Biomedical subjects

R Horsch

Publications and source records attributed to R Horsch.

7 recordsLinked to original sources

PubMed1979

Alloplastic replacement of the partially resected canine urethra by expanded polytetrafluoroethylene grafts. Preliminary results.

In 12 male dogs 3-8 cm of the penile urethra were resected and replaced by expanded polytetrafluoroethylene (GORE-TEX) grafts. Follow-up consisted of periodic urethrograms. Maximum observation time has been 12 months. Up to now, no major complications were noted. Tissue reactions were minimal and patency of all grafts was demonstrated during the follow-up period.

Animals↗

PubMed1979

[Experimental infection in man and monkey (Cercopithecus callitrichus) by sarcosporidian cysts of cattle and swine].

Reported in this paper is experimental sarcosporidial infection of man and lower primates (grass monkey). The courses of infection were followed up by coprological and serological tests. Oral-alimentary administration of 100 Sarcocystis (S.)-fusiformis cysts obtained from cattle muscle caused patent infection in man. Gastro-intestinal symptoms developed in one of the probands, between five and seven days after infection. No sporocysts were detectable from the stools of seven probands who had consumed 200 g each of commercially available minced pork which contained small amounts of Sarcocystis miescherania villi. Rise in antibody to Sarcocystes following infection was detected however, by means of indirect fluorescence antibody reaction (IFAR). Gastrointestinal complaints were reported by one of the probands, one day after infection. No sporocysts were detectable from the stools of four grass monkeys, following oral-alimentary administration of 50 or 25 S. miescherania cysts, but rise in antibody to S. miescherania was recorded in these cases. Those grass monkeys which had received 50 cysts responded by exhibiting, after infection, severe clinical phenomena with intestinal signs and symptoms of the central nervous sytem.

Adult↗

PubMed1979

[Conservative surgery of spontaneous rupture of renal grafts].

17 cases of spontaneous rupture of renal allografts were noted after 285 renal transplantations performed during the years 1967-1978. All ruptures occurred within the first two weeks after transplantation. Acute rejection, combined with hypertension, dialysis and/or anticoagulation seem to be the main etiological factors of graft rupture. Due to severe hemorrhage surgical exploration had to be performed in 15 patients. While removal of the graft was necessary in 4 patients the kidney could be preserved by tamponade and suture in 11 patients. 5 patients later lost their graft, due to chronic rejection, while 8 patients (6 of the 15 patients who needed surgical exploration) currently have satisfactory graft function.

Anticoagulants↗

PubMed1979

[Treatment of ureteral obstruction and urinary fistulas after kidney transplantation].

In 285 renal transplantations, performed during the years 1967-1978, 6 ureteral obstructions (2,1%) and 15 urinary fistulas (5,3%) were observed. Ureteral obstructions occurred in the late phase after transplantation and were caused by strictures at the uretero-vesical anastomosis (two patients), compression of the ureter by enlarged kidney during rejection (one patient) resp. lymphocele (one patient) and strictures at the pyelo-ureteral junction (two patients). Satisfactory results were achieved by surgical treatment in all patients. Urinary fistulas occurred in the early postoperative phase. Two vesical, 12 vesico-ureteral and one calyceal fistula were observed. 7 fistulas (1 vesical, 6 vesico-ureteral) closed spontaneously after temporary drainage of the bladder. 8 fistulas were repaired surgically. While satisfactory results were obtained in 13 patients, two patients died due to infection and sepsis after reoccurrence of fistulas.

Drainage↗

PubMed1978

Alloplastic replacement of the canine ureter by expanded polytetrafluoroethylene (gore-tex) grafts. Preliminary report.

In 12 female dogs, subtotal unilateral (8 dogs) or bilateral (4 dogs) ureteric resection and replacement by expanded polytetrafluoroethylene (Gore-Tex) prostheses were performed. Follow-up consisted of periodic excretory urographies. Short- and long-term results, consisting of periodic excretory urographies for up to 12 months, are promising and induce further studies with this new type of graft.

Animals↗

PubMed1978

Long-term results in children following dialysis and renal transplantation.

Since 1966, 93 children in end-stage renal disease, aged between 5 and 16 years were treated by a combined programme of dialysis and transplantation. In 91 patients treatment of uraemia was started either as hospital or home haemodialysis, until now covering more than 90 dialysis years. Forty-one children were transplanted. Twenty children died during dialysis treatment, 7 after renal transplantation. Sixty-six children are currently alive, 25 with a functioning graft, 28 are treated by hospital dialysis, 13 by home haemodialysis. Eighty-three per cent of the patients on hospital dialysis are classified in rehabilitation category 2 according to the EDTA categories, and all children on home dialysis and those with functioning grafts, category 1.

Adolescent↗

PubMed1977

The use of double renal transplants from paediatric cadaver donors.

In 224 consecutive kidney transplantations, 3 patients, aged 44, 37 and 13 years received double renal transplants from paediatric cadaver donors aged 1 day, 23 and 19 months respectively. Both adult recipients developed severe hypertension during postoperative rejection crises leading to multiple graft ruptures in the recipient of the neonatal kidneys. 1 patient died from massive gastrointestinal bleeding 4 weeks after transplantation while kidney function was satisfactory. Excellent graft function was achieved in the 3rd patient. The techniques of removal, preservation and transplantation of double renal transplants are described. The significance of increasing the potential number of donor kidneys by the use of paediatric cadaver donors is stressed.

Adolescent↗