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Biomedical subjects

D Zeidler

Publications and source records attributed to D Zeidler.

At least 37 records · Page 2Linked to original sources
PubMed1989

[Therapy of parenchyma and bronchus fistula in chronic pleural empyema and the remaining empyema cavity].

The peripheral bronchial fistula, which is not visible by direct endoscopic examination, is closed by endoscopic application of fibrin glue. Sometimes only conservative therapy with irrigation of the pleural space is sufficient and effective. The postlobectomy fistula of the bronchus stump is treated by preoperative puncture and irrigation of the pleural space, followed by a corrective reamputation of the stump of the bronchus or a sleeve resection with end-to-end anastomosis. The post-pneumonectomy fistula has to be corrected by preoperative irrigation of the pleural space and a corrective second amputation by an extrapleural transmediastinal procedure. Sometimes it is necessary to use an opposite posterior access. An alternative is to cover the stump by an intercostal muscle flap without directly closing the fistula by suture. The remaining pleural space must be obliterated by using an additive pedunculated muscle flap of the thoracic wall.

Bronchial Fistula↗
PubMed1980

[Aspiration accidents in dental practice].

Lack of symptoms does not necessarily mean that a small foreign body has been swallowed. Symptoms may not be present after aspiration of a foreign body which lodges in the bronchial tract. In any case, the event must be clarified roentgenologically. The patient should be removed from the practice. Ominous symptoms, on the other hand, indicate that a large foreign body has lodged in the trachea or behind the larynx. The patient should be immediately escorded to the hospital in a sitting position. The administration of a sedative is indicated in some cases.

Foreign Bodies↗
PubMed1980

[Differential diagnostic and therapeutic measures after aspiration of foreign bodies].

While aspiration is extremely rare, it must be considered as a possibility. Its prompt consideration is already half of the diagnosis, and the patient is protected from avoidable complications. The patient should be admitted to a hospital or department where routine bronchoscopic examinations are carried out and where personnel and equipment are available for immediate foreign body extraction.

Adult↗
PubMed1979

[Primary spindle cell sarcoma of the pulmonary artery].

It is reported on a patient with a primary, mainly spindle-cell sarcoma of the left pulmonary artery. It is a case of a centrally located tumor, which caused a subtotal occlusion of the truncus pulmonalis and a complete occlusion of the left pulmonary artery. The diagnostical and therapeutical methods with their results and possible complications are discussed. The indication for an operation is demonstrated. In the pertinent literature hitherto 35 cases of this disease are reported.

Adult↗
PubMed1979

[Traumatic rupture of the diaphragm (author's transl)].

Traumatic rupture of the diaphragm is diagnosed during the acute stage in only 50% of the cases. The reasons for this failure are that in many of these cases clinical symptoms of damage to abdominal organs or of injuries to the limbs predominate. Traumatic rupture of the diaphragm is usually the result of an indirect trauma. Clinical signs of extensive prolapse of viscera into the thoracic cavity are: dyspnoea, tachycardia, cyanosis or intestinal sounds heard over the thorax during auscultation. Once the diagnosis has been established surgical repair should follow. During the acute stage laparotomy is preferable; thoracotomy is indicated during the chronic stage. Post-operative symptoms are: dyspnoea during exercise, pain in the affected half of the chest and roentgeno-kymographically demonstrable restrictions of movement in the ruptured side of the diaphragm.

Cyanosis↗
PubMed1976

[Treatment of postoperative sternal osteomyelitis (author's transl)].

Report on 5 cases of postoperative sternal osteomyelitis after cardiac valve replacement. In 3 cases evaluation of Pseudomonas aeruginosa in probes taken of sternal wounds. Treatment of the osteomyelitis with continuous irrigation and suction supported by excochleation of the fistulae and application of pure spongiosa chips to the bone defect of the sternum. Uncomplicated postoperative course in 4 patients. In 1 patient postoperative time too short for a final decision.

Adult↗