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R Schiessel

Publications and source records attributed to R Schiessel.

24 records · Page 2Linked to original sources
PubMed1976

[Late results of the Noble operation. Clinical and radiological follow-up examination].

The results of 58 Noble operations performed during the period between 1964 and 1973 are reported. A partial operation was carried out in 9 cases. In 4 cases there were fatal complications due to technical errors such as too long a terminal ilial loop and direct suture to the intestine. Two cases of late ileus were observed after 2 and 6 months respectively following a partial plication. Follow-up examination at an average of 4 years after Noble operation showed that 26 patients were free of complaint. The Noble operation is best suited for cases with chronic recurrent adhesion ileus when a permanent folding of the small intestine is necessary. For other indications, the newer alternative procedures. (Childs and Phillips and Reiffersceid and Phillip's small intestine splinting) should be used.

Humans↗
PubMed1976

[A clinical-radiological investigation concerning the accuracy of diatrizoate (Gastrografin) in the demonstration of anastomosis dehiscence and perforation of the gastro-intestinal tract (author's transl)].

A Gastrografin test is described for diagnosing perforations and dehiscence of anastomoses in the gastro-intestinal tract by carrying out a simple urine analysis. False positive and false negative results can be avoided by obtaining radiographs of urine samples under standard conditions. The accuracy of the method was checked in 97 patients by comparing the results of the urine analysis with radiographic examinations and with the clinical course. From this, it appears that the test is reliable, simple and capable of being used anywhere. The test is therefore recommended a) where there is a lack of radiographic facilities, b) for immobile patients, c) where there is clinical suspicion of a perforation or dehiscence of an anastomosis in the absence of radiographic findings and d) in individual cases where the radiographic changes are positive.

Abdomen, Acute↗
PubMed1976

[Mechanical ileus (author's transl)].

UNLABELLED: 181 patients with mechanical bowel obstruction were treated between 1965 and 1974 at the First Surgical Clinic of the University of Vienna. 172 were operated, 7 had conservative treatment. RESULTS: 1. the mortality was 24,3% and infavorably influenced by a) advanced malignant tumors, b) age over 60 years, c) preexistent peritonitis. -2. Enterotomy for bowel-decompression was in no case followed by a complication.- 3. Nobles operation should be performed only totally and in cases of severe adhaesions. 4. Discussion of the one stage operation in large bowel obstruction, which is only indicated in patients with good general condition. The high letality of 47% after operations in cases with ileus due to carcinosis peritonei requires critical indications for these operations.

Aged↗
PubMed1975

[New method for the long-term cannulation of the common bile duct in the dog].

A new method for long term cannulation of the common bile duct in dogs is reported. The procedure is carried out with a T-tube, which is brought out through the abdominal wall. There it is rolled up in the hole of an implanted Thomas cannula. - A reliable protection from removal by the animal. The result in 9 dogs was very good, the longest duration of cannulation was 9 months.

Animals↗
PubMed1975

[Advances in the treatment of postoperative complications after abdominal operations. A comparative, retrospective analysis of two reported periods (author's transl)].

Period I (1958-64)included 227 complications, period II 257 complications. Altogether, 484 complications were evaluated in 436 cases. The by far higher lethality in period I (71,3 percent) compared to 41,1 per cent in period II can be explained by the lower frequency of relaparotomy of 24,6 percent (52,3 per cent in period II). The mortality after relaparotomy was almost equal in both periods. The central problem in the therapy of postoperative surgical complications can consequently be seen in the indications for relaparotomy. Therefore, to improve the results, a more active diagnosis and indication and adequate performance of the operation are necessary.

Abdomen↗