[Acute mesenteric vascular occlusion].
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Biomedical subjects
Publications and source records attributed to W Senst.
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Pregnant women are increasingly exposed to injury. Correlations between severity of trauma and danger of obstetrical complications do not exist. Therefore, clinical observation of every case is necessary. Though maternal response to injury is changed by physiologic alterations of pregnancy the ability to withstand injury is not essentially influenced. Osteosynthesis can be recommended. Maternal life and health is of greatest importance. Termination and interruption of pregnancy demands different decisions. 12 own cases are reported. The care for the injured pregnant patient represents a situation of overlapping medical responsibility best handled in an interdisciplinary approach.
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The treatment of closed lower leg fractures requires a differentiated indication. Type of fracture and many important concomitant factors have to be considered. Stability and optimal blood supply are the most important criteria to favour osteosynthesis. But conservative treatment after Böhler can even today be regarded as an efficient procedure. About 60% of these fractures have been found to yield good results in adequate time when treated conservatively. Also the efficacy of the functional method described by Sarmiento has been proved. Special indications can be attributed to interlocking nailing. The operative therapy today is highly specialized therefore it should be practiced only in adequate staffed and equipped hospitals. A questionnaire answered from 110 surgical departments supports this demand.
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56 conservatively treated fractures of the patella with small dislocation are analysed. In comparison with plaster cast immobilisation early functional treatment yields the best results.
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