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  • 1
    Electronic Resource
    Electronic Resource
    Chronic spinal subdural haematoma associated with intracranial subdural haematoma: CT and MRI (1999)
    Springer
    Neuroradiology 41 (1999), S. 137-139 
    Details
    ISSN: 1432-1920
    Keywords: Key words Spinal subdural haematoma ; Magnetic resonance imaging ; Computed tomography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Chronic spinal subdural haematoma is a uncommon. We describe the CT and MRI appearances of chronic spinal and intracranial subdural haematomas following minor trauma. The aetiology, pathogenesis and differential diagnosis are discussed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s002340050719
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  • 2
    Electronic Resource
    Electronic Resource
    Gamma Knife Radiosurgery for Glomus Jugulare Tumours (1999)
    Springer
    Acta neurochirurgica 141 (1999), S. 811-818 
    Details
    ISSN: 0942-0940
    Keywords: Keywords: Gamma knife; stereotactic radiosurgery; glomus jugulare tumour; paragangliomas.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary  The aim of this clinical study was to determine the tumour control rate, clinical outcome and complication rate following gamma knife treatment for glomus jugulare tumours. Between May 1992 and May 1998, 13 patients with glomus tumours underwent stereotactic radiosurgical treatment in our department. The age of these patients ranged from 21 to 80 years. The male : female ratio was 2 : 11. Six patients had primary open surgery for partial removal or recurrent growth and subsequent radiosurgical therapy. Radiosurgery was performed as primary treatment in 7 cases. The median tumour volume was 6,4 cm3 (range: 4,6–13,7 cm3). The median marginal dose applied to an average isodose volume of 50% (30–50%) was 13,5 Gy (12–20 Gy). In 10 patients, a total of 48 MRI and CT follow-up scans were available. The remaining three patients have been excluded from the postradiosurgical evaluation since the observation time (t〈12 months) was too short or patients were lost to follow up. The median interval from Gamma Knife treatment to the last radiological follow-up was 37,6 months (5–68 months). In 4 patients (40%) decreased tumour volumes were observed and in 6 cases (60%) the tumour size remained unchanged. Neurological follow-up examinations revealed improved clinical status in 5 patients (50%), a stable neurological status in 5 patients (50%) and no complications occurred. According to our preliminary experience Gamma Knife radiosurgery represents an effective treatment option for glomus jugulare tumours.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s007010050381
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  • 3
    Electronic Resource
    Electronic Resource
    Radiosurgery with the first Austrian cobalt-60 Gamma-unit (1994)
    Springer
    Acta neurochirurgica 127 (1994), S. 170-179 
    Details
    ISSN: 0942-0940
    Keywords: Radiosurgery ; cobalt-60 Gamma-unit ; results
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary During the period of one year, from the 21. 4. 1992 to 21. 4. 1993, a total of 201 radiosurgical sessions on 181 patients were performed with the first Austrian Gamma-unit in Graz. 42% of radiosurgical sessions were undertaken for malignomas, 20% for meningiomas, 11.5% for vascular malformations, 9% for neurinomas, 8.5% for low grade astrocytomas and glomus jugulare tumours, 5% for sellar and suprasellar lesions, and 4% for functional disorders. Dose plan data for all the lesions treated are shown. Clinical and imaging data of the first year which are available for 120 patients (66%) are presented and discussed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01808762
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  • 4
    Electronic Resource
    Electronic Resource
    243. Hämorrhagischer Schock — Ultrastrukturelle Veränderungen der Adenohypophyse der Ratte (1978)
    Springer
    Langenbeck's archives of surgery 347 (1978), S. 707-708 
    Details
    ISSN: 1435-2451
    Keywords: Hemorrhagic shock ; Adenohypophysis ; Ultrastructural alterations ; STH-level changes ; Hämorrhagischer Schock ; Adenohypophyse ; ultrastrukturelle Veränderungen ; STH-Spiegelschwankungen i.S.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Erstmalig konnten, als morphologisches Korrelat der nach einem Schockereignis beobachteten STH-, Glucose- und Insulinschwankungen, ultrastrukturelle Veränderungen der Adenohypophyse gezeigt wurden. SIV-50-Ratten wurden in einen standardisierten hämorrhagischen Schock versetzt (Flenker, 1974). Nach 2, 8, 24 und 72 h erfolgte die Organentnahme zur elektronenoptischen Untersuchung. Es wurden einerseits die für Schockverläufe typischen morphologischen Veranderungen wie Sludge, Clotting, intravasale Gerinnung, Schwellung des endoplasmatischen Reticulums und der Mitochondrien sichtbar. Andererseits konnten in der frühen Phase erhöhte sekretorische Aktivität, vorwiegend der STH-Zellen und später Zellnekrosen nachgewiesen werden.
