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
[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
[Procedures in reconstructive interventions in the area of the face and neck after burn injuries].
Hypertrophic scars and tissue defects are the most common cause of functional and aesthetic problems in the head and neck of burn patients. For reconstructive surgery full-thickness or split thickness skin grafts are preferred. Pedicled flaps or free flaps are mostly used to correct contractures in the neck. The transplantation of bone or cartilage and tissue expansion are also used for special indications.
-
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir · Jan 1989
[Continued education at a university clinic with integrated specialties].
During a 14 year period 145 medial doctors were employed at the Chirurgische Universitätsklinik Köln 45 became certified general surgeons after a mean of 7.2 years. 18 received a PhD. 4800 operations year permitted the training and qualification of 0.7 doctors for the subspeciality vascular surgery and 0.8 doctors for traumatology per year. Despite extended selection 53 did not accomplish board certification for surgery in the hospital of their initial training.