Helvetica chirurgica acta
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Helvetica chirurgica acta · Dec 1989
[Magnetic resonance tomography in preoperative analysis of chronic post-traumatic osteomyelitis].
Chronic osteomyelitis in 8 patients was studied preoperatively by magnetic resonance (MR) imaging and in part of them also by computed tomography (CT). Morphologic information about extraosseous and intraosseous changes was important for surgical planning. In long bones CT generally is superior delineating bone structures (sequestra and fragments of devitalized bone in the intramedullary cavity) and MR may be used as an adjunct for localizing extraosseous and intraosseous abscesses. In trabecular bones as the os calcis MR seems to be equivalent to CT.
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Over a period of 2 years 234 patients scheduled for major intraabdominal surgery were fed postoperatively via fine needle jejunostomy catheter. Nutrition ensued directly after surgery. Mean period of nutrition was 7.8 +/- 1.5 days. ⋯ In one patient, catheter nourishment had to be discontinued because of diarrhoea. One further discontinuation occurred due to postoperative non-catheter-related ileus. Clinical postoperative progress and laboratory findings showed no negative results relating to this form of nutrition.
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Helvetica chirurgica acta · Aug 1989
Case Reports[Fornix rupture. A contribution to differential acute abdomen diagnosis].
The diffuse retroperitoneal extravasation of urine most often secondary to an ureteric calculus may present as a surgical emergency with localized or general abdominal symptoms. As the clinical signs are intriguing, history and a blurred psoas shadow on the plain film of the abdomen are the best guides to the right diagnosis definitely confirmed by an intravenous urography. Management usually is conservative and the recovery most often uneventful.
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Helvetica chirurgica acta · Jun 1989
[Epidural administration of morphine by a completely implantable device (Port-a-Cath)].
The analgesia for patients suffering from incurable tumors is a major problem. The parenteral administration of opioids causes disagreable side effects. The development of completely implantable devices which permit the epidural administration of morphine offers higher quality analgesia with less side effects. Being easy to use, these devices allow cancer patients to remain at home, whereas otherwise they would need to be hospitalized for effective treatment of pain.
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Helvetica chirurgica acta · Jan 1989
[Surgical treatment of the unstable thorax in respiratory insufficiency].
Sixteen patients with traumatic flail chest underwent surgical stabilization using procedures introduced by Rehbein, Judet and Vecsei. Compared with sixteen patients treated by internal stabilization with intermittent positive pressure respiration, there are some advantages: time of artificial respiration is shortened, early mobilization is possible, nursing is easier, the costs are lower. The procedure is indicated in those patients, in whom long-term artificial respiration is not necessary for other reasons.