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Biomedical subjects

A K Huber

Publications and source records attributed to A K Huber.

4 recordsLinked to original sources
PubMed2006

[Symptomatic surgery].

We can distinguish between symptomatic and aetiological surgery. Symptomatic surgery includes operations, which remove the symptoms of a disease or at least palliate them albeit without removing their underlying pathology. On the other hand aetiological surgery means the curative removal of a pathology. It can be argued that any type of a surgery is symptomatic in nature, but that a part of the symptomatic surgery is curative as well. In addition to symptomatic and curative surgery, we also apply prophylactic surgery. Prophylactic surgery constitutes a controverse chapter. The question is whether an indication for prophylactic surgery does exist. One can argue, that it is difficult to improve the life of a well being patient by operating on him. On the other hand the question is whether it would not be more intelligent to improve the condition of a patient by removing the pathological aspects before symptoms appear. In addition, a pathological situation should not be allowed to progress to the stage where neither surgery nor conservative treatment offer sufficient benefit to patients.

Anastomosis, Surgical↗
PubMed1995

[Mirizzi syndrome: preoperative diagnosis and therapeutic management].

The Mirizzi syndrome describes a benign obstruction of the common hepatic duct due to a stone impacted within the cystic duct or in the Hartman's pouch of the gall bladder. The obstruction is caused either by external compression (Type I) or due to arrosion of the common hepatic wall creating a cholecysto-biliary fistula (Type II-IV). In a period of 16 months we encountered this rare cause of obstructive jaundice four times. We discuss the importance of preoperative diagnosis and a safe surgical management. Ultrasonography together with the laboratory findings of obstructive jaundice may lead to the suspicion of a Mirizzi syndrome. Often the endoscopic retrograde cholangiography confirms the diagnosis. Some authors report the successful treatment of Mirizzi syndrome by laparoscopic surgery. Nevertheless, we propose the open procedure because of the presence of dense inflammatory adhesions at the junction between the gallbladder and the common hepatic duct. Biliary-enteric bypass is often required to establish a sufficient biliary drainage. We consider laparoscopic techniques to be too dangerous.

Adult↗
PubMed1994

[Nephroblastoma-like kidney adenoma: case report of an extremely rare kidney tumor].

The nephroblastoma-like adenoma of the kidney is an extremely rare tumor with similarities to the nephroblastoma (Wilm's tumor) of the adult. In the literature, different terms are applied to these lesions. We present the case of a 64-year-old woman who underwent a nephrectomy for suspicion of renal cell carcinoma. Histologically the tumor consisted of tubular and papillary formations of monomorphic tumor cells without mitoses or cell-atypias and showed no fibrous capsule. The differential diagnosis to the nephroblastoma of the adult was difficult. Immunohistochemically the tumor expressed the embryonic form of the neural cell adhesion molecule (N-CAM) interstitially and not in the epithelial tumor cell as seen in Wilm's tumor. For the biologic tumor-definition it is important to collect and follow these very rare cases.

Adenoma↗