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Biomedical subjects

R Bähr

Publications and source records attributed to R Bähr.

At least 55 records · Page 3Linked to original sources
PubMed1987

[Clinical aspects and therapy of benign pleural mesothelioma. A case report].

It is reported on a large benign monophasic fibrous mesothelioma. Despite its enormous size it was clinically silent and caused considerable problems in diagnosis and localisation. Computed tomography and arteriography suggested that the tumour, which was attached to the diaphragm and vascularized by strong vessels of the left gastric artery arose from the retroperitoneum. Therefore, falsely, the patient underwent initial laparotomy. At thoracotomy, the pedunculated tumour war easily removed. Histiogenesis and prognosis are evaluated in detail.

Diagnosis, Differential↗
PubMed1986

[Simultaneous interventions of the bile ducts and intra-abdominal organs: what is indicated and when?].

405 surgical interventions had been carried out simultaneously on the biliary tract and other intraperitoneal organs from 1960 to 1984. The patients were divided into three groups. Concerning group A and B (58 patients) the indication for that double-operation was absolute. The range of postoperative wound infections was 10.3%, complications were noted in 24.1%. Lethality rate was 6.8%, hospitalisation took place for 17.7 days. Concerning group C (347 patients) without absolute indication for surgical treatment on the biliary tract and another intraperitoneal organ wound infections subsequent to operating occurred in 5.7%, lethality rate was 2.3%. Complications could be seen in 12.1% and hospital treatment continued for 15.5 days. Principally occasional operations and surgical treatment carried out simultaneously should be avoided.

Abdomen↗
PubMed1985

[Surgical therapy of liver echinococcosis].

There is still no other therapeutic management for echinococcosis of the liver than surgical treatment. Indeed, drug therapy with Mebendazol prevents parasitosis from spreading. However, a complete regression has not been observed hitherto. Surgical procedure is dependent on expansion, localisation and type of echinococcosis. Generally, cystectomy is possible and adequate in case of Echinococcus granulosus, in case of Echinococcus multilocularis with its infiltrating growth, a complete healing can only be attained by lobectomy. With the hilus being invaded and obstructive jaundice proceeding, an improvement can be reached by Mebendazol or a palliative endless drainage tube.

Combined Modality Therapy↗
PubMed1984

[Liver tumors and parasites].

The risk of a liver resection is determined by 3 factors: 1. Extent of the tumor 2. functional reserve of the remaining tissue 3. technique of resection. ad 1: Ultrasound and computed tomography are the most important methods to find out a liver tumor. ad 2: A modified model to judge the functional reserve is presented by means of the galactose-elimination-test, amino-pyrin-exhalation-test and indocyanin-green-test. ad 3: It is most important to avoid intraoperative blood loss.

Hepatectomy↗
PubMed1984

[Chemotherapy of human echinococcosis].

In human echinococcosis, today as in the past, surgical removal of the parasite remains the treatment of choice. Beside certain conditions, adjuvant chemotherapy with Vermox is indicated for echinococcus multilocularis as well as echinococcus granulosus. A substantial decrease of the echinococcal parasite mass under Mebendazole is not yet known. Nevertheless jaundiced patients with diffuse liver infestation with echinococcus multilocularis became jaundice-free and able to work. Mebendazole toleration is very good. A closely interrelated medical control of patients under Mebendazole therapy ought to be interdisciplinarily carried through between internists and surgeons.

Administration, Oral↗