[Thoracolumbar intramedullary cystic teratoid].
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to H Pothe.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Midfacial fractures are frequently combined with frontobasal fractures. For this reason, it is important to the oral surgeon to be knowlegeable of the basic principles of the treatment of frontobasal fractures. The rule of general surgery that any open injury should be transformed into a closed one, also applies to these fractures. The indication for operation and the time of operation depend upon the kind of lesion. The intradural closure of the dural is regarded as the method of choice. Details of the operating technique are presented.
The number of fractures of the scull especially of its fronto-basic portion is steadily increasing. So the general surgeon is more and more confronted with the problem of indication concerning oeprative procedures. He should be trained to take care of these injuries.
270 patients underwent splenectomy for different indications. The rate of complications amounts to 18,8%. Prognosis after splenectomy depends on the basic disease, accompanying illness and the quality of pre- and postoperative care.
Explore the source record for details and available documents.
The authors give a report on occasional difficulties concerning the radiological and endoscopic clarification of the malignant changes at the gastric stump after treatment of resection. Four relevant cases are stated and explained. The endoscopy (glass fibre gastroscopy) together with the biopsy is at present the most reliable method for the diagnosis of the pathological processes in the remaining part of the stomach. A regular endoscopic and radiological control of patients with gastric resection is desirable.
From 1960 to 1975 in the Surgical Clinic of the Medical Academy Erfurt altogether 77 patients with a primary malignoma of the gall-bladder were observed. Symptomatology and findings are non-characteristic. 64 times a laparotomy was carried out, whereby in 51 cases the intervention had to be finished as test laparotomy. 13 times a cholecystectomy or a biliodigestive anastomosis was carried out. The average survival time of the patients with test laparotomy was 53 days. A survival time of more than one year could nertainty. Issuing from this the author adopts a definite attitude to carcinogenesis and the importance of lithiasis.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Whereas the morphology of malignant neoplastia is well known, exact information on the natural history of cancer is lacking. Some hints in this direction can be gained from detailed observations of the course of disease and from correlations between duration of history and prognosis. In the literature, views on the dependence of prognosis on duration of delay are conflicting. This was the reason why we examined this relationship in gastric cancer in the region of Erfurt, GDR, based on the unselected data of the cancer registry. 1838 cases of gastric cancer in male in 1960--1969 could be evaluated concerning prognosis and patient delay. In 2575 cases, relationship between duration of delay and clinical stage as well as mode of treatment could be investigated. From the statistical evaluation it was concluded that a long history is a sign of a less aggressive tumour growth. A short delay seems to be an index of adverse host-tumour relations. Better treatment results can be expected by shortening of patient delay. Possibilities to change the situation are discussed. A more centralized organisation of surgical care is proposed.
Incidence of cancer of colon and rectum shows increasing tendency in G.D.R. It is necessary to orientate practical medicine in this direction respecting future needs in scientific and therapeutic view. Published results of treatment deceive in true prognosis, because they are commonly from special hospitals. Effects of selection, lack of uniform definitions and faults in statistics may lead to unfounded optimism. Reports on treatment results which are free from selection bies are rare till now. The National Cancer Registry in the Erfurt Region gave crude absolute five-year-survival rates of 10.3% in colonic cancer and 10.8% in rectal cancer for the years 1960-1966. Radical operations resulted in survival rates of 26.4% and 27.4%. The author draws conclusions concerning education of general practitioners, improvement of diagnostic facilities, and centralized organization of special medical care for cancer patients.
Treatment results of surgery for gastric cancer differ widely in contemporary reports. This depends on criteria of selection and on composition of patients. Only results of treatment without any selection can give a solid ground for rational planning of cancer control measures. It must be admitted that there is a need for information concerning regional results of treatment of gastric cancer for planning of control measures. An investigation in the district of Erfurt, German Democratic Republic, gave some interesting data: The crude absolute 5-year survival rate for all stomach cancer cases in males registered in 1960-1966 reached 4,7% (87 of 1838). Distal partial gastrectomy gave 68 of 372 (or 18,3%) 5-year survivors. After radical total gastrectomy 8,6% (7 of 81) survived 5 years or more. In the first year following treatment, 81% (1488 of 1838) were registered as dead. Survival rates depend on age: 5 years survival rate of patients up to 65 years was 8,1% (59 of 729) and fell drastically in patients of 65+ years (28 of 1109 = 2,5%). The author gives some recommendations for the development of cancer control in the G.D.R.
Cancer of the stomach is the most frequent cancer localisation in the GDR, because there are nearly 7200 new cases yearly. Only surgical therapy is able to heal and therefore the early diagnosis is the preliminary condition in respect of an "operation in time". The age specific incidence shows the important age groups in this point of view. The improvement of therapy results may be possible by means of modern diagnostic facilities putting in consequently and without delay.
The most important localisations of cancer, because they are most frequent, within the gastrointestinal tract are situated at the stomach, colon and rectum. By reason of frequency of these tumours in the upper years of age their distribution in dependence from age the manner of therapy performed within the groups of age are important. These numerals were found out in the Erfurt Region of men fallen ill in 1960-1969. They are explained in relation to age. There is the opinion it shall be possible to improve ascertainment and results of therapy by scooping all means in the upper years of age too.