Zentralblatt für Chirurgie
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Recently 11 cases of severe haemolysis after correction of septal defects have been reported. Our experience with this complication is shown in 5 patients. Conservative treatment as a matter of experience is possible only in a few cases. We use autologous pericardium, Rygg-Perikard resp. to prevent this complication.
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Case Reports
[Early thoracotomy and chest wall stabilization with elastic rib clamps (author's transl)].
In patients with chest injuries, serial rib fractures and intrathoracic lacerations the indication for primary thoracotomy is usually limited to life-threatening organ ruptures. In our own experience with 18 patients primary thoracotomy offers the chance of immediate closure of lung lacerations, suture of pleural and pericardial tears, ligature of torn intercostal vessels and stabilization of the chest wall by elastic rib clamps "Essener Model". Postoperative respiration, freedom of pain, is restored immediately and therefore complications and duration of high-risk respirator treatment can be reduced.
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In the field of pancreas transplantation great progress has been made in recent years. While the transplantation of the whole organ has lost importance, success could be reached with the transplantation of isolated islets of Langerhans and with the segmental pancreas transplantation in experiments and in clinical practice. The present-day research is focused particularly on influencing the antigenicity of the endocrine pancreas tissue and on methodical problems of segmental pancreas transplantation.