[Functional long-term results following conservative and surgical therapy of pelvic-upper leg thrombosis].
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Biomedical subjects
Publications and source records attributed to H Hünicke.
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The paper reports on 14 patients with surgical complications following radioenterocolitis. The most serious complications are peritonitis after perforation and manifest intestinal ileus. Pathogenesis, symptomatics and therapeutical possibilities are discussed. The own cases are analysed and conclusions are drawn for the practice.
From 1973 to 1979 11 patients underwent total gastrectomy (9 x carcinoma of the gastric stump, 1 x recurrence after subtotal resection due to gastric cancer, 1 x Zollinger-Ellison-syndrome). The average age came up to 60 years. Mortality rate 9%. The late prognosis in unfavourable.
Clinical symptoms and prognosis of 380 patients with gastric cancer were reported. Many patients already showed an advanced stage of cancer. In 196 cases curative and in 184 cases palliative surgical operations were carried out. Local spreading, histopathology and rate of metastases are discussed. 10,1% of all gastric cancers survived five years, after curative surgical operation 20,8%. In late follow-up prognosis lethality by relapsing runs to 30,6%. Conclusions with regard to surgical treatment are deduced.
During a period of 10 years (1968 to 1978) 320 patients underwent surgical treatment for gastric cancer, inclusive 20 patients after partial gastrectomies (B II) for gastric or duodenal ulcer. Gross survival time comes up to 9,8 months. Only the early detection of the carcinoma by gastroscopy will give the patient a better chance for survival. -- Aspects of the pathogenesis were evaluated (bile reflux, anacidity). In cases of gastric or duodenal ulcers partial gastrectomies of the B II-type should be omitted at least enterostomy of the Braun-type should be added.
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In a total of 4000 appendectomies 302 cases of perforated appendicitis are reported. The rate of perforations amounts to 7,5%. The medium letality of perforated appendicitis amounted to 6,6% and increased with advancing years of age. Complications are analysed. Problems of treatment and prognosis are discussed.
58 infantile supracondylar fractures were treated conservatively. Due to accompanying lesions in 2 cases osteosynthesis was performed by using crossed extension wires. According to Morger's evaluation scheme conservative treatment yielded good results in 49 cases, satisfying results in 4 cases and sufficient ones in 5 cases.