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Biomedical subjects

H Tulzer

Publications and source records attributed to H Tulzer.

14 recordsLinked to original sources
PubMed1979

[Attempt at objectifying the effect of obligatory lymphonodectomy in the context of radical abdominal surgery for cervical cancer].

An attempt is made to calculate both the primary and secondary effect of obligatory lymphonodectomy in the course of an abdominal radical hysterectomy for cervical uterine carcinoma, attributed to the histological stages Ib, IIa and IIb. Within the period from 1951 to 1972 both effects were intensified by increasing radicalization of lymph node dissection; the quotes of 13.96% and 10.81%, respectively, are as high as the best results reported by CHIEN-TIEN HSU and I. SEN LIU in 1966.

Evaluation Studies as Topic↗
PubMed1978

[The extent of neoplastic involvement of the regional lymph nodes in cervical neoplasms and its effect on the rate of cures. (A report on 103 cured cases)].

At the 1st University Clinic for Gynaecology in Vienna (Austria) nearly every other woman suffering from cervical carcinoma suitable for operation was cured by abdominal radical hysterectomy with obligatory lymphonodectomy and routine postoperative irradiation between 1951 and 1972 in spite of carcinomatous involvement of their lymph nodes. Cases of the histological stage Ia were excluded of this study. Although the survival rate of the cases with minimal lymph node involvement (61%) exceeds the one of cases with extended involvement (35%) further radicalization of obligatory lymphonodectomy seems to be promising. At the above mentioned Clinic this is aspired by the use of radioisotopes for intraoperative exposition of the lymph nodes.

Female↗
PubMed1978

[Recommendation for an intensified treatment of advanced carcinomas of the cervix in the histologic stage 1 b and for the establishment of a stage 1 c (author's transl)].

Publications from the department of women of the University of Rostock suggested the establishment of a histologic stage 1 c for advanced carcinoma of the cervix confined to the cervix itself. The cases from 1960 to 1971 of the first department for women of the University of Vienna were reviewed. In all operable cases radical abdominal hysterectomies and lymphadenectomies were performed. Contrary to our earlier practice, cases in stage 1 c received post-operative radio-therapy for the past year. The authors agree with the establishment of a stage 1 c and a necessity for more intensive treatment of these cases.

Female↗
PubMed1977

[Progress in the surgical treatment of cervix carcinoma].

The radioisotope radical operation may cause an improvement of results in carcinoma of the cervix stage I b, II, and IV. The increased yield of lymph nodes enables a more reliable prognosis in advanced cases. Recurrent tumors at the pelvic wall may be detected earlier by isotope nephrography.

Female↗
PubMed1977

[Dysgerminoma of the ovary during pregnancy (author's transl)].

A report presented of a case of giant dysgerminoma which initiated an acute abdomen necessitating surgical intervention during the mid-trimester of pregnancy. Two months later the patient was delivered of a healthy baby by Caesarean section. Repeated follow-up examinations of the patient have so far confirmed the favourable prognosis based on the pathological findings and intra-operative assessment.

Adult↗
PubMed1976

[A very large luteoma gravidarum].

A case of luteoma gravidarum detected during cesarean section is reported for the first time in German literature. The tumor described is the biggest of its kind so far. By means of this own observation details of origin, clinical behavior, histology and therapy of this odd tumor are discussed. Nevertheless a good deal remains enigmatical and further studies will be as interesting as actual.

Adult↗
PubMed1976

[The value of routine lymphadenectomy in radical Wertheim hysterectomies (author's transl)].

In 1959 Rauscher and Spurny questioned the advantages of routine lymphadenectomy in radical Wertheim operations compared to selective lymphadenectomies. Our present review disagrees with the above mentioned doubts. Rauscher and Spurny base their results on clinical staging of cancer of the cervix in cases from 1947 to 1950, and in cases from 1950 to 1953. Our results are quite different in two groups of patients from the years 1946 to 1949 and 1951 to 1953 with the staging done by histological methods. In the later period of 1965-1969 the results were further improved, probably due to the extent of the lymphadenectomy. The routine lymphadenectomy showed improved results not only in all cases but also in the cases with carcinoma of the lymph nodes.

Female↗
PubMed1975

[Surgical management of ureteral evacuation disorders using a surgical gama camera].

By means of the radionephrogram it is possible to discover a disturbance of the excretion of the upper urinary tract at an early stage. Since there can be no pathological function of the urinary excretion without negative effect on the renal function, measures must be taken in order to prevent this from happening. By conventional surgical methods the eventual success of an operation can be judged only at a postoperative stage, sometimes an additional operation will prove necessary. A continuous intraoperative registration of a sequential scintigram, using a gammascintillation camera that has beem modified into an operation table, enables the control of method and extention of the operation. This method permits an optimal surgical result and we may save the patient from the strain of a possible second correcting operation. The method is being described by means of a case.

Adult↗
PubMedDate not supplied

The effectiveness of obligatory lymphadenectomy in treating carcinoma of the cervix.

For the past 20 years, obligatory lymphadenectomy has been performed with the Wertheim's operation for carcinoma of the cervix at the First University Women's Clinic in Vienna. Formerly, selective lymphadenectomy was performed with the radical operation, with only nodes suspected of metastasis being removed. The theoretical advantages and disadvantages of each system are discussed, and several previous reports are analyzed and criticized. Our experience at the First University Women's Clinic shows that rates of mortality from recurrence were higher for a group of patients who underwent selective lymphadenectomy from 1946 to 1949 than for two more recent series who were treated with obligatory lymphadenectomy. Thus, the effectiveness of performing the latter procedure with the Wertheim's operation to reduce mortality from recurrence is confirmed.

Austria↗