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Biomedical subjects

E Kern

Publications and source records attributed to E Kern.

At least 55 records · Page 3Linked to original sources
PubMed1982

[Clinical results of Child' and Phillips' mesenteric plication for the prevention and therapy of small intestinal ileus].

Mesenteric plication was performed on 148 patients (99 adults and 49 children) in the Surgical Department of Würzburg University. Recurrent bowel obstruction occurred as an early complication in 6.8%. A relaparatomy was necessary in all cases. 4 out of 10 recurrences were due to complications of the method itself. Recurrent bowel obstruction in the form of a subileus occurred as a late complication in 2.2%. There was a concurrent peritonitis at the time of mesenterial plication in 52 patients. The number of relaparatomies in the presence or absence of peritonitis was 15.4% and 8.3%, respectively. No patient died of complications due to plication. The intestinal transit time was normal 2 to 11 years after the procedure in over 92% of the patients. The typical arrangement of the small bowel mucosa was absent in 81%.

Adult↗
PubMed1981

[Malignant soft tissue tumors - problems of combined therapy. Surgery and after care].

Based on our own experience of 158 soft tissue sarcomas and an inquiry at 10 German clinics, the problems of these malignancies are discussed. Each soft tissue tumor must be totally excised for histological examination. It has to be considered a malignancy until the opposite has been proved. Uninterrupted postoperative control is of paramount importance. Extended radical surgery is controversial; today plastic and reconstructive operations are preferred. In inoperable neoplasms surgical reduction of the tumor mass is recommended. The combination of surgical, radiological and chemotherapeutic treatment is superior to surgery alone.

Adult↗
PubMed1980

[Mesenteric plication by the Childs-Phillips method for the prevention and therapy of small intestine obstructions. Experiences in 148 cases].

Transmesenteric small bowel plication (Childs-Phillips) was performed in 148 patients (99 adults, 49 children) at the University Clinic of Würzburg over a 10-year period. Of a total of 31 reinterventions, only 4 were caused by the method; recurrent intestinal obstruction occurred in 6.1%. In a total of 51 patients peritonitis was present at the time of mesenteric plication, which is not considered a contraindication for the method. Early postoperative mortality was 38.5%, but in none of these 57 cases was it due to the method itself.

Adolescent↗
PubMed1979

Incidental splenectomy: early and late postoperative complications.

Of 542 splenectomies performed from 1964 to 1977, 242 were incidental to gastrointestinal surgery. The highest rate of complications was observed in these patients as opposed to those who underwent splenectomy for trauma or Hodgkin's disease. Eighteen laboratory studies did not show significant changes 1.5 to 10 years postoperatively in 96 patients. Ninety-three patients questioned because of late symptoms had the highest rate of complaints after incidental splenectomy.

Blood Cell Count↗
PubMed1978

[Principles of radical treatment of soft tissue tumors (author's transl)].

Malignancy should always be suspected for any soft tissue tumor. Thus, histologic examination of the totally excised growth is mandatory. Amputation is indicated as a curative measure for recurrencies and lesions that cannot be excised locally. It is also indicated for palliation in cases with ulceration, impaired function, and distant metastases. Adjuvant radio- and chemotherapy, based on the type of tumor, is outlined. The importance of cooperation between surgeon, pathologist, radiologist, and chemotherapist and of a central soft tissue tumor register is emphasized.

Adolescent↗
PubMed1977

[Intra-operative autotransfusion for massive bleeding (author's transl)].

Only intra-operative re-infusion with a special apparatus is suitable for autotransfusion in the management of massive and unexpected haemorrhage. Haemolysis and air embolism are the only problems directly related to it. Since haemolysis does not cause clinical complications it can be ignored, while air embolism can be prevented by continuous close supervision. Clotting disorders are the combined result of the underlying disease, circulatory shock, massive homologous blood transfusion and autotransfusion. No pulmonary problems have been encountered. The Bentley ATS system has proven to be the most effective means of replacing volume in life-threatening massive bleeding. It is a safe procedure which not only helps to save large volumes of homologous blood but also the life of many patients with extreme massive haemorrhages.

Adult↗
PubMed1976

[Clinical results by selective proximal vagotomy with pyloroplasty (author's transl)].

The results of selective proximal vagotomy and pyloroplasty for duodenal and gastric ulcer in 464 patients over the last 5 years were evaluated in 438 cases. More than 75% of the patients were observed for 2 years after the operation. More than 25% were emergency cases, the incidence of intraoperative complications like splenic lesions or perforation of the esophagus was 3.2%. Postoperative complications like leakage of the pyloroplasty, peritonitis, hemorrhage from the pyloroplasty or disruption of the laparotomy closure occurred in 14,4%. The overall mortality was 4.6%, the elective mortality 1.6%. Recurrent ulcers were seen after 1/2-2 1/4 years with an overall rate of 3.2%. Over half of these cases required relaparotomy. In 5.3% relaparotomy had to be done for peritonitis, GI-bleeding, bleeding from the lesser curvature of the stomach, ileus or carcinoma. The Pentagastrin stimulated gastric secretion remained constantly reduced for more then 2 years in over 60%. Following the Visick-grading system the results were good in 61-65% of the patients and bad in 16-22% depending on the time of observation.

Adolescent↗