The consequences of high infrarenal thrombosis of the abdominal aorta, the possibilities of treatment, per- and post-operative complications.
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Aorta, Abdominal↗
Biomedical subjects
A Kleinbauer
Publications and source records attributed to A Kleinbauer.
[Retroperitoneoscopic lumbar sympathectomy].
The development of revascularization techniques of the distal lower extremity dramatically diminished the need of lumbar sympathectomy. Which is indicated when patient with rest pain or with a profound gangrene of toes (which does not exceed the line of metatarsal articulation) could not be treated by vascular reconstruction. Lumbar sympathectomy could be done surgically or chemically, the efficiency of which is about 50%. The second to the fourth lumbar sympathetic ganglion could be resected with minimal invasivity, retroperitoneoscopically. This approach to lumbar sympathectomy opens further possibilities for operating in retroperitoneal space. Retroperitoneoscopy is well tolerated by patients.
Endoscopy↗
[Laparoscopic cholecystectomy: early results in the initial non-selected group of 50 surgical patients].
Early results of an initial non-selected group of 50 laparoscopic cholecystectomies (mean hospitalization 3.5 days, 6% conversions, no serious complications, no revisions, morbidity due to minor complications 6.3% and saved costs of postoperative hospital treatment 44.6%) confirm that this operation is feasible, safe, preferred by patients and well tolerated economical definitive treatment of cholecystolithiasis. On these grounds it is becoming a method of first choice. The safety of patients is ensured by steady care of the surgeon and his adequate training according to generally accepted principles.
Adolescent↗
[Peroperative endoscopic papillosphincterotomy].
The authors describe their experience with combinations of endoscopic and surgical procedures when dealing with stenoses of the papilla Vateri. They give a detailed account of the endoscopic phase of surgical intervention. In their opinion the most important thing is exclusion of duodenotomy which should reduce the risk of a duodenal fistula. Another important advantage is more rapid convalescence and a shorter hospitalization period as well as a shorter time required for the intervention. Next the authors discuss possible complications described in the literature and their relationship to endoscopic papillotomy. The authors evaluate contemporary possibilities of endoscopic treatment and emphasize the necessity to extend the use of endoscopic methods in everyday surgical practice.
Adult↗
[Liver resection].
The authors present the experience of their department with resections of the liver. Their main attention is focused on indications and the technique of operation. During the period from 1981 to April 1990 at the Surgical Clinic in Brno 50 resections of the liver were made. Thirty patients with benign diseases were operated and 18 patients with malignant diseases. The group comprised only those resections where at least one liver segment was removed. In two patients re-resection on account of a tumour relapse was performed. For arrest of haemorrhage from the resection area the authors recommend in addition to careful surgical treatment also the use of fibrin glue.
Adolescent↗