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Biomedical subjects

E Biemer

Publications and source records attributed to E Biemer.

At least 127 records · Page 7Linked to original sources
PubMed1980

[Late results after thumb replantation].

72 cases of thumb amputation and replantation were studied, 50% of which resulted from saw injuries and 20% from avulsions. 64 (88,9%) of the thumbs survived. The functional results in 52 available for review show that 95% achieved a good or satisfactory result. This demonstrates clearly that a thumb amputation is always an absolute indication for a replantation. In a multiple amputation case, where the thumb is destroyed or absent one should do a primary finger transfer. In such cases also we achieved similar good results.

Amputation, Traumatic↗
PubMed1980

[Personal experiences with replantation of fingers in the zone 1 area (fingertips)].

After an amputation of a finger in zone I (up to the root of the nail) replantation with vascular anastomoses is mostly not possible. Therefore, we started to replant such amputates as a composite graft with the same medication as in replantation surgery: 500 cc low molecular dextran for 7 days, 330 mg acetyl-salicylic acid and 75 mg dipyridamol for 14 days usually. In 12 patients we replanted 16 finger- or thumbtips with 12 survivals. We had the best results in clean cut amputations. Concerning the late results we achieved always good sensibility and no evidence of any circulatory disturbance by about 6 months. The replants were useful and not painful. Occasionally we noticed some atrophy. The nail growth was nearly normal if the nail was not destroyed or severely damaged.

Amputation, Traumatic↗
PubMed1980

[Bone healing in replantation surgery of the hand].

For the most part we use single axial Kirschner drill wires for the stabilization of fractured bones in the replantation surgery on the hand. The results of a re-examination of 102 patients with 176 replanted parts of the hand are reported and discussed.

Amputation, Traumatic↗
PubMed1980

[Finger replantation in children].

The possibility of replantation is discussed for children's amputation injuries. The use of this technique is also indicated for multiple amputations and severe crush injuries. More than half of the replanted fingers healed successfully. Since the existence of the Replantation centre of the Klinikum Rechts der Isar, over 600 operations of separated limbs were performed. The healing rate of totally and subtotally separated limbs of adults was 87%. The attempt was made to replant separated digits of 14 children, aged from 1 to 8 years, with microvascular anastomoses. The grade of injuries and the minimal size of anatomic structures demand a particularly high standard of the operative standard. Replantation was also indicated for badly squashed and contaminated limbs.

Amputation, Traumatic↗
PubMed1979

Successful replantation of a totally avulsed scalp.

A case of a totally avulsed scalp was replanted successfully by microvascular anastomosis. Though the avulsed part was heavily crushed, which resulted in a central wound, the appearance of a "necrotic" area, haematomas and persistent serous exudation after the restoration of circulation, the whole scalp survived.

Adolescent↗
PubMed1979

[Transsexualism: indication and surgical treatment].

After the diagnosis of transsexuality is well definated and recognized in most western countries, the surgical transformation of the genital area is performed. Before surgical treatment an exact psychiatric clarification is absolutely essential. The operation is the last part of a long treatment. The surgical result in the more common female transsexual is quite reasonable. The treatment of the fewer male transsexuals is not solved completely, especially the reliable techniques for penis reconstructions are not very sufficient.

Castration↗
PubMed1979

Vein grafts in microvascular surgery.

The judicious use of vein grafts will lessen the incidence of thrombosis in microvascular surgery and help to overcome problem of vessels loss. Vein grafts are readily available and do not pose any major disadvantages.

Adult↗
PubMed1979

Experience in replantation surgery in the upper extremity.

This page reports our experience of 423 digital and hand replantation over the period of 35 months. A classification based on the levels of amputation is suggested. The operative technique and indication of replantation are discussed.

Amputation, Traumatic↗
PubMed1978

[Results of replantations, organizational and financial problems (author's transl)].

After 363 replantations of fingers, thumbs, and hands with 87.9% successful revascularizations, conditions for optimal results and reasons for failure are discussed in terms of surgical management, organization, and costs. Several case studies document the importance of preoperative handling, the time span between accident and treatment, and the postoperative control of thrombosis. Finally, microsurgery is regarded as a first step toward a future routine technique in reconstructive surgery.

Adult↗
PubMed1978

Early experiences in organising and running a replantation service.

In the 10 months since the establishment of a 24-hour replantation service, the centre at the Klinikum rechts der Isar of the Technical University of Munich has treated 162 amputation injuries; 132 underwent replantation surgery and 117 of these healed successfully. Surgical technique, medication and postoperative treatment with physiotherapy are described. Special emphasis is placed on the difficulties associated with crush and avulsion injuries; in most of them the only solution is an intermediate vein graft to bridge the defect in the vessels.

Amputation, Traumatic↗
PubMed1977

[Covering defects by free grafting of skin and soft tissue with microvascular anastomoses (author's transl)].

The technique of free tissue transplantation with microvascular anastomoses in 3 patients is presented. Transplants consisting of skin and subcutaneous tissue from the groin with the superficial circumflex iliac artery and the superficial epigastric artery were used to cover defects over the calcaneum and to treat a scalping wound of the head, and a transplant from the dorsum of the foot with the A. dorsalis pedis and accompanying sensory nerves to the palmar surface of a hand following a third degree burn. Eight of a total of 13 transplants with microvascular connections healed completely. Partial necrosis occurred three times and total necrosis twice.

Adolescent↗
PubMed1977

[Complications in free flap transfer with microvascular anastomosis].

We used free flap transfers with microvascular anastomoses to cover defects on head, leg, foot and hand. In our experiences of 12 cases we got 2 total and 3 partial necroses of the transplants. The possible causes of the failures are discussed, and the results are compared with other reports. The significance of the method in hand surgery is demonstrated, comparing groin and dorsalis pedis flaps.

Adolescent↗