Zentralblatt für Chirurgie
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Elective operation is an established therapy in the management of infrarenal aortic aneurysms. Surgery has an acceptable low risk in the presence of experienced surgeons and anaesthetists. Indication for surgery nevertheless remains a difficult problem, because diagnostic procedures and evaluation of different criteria do not exactly predict the likelihood of rupture. Indication for surgery is moreover dependent on operative mortality and late survival. This study analyses early and late results associated with the repair of abdominal aortic aneurysms in our institution in Hamburg and comments on indication for elective surgery. ⋯ In order to reduce the still high mortality associated with aneurysm rupture there is still a need for more prophylactic surgery.
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The bleeding complications of gastric- and duodenal ulcers have not declined in the past 20 years. This is the leading factor for the unchanged lethality of this disease. We present our results in 31 patients with gastroduodenal ulcer bleeding. ⋯ After control of bleeding by intra-and extraluminar ligature all patients underwent a primary resection (B I, B II or cardiofundectomy). The lethality was 12.9% (4/31), there was no re-bleeding. With the exception of one late duodenal insufficiency none patient had to be re-operated.