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Biomedical subjects

G Steinau

Publications and source records attributed to G Steinau.

40 records · Page 3Linked to original sources

Recurrent inguinal hernias in infants and children.

The objective of this study was to analyze the etiologic factors possibly associated with the development of recurrent groin hernias in infants and children. For this purpose we analyzed the records of 2754 pediatric patients operated on for primary hernias between 1966 and 1990 at our department who have not had recurrences. They were compared with 28 boys and 4 girls we treated for recurrent hernias during the same period. We found an indirect hernia in 29 cases, a direct hernia in 4 patients, and a femoral hernia in 1 child at the time of reoperation. A significantly high recurrence rate was found to be associated with incarceration (21.9% versus 7.6%), postoperative complications (9.4% versus 1.8%), concomitant diseases (31.2% versus 5.7%), and premature birth. Day case treatment was closely related to concomitant diseases. No impact on the development of recurrences was seen for the surgeons' educational level and the time of day the surgery was performed. Knowledge of the factors contributing to hernia recurrence and perfect surgical technique with reduction of incarcerated hernias and early elective operation may result in fewer recurrences in infants and children.

Child↗

Primary non-Hodgkin lymphoma of the stomach--role of surgery.

Thirty-one patients with Non-Hodgkin lymphoma of the stomach were retrospectively investigated. The prognostic factors regarding survival after treatment were determined in an univariate analysis. Twenty-seven of the patients revealed a stage I or II disease (according to the Ann Arbor classification) at the time of operation. The analysis showed no significance for grading, staging, lymph node-, serosa- or splenic involvement of our patients. Significant prognostic factors for survival of gastric Non-Hodgkin lymphomas were age (< 60 years) and resection margins R0 or R1/R2 (p < 0.05). The post-treatment evaluations for prognostic differentation between radical resections, patients with complete response after palliative resection including additional chemotherapy and patients without therapy response showed a significant difference in survival (p < 0.01).

Chemotherapy, Adjuvant↗