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Biomedical subjects

H von der Lieth

Publications and source records attributed to H von der Lieth.

9 recordsLinked to original sources

Thrombosis of the terminal aorta, deep vein thrombosis, recurrent fetal loss, and antiphospholipid antibodies. Case report.

The antiphospholipid syndrome (APS) consists clinically of both arterial and venous thrombosis, recurrent fetal loss and thrombocytopenia associated with antiphospholipid antibodies (aPL). Most of these patients were initially found to suffer from systemic lupus erythematosus (SLE). There is an increasing group of patients who exhibit antiphospholipid antibodies and thrombotic complications without clinical features of SLE or related autoimmune disease termed primary antiphospholipid syndrome (PAPS). The case of a 29-year-old woman with thrombosis of the terminal aorta and deep vein thrombosis, recurrent fetal loss, antiphospholipid antibodies and serological support for an underlying connective tissue disease, probably preclinical SLE is reported.

Abortion, Habitual↗

[The value of angiodynography in follow-up of surgical vascular prostheses].

Apart from the proximal anastomosis, aortoiliac/-femoral bypass is accessible to angiodynography. The spectral waves can mostly be derived and analyzed very well. Femoropopliteal grafts can be demonstrated over the whole length, including the anastomoses if they are not located in the adductor (Hunter's) canal. Pathological findings such as stenosis or aneurysms can be easily detected. Because of a large range of scatter, blood velocity or flow are no suitable parameter to determine functioning and prognosis of the bypass. A triphasic spectral waveform in the graft, the failing of aneurysms, stenosis or turbulent blood flow in the anastomosis, a high "Pulsatility Index" and a short systolic blood flow acceleration distal to the bypass, proved to be more important parameters, that can be easily determined via colour coded Doppler sonography.

Adult↗

[Effects of hyperbaric oxygen on fresh burn wounds].

In an experimental study standardized third-degree burns were caused in guinea pigs. The animals were treated intermittently with hyperbaric oxygen for a period of five days starting immediately after injury. The healing process was recorded at frequent intervals using a photographic technique and planimetric determinations. In addition, the wounds were excised at predetermined intervals for the purpose of histological examination. Untreated animals demonstrated a considerable increase in wound area as compared to the initial lesion, while there was a tendency to reduced wound area in the treated animals. Histological studies revealed considerably less subcutaneous edema in tissue samples obtained from the treated animals than in specimens from the control group. The effect of hyperbaric oxygen on fresh burns is discussed on the basis of the experimental findings.

Animals↗

[Hyperbaric oxygenation in burns].

Standardised third degree burn injuries were produced in guinea pigs and a standardized pseudomonas aeruginosa infection model was used. Therapy with oxygen under high pressure (OHP) was initiated for not experimentally infected burn wounds and for wounds contaminated with a constant number of bacteria from a certain pseudomonas aeruginosa strain. The healing process was documented by wound area determination, histological examination, and bacteriological evaluation. Not treated uninfected wounds showed better results than the ones that were treated with OHP. Infected burn wounds also healed better when they were not treated than the wounds in which OHP therapy was initiated with some delay. The immediate and consistent application of OHP therapy led to a significantly improved healing of burn wounds infected with pseudomonas aeruginosa.

Animals↗

[Sequelae of secondary jejunum interposition in gastrectomized patients].

Secondary interposition of the jejunum was performed in 45 patients who had 2/3 gastrectomy before. An additional a selective gastric vagotomy was done. All patients had a follow-up examination after 2 months to 6 years. Secondary disturbances like dumpingsyndrome were not observed. In 30 cases, which underwent sequential scintigraphic control examination no duodeno- gastral reflux could be observed. In 2 out of the 45 patients florid ulcers could be diagnosed by gastroscopy, in 3 of them silent ulcers.

Follow-Up Studies↗

[Experimental study of the local application of silver sulfadiazine, cefsulodin and povidone-iodine in burns].

Non-infected standardized burns and those contaminated experimentally with a constant number of organisms of a selected Pseudomonas aeruginosa strain underwent varying forms of treatment with silver sulfadiazine, cefsulodin cream and povidone iodine ointment. Wound healing was controlled by evaluating the wound area. In burns which had not been infected experimentally, healing was best without any treatment. Burns treated with cefsulodin cream showed delayed healing, though this was not significant. The most significant delay, however, was observed in wounds treated with povidone iodine. Wounds infected with Pseudomonas healed considerably better than the control group when treated prophylactically with silver sulfadiazine and cefsulodin. However, burns treated with povidone iodine again showed delayed healing.

Administration, Topical↗