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Biomedical subjects

D Wilker

Publications and source records attributed to D Wilker.

31 records · Page 2Linked to original sources
PubMed1984

[Restoration of an infected hip joint with sartorius-plasty].

For treatment of infected hip joints we use the proximally based sartorius muscle. After ligation of the vessels in the distal part of the muscle, the sartorius muscle is elevated and transposed to the floor of the deep joint cavity. By completely filling the space defect, reinfection of the osteomyelitic cavity is prevented. In addition, the transposed muscle flap directs optimal blood perfusion to the hypoxemic capsule tissue via its own vascular pedicle.

Aged↗
PubMed1982

[Wound infection and its treatment in accident surgery].

A so-called atraumatic operative technique is required to prevent post-traumatic wound infection. Especially in open fractures, closing a wound can lead to infection despite tension at the wound edges. Postoperative hematomas may also lead to infection, whereupon a further operation is necessary. Palliative treatment of the acute stages of infection consists in immediate evacuation, drainage and careful débridement. The wound must be closed without dead space remaining, but this proves impossible the dead space may be filled with a vascularized pedicle graft from adjacent muscle. The treatment of chronic infection, often accompanied by loss of skin and bone substance, has been improved by microsurgical techniques that allow the combination of autogenous bone grafting with vascularized musculocutaneous flap transplantation. Acute empyema requires early synovectomy.

Accidents↗
PubMed1980

Acquired isolated factor X deficiency associated with systemic amyloidosis. Case report and review of literature.

The demonstration of acquired isolated factor X deficiency and of a biclonal homogeneous lambda and kappa light polypeptide chain proteinuria in a patient of 49 years having an obscure hepatomegaly gave clinical evidence for the rate, amyloidosis-associated factor X deficiency, which could be proven by postmortem examination. The mechanisms by which amyloid may affect factor X levels in this case may be preferentially binding to the amyloid fibrils of lambda light chain type.

Amyloidosis↗
PubMed1980

[Ivemark's syndrome (author's transl)].

Following a case report of a newborn with Ivemark's syndrome, we go into etiology, embryology, and anatomy of this congenital cardiovascular disease with asplenia and other visceral abnormalities. The cause of this complex disorder is an exogen or endogen factor active between the 28th and 32nd day of embryological development. Lethality with or without operation is high, therefore clinical diagnosis should possibly be made early by X-ray of chest and abdomen, blood smear, ultrasound, and angiocardiographic investigations.

Aorta, Thoracic↗