[Experiences with the clinical use of hot air jet coagulation].
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Biomedical subjects
Publications and source records attributed to H Blessing.
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A case of primary squamous cell carcinoma arising in a sigmoid diverticulum is reported. The literature concerning pure squamous cell carcinoma of the colon is reviewed. With regard of possible pathogenesis of squamous cell carcinoma of the colon 76 diverticula are examined and the results discussed.
In this prospective trial prevention of infectious complications after elective colonic surgery was studied. 34 patients receiving i.v. cefazolin were compared to 32 patients receiving oral metronidazol and i.v. cefazolin. No significant difference was observed concerning local wound infection, septicemia, anastomotic dehiscence or death. The rate of postoperative infection was 53% in group I, 34% in group II. No side effects of this prophylaxis were observed.
In 20 healthy subjects anorectal pressure has been measured with a micro-tip pressure transducer. This method is shown to be superior to conventional measurements with perfusion or balloon catheters. The main features of the micro-tip pressure transducer are internal calibration, thermal stability and linearity in pressure transmission. Our results show significantly higher pressure profiles at rest and during squeezing in young males than in young females. Exact and selective pressure data can be obtained from any area of the anal canal in supine as well as in standing position. Therefore we recommend this method for evaluation and follow-up of all the cases with sphincteric incompetence.
Indications and methods of inferior vena cava interruption in the management of recurrent pulmonary embolism are discussed. The results of a collected series are analyzed with special regard to the partial interruption technique using the Adams and de Weese clip. Five of our own cases, followed up 1 year postoperatively, are presented.
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A series of 23 venous thrombectomies of the lower limb is presented. In 19 instances indirect thrombectomy of the iliacofemoral segment was performed. 1 direct thrombectomy of the v. cava inferior led to full lumen restoration. Direct thrombectomy of the popliteal vein was attempted in 3 cases, resulting in phlebographic and clinical normalization in 2 instances. In no instance did pulmonary embolism occur during or after venous thrombectomy.
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615 transperitoneal operations on the colon and rectum produced the following results. 377 abdominoperineal resections, anterior resections, partial and subtotal colectomies and proctocolectomies, 87 closures of colostomies and 151 operations with resection. 66% of the operations were required due to tumors. The death rate with 545 preopreratively prepared and scheduled operations was 8.1% whereas with the 70 emergency operations it was 25.7%. In 254 or 41.3% of the cases there were postoperative complications. Severe postoperative complications due to infection were the most frequent, followed by cardiopulmonary, haemorrhagic, urological and complications due to ileus. The quotient of insufficiency with the 356 anastomoses was 16%, the death rate 1.4%.
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