Biomedical subjects

D Staupendahl

Publications and source records attributed to D Staupendahl.

3 recordsLinked to original sources

PubMed1999

Castor oil decreases pain during extracorporeal shock wave application.

In a prospective single-blind study the contact media ultrasound gel, vaseline and castor oil were examined for their effect on surface pain caused by extracorporeal shock waves used for tendinosis calcarea (n = 25), radiohumeral epicondylitis (n = 23) and plantar heel spur (n = 12). A total of 60 patients was divided into six groups. Using a Compact S shockwave source (Dornier MedTech), an energy flux density up to 0.12 mJ/mm2 was applied three times within 3 weeks. Independent of the diagnosis, there was a statistically significant influence of the contact medium on the intensity of application pain. In this comparison castor oil was best. For the diagnosis of tendinosis calcarea and plantar heel spur, castor oil was significantly better than the other two contact media, while for epicondylitis there was no significant difference. Castor oil was found to have an advantage over ultrasound jelly and vaseline in all indications used with regard to application pain. The positive effect of castor oil can be explained by its cavitation-free quality.

Castor Oil↗

PubMed1997

[Repeat interventions in metastases].

Between 1985 and 1994, 262 patients with metastases underwent resectional treatment in the Department for General and Abdominal Surgery of the University of Mainz. Twenty-seven patients with recurrent metastases were treated with repeat resections. The records of these 27 patients were reviewed and analyzed. After 42 repeat resections, 4 of 27 patients (14.8%) developed complications. Three of 27 patients died in the postoperative period (11.1%). For patients with R0 resection of metastases from colorectal primaries the median survival time was 69 months after resection of the primary tumor (n = 16), 38 months after the first resection of metastases (n = 15), and 25 months after the second resection of metastases (n = 15). After the last repeat resection of metastases in each patient, median survival was 25 months in patients with R0 resection (n = 11), compared to 7 months following R1/2 resection (n = 5) (P = 0.007). Disease-free survival following first R0 resection of colorectal metastases (n = 15), was not significantly different from disease-free survival following repeated R0 resection of colorectal metastases (n = 21). Patients with repeat resection of colorectal liver metastases (n = 9) had longer disease-free survival (median 18 months) than patients with repeat resection of colorectal metastases in organs other than liver or lungs (median 4 months; n = 4) (P = 0.005). Repeat resections for metastases are characterized by low operative risk and a prognostic benefit for highly selected patients.

Adult↗

PubMedDate not supplied

[Analgesic effect of low energy extracorporeal shock waves in tendinosis calcarea, epicondylitis humeri radialis and plantar fasciitis].

PURPOSE OF THE STUDY: Is there a pain reduction at the application site after extracorporeal shockwave application for tendinitis calcarea, epicondylitis radialis and plantar fasziitis? METHODS: In a prospective study 85 patients were observed. Shockwave application was performed three or five times using low energies (0.09-0.18 ml/mm2). Before and after shockwave application pain was evaluated using SF-36 score and Visual Analog Scale (VAS). RESULTS: After 5 months for all three indications a significant improvement of the pain situation could be reached. Patients with plantar fasziitis demonstrated the highest decrease of pain, followed by tendinosis calcarea and epicondylitis radialis. The number of applications had no influence to the clinical result of the ESWT. RELEVANCE: In the present study the analgetic effect of ESWT after repeated low-energy application was described for the standard indications.

Adolescent↗