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Biomedical subjects

A Schmölder

Publications and source records attributed to A Schmölder.

6 recordsLinked to original sources
PubMed1993

[Prevention of thrombosis in surgery of the extremities. Physical methods in thrombosis prevention].

Physical therapy procedures for the prophylaxis of thrombosis are part of basic medical therapy. Their effect has been documented by numerous individual observations, even though no prospective studies are available. Since the inconvenience to the patient is minor, they should be implemented in all surgical patients. In the case of patients at risk of thrombosis such as in orthopedic surgery, the effect of such procedures is not sufficient. In this case physical therapy procedures can only supplement the medical prophylaxis of thrombosis. The effectiveness of technically more complex physical procedures has been documented in small studies, but due to the high technical and personnel costs, the application is restricted.

Bandages↗
PubMed1993

[Treatment of venous thrombosis].

In the treatment of deep vein thrombosis (DVT), a rapid clinical diagnosis supported by the appropriate equipment, the age of the patient, and the extent of the thrombosis are the major determinants of successful therapy. Active and conservative treatment should be aimed at the prevention of pulmonary embolisms, rethrombosis and elimination of the thrombus, while preserving venous valvular function, which in turn is essential to avoid the development of post-thrombotic syndrome. The treatment of acute DVT remains controversial. For this reason the indication, treatment, and recently published results of thrombectomy, thrombolysis, and the possibilities for preventing DVT are discussed.

Anticoagulants↗
PubMed1991

[Surgery of the adrenal glands. Advantages and disadvantages of an anterior versus a posterior approach].

From Jan. 1984 until Oct. 1990 87 adrenalectomies in 75 patients were performed. In 29 patients the transabdominal anterior approach via a transverse upper abdominal laparotomy was carried out for unilateral left (18 pat.) or right adrenalectomy (11 pat.). 46 patients underwent 58 adrenalectomies using the posterior approach as described by Mayor. Using this approach with the patient in prone position, the 11th rib is resected, the pleural reflection identified, the Gerota's fascia incised and the suprarenal space exposed. When the anterior approach was used, blood transfusions were required in 34%. On the other hand, with the dorsal approach, a transfusion was necessary in only 4% of the patients. In 3 of 18 anterior left adrenalectomies a splenectomy was required (17%). The previous was not necessary in any patient having undergone a posterior adrenalectomy. Using the anterior approach postoperative hemorrhage occurred in 7%. No cases of bleeding were observed after posterior adrenalectomy. The average hospital stay was 14.6 days in the transabdominal and 8.5 days in the posterior group. The dorsal approach can only be used in cases in which the tumour is less than 5 cm. For larger of malignant tumours the transabdominal approach is mandatory. In conclusion the posterior adrenalectomy is superior to the anterior and should therefore be employed in appropriate cases.

Adrenal Gland Neoplasms↗
PubMed1990

[Morphology and clinical picture of thymus carcinoid].

A large mediastinal tumour was discovered radiologically in a 50-year-old man, with at times blood-tinged sputum and dyspnoea. Parasternal needle biopsy revealed a thymic carcinoid. After surgical excision of the tumour, which had argyrophilic foci (total weight of tumour 1,605 g), histochemical analysis demonstrated neuron-specific enolase, synaptophysin and chromogranin, as well as calcitonin (as the only hormone). For the first time in a thymic carcinoid, radioimmunoassay demonstrated growth-hormone-releasing hormone (2 micrograms/g tumour tissue). Post-operative radiotherapy (total dosage 50.5 Gy) was instituted because histological examination had shown invasion of the capsule and blood vessels. There has been no local recurrence or metastases after three years.

Biopsy, Needle↗
PubMed1987

[Thoracic outlet compression syndrome].

In patients suffering from chronic, therapy-resistant shoulder and arm pains, the thoracic outlet compression syndrome (TOS) should be included in the differential diagnosis. It is very important to look out for neurogenic disorders as well as early signs of vascular compression in order to prevent ischaemic injuries. Although the initial complaints appear slight and can in some cases be treated successfully by conservative methods, neurogenic disorders due to TOS as well as arterial and venous manifestations of the syndrome should be treated by resection of the first rib. Only in this way can irreversible neurogenic lesions and arterial or venous complications be prevented.

Arm↗