Biomedical subjects
Publications and source records attributed to F Flemming.
The Kock-pouch ileostomy is a great help for patients with ileostomy to establish continence for faeces. The operation should be performed exactly following the directions given by Kock. The necessity for the surgeon to follow up the patients for a long time is stressed.
In piles, anal fissure sclerosis and primary achalasia the internal anal sphincter muscle is the focus of a vicious circle. By subcutaneous internal sphincterotomy, a causal measure, this circle can be broken through without the danger of incontinence. This could be demonstrated by rectal pressure readings. The early results are satisfactory.
The effect of Infukoll 6% was observed in 58 surgical patients during 3 respectively 14 days in the postoperative phase by means of the Breddin and the Borntest. Infukoll showed a small effect as an inhibitor of the thrombocyte agglutination and for the regulation of the thrombocyte level in blood. The main effect lies in the rheological sector.
Today the effective psychical management of patients has become more difficult because the doctor is confronted with a modern critical patient. The relations between doctor and patient are complicated due to many doctors cooperating in treatment and diagnosis. Information of the patient and organisation of the psychical care concerning the prae, intra- and postoperative period are discussed.
The differential diagnosis between Ewing-sarcoma and chronic osteomyelitis can only be established by scintigraphy, angiography and histological specimen. Treating such a case by irradiation only under suspicion of an Ewing-sarcoma is hazardous and will be followed by severe damage of the body.
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Only anti-coagulators and aggregation-stoppers may be said to be the medicamental prophylaxis of thromboembolism. The Cumarin-Indandion group is burdened with continuous laboratory controls. Contraindications excluding a general prophylaxis for this group as well as for Heparin and ASS exist. Infukoll, which is virtually always applicable, has the disadvantage that it has to be infused. Heparin- and Dextranspreparations however can already be used preoperatively, which means that a further decline of the coagulation complications can be expected.
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