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Biomedical subjects

G Bronz

Publications and source records attributed to G Bronz.

11 recordsLinked to original sources

[Ulcerated breast cancer of the young patient: a case report].

A 29-year-old woman presented with an exulcerating cancer of the right breast. She underwent a total mastectomy and axillary clearance which revealed a pathological stage of T4 N+ (21/23) M0. She received chemotherapy followed by radiation therapy and by chemotherapy again. 30 months later, a contralateral breast cancer was diagnosed. A close team-work of gynaecologist, plastic surgeon, medical and radiation oncologists allowed to combine the operation with the reconstruction of both breasts together with chemotherapy and irradiation of the left chest wall (the tumor was focally infiltrating the pectoralis muscle). We would like to show that a reconstruction of the breast in a young woman presenting with a bad prognosis can be carried out provided a well-organized team-work.

Adult

Lipoplasty of the abdomen and lateral thighs.

Liposuction, today, has become a routine technique for plastic surgeons and is frequently also used by nonspecialists. To obtain the best results, it is necessary to follow more rigorous standards of patient selection with a technique that is safely performed in the best possible way. The patients' expectations must be realistic and carefully considered. I try to demonstrate with illustrations that, by respecting these norms, the preoperative objectives set by the surgeon and the patient can be regularly reached.

Abdomen

[Bronchiolo-alveolar cell carcinoma].

15 cases of bronchiolo-alveolar cell carcinoma were observed at the Dept. of Surgery of the University Hospital of Zurich from 1961 to 1976. The mean age of these patients was 56 years. The sex distribution was 13 males and 2 females. Five cases were discovered accidentally; the symptoms of the remaining 10 were uncharacteristic. Cytology, bronchoscopy and mediastinoscopy were negative at early stages. Diagnosis was made by histologic examination of the specimens only. Needle biopsy, performed routinely over recent years, proved helpful in 4 cases. In 12 out of 14 patients, lobectomy was considered 'radical'; nevertheless, only 2 survived more than 5 years. The disseminated form of the bronchiolo-alveolar cell carcinoma is characterized by a particularly poor prognosis. According to our experience and to the literature, only the solitary, nodular type shows a more favourable outlook.

Adenocarcinoma, Bronchiolo-Alveolar

[Hemoptysis].

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Bronchial Diseases

[Therapy of pleural empyema after pneumonectomy with open-window drainage and continuous rinsing].

From 1961 to 1977 24 thoracic empyemas (=4,75%) after 507 pneumonectomies were observed at the Surgical Clinic A of the Zurich University Hospital. Two methods for the management of this condition are discussed: open-window drainage (CLAGETT) and continuous rinsing of the pleural cavity (LUIZY). The first mentioned method proved to be a palliative one in our patients: no thoracostomy could be re-closed operatively. Two thoracic windows healed up spontaneously without recurrence of an empyema; one patient died shortly after the operation from respiratory insufficiency. Of the five patients treated by continuous rinsing, four were cured as for their empyema, but one of the latter died from renal insufficiency. In one case an open-window drainage finally had to be accomplished.

Adult

[Reconstruction of injured veins under the ligament].

The difficulties met, when reconstructing an injured v. femoralis communis, are greater than those of other veinous segments of the leg. This is due to the fact that the vein, being disconnected from its natural braces, is compressed by the inguinal ligament. In order to overcome this elective difficulty, a modification of the ring of Kunlin, especially thought out for this part of the body and clinically tested, is presented.

Adult

[Results of closed medullary nailing of leg fractures (27 controlled cases)].

One of the possible methods for osteosynthesis of leg fractures is Küntscher's closed medullary nailing. The problems resulting from this type of injury, the surgical method, and the results obtained will here by presented on the basis of 27 checked cases. In 25 of those cases the fracture healed within the normal time span. In one case the consolidation was delayed, and one case gave rise to pseudarthrosis.

Adolescent