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  • 1
    Electronic Resource
    Electronic Resource
    Gerichtliche Geburtshilfe (1933)
    Springer
    International journal of legal medicine 21 (1933), S. 31-33 
    Details
    ISSN: 1437-1596
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Law
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01751484
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  • 2
    Electronic Resource
    Electronic Resource
    48. Schilddrüse (1980)
    Springer
    Langenbeck's archives of surgery 352 (1980), S. 199-202 
    Details
    ISSN: 1435-2451
    Keywords: Urgent thyroid operation ; Tracheal compression ; Thyroid storm ; Abscess ; Sofortoperation ; Trachealkompression ; Thyreotoxische Krise ; Schilddrüsenabsceß
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Schilddrüsenoperationen von nicht aufschiebbarer Dringlichkeit sind heutzutage selten. Die Indikation kann gegeben sein: 1. aus mechanischer Ursache, wobei die Intubation als Sofortmaßnahme einen Eingriff mit aufgeschobener Dringlichkeit erlaubt, 2. aus metabolischer Ursache, wenn eine thyreotoxische Entgleisung konservativ nicht beherrschbar ist, 3. bei abscedierender Thyreoiditis. Unter 3621 Patienten war der Anteil dieser Notoperationen 0,35% — 8 Patienten mit mechanischer Indikation, 2 mit metabolischer Indikation und 3 mit abscedierender Thyreoiditis.
    Notes: Summary Unavoidably urgent operations for thyroid diseases are very rare today. Exceptions may be (1) mechanical complications with tracheal compression, (2) metabolic disorders with medically uncontrollable hyperthyroid crisis, or (3) bacterial thyroiditis with abscess formation. Of 3621 patients, urgent operations were required in 0.35%, including 8 patients with mechanical problems, 2 with severe metabolic derangements, and 3 with abscess of the thyroid gland.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01292009
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  • 3
    Electronic Resource
    Electronic Resource
    22. Veränderungen der Hämodynamik bei arteriographischen Untersuchungen (1970)
    Springer
    Langenbeck's archives of surgery 327 (1970), S. 237-241 
    Details
    ISSN: 1435-2451
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01259018
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  • 4
    Electronic Resource
    Electronic Resource
    204. Primärer Hyperparathyreoidismus —Klinik und Therapie (1973)
    Springer
    Langenbeck's archives of surgery 334 (1973), S. 972-973 
    Details
    ISSN: 1435-2451
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Durch schematisiert-graphische Darstellungen werden zunächst im Einleitungsteil die vielfältigen klinischen Manifestationsmöglich-keiten (renal, ossär, intestinal, humoral) des primären Hyperparathyreoidismus gekennzeichnet. Es folgt schließlich eine Übersicht der gebräuchlichen Untersuchungsverfahren —wie biochemische Serumanalyse, Röntgen, Knochenbiopsie und Funktionstests -, die zur Sicherung der Krankheitsdiagnose beitragen. Die Bestimmung des zyklischen Adenosin-3,5-Monophosphats im 24 Std-Urin als zuverlässig charakterisierender Parameter und konkurrierendes Verfahren zur direkten Parathormonbestimmung im Immunoassay ist dabei hervorzuheben. —Im letzten Abschnitt schließlich werden anhand eines klinischen Behandlungsfalles Fragen des operativ technischen Vorgehens geschildert.
    Notes: Summary The first part of the film demonstrates by means of graphic representation the various clinical manifestations of primary hyperparathyroidism. The second part deals with diagnostic measures, such as biochemical serum analyses, X-ray studies, bone biopsy and renal tubular function tests, e.g. phosphate clearance and reabsorption and cAMP excretion in the 24-h urine. Finally problems of surgery, mainly involving intraoperative localization of the parathyroid glands are discussed while the surgical procedure is demonstrated on a typical clinical case.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01286738
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  • 5
    Electronic Resource
    Electronic Resource
    193. Langstreckiger Oesophagusersatz durch totale Magentransposition (1978)
    Springer
    Langenbeck's archives of surgery 347 (1978), S. 677-677 
    Details
    ISSN: 1435-2451
    Keywords: Esophagogastroplasty ; Kirschner operation ; Oesophagogastroplastik ; Kirschner-Operation ; cervicale Anastomose
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung In graphischer Schematisierung werden bevorzugte Lokalisation und Wachstumsverhalten des Oesophaguscarcinoms dargestellt,ferner die Möglichkeit des langstreckigen Speiseröhrenersatzes durch totale Magentransposition. Die urspriinglich von Kirschner inaugurierte Operationstechnik wird durch zwei praktische klinische Beispiele illustriert.
