Search PubMed⌕ Search

Biomedical subjects

G Hubmer

Publications and source records attributed to G Hubmer.

At least 37 records · Page 2Linked to original sources

[Ureteral obstruction caused by a grenade splinter].

It is reported on a 59-year-old patient who towards the end of the Second World War suffered a shell-splinter injury and was admitted to hospital under the picture of an acute ureteric obstruction with pyonephrosis 40 years after the event. One year after the operative removal of the obstructing shell-splinter again normal contrast medium excretion of the kidney affected and subjective symptom-free state of the patient. The symptom-free interval of 4 decades is remarkable. The difficulties of the establishment of the primary diagnosis as well as possible early and late complications of bullet and splinter injuries of the urinary tract are discussed.

Foreign Bodies↗

Renal carcinoma with solitary distant metastasis.

Our experience with 14 patients with renal cell carcinoma and solitary distant metastasis is reported. The treatment of choice is tumor nephrectomy and surgical removal of the metastasis simultaneously or within a short period of time. The average survival time with this treatment is 18.5 months (maximum 4 years, minimum 2 months).

Adenocarcinoma↗

[Treatment of Wilms' tumor (author's transl)].

Uniform treatment based on the therapeutic approach of the 1st and 2nd US National Wilms' Tumor Study was decided on in March 1976 by paediatricians, surgeons, urologists and radiotherapists in Austria. Wilms' tumour was diagnosed in 34 children between 1 january 1976 an 29 february 1980 (stage I: n = 11, stage II: n = 8, stage III: n = 8, stage IV: n = 7). Parents of two children refused treatments; both children have since died of metastases. Of the remaining 32 children 29 (90.6%) are alive, 10 for more than 4, 15 for more than 3 and 19 for more than 2 years after diagnosis. 21 children are without need of treatment. Three children have died, one due to postoperative complications, one due to haemorrhagic chickenpox, but free of tumour, and one after insufficient treatment. Two of the five children with a recurrence between 2 1/4 to 15 months after diagnosis had been treated inadequately in the initial phase. The tumour free survival rate in 74.2%. Two children with early occurring or recurrent lung metastases have survived for 53 1/2 and 54 months up to now.

Age Factors↗

Malignant tumor resection in the solitary kidney: use of hypothermic hyperosmolar renal preservation method.

In 4 out of 8 patients with a malignant tumor in a single or in a solitary kidney, partial nephrectomy was performed under ischemic conditions. To avoid severe ischemic damage the kidneys have been flushed with a cold hyperosmolar intracellular-type electrolyte solution. In all cases excellent kidney function was obtained postoperatively and no tumor recurrence was observed 18 months to 5 years later.

Aged↗

[Advances in the surgical treatment of renal calculi (author's transl)].

The most important advances in the surgical management of renal calculi are reviewed and the following current concepts are discussed: operation of the kidney in situ with dorsal muscle-sparing lumbotomy; intrasinusal pyelolithotomy as a modern principle of stone surgery; modern techniques for the localization and removal of stones from the renal pelvis (X-ray, ultrasound, coagulum pyelotomy); methods of hypothermal kidney preservation and operative techniques for staghorn calculi; and modes of surgical stone prophylaxis.

Humans↗

Prostatectomy with a no-catheter technique.

A method of no-catheter prostatectomy is described and the results of 350 operations are presented. It has been demonstrated that this method of prostatectomy can be done aseptically.

Humans↗

Direct vision urethrotomy in the management of urethral strictures.

A series of 32 patients underwent direct vision urethrotomy. The technique is simple and the stay in hospital short. Intra- and postoperative complications are rare. Postoperatively, a silicon catheter is left for approximately 7 days, then hydraulic self-dilatation is performed by the patient for 6 months. 25 patients in this series (83%) voided satisfactorily after the procedure and needed no further treatment. Unsatisfactory results were obtained in patients with long strictures, in traumatic strictures with large scarred areas and in patients who failed to carry out regular hydraulic self-dilatation. We advise direct-vision urethrotomy as a treatment of choice for urethral strictures which do not exceed a length of 3 cm.

Adolescent↗

[Surgical treatment of wilms' tumour and neuroblastoma with particular reference to staging (author's transl)].

Combined surgical, irradiation and cytostatic therapy has considerably improved the outlook in cases of Wilms' tumour over the past years. Unfortunately the therapeautic results in neuroblastoma have not shown improvement to the same extent. Staging of the tumour is an essential basis for thee establishment of optimum therapeutic management and prognosis. Further improvement in results could be achieved with enhanced early diagnosis of these tumours and centralized treatment in centres with requisite specialist teams.

Age Factors↗

[Diagnostic problems in massive adrenal haemorrhage in the newborn (author's transl)].

Massive adrenal haemorrhage in the newborn frequently presents as an abdominal mass and is difficult to diagnose when this is the sole clinical feature. Surgery is indicated for the diagnosis and treatment of those cases in which a malignant tumour cannot be ruled out from the X-ray appearance with certainty. 3 cases are discussed in respect to clinical signs and the differential diagnosis of adrenal calcification in infancy is briefly mentioned in this connexion.

Adrenal Gland Diseases↗

[Histological findings of the ureteropelvic junction in congenital hydronephrosis (author's transl)].

Histological investigation of ureteropelvic junction (UPJ) specimens of 21 patients with congenital hydronephrosis revealed in 7 instances pathological changes, which might be responsible for the obstruction. In 15 cases a significant increase of collagenous tissue within the UPJ, along with a relative deficiency of monocytes was noted. Each of the smooth muscle fibers was surrounded by fibrous tissue, which caused interruption of the "nexus" function and therefore loss of muscle contractions. The inability of normal muscle contractions within the UPJ might be a contributing factor to the pathogenesis of congenital hydronephrosis.

Adolescent↗