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T Brecht

Publications and source records attributed to T Brecht.

36 records · Page 2Linked to original sources

[The role of the physician in assessing fitness for surgery (author's transl)].

The decision regarding fitness of a person to undergo surgery and anaesthesia is made by the surgeon and anaesthetist according to agreed criteria. The physician takes part in the decision only in those cases where additional information regarding the type and extent of the disorder is required or when doubtful findings need further clarification. Closer co-operation between anaesthetist and physician regarding the indications for pre-operative tests and investigations is desirable.

Anesthesia

[Idiopathic thrombosis of the superior vena cava (author's transl)].

In contrast to secondary occlusion idiopathic thrombosis of the superior vena cava occurs rarely. With a good collateral flow through anatomically preformed venous channels the clinical picture may have an insidious course obscuring diagnosis. Collateral circulation via upper oesophageal varices is commonly overlooked. Anticoagulants should be given to prevent progression. Surgically vein transplants, by-pass operations, and thrombectomy have been tried. Follow-up in 4 patients shows that even without surgical intervention the prognosis is good despite the danger of haemorrhage from the varices.

Adult

[Clinical aspects and surgical treatment of thrombosis of the inferior vena cava (author's transl)].

The infrequent thrombosis of the inferior vena cava usually arises as a transmission of a thrombosis from a leg or pelvic vein. The indication for treatment must be made early and quickly, because only complete removal of the thrombus is sufficient. The operation we recommend is transperitoneal or retroperitoneal exposure of the inferior vena cava and pelvic veins, By this method the detachment of thrombi during the operation with consequent pulmonary emboli can be prevented. On the other hand, it is possible to remove, under direct vision, thrombi extending into the renal veins. The 3 cases presented show this and therefore both the surgical treatment and the technique used for the treatment of thrombosis of the inferior vena cava can be recommended without restriction.

Adult