    Notes: Summary Typical localization and growth behavior of esophageal cancer is described graphically. The technique of total gastric transposition for esophageal replacement (Kirschner procedure) is outlined schematically and by two clinical examples.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01579486
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  • 6
    Electronic Resource
    Electronic Resource
    24. Technik und Risiken der Operation blander Strumen (1979)
    Springer
    Langenbeck's archives of surgery 349 (1979), S. 129-133 
    Details
    ISSN: 1435-2451
    Keywords: Euthyroid goitre ; Resection ; Glandular remnant ; Surgical risks ; Strumaresektion ; Drüsenrest ; Chirurgische Komplikationen
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Die typische Strumaresektion erfolgt ein- oder doppelseitig entsprechend der Ausdehnung unter Belassung ca. normal großer Drüsenreste (25–50 g). Bei retrosternaler Ausdehnung ist praktisch immer der cervicale Zugang ausreichend. Echte intrathorakale Strumen erfordern die Brustkorberöffnung. Rezidiveingriffe werden zur Dekompression nur einseitig, falls beidseitig intrakapsulär durchgeführt. Mit wachsendem Risiko von Ersteingriffen bei cervicaler zu retrosternaler Struma und Rezidivoperationen liegt die Rate der Rekurrensparesen zwischen 1, 2 und 18 %, der Tatanien bei 0,25–2,0 %, der Letalität bei 0,11,3 % (N = 2119).
    Notes: Summary Typical thyroidectomy for nodular goitre is carried out uni- or bilaterally according to individual extension. A remnant of approximately normal gland size should be left. Retrosternal growth can usually be removed by cervical access, only real intrathoracic localization requires thoracotomy. Surgical risks correspond directly to type of operation (primary cervical, retrosternal, recurrence) with recurrent nerve paralysis of 1.2–18 %, tetany 0.25–2.0%, lethality 0.1–1.3 % (N = 2119).
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01729482
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  • 7
    Electronic Resource
    Electronic Resource
    Acute acalculous cholecystitis complicating trauma: A prospective sonographic study (1992)
    Springer
    World journal of surgery 16 (1992), S. 1160-1165 
    Details
    ISSN: 1432-2323
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé La cholécystite aiguë alithiasique (CAL) est une complication bien connue chez le polytraumatisé grave. La plupart des données de la littérature émanent d'analyses rétrospectives ou de cas isolés. Entre le 1er Janvier 1989 et le 30 Juin 1990, 45 patients admis dans notre unité de soins intensifs ont eu, à des intervalles bien définis, un examen clinique et échographique de façon prospective. Deux indices, le “ISS” ou “injury severity score” et le “PTS” ou “polytrauma score”, ont été calculées. La CAL a été définie comme la combinasion d'hydrocholécyste avec épaississement de la paroi vésiculaire (〉3.5 mm) et de la présence de sludge. Cette triade a été retrouvée chez 8 des 45 patients (18%). Une cholécystectomie précoce a été décidée chez un de ces patients, alors que les 7 autres ont été traités médicalement. L'incidence de CAL chez le polytraumatisé grave est sûrement plus élévée qu'il n'est classique de le dire. L'échographie est une méthode fiable pour la détection précoce et pour suivre cette complication post-traumatique.
    Abstract: Resumen La colelitiasis acalculosa (CAA) es una reconocida complicación en pacientes con trauma severo. El conocimiento sobre la CAA emana de análisis retrospectivos y de reportes esporádicos de casos individuales. En un estudio prospectivo se investigó esta entidad por medio de examenes clínicos y sonográficos seriados en 45 pacientes politraumatizados que ingresaron a nuestra unidad de cuidado intensivo entre el 1° de enero de 1989 y el 30 de junio de 1990. La severidad del trauma fue determinada mediante el ISS (Injury-Severity-Score) y el PTS (Polytrauma-Score). La CAA fue definida como la combinación de hidrops de la vesícula biliar, aumento del aspesor de la pared (〉3.5 mm) y la demonstración de barro biliar. Esta traida diagnóstica pudo ser documentada en 8 de 45 pacientes (=18%). Consecuentemente, se preacticó colecistectomía precoz electiva en 1 de 8 pacientes con la traida diagnóstica de CAA; el resto de los casos fue tratado en forma conservadora. La incidencia de CAA es más alta de lo que sugieren las estadísticas publicadas. La ultrasonografía constituye un método confiable de detección precoz y de seguimiento de esta complicación.
