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A Czerniak

Publications and source records attributed to A Czerniak.

79 records · Page 5Linked to original sources
PubMed1976

[Influence of fatty-acid and glucose content of the perfusate on the energy metabolism of the preserved canine kidney].

Thirty-seven canine kidneys were preserved by hypothermic low flow perfusion for 24-120 h with solution I containing albumin, free fatty acids, and glucose, or with solution II containing Haemaccel without free fatty acids or glucose. Following 48 h preservation the renal ATP and SAN content was identical in both groups, irrespective of the availability of substrates from the perfusate.

Animals↗
PubMedDate not supplied

Comparison between Savary-Gilliard and balloon dilatation of benign esophageal strictures.

The efficiency and safety of the 2 most commonly used endoscopic dilators, Savary-Gilliard and pressure balloons, were compared in 2 groups, each including 30 patients, with benign esophageal strictures. Four additional patients with tight and tortuous cervical esophageal strictures were initially managed by balloon dilatation followed by Savary-Gilliard dilatation. These patients could not be dilated by each of the methods alone. Sixty patients [35 males and 25 females with a mean age of 52 years (range, 4-91)] underwent 165 esophageal dilatations. The etiologies of strictures included reflux esophagitis (65%), caustic damage (18.3%), and postoperative (anastomotic, or post-Nissen operation) in 16.7%. Dysphagia improved in all patients; however, 2 patients (1 from each group) with hard postoperative anastomotic stricture eventually underwent surgical resection of stricture. There were no major complications or mortality related to the dilatations. Both methods were highly effective and well tolerated, yet Savary-Gilliard dilators were slightly more effective and simpler to use than balloons. Nevertheless, tortuous cervical strictures and multiple closely-placed strictures were more effectively managed by initial use of balloon followed by Savary dilators.

Burns, Chemical↗
PubMedDate not supplied

Peripheral nerve section as palliation for severe ischemic foot pain.

Multisensory peripheral nerve divisions were performed in 17 elderly patients with severe ischemia, forefoot pain and non-healing lesions or localised gangrene. They were unsuitable for a vascular reconstructive operation, or for localised foot amputation. The mean age of the patients was 73 years; 13 were males and 10 had diabetes mellitus. All were faced with a major amputation. Considerable pain relief was achieved in all patients but only five patients retained a functional lower extremity for more than 6 months. Of these five one was a diabetic and four were non diabetic. Peripheral nerve section is a useful procedure, but should be applied very selectively and only rarely in diabetic patients.

Aged↗
PubMedDate not supplied

Laparoscopic liver resection in the Large White pig--a comparison between waterjet dissector and ultrasound dissector.

Resection of 16 liver lobes was successfully undertaken laparoscopically in anaesthetised Large White pigs. These animals proved to be suitable for the instruments used in human laparoscopic procedures. It was planned to undertake a comparison between the waterjet and ultrasound dissectors, but this proved impossible because of the development of a thick intraabdominal mist during dissection with the waterjet dissector. The ultrasound dissector was effective in dissecting the intraparenchymal hepatic structures, especially the portal vein and the hepatic vein. These blood vessels were safely secured with endoclips, while bleeding points on the resection surface were coagulated with an argon beam coagulator. The liver specimens removed were approximately 75 g in weight. All ultrasound-dissected animals survived for 10 days. Post-mortem evaluation showed two cases of wound infection, one case of subphrenic abscess and two cases of biloma. Our results emphasise the potential of laparoscopic resection techniques for formal or at least peripheral liver resections in humans.

Animals↗