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Biomedical subjects

H Mandl

Publications and source records attributed to H Mandl.

35 records · Page 2Linked to original sources

[Dynamic splinting in flexor tendon surgery].

Besides the special microsurgical operative technique, dynamic splinting is one of the basic fundamentals of KLEINERT's technique for primary repair of flexor tendons. The principle of this splinting is explained. Further applications are reported: 1. after secondary repair of flexor tendons (by tendon transfer or tendon transplantation), and 2. after tenolysis. According to our good results the application of dynamic splinting in the above mentioned cases seems to be advisable.

Fingers↗

[Reconstruction of the breast after surgery for cancer (author's transl)].

The tendency towards less radical, stage-dependent procedures in the surgical management of breast cancer has opened the way to improvement in the reconstructive measures available. Reconstruction of the female breast can be undertaken with greater or lesser success and facility according to whether the initial procedure was subcutaneous mastectomy, modified radical mastectomy or the Rotter--Halstedt radical operation. The different plastic reconstructive methods developed over the past years are discussed and illustrated by cases treated under our care.

Breast↗

[Functional outcome after reimplantations in the hand and finger region].

Successful replantation of total amputated parts of the hand having been performed during a period of five years were investigated as a homogenous group. Long-term function of replanted parts was evaluated by objective criteria, as signs of use, trophique, vascularisation, mobility, sensibility and the integration of replants into general function of the hand, and on the other side by subjective criteria as usefulness in professional and private life, retrospective personal attitude to replantation and subjective complaints.

Adolescent↗

Replantation and revascularization of amputated parts of extremities: a three-year report from the Viennese replantation team.

A Replantation Team was instituted in Vienna 3 years ago. This team is the oldest in Europe. One hundred and eighty-one complete and incomplete amputated parts of 118 patients were replanted during this period. A survival rate of 86% and a useful functional result ("integrated parts") in 78% of the cases was obtained. Appropriate preparation of the amputated parts, the right timing, a 24 hour service and a clear indication with intensive postoperative physicotherapeutical treatment are the fundamental points for this result.

Amputation, Traumatic↗

[Failures and complications in vascular microsurgery].

Intraoperative and postoperative complications in the field of microvascular surgery are summarised. Some of them are discussed in detail (confusion of vessels, anastomosis under tension etc.), and precautions are outlined to avoid these complications. Failures can result from wrong indications, from incorrect technique of operation or from incorrect postoperative care.

Adult↗

[The electrophysiological behavior of normal and glaucomatous human eyes with short term intraocular pressure elevation (author's transl)].

An electrophysiological study has been done on glaucomatous and normal eyes with briefly elevated intraocular pressure. There was no significant difference between the ERGs, but the changes in the VERs of glaucomatous eyes differed widely from those of normal eyes. This seems to be due to the high sensitivity to pressure of the prelaminary part of the optic nerve in glaucomatous eyes. Obviously this could be a method for the objective measurement of the sensitivity of the papillary vessels to raised intraocular pressure.

Blood Pressure↗

[The technic of "sensorimotor" differentiated fascicular suture of peripheral nerves].

A method for the differentiation of motor and sensory nerve fibres of mixed peripheral nerves is presented. This method is based on the different content of acetylcholinesterase in motor and sensory nerve axons. The median and ulnar nerves of 13 human cadavers were biopsied at the wrist within three hours post mortem. All specimens were stained after the method of KARNOVSKY. The axons of the motor nerve fibres with their high content of acetylcholinesterase thus were marked. In all the examined ulnar nerves the motor fibres were found in the ulnar part. They were different in size and figure. In the median nerves only 1 to 3 motor fascicles were found, which are localized in the palmar and radial section of the nerve. These motor fibres represent only a little part of the whole cross section of the median nerve. As a consequence of this method of differentiation between motor and sensory fibres the surgery of peripheral mixed nerves may be influenced.

Acetylcholinesterase↗

[Muscular neurotisation in traumatic abducens paresis (A new method of operative treatment) (author's transl)].

Traumatic abducens pareses occur quite often. The methods of operation known until now often achieved no good functional result. Therefore the authors experimentally tried to reinnervate by means of "musculr neurotisation" in 10 rabbits an extraocular muscle previously denervated. After 6 months the histological examination revealed the presence of newly germinated medullated nerve fibers and motor end plates. This was the proof that eye muscles may be reinnervated. Consequently in 5 patients with traumatic abducens paresis an implantation of the inferior oblique muscle was done. The functional improvement secured by this method of operation which for the first time has been applied on the human eye was good, in some cases even extremely good, depending on the time elapsed between lesion and operation.

Animals↗

[Mobile therapy with electrons in breast cancer (author's transl)].

Our intention in breast cancer is to reduce the local recurrency by optimal radiotherapy. The use of electrons with their ideal depth dose distribution was limited by several problems (e.g., field homogeneity, constancy of dose rate). Taking constructive measures, we now have an easy to handle, mobile electron therapy.

Breast Neoplasms↗

[Clinical and electroneurographic results following surgical treatment of the ulnar nerve sulcus syndrome].

The sulcus of the elbow-joint represents a bottleneck which may cause compression of the ulnar nerve. We studied clinical and electroneurographical results in 26 patients after operation of the sulcus ulnaris-syndrome. The influence of the duration of compression as well as additional illnesses was evaluated on the postoperative result. The surgical treatment was an anterior transposition of the nerve in a subcutaneous layer combined with external neurolysis. Due to the symptoms and the electroneurographical results after operation the patients were divided into three groups. The best results were obtained in cases with a short period of preoperative complaints (below 1 year). Although heavy work had a positive effect on the manifestation of a sulcus ulnaris-syndrome, it had no adverse effect if started again after operation. Anterior subcutaneous transposition is the operative procedure of choice in cases of sulcus ulnaris-syndrome.

Adult↗