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  • 1990-1994  (2)
  • Support  (1)
  • fistula  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Supportive care in cancer 2 (1994), S. 56-60 
    ISSN: 1433-7339
    Keywords: Bone marrow transplantation ; Team ; Support ; Burnout ; Psychosomatic ; Liaison service
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Both patients and staff in a bone marrow transplantation (BMT) unit have to cope with the effects of an aggressive treatment that helps many patients but also kills some. This has led to the regular involvement of support services in most American BMT units. This article describes the experience in 4 years of continuous psychosomatic liaison activity at the BMT unit at the University Hospital in Basel. The specific stressors a transplant team is subject to are described, such as high morbidity and mortality of patients and the close relationship between patients and staff members. Support for the transplant team cosists in the following activities: a psychosocial interview with each patient at the beginning of his or her hospital stay; weekly psychosocial round-ups with the whole team; regular participation in ward rounds; organization of workshops to prevent burnout. Although an empirical evaluation of this approach is lacking, the clinical evidence suggests that constant and reliable team support helps to stabilize the team, adding to its inner security. This ultimately improves patient care.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1437-9813
    Keywords: Posterior sagittal pull-through ; Recto-urinary ; fistula ; Urethral stricture ; Neurogenic bladder
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The use of the sagittal surgical approach to the rectum and urinary fistula in male patients with anorectal agenesis is addressed. Iatrogenic damage to the urethra (1 in 60 cases) and pelvic (2 in 60 cases) occurred when the operator had difficulty identifying the rectum intraoperatively and where inappropriate midline dissection was done. The importance of an adequate preoperative contrast rectogram and the intraoperative identification of the rectum with the aid of a catheter is emphazied. Perirectal blunt dissection is discouraged, the need for deep lateral directed tissue retraction is avoided by applying direct traction onto the freed rectum, and a long and wide portion of rectal wall is left in the midline on the urethra and bladder neck. The anatomy of the autonomic pelvic plexus at risk in the normal and congenitally abnormal case is described.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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