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Biomedical subjects

H Bülow

Publications and source records attributed to H Bülow.

29 records · Page 2Linked to original sources
PubMed1977

[Hydroxy-ethyl-starch as plasma substitute in transurethral prostatectomy with the "cold-punch" method (author's transl)].

Each of 24 patients undergoing transurethral prostatectomy under spinal anaesthesia received 1000 ml HES and, depending from the clinical situation, some patients received blood-transfusion. Afterwards two groups were formed: group A (11 patients), who received HES only, and group B (13 Patients) with additional blood-transfusions. The following parameters were monitored simultaneously: blood pressure, heart rate, stroke index, cardiac output, active blood volume, hemoglobin and hematocrit in whole blood as well as in the irrigatin fluid of the bladder. They showed HES to be a useful plasma substitute for older patients. It is well tolerated and has a slow stabilising effect on circulation, which was effective for several hours. Furthermore, HES-infusion reduced the average need of bloodtransfusion by 500 ml.

Aged↗
PubMed1976

[Gastrointestinal fistulae of the upper urinary tract (author's transl)].

A case of ureteroduodenal fistula is presented. The subject of gastrointestinal fistulae of the upper urinary tract is reviewed. These fistulae usually exhibit a sparse atypical symptomatology in contrast to fistulae of the lower urinary tract. Retrograde ureteropyelography proves to be the most helpful diagnostic tool. Removal of the involved kidney has been found to be necessary in most of the published cases.

Aged↗
PubMed1976

[On the size of the male urethra. Consequences of transurethral prostatic resection (author's transl)].

More recently it has been claimed by some authors that a disproportion between the size of the resectoscope and the lumen of the urethra is supposedly the cause of urethral strictures following transurethral prostatic resection. For this reason the use of resectoscopes no larger than 24 F in size has been urged. Reports in the literature as well as our own investigations in connection with the transurethral resection by cold punch technique cast some doubt on the wisdom of this statement as long as other causes, such as thermal damage during electroresection, are not definitely excluded.

Electrosurgery↗
PubMed1975

[Etiology, diagnosis and treatment of spontaneous ruptures of the kidney (author's transl)].

Spontaneous ruptures of the kidney occur seldom. As a rule they are observed in impaired organs. According to the various underlying diseases the symptomatology can differ widely. Etiology and pathogenesis often become clear only after surgical exposure of the kidney. Our own observation of such a case lead us to review the causes as well as the diagnosis and treatment of spontaneous ruptures of the kidney. For clinical purposes we propose a classification into spontaneous ruptures of the kidney with perirenal hematoma and spontaneous ruptures of the pelviocalyceal system.

Aged↗
PubMed1975

Use of the Otis urethrotome in the treatment of urethral strictures and congenital urethral stenoses.

Internal urethrotomy using the Otis urethrotome is described in detail. Performing this procedure in 23 patients with urethral strictures, no further dilatations of the urethra were necessary in approximately 60%. If internal urethrotomy, which offers the advantages of having a very low rate of complications and which may be repeated, proves unsuccessful, a urethroplasty can still be carried out. As a preliminary procedure to transurethral resection of the prostate by cold punch technique, internal urethrotomy appears to be of great value in preventing urethral strictures - as demonstrated by follow-up studies in 351 patients.

Adult↗