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Biomedical subjects

M Löke

Publications and source records attributed to M Löke.

9 recordsLinked to original sources
PubMed1997

The part of MR cholangiography in biliary surgery.

The magnetic resonance cholangiography (MRC) is a new none invasive examination procedure which demonstrates well the extrahepatic ducts. The examination can reveal all the anatomical or pathological anomalies of the biliary tracts. The authors performed this examination on 12 patients between 1st December 1996 and 31st December 1996. In 4 patients there were no pathological changes. Common bile duct stone was found in 1 patient. Sclerosis of the Vater papilla in 1 case. Mirizzi syndrome in 1 case. Carcinoma of the common bile duct in 3 cases. In 2 cases inflammation of the head of the pancreas caused compression on the bile duct. The patients were all operated. The operative and the MRC diagnosis corresponded. Similar examination procedure has not yet been mentioned in Hungary.

Adult↗
PubMed1995

[The place of micro- and modern mini-laparotomy in the management of biliary calculi].

The authors treated 537 patients biliary stone disease between 1-st january 1991. and 1-st june 1994. With the conventional method of 20 cm of the subcostal incision, they operated 250 patients, among them 17 (6.8%) also had the common bile duct stone. There was no case of mortality and common bile duct injury. The postoperative morbidity was 12.8%. The average days of treatment was 9. With micro- and modern mini-laparotomy 287 cases were operated, 16 (5.5%) of them had common bile duct stones which were extracted during the process of cholecystectomy. In one case transduodenal sphincterectomy was performed. There was no case of mortality and injury of common bile duct. The postoperative morbidity was 10.4%. There was 6 cases of conversion (2.09%). The average period of treatment was 5 days. The treatment of biliary stone disease by micro- or modern minilaparotomy does not cause more danger to the patients than the conventional subcostal method. This approach is suitable for the surgical treatment of all kinds of biliary stone disease. This method is also suitable to extract a stone (stones) from the common bile duct discovered during cholecystectomy. This method has a pleasant cosmetical results.

Adolescent↗
PubMed1991

[When is surgical correction of the terminal ileum during appendectomy indicated?].

During 1416 appendectomy operations we examined the ileum and found 42 cases of terminal ileum infraction (ileum terminale duplex) caused by the cicatrisation of the mesenterium. Nine of the forty-two had characteristic symptoms of terminal ileum infraction syndrome (stomachodynia and pain in the right lower part of the abdomen 4 or 5 hours after meals, distensions). Deliberation was performed in this cases at the time of the appendectomy operations. Following the operations they had no symptoms. When the infraction is severe or the patient has typical complaints of terminal ileum infraction syndrome necessitates the deliberation of the terminal ileum in our opinion.

Appendectomy↗
PubMed1990

[Correlation of the length of the preoperative period and the severity of appendicitis].

1364 appendectomy were performed by the authors in two hospitals (1976 to 1982 in City Hospital Nagyatád and 1983 to 1988 in Hungarian State Railways Hospital Szolnok). Patients were divided into groups according to degree of inflammation of appendix. Length of the elapsed time from the appearance of first symptoms to operation and degree of inflammation of the appendix were fixed. It is found that time-factor did not appear to be the most important determinant of degree of inflammation in a certain part of cases.

Appendectomy↗