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  • 1
    Electronic Resource
    Electronic Resource
    Palo Alto, Calif. : Annual Reviews
    Annual Review of Medicine 44 (1993), S. 385-393 
    ISSN: 0066-4219
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Der Chirurg 71 (2000), S. 743-753 
    ISSN: 1433-0385
    Keywords: Keywords: Laparotomy closure – Dehiscence – Incisional hernia – Suture – Suture technique – Prosthesis. ; Schlüsselwörter: Wundverschluß nach Laparotomie – Dehiszenz – Narbenhernie – Naht – Nahttechnik – Fremdmaterial.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung. Eine zusammenfassende Übersicht neuerer Techniken und Empfehlungen, die in der englischsprachigen Literatur zu finden sind, wird hier gegeben. Beim primären Wundverschluß mit fortlaufender Naht nach medianer Laparotomie sollte das Nahtlängen/Wundlängenverhältnis bei 4–5:1 liegen. Dies erscheint der wesentlichste Schritt zur Vermeidung von Wunddehiszenz oder Narbenhernie zu sein. Die Wahl des Nahtmaterials scheint keine Schlüsselrolle für die Festigkeit der Wunde zu haben. Auf anekdotische Erfahrungen basiert die Verwendung von Netzeinlagen in spezieller Technik beim Verschluß von Narbenhernien zur Vermeidung von Rezidiven. Verschiedene Techniken des temporären Wundverschlusses können beim schwierigen Verschluß des Abdomens zur Anwendung kommen.
    Notes: Abstract. A perspective on the newer techniques and techniques and recommendations in abdominal wall closure as described in the English-language literature is given. Primary closure of midline incision with running suture should be performed with a suture length to wound length ratio in the range of 4–5 to 1; this appears to be the most important step the surgeon can take to avoid dehiscence and/or hernia. The choice of suture material does not appear to be crucial with regard to the prevention of wound failure. Anecdotal experience has suggested that the specific technique of mesh placement in incisional herniorrhaphy is important to prevent recurrence. Difficult abdominal closure can be handled by one of a number of temporary abdominal closure techniques.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Surgical endoscopy and other interventional techniques 13 (1999), S. 906-908 
    ISSN: 1432-2218
    Keywords: Key words: Laparoscopy — Hiatal hernia — Gastroesophageal reflux — Laparoscopic Nissen fundoplication — Polytetrafluoroethylene — Prosthetic
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: Several studies have shown that large hiatal hernias are associated with a high recurrence rate. Despite the problem of recurrence, the technique of hiatal herniorrhaphy has not changed appreciably since its inception. In this 3-year study we have evaluated laparoscopic hiatal hernia repair in individuals with a hernia defect greater than 8 cm in diameter. Methods: A series of 35 patients with sliding or paraesophageal hiatal hernias was prospectively randomized to hiatal hernia repair with (n= 17) or without (n= 18) polytetrafluoroethylene (PTFE). All patients had an endoscopic and radiographic diagnosis of large hiatal hernia. Both repairs were performed by using interrupted stitches to approximate the crurae. In the group randomized to repair with prosthesis, PTFE mesh with a 3-cm ``keyhole'' was positioned around the gastroesophageal junction with the esophagus through the keyhole. The PTFE was stapled to the diaphragm and crura with a hernia stapler. Results: Patients were followed with EGD and esophagogram at 3 months postoperatively, and with esophagogram every 6 months thereafter. Individuals with PTFE had a longer operation time, but the 2-day hospital stay was the same in both groups. The cost of the repair was $1050 ± $135 more in the group with the prosthesis. There were two complications (1 pneumonia, 1 urinary retention) in the group repaired with PTFE and one complication (pneumothorax) in the group without prosthesis. The group without PTFE was notable for three (16.7%) recurrences within the first 6 months of surgery. Conclusion: On the basis of these preliminary results it appears that repair with PTFE may confer an advantage, with lower rates of recurrence in patients with large hiatal hernia defects.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Surgical endoscopy and other interventional techniques 11 (1997), S. 769 -771 
    ISSN: 1432-2218
    Keywords: Key words: Laparoscopic Nissen fundoplication — Gastroesophageal reflux — Hiatal hernia — Polytetrafluoroethylene — Prosthetic — Antireflux procedure
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Symptomatic gastroesophageal reflux after Nissen fundoplication may occur if the wrap herniates into the thorax. In an attempt to prevent recurrent hiatal hernia we employed polytetrafluoroethylene (PTFE) mesh reinforcement of posterior cruroplasty during laparoscopic Nissen fundoplication and hiatal herniorrhaphy. Three patients with symptomatic gastroesophageal reflux and a large (≥8 cm) hiatal defect underwent laparoscopic posterior cruroplasty and Nissen fundoplication. The cruroplasty was reinforced with a PTFE onlay. No perioperative complications occurred, and in follow-up (≤11 months) the patients are doing well. When repairing a large defect of the esophageal hiatus during fundoplication, the surgeon may consider reinforcement of the repair with PTFE mesh.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Journal of chemical ecology 11 (1985), S. 409-416 
    ISSN: 1573-1561
    Keywords: Alarm substances ; nest defense ; 2-heptanol ; 2-nonanol ; mandibular gland ; Hymenoptera ; Apidae ; Meliponinae ; stingless bees ; Trigona silvestriana
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Chemistry and Pharmacology
    Notes: Abstract 2-Nonanol, 2-heptanol, octyl decanoate, and octyl octanoate were identified from the heads ofTrigona silvestriana workers. When presented at the nest, 2-nonanol, 2-heptanol, and the mixture of the four compounds elicited angular flights, landing, and buzzing of guard bees. Octyl octanoate elicited a weaker response. No response was given to octyl decanoate, to the ether solvent, or to the control volatile, vanillin.
    Type of Medium: Electronic Resource
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