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Biomedical subjects

H Fiedler

Publications and source records attributed to H Fiedler.

At least 91 records · Page 5Linked to original sources

[The value of laparoscopy within the framework of standardization of the diagnosis of stomach neoplasms].

Today the operative treatment of the carcinoma of the stomach is methodically mature. The prognosis is determined from the moment of the extension of the tumour. The establishment of the operability and of the tactical operative approach presumes an exact preoperative determination of the stage of the tumour using all possible diagnostic methods. While X-ray examination of the stomach and gastroscopy seize only the extension of the area of the tumour, the laparoscopy gives the possibility of an evidence of the deep growth of the tumour and metastasizing of the tumour and saves a test laparotomy for inoperable patients. A continuous interdisciplinary cooperation renders possible an immediate admission of the patient to a surgical clinic.

Adult↗

[The value of clinical and paraclinical parameters in the diagnosis of acute abdominal diseases as based on the patient material of a medical clinic].

The triad pains, tension of the abdominal wall and disturbances of the peristalsis, cited in the special literature, had no diagnostic significance for the recognition of acute abdominal diseases. In more than half of the patients examined we found leucocytosis and tachycardia as individual parameters. In about one third the simultaneous presence of several symptoms (leukocytosis, tachycardia and increase of temperature) was observed. Among the parameters got in our patients none was referring to making the diagnosis of an acute abdominal disease in the individual case. Even when the adequate symptomatology is absent in old and frail patients should be thought of an acute abdominal disease, the more so when most modern anesthetic and operative methods and an intensive postoperative care is used the prognosis of such diseases may be favourable also at older age.

Abdomen, Acute↗