniques 10 (1996), S. 845-847 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Inguinal hernia — Laparoscopic repair — Prosthetic mesh — Shouldice repair — Controlled trial
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: In February 1993 a prospective randomized multicenter trial was initiated to compare laparoscopic transabdominal preperitoneal hernioplasty to Shouldice herniorrhaphy as performed by surgeons of nonspecialized clinics. Methods: Until January 1994, 87 patients with 108 hernias took part in the trial (43 Shouldice and 44 laparoscopic repairs). Results: The laparoscopic procedure took significantly longer than did the open operation but caused less pain as measured by pain analogue score and consumption of paracetamol and narcotics. The postoperative complication rate was 26% in the open and 16% in the laparoscopic group. The patients in the laparoscopic group were discharged earlier and their convalescence was shorter than after open hernia repair. There has been one early recurrence in the laparoscopic and two in the open group to date with a mean follow-up of 201 days. Conclusions: Laparoscopic hernia repair causes less pain than the conventional operation and enables the patient to return to full work and usual activities earlier. The recurrence rate will not be known for 5 years.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004649900174
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    Paper (German National Licenses)
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