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Biomedical subjects

A Tittel

Publications and source records attributed to A Tittel.

28 records · Page 2Linked to original sources
PubMed1994

[Value of sonography in routine diagnosis of acute appendicitis. A retrospective analysis].

Our retrospective study of ultrasound examinations in 261 consecutively appendectomized patients shows a lower sensitivity in sonographic diagnosis of acute appendicitis compared to our former prospective study. One reason seems to be the different experience of the participating surgeons in ultrasound examination of acute appendicitis. Conditions of a prospective study might be another reason for our former better results. In conclusion recognition of appendicitis during ultrasound must lead to early operation, but a negative ultrasound alone is not safe enough to avoid surgical intervention in clinically supposed appendicitis. In every-day surgery clinical experience combined with additionally performed ultrasound leads to an early and safe indication for appendectomy.

Abdomen, Acute↗
PubMed1993

[Ambulatory surgery interventions in childhood in a surgical clinic].

Between Jan. 1, 1980 and Dec. 31, 1990 1 688 children underwent One-Day-Surgery at the Surgical Department of the Rhenish-Westfalian Technical University. More than 85% of the operations were inguinal hernias (n = 765), phimoses (n = 324) and umbilical hernias (n = 185). The children's age ranged from 3 months up to 14 years. 27 patients (1.6%) could not be dismissed at the same day because of early complications. Two postoperative hemorrhages after circumcision led to readmissions and reoperation. More than 90% of the parents and 85% of the pediatrists were satisfied with the One-Day-Surgery. A responsible and successful One-Day-Surgery needs qualified surgeons, a well defined organizational structure and the observance of forensic problems.

Adolescent↗
PubMed1992

[Interrupted suture versus adhesive dressing in skin closure of pediatric inguinal hernia--a controlled randomized prospective study].

The skin closure with resorbable interrupted sutures (Dexon 6x0) was compared with adhesive plasters (Leukostrip) in a randomized prospective clinical trial with 100 children with an inguinal hernia. The same operative technique was used in both groups. There were no significant differences referring to the complication rates and the cosmetic results between both groups. Skin closure with adhesive plasters significantly saved operation-time and reduced costs. It can be recommended in cases of infantile inguinal hernias.

Bandages↗
PubMed1992

[Results of surgical therapy of choledocholithiasis--a retrospective study].

A multimodal therapeutic concept of choledocholithiasis with endoscopic and surgical procedures is presented. Between January 1986 and December 1990 106 patients with choledocholithiasis were operated. These patients are retrospectively analyzed. The success rate is 95.3%, the morbidity 18.7% and the mortality 0. These results are compared with the published data of the surgical or endoscopic therapy of the choledocholithiasis.

Adolescent↗
PubMed1992

[Jejunogastric invagination--a rare complication of stomach surgery].

The jejunogastric intussusception is a rare complication of gastric surgery. An acute and a chronic form of intussusception can be distinguished. Three anatomical types of jejunogastric invagination have been classified. Endoscopy is the diagnostic procedure of choice, early operative desinvagination the therapy of choice. The effectiveness of different operative procedures to prevent reinvagination is contested.

Aged↗
PubMed1990

[Common channel syndrome--2 case reports].

The common channel syndrome is a disease mostly of young girls. To demonstrate the problems of diagnosis and therapy we report on 2 cases operated on in 1987 and 1989. The long delay of several years between the onset of symptoms and the diagnosis might be shortened by improved diagnostic possibilities (Ultrasound, ERCP). In any case of hyperamylasemia or chronic pancreatitis in childhood an obstruction of the biliary tract should be excluded. The common channel syndrome can be treated by means of sphincteroplasty or a bilidigestive anastomosis.

Amylases↗