    Notes: Summary For the first time, ultrastructural alterations of the adenohypophysis could be demonstrated as a morphologic correlation of postshock changes in STH, insulin, and glucose levels. Standardized hemorrhagic shock was induced in SIV-50 rats (Flenker, 1974). After 2, 8, 24, and 72 h the pituitary gland was removed for electr. opt. investigation. Changes typical of the postshock condition-sludge, clotting, intravascular coagulation, swelling of endoplasmic reticulum and mitochrondia-were observed. In the early stage, stimulated secretory activity, mainly of STH cells, and then later, necrosis of cells, could be observed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01579533
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  • 5
    Electronic Resource
    Electronic Resource
    168. Die apparative anteriore Rectumresektion mit EEA, ILS und SPTU als Standardeingriff an einer Weiterbildungsklinik (1987)
    Springer
    Langenbeck's archives of surgery 372 (1987), S. 830-830 
    Details
    ISSN: 1435-2451
    Keywords: Rectal surgery ; SPTU stapler ; Teaching hospital ; Leakage rate ; Rectumchirurgie ; SPTU-, EEA-, ILS-Stapler ; Apparative Anastomose ; Ausbildungsklinik
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Auch unter den Bedingungen einer Ausbildungsklinik lassen sich 7 Jahre nach Einführung der Klammernahttechnik am Rectum sehr gute Ergebnisse erzielen, wenn der Eingriff einschliesslich der Vor- und Nachbehandlung standardisiert ausgeführt wird. Die Anwendbarkeit der drei verwendeten Systeme ist vergleichbar. In sieben Jahren, einschliesslich der Einführungsphase der Technik, wurde von 10 Operateuren bei 251 anterioren Resektionen eine Insuffizienzrate von 7,5% (5,4%–8,4%) bei 6,7 cm Anastomosenhöhe und 67 J. Durchschnittsafter erzielt. Letalität 2,3%. Protektive Colostomie nur in seltenen Ausnahmefälen, in etwa 5%. Die Verwendung pro Anastomose (gegenüber etwa DM 300,- bei EEA bzw. ILS) preiswerten SPTU-Gerätes bietet neben anwendungstechnischen Vorteilen und wartungstechnischen Nachteilen die preiswerte Möglichkeit des Trainings am anatomischen Präparat.
    Notes: Summary Seven years after the introduction of stapling techniques in rectal surgery, it is obvious that very good results can be obtained even in the environment of a teaching hospital if all of the operative steps are standardized, including pre- and postoperative management. During these 7 years, ten surgeons have performed 251 anterior resections, with an average leakage rate of 7.5% (5.4%–8.4%) and an anastomosis 6.7 cm in height. The average patient age was 60 years and the mortality 2.3%. Protective colostomies had to be carried out only as an exception (about 5%). The SPTU stapler (DM 10 per anastomosis) is very inexpensive compared with the EEA and ILS staplers (about DM 300). It offers technical advantages, but there are disadvantages with regard to servicing. Use of the SPTU stapler provides the possibility of inexpensive training in anatomical preparations.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01297952
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  • 6
    Electronic Resource
    Electronic Resource
    290. Die abdominelle Rectopexie als chirurgische Therapie beim Rectumvorfall (1979)
    Springer
    Langenbeck's archives of surgery 349 (1979), S. 623-623 
    Details
    ISSN: 1435-2451
    Keywords: Complete rectal prolapse ; Pathophysiology ; Abdominal rectopexy ; Implantation of Mersilene net ; Rectumprolaps ; Pathophysiologie ; Abdominelle Rektopexie ; Mersilene-NetzImplantat
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Es werden Ätiologie, Symptomatik, Begleitkrankheiten sowie prä- und postoperative Vorgehen anhand von OP-Photographien, Tabellen und schematischen Zeichnungen im internistischen Vergleich dargestellt. Nach medizinischen Unterbauch-LAP erfolgt Mobilisation des Rectums und unter cranialwärtigem Zug die Fixierung an das Kreuzbeinperiost mit einem den Darm zu 2/3 umfassenden 5 x 10 cm Mersilene-Netz. Bei 45 min OP-Dauer Verzicht auf Beckenbodenplastik, Resektion, Drainage und Antibiotica. Von 1974–1978 wurden 11 Patienten (8-innen) durchschn. 72jährig mit 8jähriger Anamnese operiert und nachuntersucht. Bei einer Letalität von 0 % und einer prä/postoperativen Inkontinenz trat kein Prolapsrezidiv auf.
    Notes: Summary Etiology, side effects and pre- and postoperative measures are shown by photographs, tables and drawings. After lower median laparotomy and mobilization of rectum, the bowel, under forward traction, is fastened to a 5 x 10 cm Mersilene net which had been sutured to sacral periosteum, leaving a free ventral area of the bowel. Within the 45 min duration of the operation, neither pelvic floor repair, resection nor drainage is necessary. Since 1974 to 1978 11 patients with an average age of 72 years have been operated. Mortality and recurrence of prolapse has been 0%, pre/postoperative incontinence 64/27%.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01729751
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