Langenbecks Archiv für Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft für Chirurgie. Kongress
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Langenbecks Arch Chir Suppl Kongressbd · Jan 1997
[Minimal invasive bypass operations on the beating heart and using mechanical stabilization of the heart surface].
Different minimally invasive techniques are currently being controversially discussed among cardiac surgeons. For revascularization of anterior myocardial vessels, off-bypass procedures were performed in 64 cases through an anterolateral submammary minithoracotomy using the left internal mammary artery. Application of mechanical epicardial stabilization facilitated adequate exposure of the anastomosis and resulted in good patency rates and a low number of complications.
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Langenbecks Arch Chir Suppl Kongressbd · Jan 1997
[Oncologic risk in pylorus preservation in resection of ductal pancreas carcinoma].
We detected peripyloric lymph node metastasis in 2 of 24 patients with ductal adenocarcinoma of the pancreas who underwent Kausch-Whipple's procedure. The resection would have been palliative if these patients were treated by pylorus-preserving pancreatoduodenectomy.
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Langenbecks Arch Chir Suppl Kongressbd · Jan 1997
[Evaluation models for therapy planning/standardization exemplified by infection].
Models of evaluation in therapeutic management pathways (practice guidelines, clinical algorithms) are demanded today, both by public health research and health policy. However, practical achievements are lacking. ⋯ It was shown that there was no agreement between the providers and the daily users. However, every surgeon has a firm, personal view about sepsis.
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Langenbecks Arch Chir Suppl Kongressbd · Jan 1997
[Measuring epidural intracranial pressure in patients with severe craniocerebral trauma].
In 30 patients with severe head injury (SHI), intracranial pressure (ICP) was monitored using epidural transducers. In 22 patients, the measurements were reliable, with average values of 19.4 mmHg in the survivors and 64.6 mmHg in those who died. It is concluded that epidural measurement of ICP provides a helpful method for the management of SHI and to control the indication for CT scans.
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Langenbecks Arch Chir Suppl Kongressbd · Jan 1997
[The trauma register of the 'Polytrauma' Committee of the German Society of Trauma Surgery as the basis for quality management in the management of severely injured patients].
The data of 1037 severely injured patients (mean ISS = 20) from 15 clinics were centrally and prospectively collected in the Trauma Registry of the German Society of Trauma Surgery and analyzed anonymously. Significant differences in respect to the treatment criteria (i.e., duration of basic diagnostics in severe trauma) and quality of outcome (TRISS method and Z statistic) were revealed for some clinics. The feedback of their data offers the associated clinics the possibility of identification of treatment phases that are worth being optimized.