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Biomedical subjects

J Reisig

Publications and source records attributed to J Reisig.

11 recordsLinked to original sources
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

[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↗
PubMed1980

[Differential treatment of proximal humerus fractures in childhood].

In proximal humeral fractures with first degree displacement and in fractures with second degree displacement, which primarily prove to be stable, reduction is not necessary. Closed reduction is indicated in unstable fractures with second degree displacement and in all fractures with third degree displacement. If closed reduction fails to improve the position of the fracture, open reduction and Kirschnerwire transfixation should be performed. Retention for two to three weeks is sufficient.

Adolescent↗
PubMed1979

[Hepatological aspects of surgical interventions in the stomach].

By means of quantitative-biochemical and histomorphological methods after vagotomies changes of the liver could be proved to a smaller extent than after resections of the stomach (Billroth II). Among the bionomic operation methods the supra-selective proximal vagotomy without pylorplastics is superior to other methods under the aspect of the change of the liver.

Gastrectomy↗
PubMed1977

[Reduction of hospital stay in surgical units (author's transl)].

Reduction of hospital stay increases the surgical efficiency and reduces the danger of bacterial hospitalism. It is to be accomplished by: 1. admittance of patients with regard to the operative capacity; 2. out-patient diagnosis and preoperative anaesthesiologie care; 3. early postoperative discharge; 4. reduction of septic surgery.

Germany, East↗