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Biomedical subjects

G Ingianni

Publications and source records attributed to G Ingianni.

29 records · Page 2Linked to original sources
PubMed1985

[Clinical experiences in the use of lymphovenous anastomoses in secondary lymphedema].

Secondary lymphedema of the arm after therapy for breast cancer has a frequency of about 30% in the Federal Republic of Germany. Many authors have performed lympho-venous anastomoses to release lymphostatic edema, most using microsurgical technique. In this paper the authors present microlympho-venous anastomoses done in a telescope-like manner and using fibrin glue. First this technique was applied to dogs, later to patients. Measurement of the limb and of the limb volume at different levels were done pre- and postoperatively. Investigations with radionucleides were undertaken in some cases to measure lymphatic clearance. The operations were performed under local anaesthesia with perioperative antibiotic prophylaxis. The procedure was well tolerated by the patients, achieving a reduction of the swelling of about 30%. Despite the short follow-up of only six months and the limited number of cases we feel that this type of therapy should be offered to patients with secondary lymphedema.

Arm↗
PubMed1982

[Neurography: experimental positive visualization of peripheral nerves by x-rays (author's transl)].

Blunt injuries of peripheral nerves as well as neural lesions following operations could be early differentiated by X-ray visualisation of nerve trunks. Water soluble and oily contrast mediums were injected into the epineural space of the sciatic nerve of rats and rabbits. A good opacification of the whole nerve up to the epidural space of the spinal cord was obtained. Similar results have been achieved by other authors. However, at present there is no standard method for neurography.

Animals↗
PubMed1981

[Reimplantation of peripheral parts of the extremities. 808 cases and functional results].

The Authors present 808 replantations by microsurgery in patients aged between 16 months and 70 years. The functional results were controlled in 369 cases after 10 to 20 months. The less satisfactory function was found in patients over 50 years and following combined injuries of the hand. The replantation of the thumb achieved the best results. The Authors point out that, despite a poor prognosis, some replantations should still be attempted because every case needs to be evaluated individually.

Adolescent↗
PubMed1981

[Computer tomographic findings in pelvic and abdominal trauma (author's transl)].

Twenty-two patients with trauma to the pelvis and abdomen were examined by computer tomography. Subcapsular haematomas, haematomas and rupture of organs, intra- and retroperitoneal haematomas and pelvic fractures could be reliably diagnosed in this way. Serial observations on the tissue density of an haematoma allows one to judge its age. Lack of contrast enhancement of an haematoma makes the injection of contrast a useful test. Computer tomography has reduced the indications for angiography in blunt abdominal trauma.

Abdominal Injuries↗
PubMed1980

[Computer tomographic appearances of intra-abdominal abscesses (author's transl)].

CT diagnosis of intraabdominal abscess was confirmed in 18 patients by laparatomy and in two by autopsy. In CT abscess is characterized by an expansive soft-tissue lesion with different density values, mostly with a central fluid collection and a thickened wall. The peripheral inflammatory reaction leads to obliteration of fat planes surrounding the adjacent organs. Further symptoms are contrast enhancement of the wall and extraluminal gas collection. The combination of all these signs together with a suitable history and clinical findings allow a reliable diagnosis of abscess formation. When only isolated signs are found, differentiation from tumor, pseudocyst or hematoma may be difficult.

Abdominal Neoplasms↗
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↗
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↗
PubMedDate not supplied

[Functional and socioeconomic outcome of inpatient rehabilitation of patients with complex hand injuries].

PURPOSE: Evaluation of functional outcome and socio-economic results of patients with complex hand injuries after inpatient rehabilitation. PATIENTS AND METHODS: In a prospective investigation 36 patients with complex hand injuries received an intensive therapy regime under inpatient conditions. In all patients functional parameters of the hand (total active range of motion, palm to palm distance, spread between thumb and index finger, spread between thumb and little finger) and the score of Buck-Gramcko were registered initially and at the end of inpatient rehabilitation. Socio-economic data (kind of discharge, job reintegration, further treatment) were documented as well. RESULTS: The total active range of motion could be improved from 36% to 69%, spread D1-D5 from 18.5 to 20.7 cm and spread D1-D2 from 13.9 to 15.6 cm. The palp to palm distance of all fingers was reduced from 4.6 cm to 2.3 cm. The Buck-Gramcko score of all injured fingers improved from 4.2 points (poor) at admission, to 11.8 points (good) at discharge, At the end of inpatient rehabilitation 18 patients could return to their job either gradually or on full-time. CONCLUSION: Even patients with complex hand injuries, good functional results could be achieved by an intensive inpatient rehabilitation characterised by close medical supervision and guidance and tight clinical controls.

Adult↗