Zentralblatt für Chirurgie
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After surgical procedures there are complex and typical changes of the homeostasis, which are summarized as postaggression syndrome. Energy demands in the immediate postoperative period are lower than presumed until recently. ⋯ Artificial nutrition is used in clinical practice to overcome this. Enteral and/or parenteral nutrition is necessary to meet the energy and nutritional demands in the postoperative period.
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718 trochanteric fractures, surgically treated with nailing according to Ender, 130 degrees angled blades of AO, 95 degrees condyle blades of AO, valgisation blades of AO and the (DHS) dynamic hip screw of AO were followed up for anatomical reconstruction, early weight-bearing, complications and spectrum of indication. The best surgical method is the DHS-osteosynthesis, easy to perform, weight-bearing at once, low rate of complications and good results by a broad spectrum of indications. Subtrochanteric fractures should be treated with 95 degrees condyle blade and unstable fractures connected with destruction of Adam's bow with valigisation osteotomy and valgisation blade.
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The ulcer risk of jejunal interposition following gastric resection was analyzed experimentally and clinically. There was a strong correlation between the rate of ulcer and the length of the interposed segment. The longer the segment and the better the reflux preventive effect was the higher was the ulcer risk. By additional vagotomy a partial protective effect could be obtained.