PubMed Health⌕ Search

Biomedical subjects

H F Kienzle

Publications and source records attributed to H F Kienzle.

45 records · Page 3Linked to original sources
PubMed1981

[Microradiography of gallstones (author's transl)].

Success or failure of an attempted dissolution of gallstones depends--among other factors--on the nature, the quantity and the distribution of the different components. This paper presents an investigation of the distribution of the various components by X-ray microradiography. Due to their different absorption behaviour the following three classes of components could be distinguished: I. Components with low absorption: Cholesterol, II. Components with moderate absorption: Calcium palmitate monohydrate, calcium bilirubinate, III. Components with high absorption: Vaterite, aragonite, calcite, carbonate apatite. The distribution patterns of these classes of components showed that in all probability 12 out of the 27 gallstones which were examined would have resisted a dissolution.

Cholelithiasis↗
PubMed1980

[Splenic rupture. Diagnosis, clinical aspects and therapy].

It is reported about 73 traumatic ruptures of the spleen in a period of 19 years. The most frequent cause for rupturing were traffic accidents. The most important diagnostic procedure was peritoneal lavage, a rapid and well-aimed method. Therapy of choice is splenectomy. Prognosis depends on the time from accident to operation as well as on the severity of accompanying injuries. The course and cause of lethal courses are summarized. Ten patients who died in the postoperative phase, had polytraumatic injuries with three of more injured organs.

Adolescent↗
PubMed1980

[Localization and distribution of calcium salt in gallstones. A scanning electron microscopic study with energy-dispersive elemental analysis (author's transl)].

The surface of 68 fractured gallstones (28 patients) was investigated by SEM with energy-dispersive elemental analysis to show the topography of calcium salts. The localization of calcium salt is important with regard to chemolitholysis of calcium-containing cholesterol gallstones. The stones of 15 patients showed a concentration of calcium in the nucleus: in 4 the calcium salt was concentrated in the shell of the stone. In two more cases it was determined that calcium was present in both nucleus and shell. In seven it was impossible to place the stones in one of the above classes. Calcium salt in the shell seems to impede lysis by chenodeoxycholic acid; in these stones there is a small amount of insoluble calcium salt in the nucleus which remains after possible lysis of a cholesterol shell. The most appropriate stones for therapy with chenodeoxycholic acid are apparently those which harbor calcium salts with diffuse localization, so that no distinct nucleus no shell can be seen.

Aged↗
PubMed1979

[The perforated gastroduodenal ulcer. Clinical aspects and diagnosis as well as treatment and results].

Reviewing our cases from 1960-1978 an increasing rate of perforation in gastroduodenal ulcers is registered. The perforation-rate of all treated ulcers is 17%. The most important data of anamnesis and clinical findings are analyzed. The diagnosis was correct preoperatively in 93,5%. The diagnosis has to be established as soon as possible, as the prognosis depends on surgical therapy in due time. General state, duration of anamnesis and the severity of peritonitis are criteria for deciding on suture of the perforated ulcer or resection therapy. Both--suture and resection--show identical late results, if indication was correct. The lethality in patients with a perforated ulcer is high and depends on duration of perforation, age and general state of the patient as well as severity of peritonitis. In our collective lethality was 26%. The good early results after resection therapy are depending on the selected collective and on the fact, that resection therapy is performed under better circumstances than suture.

Abdomen↗
PubMed1979

[Postoperative abdominal hernia and its treatment. Results in 438 patients].

The postoperative incisional hernia can be found after any incision, any suture, and also when the technique was as subtle as possible. The frequency ranges from 1--5%. The causes, the frequency, the suture-techniques, and the methods for reparation of an incisional hernia are described. In our clinic in 18 years (1.5. 1960--30.4. 1978) 438 patients were operated with an incisional hernia. The localizations, preoperative diseases, and the methods of operations applied are described and discussed. We were able to get postoperative information of 277 patients, information by letters and own investigations as well. The results are discussed. As far as we know our figures represent the greatest number of cases published. The own late results of operated hernias are described. In other publications a frequency of 15--20% of recurrencies is quoted. In respect to this our own results with "edge-to-edge-technique" and "doubling of the fascia" are satisfacotry.

Age Factors↗
PubMed1978

[An intraperitoneally positioned IUD--mistaken for a Spieghel hernia].

A 40-year-old woman presented with the typical signs and symptoms of a Spigelian hernia. Upon operation, an inflammatory conglomerate tumor in the lower omentum was found, containing a copper T. As there were no signs of perforation it is to be discussed whether the IUCD migrated through the right Fallopian tube or penetrated through the uterine wall without leaving a scar.

Diagnostic Errors↗
PubMed1978

[Spieghel's hernia and its treatment].

It is reported about 12 patients with hernias through the spigelian fascia, among them one case with a rare bilateral hernia. The cause of these hernias are congenital or acquired gaps in the fascia transversalis medial to the linea semilunaris. Mostly they are discovered below the umbilicus in the height of the linea semicircularis, lateral to the rectussheath and medial to the spigelian line. All clinical details are shown in a table (Tab. 1). There is referred about localisation, sex, age, complications before operation (e.g. incarceration), complaints of the patients and operative findings. The results correspond to those of other authors. Seldom a spigelian hernia is noticed in children. To diagnose a spigelian hernia it is very important to think of it, for the symptoms are often not very characteristically and the clinical findings misleading. At times only operation reveals the real diagnosis. The operation is often simple and remaining complaints are very seldom; we didnt see any. Sometimes the operative finding requires an extensive laparotomia and bowel resection. If one finds the abdominal wall intact, one should open the abdomen in every case.

Abdominal Muscles↗
PubMed1977

[The carcinoma of the gastric stump--clinical experiences and observations in 15 years (author's transl)].

From 1960 to 1975 29 patients were treated at our clinic for carcinoma of the gastric stump following resection for benign causes. These cases are casuistically put together and their history, clinic, method of operation, and course after operation are described. 2.38p.c. of all carcinomas of the stomach were carcinomas of the stump. The patients were averagely 38.9 years old at the time of resection for benign causes; they were averagely 60.6 years old at the time of diagnosis of the carcinoma. The so called free interval was therefore 22.2 years. The younger a patient is at the time of primary resection, the longer the free interval will be. The history of complaints lasted 3.4 months; main complaints were pains in the epigastrium, loss of weight, vomiting, and aversion for meat. The carcinomas were located in 60p.c. at the anastomosis, in 36p.c. at the cardia of the stomach. Other locations were distributed over the whole gastric stump. 14 patients could be subjected to gastrectomy with interposition of jejunum, while the rest of the cases were primarily inoperable or were treated with prothesis. All types of carcinomas of the stomach were found in the stump, in 56p.c. the adeno-carcinoma prevailed. 32p.c. of the patients died in the clinic; 17 patients could leave the clinic more or less complaintless. These patients were on the average 24.8 days in the clinic and survived at home averagely 8.5 months. In the introduction, the discussion and on a table the informations of other workers are discussed and their results compared with our findings. We come impressively to the conclusion, that a resection for ulcer is no predisposing factor in the development of a carcinoma of the gastric stump. This causal connection may be established, when wide range statistics are available, which are compiled under controlled and comparable conditions.

Adenocarcinoma↗