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Biomedical subjects

R Ger

Publications and source records attributed to R Ger.

At least 73 records · Page 4Linked to original sources
PubMed1982

The management of certain abdominal herniae by intra-abdominal closure of the neck of the sac. Preliminary communication.

Various herniae present at the time of major abdominal surgery were managed by simple occulusion of the peritoneal opening of the sac by interrupted metal clips. Short-term success (the longest follow-up is over 44 months) in 11 of a series of 12 patients (one patient died before follow-up could be carried out) has led to the development of a method for closure of the neck of the sac via laparoscopy. This approach has been used in one case with early success and a full clinical trial is being planned.

Aged↗
PubMed1979

Management of ulcers of the leg by muscle transposition.

Chronic stasis ulcers of the lower extremity can prove difficult to treat. In the event that conservative treatment fails, one approach is to excise the ulcer, ligate the incompetent perforating veins, and close the defect by muscle transposition, followed by application of skin grafts to the transposed muscles.

Humans↗
PubMed1978

The skin incision in the excision of the prepatellar bursa.

Commonly used incisions to remove a prepatellar bursa in patients with bursitis are often ill placed and give rise to unnecessary morbidity, such as tender or contracted scars or areas of anesthesia or hyperesthesia in pressure-bearing areas.

Bursitis↗
PubMed1978

Transposition of the tendo calcaneus for post-traumatic bone defects of the tibia.

Certain post-traumatic defects of the lower extremity present difficult problems in therapy and current methods of management do not offer satisfactory solutions. One such defect is an ulcerative lesion of the lower limb eroding the tibia and forming a chronic, rigid-walled cavity. We describe an operation in which the bone cavity is filled by viable tissue which acts as a bed for a skin graft. In chronic stasis ulcers it has been established that the tendo calcaneus will accept a skin graft, provided the paratenon is left undisturbred.

Achilles Tendon↗
PubMed1977

The management of stasis ulcers of the leg where the tendo calcaneus is exposed.

Chronic leg ulcers may expose and destroy the tendo calcaneus, unless it can be covered soon. Current methods of management do not present a ready method. It is suggested that local muscle transpostion, with skin grafting over the muscle, is an effective form of treatment. An illustrative case is reported, and our clinical experience is presented.

Aged↗
PubMed1977

Muscle transposition for treatment and prevention of chronic post-traumatic osteomyelitis of the tibia.

There is considerable difference of opinion about how patients with open tibial fractures and considerable loss of skin should be treated. The incidence of long-term complications from such lesions--that is, chronic ulceration and chronic osteomyelitis--apparently is not recorded, but many cases undoubtedly exist and are under treatment by methods that are short of curative. Successful results in forty-three patients were obtained by muscle transposition and delayed skin-grafting. Early coverage of open fractures of the tibia with soft tissue will prevent the later development of osteomyelitis, ulceration, and, perhaps to some extent, non-union.

Adult↗
PubMed1976

The coverage of vascular repairs by muscle transposition.

The coverage of exposed arteries, repaired by suture or grafting, may present difficulties. The currently accepted methods have been reviewed, and the use of transposed muscle is suggested as a possible alternative method. Success is partly governed by adhering to important principles. An illustrative case report is presented.

Accidents, Traffic↗
PubMed1976

The management of decubitus ulcers by muscle transposition. An 8-year review.

Our 8-year experience with the management of decubitus ulcers by means of muscle transposition and skin cover is reviewed. The role of infection and its management are discussed. Some modifications of our previous techniques and newer operative approaches are detailed. Our complications and follow-up results are presented.

Bacterial Infections↗
PubMed1976

The accessory soleus muscle.

This is a report on the EMG diagnosis and surgical treatment of a tumor-like mass in the ankle of a 13-year-old boy with an accessory soleus muscle.

Adolescent↗