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Biomedical subjects

C Nies

Publications and source records attributed to C Nies.

62 records · Page 4Linked to original sources
PubMed1992

Intraoperative ultrasonography in surgery for chronic pancreatitis.

We report our experience with intraoperative ultrasonography in 49 patients undergoing surgery for chronic pancreatitis. Among drainage procedures, there were 14 laterolateral pancreaticojejunostomies, 15 pseudocystojejunostomies, and 2 pseudocystoduodenostomies. Under the guidance of intraoperative ultrasonography, left sided partial resection of the pancreas was performed in 7 patients, whereas a Whipple-type procedure was necessary in 6 cases. All preoperatively diagnosed pseudocysts, abscess formations, and dilated pancreatic ductal systems could be easily localized with the assistance of intraoperative ultrasound. Additionally to diagnoses already made preoperatively, intraoperative ultrasonography revealed a second, smaller pseudocyst in one patient and pancreaticolithiasis in another case. However, significant assistance and comfort to the operating surgeon was provided in all cases by intraoperative ultrasound imaging. This technique, which is cost effective and minimally invasive, proved to be extremely helpful in localizing pancreatic fluid collections and the course of the pancreatic duct. It facilitates the operation by reducing tissue traumatization and operative time. In experienced hands, intraoperative ultrasonography is a reliable method and a useful adjunct to the surgeon.

Adult↗
PubMed1992

[What is the cost of laparoscopic cholecystectomy?].

After laparoscopic cholecystectomy (LC) has replaced open cholecystectomy (OC) to a large extent as standard method in the operative treatment of cholecystolithiasis the question of costs and economics raises. To evaluate this question the data of 50 patients who underwent elective LC were analysed in a retrospective study and compared with the data of 50 patients who were cholecystectomized using the open technique. The median of in-hospital stay was 6 (3-15) days for LC and 10 (3-33) days for OC. The median of time of working-disability was 14 (2-35) days for LC and 21 (2-56) days for OC. Total cost (median) of 3788 (2637-8101) DM for LC compared to 4509 (2041-15218) DM for OC. The median of hospital income was 2790 (1395-6975) DM for the LC-group and 4650 (1395-15346) DM for the OC-group. Due to the shorter in-hospital stay of LC-patients this method causes a microeconomical loss for the hospital compared to OC. Macroeconomically LC represents a benefit because of shorter working-disability.

Adult↗
PubMed1991

[Ileocolic invagination in adults. The sonographic characteristics].

An 86-year-old man was admitted to hospital because of transitory cramp-like abdominal pain of 6 days' duration. Immediately preceding admission he had suffered a short episode of vomiting and diarrhoea. There was no history of previous abdominal operation. On examination there were signs of incomplete mechanical ileus. Ultrasonography revealed an abnormal cockade with triple ring phenomenon at the ileocaecal junction and the "duck-beak phenomenon" as signs of enterocolic intussusception. Immediate laparotomy demonstrated a submucous lipoma of the terminal ileus as its cause.--If there is clinical suspicion of intussusception, even in the presence of atypical abdominal symptoms, ultrasonography is the procedure of choice to provide rapid diagnosis. In adults treatment is always surgical.

Abdominal Pain↗
PubMed1987

On the recovery of the electroretinogram after removal of intravitreal zinc particles.

The influence of intravitreal zinc particles (1.3 mm2) in the eyes of rats caused the amplitudes of the electroretinogram to decrease to about 50% of the initial values within 24 hours, whereas the prolongation of the peak times began only on the third day after particle implantation. The removal of the zinc particles after 30 days led to only partial recovery of the amplitudes, whereas the peak times reached normal values. Dissociated behaviour of the amplitudes and peak times as described here was not found in earlier experiments with intravitreal iron, copper or lead particles of the same size. The extraction of intravitreal zinc particles (1.3 mm2) one day after implantation resulted in a recovery of the amplitudes up to 85%.

Animals↗
PubMed1987

On the recovery of the electroretinogram after removal of intravitreal copper particles.

This report details the influence of the time lapse and surface area size of intravitreal copper foreign bodies on the electroretinogram (ERG) and the recovery of the potentials after removal of the particles. Pure copper wires were implanted temporarily into the vitreous body of rat eyes in the area of the ora serrata and the values of the ERG were compared with those of the intact fellow eyes. In three different procedures with groups of 12 animals each the following results were obtained: (1) The metal toxicity of small copper particles (0.3 mm2) remaining one day in the vitreous body reduced the amplitudes of the a1-, a2-, and b-wave only 10% by the end of the observation time of 260 days, (2) The loss of ERG amplitudes increased to about 25% under the influence of larger copper particles (1.3 mm2; time lapse one day); and (3) Copper particles with an active surface of 1.3 mm2 remaining two days in the vitreous body caused a permanent loss of about 50%.

Animals↗
PubMed1986

[Regeneration capacity in retina and vitreous body changes following extraction of intravitreal copper particles].

On the basis of experiments with 42 rats, quantitative statements are made regarding the influence of surface area and dwelling time of intravitreal copper particles on the electroretinogram. The influence of these factors on the extent of recovery of function after extraction of the foreign body is demonstrated. The rate of mental intoxication (metallosis retinae) is indicated separately from the mechanical damage. Ophthalmoscopic findings are also described. The practical relevance of these results to the clinical situation is discussed in detail in connection with earlier reports.

Animals↗