Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen
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Comparative Study
[Long-term complaints after minimal invasive thoracic surgery operations and thoracotomy].
Minimally invasive techniques are now frequently used in general thoracic surgery. More than 30% of all minimally invasive procedures are operations in patients with spontaneous pneumothorax. Recently, it has been shown that the video-assisted approach compared to the standard anterolateral thoracotomy results in a significant reduction of the early postoperative pain. However, little is known about the influence of video-assisted surgery on long-term complaints. ⋯ In conclusion, even after minimally invasive thoracic operations some patients suffer from chronic complaints. However, they are less frequent and of lower intensity than after thoracotomy.
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Case Reports
[Differential diagnosis of groin pain: isolated, symptomatic dissection of the infrarenal aorta and iliac arteries].
Pelvic and inguinal pain are a rare manifestation of arterial disease. ⋯ Spontaneous arterial dissection should be considered in patients with pelvic or inguinal pain. Absence of thoracic symptoms is possible if the entry of the dissection is distal, within the infrarenal aorta or iliac arteries. Prompt diagnosis with duplex sonography, CT, arteriography or MRA is indicated. The type of reconstruction depends on the extent of the dissection and the concomitant arterial disease.
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Comparative Study
[Scoring multiple organ failure after severe trauma. Comparison of the Goris, Marshall and Moore scores].
MOF scores are used to predict, describe and define organ failure. The aim of this study was to compare MOF scoring systems regarding their precision. ⋯ For evaluation of MOF after severe trauma the Moore score is superior to other scoring systems (sensitivity 81%; specificity 87%). A score of more than 3 points is associated with MOF. The Moore score did not consider distinct parameters (S-GOT, PAH) which are included in the other systems and were of little importance in our calculations.