Langenbecks Archiv für Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft für Chirurgie. Deutsche Gesellschaft für Chirurgie. Kongress
-
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir · Jan 1989
Review[Pulmonary complications within the scope of multiple organ failure].
The adult respiratory distress syndrome (ARDS) is the pulmonary manifestation of multiple organ failure. Respiratory distress, alveolar consolidation and hypoxemia refractory to oxygen are the result of uniform and unspecific morphological reactions of the alveolo capillary membrane. ⋯ A causal therapy for ARDS is not known. Treatment of the underlying disease, maintenance of arterial oxygenation and prevention of secondary complications are the most important therapeutic measures.
-
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir · Jan 1989
[The pathogen spectrum in acute and chronic pleural empyema].
A retrospective analysis of the causative organisms was performed in 162 cases of empyema: 132/162 (= 81.5%) cases had positive cultures. Twenty-two different organisms were cultured from 235 isolates. ⋯ Polymicrobial empyema accounted for 48% of the cases. Therefore more than one antimicrobial agent should be administered to ensure adequate coverage.
-
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir · Jan 1989
[Corrective possibilities of burn contractures of the large joints].
Major joint movement is frequently limited following full-thickness burns of the extremities due to scar contractures. After operative correction of the contractures physical therapy is absolutely necessary. Skin contractures are treated with Z-plasty, skin graft, local flaps, pedicled flaps and free tissue transfer. The advantages and disadvantages of those procedures are described.
-
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir · Jan 1989
[Quality of life after surgical interventions--vascular surgery].
Vascular surgery is primarily a reconstructive discipline that contributes appreciably to the patient's quality of life (QL) by improving many organ and system functions. The definition of QL includes a variety of specific and very individual aspects. The postoperative evaluation of QL must be based on the one hand on hard data and common clinical parameters, and, on the other, on the individual feeling of the patient, who compares preoperative sequelae and postoperative functional improvement.
-
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir · Jan 1989
[Burn sequelae of the hand and face, when full-thickness skin transplant, when flap?].
Full-thickness skin grafts if possible and flap plasties if necessary are our common guideline for reconstruction of the face and hands after burns injuries. If the mobility of the lips, the eyelids or the fingers is limited by contracted scars, the interposition of full-thickness skin grafts is generally very helpful. This is also true for the face and the hands. Flaps are necessary for the hands if there are tendons to be covered or joints to be closed.