Biomedical subjects
Publications and source records attributed to F Bröhl.
Between 1974 and 1991 six patients with an aortoenteric fistula were treated. A primary aorto-jejunal fistula was successfully operated. The other 5 cases were suffering from secondary fistulas due to aortoiliac reconstructions. None of these patients survived. The diagnostic procedures, therapy and prophylaxis are discussed.
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It is reported about 6 patients whose bleeding gastric ulcers required gastrectomy as ultima ratio. The operative technique depends on the individual case. Gastrectomy is indicated in patients with diffuse bleeding from erosions or multiple ulcers especially combined to coagulation disorders or in patients with recurrence bleeding after previous gastric resection. We saw no letal complication in spite of unfavourable initial conditions and major operating trauma. There were no essential postoperative complications except of one patient. The definite hemostasis seems to be most important for the prognosis of such critically ill patients.
The so called "Maisonneuve fracture" as a special type of Weber C fractures of the upper ankle joint is presented. Problems of diagnosis and operative treatment are thoroughly investigated. The own proceedings as well as the follow-up-examination of 12 patients are discussed.
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