Biomedical subjects
A Zängl
Publications and source records attributed to A Zängl.
[Education of the elite physician--the legacy of Theodor Billroth from the contemporary viewpoint].
Explore the source record for details and available documents.
[All-layer prolapse of the anorectum].
Complete prolapse or procidentia of the rectum describes the extrusion of the entire thickness of the rectal wall through the anus. A number of factors have been alleged to be important in the production of procidentia; at present stress is placed on the concept of intussuception. A large number of operative procedures, designed to correct this condition, reflect the unsatisfactory nature of the results hitherto achieved. The author's personal preference is a transperitoneal approach whenever feasible (Well's Procedure) with sacro-fixation. If a perineal approach is unavoidable for medical reasons the Thiersch-Procedure in Stelzner's modification (placement of the ring below the pelvic floor muscles) yields acceptable results. In seemingly hopeless recurrent cases, the procedure of Sarafoff can prove to be successful.
[Operative tactical procedure in esophageal lesions].
Explore the source record for details and available documents.
[Proved methods and problems in treatment of colo-rectal carcinoma].
Explore the source record for details and available documents.
[Enterostomy patients: care and guidance].
Explore the source record for details and available documents.
[Experience report on Austria's first operating room using the ALLLO-PRO-laminar-flow-system].
Explore the source record for details and available documents.
[Rectal cancer--amputation or resection?].
Explore the source record for details and available documents.
[Austria's longest surviving patient following "extended" pneumonectomy].
Explore the source record for details and available documents.
[Diverticulosis - Diverticulitis from the surgical point of view (author's transl)].
Diverticulosis from surgical point of view means treatment of complications. Treatment of primarily acute and chronic diverticulitis without complications should be conservative in the beginning. Primarily or secondarily complicated cases should undergo proper surgical resection. In these cases a step-by-step procedure has to be considered. Suspicion of simultaneous diverticulosis with carcinoma demands operative clarification.
[Benign diseases of the esophagus].
Explore the source record for details and available documents.
[Benign diseases of the esophagus].
Most benign esophageal affections may be successfully subjected to carefully selected non-invasive but mainly to surgical techniques; special attention is being paid today to refluxcaused esophagitis and its sequelae. They both require a special strategy of anti-reflux measures - sometimes combined with suppression of peptic aggression. Fundoplicatio according to R. Nissen - if necessary complemented by selective vagotomy - to a large extent meets the needs of a surgical technique adapted to this type of disease.
[Temporary gastrostomy as an alternative procedure for nasogastric suction].
Based on personal experience with 70 cases of temporary tube gastrostomy - used as an alternative procedure to nasogastric suction in 50 cases and as a double-purpose tube in 20 cases of radical esophagectomy - pertinent problems concerning indication, technique, advantages, and possible complications are presented. The results indicate that temporary gastrostomy is a safe procedure, reduces cardiopulmonary disorders, and increases the patient's comfort. The procedure is therefore strongly recommended for patients with poor cardiopulmonary reserve and for the age group above 60 years. Temporary gastrostomy is also indicated in younger patients, if prolonged gastric distension with the necessity of decompression is anticipated.
[Total oesophageal resection with interposition of the left hemi-colon in a one-stage procedure (author's transl)].
Total oesophageal resection for cancer is a major procedure, involving surgery within the thoracic cage, the abdomen and the cervical mediastinum. Plastic restruction using a segment of colon which is placed retrosternally between the cervical oesophagus and the stomach, is an additional procedure of considerable difficulty. Most surgeons, therefore, prefer a two-stage operation. In order to spare patients the unpleasantness of a cervical fistula and a gastrostomy, the author describes a procedure of total resection of the oesophagus with interposition of the left hemi-colon in a one-stage procedure. Careful selection of patients is naturally imperative, but the immediate postoperative results enabling the patient to swallow again at once is most gratifying.
[Construction of the vagina with transposition of the signoid colon (author's transl)].
Sigmoid transposition for reconstruction of the vagina in congenital aplasia was first carried out at the 2nd Surgical University Clinic in Vienna in 1904 by P. Albrecht. This operation was not frequently used because of possible complications thought to be inherent in the method. In 1954 the author redesigned some essential parts of this procedure with suggestions for avoiding the complications mentioned above. Of 23 patients operated on with this modified technique, in 21 the immediate result was perfect. Necrosis developed in two cases without general symptoms.
[Results of treatment of advanced cancers of the breast by intrapituitary implantation of radioactive yttrium].
Explore the source record for details and available documents.
[Complications in bile-duct surgery and in repeated surgery].
Explore the source record for details and available documents.