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Biomedical subjects

H Vinz

Publications and source records attributed to H Vinz.

At least 19 recordsLinked to original sources
PubMed1991

[Treatment of Monteggia fracture in children].

Described in this paper is a therapeutic concept by which to cope with Monteggia's fracture in childhood. It is based on experience obtained from 72 cases with injuries of that kind and their evaluation in a group study. Therapeutic approach to the individual case was determined by the following criteria: age of infant, localisation and shape of ulnar fracture, reducibility of capitulum radii, and accompanying injuries requiring treatment on the same arm. The need for surgical stabilisation of ulnar fracture was found to increase along with growing age of the affected child. High-stability anatomic reduction of the ulnar fracture proved to be a prerequisite for safe stabilisation of the radial capitulum. Close reduction has proved to be sufficient in many instances. Open reduction and internal fixation were found to be necessary in cases in which an ulnar fracture was irreducible or instable and/or a radial head was not reducible. Minimal osteosynthesis and plaster cast is considered to be an optional therapy for younger children, whereas ulnar stabilisation by means of plates is preferred for children in somewhat advanced age of childhood. The radial head may be fixed by trans-articular Kirschner's wire (WITT) or primary reconstruction of the annular ligament, using a strip of biceps or triceps tendon, or adaptation around the collum radii and ulna of the proximal radio-ulnar joint by means of a sling of Dexon or Vicryl suture.

Child↗
PubMed1989

[Monteggia fracture in childhood].

In a collective study the late results of 72 Monteggia fractures in children are presented. Early and sufficient treatment achieved excellent results in all these cases. The misdiagnosed dislocation of the radial head was the only cause of unsatisfactory outcome. Persistent dislocation of the radial head however did not lead to major functional impairment of the elbow in most cases. A therapy related classification of the Monteggia fracture is recommended, which includes 1. age, 2. Ulna fracture: reducible or irreducible, stable or unstable retention, 3. radial head dislocation: reducible or irreducible, stable or unstable retention, 4. additional lesions at the same arm.

Adolescent↗
PubMed1989

[Isolated dislocation of the radius head in childhood].

In a collective study 24 isolated dislocations of the radial head in children were analysed. Early diagnosis was made in only 13 cases, delayed diagnosis in 11 cases one week to 18 months after the injury. Closed reduction was impossible in all cases of delayed diagnosis. Early detection of the lesion led to excellent late results without exception. The final results after operative treatment of the 11 children with delayed diagnosis were good in only two cases, 6 were poor and 3 were unsatisfactory. The functional lesions after delayed treatment were caused by persistent dislocation or subluxation, deformity of the radial head, and humeroradial arthrosis.

Adolescent↗
PubMed1988

[Physical therapy within the scope of fracture treatment in children. Recommendations of the Traumatology in Childhood Study Group].

Physiotherapeutic follow-up treatment is required only in exceptional cases of fractures in childhood. Physiotherapeutic indications are justified for fractures with months of immobilisation, multiple fractures, fractures accompanied by soft-tissue defects and nerve injuries, vertebral fractures, fractures and craniocerebral trauma, and fractures entailing the risk of bone necrosis. Passive exercises are not at all indicated.

Child↗
PubMed1985

[Therapy of vesicoureterorenal reflux in childhood--report of 10 years' experience with Lich-Gregoir antireflux-plasty].

In a ten years period 186 extravesical antireflux operations (Lich-Gregoir) were performed in 145 children. Indications, surgical technique, postoperative complications, reflux recurrence, and pyelonephritis are described and discussed with regard to the literature. In 66 children followed up for more than 4 years there were 6 cases (9%) with persisting pyelonephritis. No postoperative ostium stenosis occurred. The authors prefer the extravesical approach because of its relative easy operative technique, its safety in removing the reflux, and the avoidance of operative manipulations at the ostium, which may cause postoperative ostium stenosis.

Adolescent↗
PubMed1985

[Selective proximal vagotomy in stenosing and penetrating duodenal ulcer].

In duodenal ulcer with complete pyloric stenosis selective proximal vagotomy in connection with either pyloric dilatation or duodenoplasty is generally indicated. Pyloroplasty may still be considered as an acceptable alternative drainage procedure. In high risk patients with pyloric stenosis, especially in the very old, truncular vagotomy with an adequate drainage is the operation of choice because of its low operative trauma. Penetrating ulcers are treated by selective proximal vagotomy only. Postoperative pyloric stenosis occurs rarely and should be managed by secondary pyloroplasty or pyloric dilatation.

Adolescent↗
PubMed1985

[Revision operations following vagotomy].

Recurrent duodenal ulceration after highly selective vagotomy is best managed by antral gastric resection and gastroduodenostomy (BI). In cases of gastral localisation of the recurrent ulcer and in cases with high postoperative acidity a 2/3 partial gastrectomy (BI) should be performed. Revagotomy after highly selective vagotomy is not feasable in most cases. Pyloric stenosis after highly selective vagotomy occurs in about a percentage of 2 and can be easily corrected by secondary pyloroplasty or duodenoplasty. In very rare cases of severe postvagotomy dumping and postvagotomy diarrhoea the interposition of an antiperistaltic jejunal segment can be practised. Persisting postvagotomy dysphagia may require pneumatic dilatation of the cardia or operative revision of the oesophago-cardiac region. A case of ulcerocancer in a pyloric ulcer primarily treated by truncal vagotomy and pyloroplasty is reported.

Cholecystectomy↗
PubMed1981

[Early postoperative discharge (author's transl)].

Early postoperative discharge is the most effective measure in establishing short stay surgery. In our clinic the data of discharge after standard operations have been defined empirically: appendectomy: 3rd to 4th day, cholecystectomy: 5th to 6th day, vagotomy: 5th to 6th day, inguinal hernia: 3rd to 4th day, struma resection: 3rd to 5th day. Early postoperative discharge presupposes no surgical complications and an undisturbed postoperative course. An early discharge cannot be recommended in patients older than 65 years, in patients living alone, in patients living in doubtful domestic conditions, and in alcoholics, No postoperative complications could be observed in any case of early discharge later on. 98.6% of all patients were satified with an early postoperative discharge.

Adult↗
PubMed1980

[Treatment of open fractures in children (author's transl)].

Open fractures in children with soft tissue injuries of second and third degree generally require osteosynthesis. Minimal osteosynthesis is sufficient. Articular fractures and juxtaarticular fractures are stabilized with Kirschner wires. In shaft fractures of long bones short SAO plates are used in most cases. For shaft fractures of the upper extremity alternatively intramedullary osteosynthesis with Kirschner wires or Rush pins may be applied. Indication, osteosynthesis, and operating technique are discussed.

Child↗
PubMed1980

[Complications of vagotomy (author's transl)].

The different types of vagotomy are highly standardized, but show a typical spectrum of complications, injuries of spleen (1 to 4%) and liver, perforation of the oesophagus (0,5 to 1,0%) intraoperative bleeding, lesions of the pleura (0,5%), necrosis of the lesser curvature of the stomach, chylothorax and chyloperitoneum. The article deals with avoidance and successful treatment of such intraoperative lesions.

Esophageal Perforation↗