    Notes: Abstract Acute acalculous cholecystitis (AAC) is a well known complication in severely traumatized patients. Existing data of AAC originate from retrospective analyses and episodic case reports. In a prospective study 45 polytraumatized patients admitted to our intensive care unit from January 1989 to June 1990 were clinically and sonographically screened for this condition at defined time intervals. Trauma scoring was performed according to the injury severity score and polytrauma score. AAC was defined as a combination of hydrops of the gallbladder, an increased wall thickness (〉3.5 mm), and the demonstration of sludge. We were able to document this diagnostic triad in 8 (18%) of 45 patients. As a consequence early elective cholecystectomy was performed in 1 of the 8 patients. The remaining patients were treated conservatively. The incidence of AAC in severely traumatized patients is higher than figures so far published suggest. Ultrasound is a reliable method of early detection and follow-up of this complication.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02067089
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  • 8
    Electronic Resource
    Electronic Resource
    Iodide or l-Thyroxine to Prevent Recurrent Goiter in an Iodine-Deficient Area: Prospective Sonographic Study (1997)
    Springer
    World journal of surgery 21 (1997), S. 10-14 
    Details
    ISSN: 1432-2323
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. In a randomized study, prevention of goiter recurrence with l-thyroxine was compared with pure iodide substitution after thyroid surgery for nodular goiter in an iodine-deficient area. Altogether 107 patients were followed up for 52 weeks after thyroid resection. The thyroid volume was determined sonographically. Free thyroxine, total thyroxine, thyrotropin, thyroglobulin, and antibodies to thyroglobulin and thyroid peroxidase were measured. The thyroid volume decreased slightly over the course of a year in the two therapy groups. There was no significant difference between the two groups. Recurrences were seen with both l-thyroxine medication and iodide substitution. The thyroglobulin levels fell significantly over the 52-week follow-up period in the iodide group. Antibody formation was not observed under iodine substitution. In an area of iodine deficiency, substitution with iodide is just as effective as medicating the patients with l-thyroxine for preventing recurrences.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s002689900186
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  • 9
    Electronic Resource
    Electronic Resource
    Surgery for Graves' Disease: Total versus Subtotal Thyroidectomy—Results of a Prospective Randomized Trial (2000)
    Springer
    World journal of surgery 24 (2000), S. 1303-1311 
    Details
    ISSN: 1432-2323
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. The effect of surgery on Graves' orbitopathy (GO) is still controversial. Retrospective analyses of many authors (including our own group) demonstrated GO improvement after subtotal thyroid resection in up to 70% of operated patients, so the question arose whether total thyroidectomy could add anything to this pronounced positive effect on GO. We therefore performed a prospective randomized trial on 150 patients with Graves' disease (125 women, 25 men; mean thyroid volume 80.5 ml) comparing three surgical procedures (bilateral subtotal thyroid resection—total remnant 〈 4 ml; unilateral hemithyroidectomy with contralateral subtotal thyroid resection—remnant 〈 4 ml; total thyroidectomy) and their effect on postoperative GO changes, postoperative thyroid-stimulating hormone receptor (TSH-R) antibody titers, and postoperative complication rates. After a period of at least 6 months (6–36 months) GO had improved in 71% to 74% of all patients regardless of whether total or subtotal thyroidectomy was performed. TSH-R antibody titers showed no differences for the three surgical groups. Postoperative recurrent hyperthyroidism occurred in two patients with subtotal resections, and early postoperative hypoparathyroidism was more frequently detected in patients with total thyroidectomy than in those with subtotal thyroid resection (28% vs. 12%; p 〈 0.002). In respect to possible postoperative hypoparathyroidism and a lack of difference in postoperative GO changes, we do not advocate total thyroidectomy for patients with Graves' disease and Graves' orbitopathy but prefer radical subtotal thyroid resection with a remnant of less than 4 ml.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s002680010216
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  • 10
    Electronic Resource
    Electronic Resource
    Invited commentary (1994)
    Springer
    World journal of surgery 18 (1994), S. 505-505 
    Details
    ISSN: 1432-2323
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00353748
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