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Biomedical subjects

E Moritz

Publications and source records attributed to E Moritz.

At least 73 records · Page 4Linked to original sources
PubMedDate not supplied

Laparoscopic cholecystectomy for patients who have had previous abdominal surgery.

This paper reports 121 laparoscopic cholecystectomies (LC) in patients who had had previous abdominal surgery between June 1990 and August 1992. There were 93 cases with lower abdominal scar (LS) and 28 with upper or umbilicus midline scar (US). For insertion of the laparoscope in the scarred abdomen we use the conventional laparoscopic approach (CLA), the peritoneum perforation under vision approach (PP), and the open laparoscopic approach (OLA). One hundred twenty scarred abdomens were completed successfully. Conversion to an open procedure was required in one case with previous LS, because of injury of the jejunum. One postoperative intraabdominal hematoma was noted and treated with percutaneous catheter drainage. No reoperation was required and no further complications were noted. Patients who had a previous laparotomy had no substantially longer operative time or postoperative hospital stay. Revealing a total complication rate of 1.6%, this study shows that previous abdominal surgery should no longer be considered a contraindication to LC.

Cholecystectomy, Laparoscopic↗
PubMedDate not supplied

Thoracoscopic treatment of spontaneous pneumothorax with the ENDO-GIA-Stapler.

Spontaneous pneumothorax carries a high risk of recurrence after treatment by intercostal drainage only. In such cases and in patients with persistent air leaks under adequate drainage we avoided correction by open thoracotomy using thoracoscopic techniques. On five patients we performed six resections of lung areas bearing blebs or bullae. An ENDO-GIA-Stapler was used for transection and closure of the lung tissue. In one patient a partial apical pleurectomy was added and in four patients an additional pleurodesis with silver nitrate was performed. An immediate air-tight suture was achieved in every case. There were no complications associated with this method. The postoperative pain and the length of hospital stay were markedly reduced compared to open thoracotomy procedures. During the follow-up period (3-7 months) no recurrence was noticed.

Adult↗