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Biomedical subjects

H Rinecker

Publications and source records attributed to H Rinecker.

At least 19 recordsLinked to original sources
PubMed1999

A human bite.

We report the transmission of group A streptococci by a human bite leading to severe necrotising fasciitis. Rapid surgical and antibiotic treatment led to healing without fractional loss of the patient's infected leg.

Adult↗
PubMed1991

Possibilities of interventional ultrasound (IVUS) in intraoperative diagnostics and quality control in peripheral vascular surgery.

The IVUS system allows for a complete, only slightly invasive assessment of the femoral, pelvic and abdominal vessels in cross-section within the framework of intraoperative diagnostics and quality control. This method provides clear information concerning the vascular walls and internal structure. In our experience so far, it provides an ideal form of intraoperative control in cases of venous thrombectomy, embolectomy in the abdominal and pelvic vessels, following half-closed and open thromboendarterectomy and after intraoperatively performed angioplastic interventions.

Embolism↗
PubMed1980

New clinico-pathophysiological studies on the bone cement implantation syndrome.

Implantation of endoprostheses with bone cement is followed by alterations of the circulation. Intoxication, caused by the monomer of bone cement or pulmonary embolism by intramedullary contents constitute the two mostly accepted pathophysiological hypotheses. Because of the lack of pulmonary and circulatory physiological data a clinical decision concerning the value of the hypotheses was not possible until now. Hip prosthesis implantation was analyzed in 15 patients by measuring equipment controlled by an on-line-computer. The device allowed a high rate of data retrieval. The bone cement implantation syndrome reveals itself as cardiorespiratory sequelae of a disseminated pulmonary embolism which is originating in intramedullary contents, squeezed intravasal. Usual prophylactic methods are revisited.

Adult↗
PubMed1979

[Arterio-tracheal fistula during long-term intubation of an awake patient. Case report (author's transl)].

Because of anterior softening of the trachea due to thyroid swelling a patient was intubated with a "Lanz-" endotracheal tube with low-pressure cuff after thyroidectomy. The awake, eating patient developed severe endotracheal haemorrhage during the 17 days of intubation. Thoracotomy revealed a 2 cm long horizontal rupture probably at the site of the tube tip at the anterior wall of the trachea. The opening was connected to a rupture of the right brachiocephalic trunk at its bifurcation. Interpositions of dacron prostheses between the trunk, the subclavian artery and the carotid artery and suture of the tracheal wall controlled the situation. However, the patient died from acute hepatic failure, as shown at post-mortem examination. This case report is a warning against long-term intubation of awake patients, as sometimes recommanded.

Brachiocephalic Trunk↗
PubMed1978

[25 years of surgical treatment of femur neck fractures. Report on 1000 cases].

1000 operative treatments of fractured neck of the femur in hospital in 25 years were analyzed. In addition to a rise in frequency of admission, a progressive aging of the patients was observed. The operative technique developed into osteosynthesis, principally with the Pugh nail and hip joint alloplasty. 19% of the patients died.

Adult↗
PubMed1977

[The position of gastrointestinal suture technique. Advances through mechanical suture methods (author's transl)].

At the present time various materials and methods of manually suturing the gastrointestinal tract are used in parallel. While these methods satisfy basic standards, there is scarcely any detectable difference in the results. Further development in manual suturing with reference to security from failure and reduction of the expenditure of time is unforeseeable. Adhesive methods cannot achieve any importance in the gastrointestinal tract. Presently only the fully mechanical suture methods described at the end of the sixties show promise of possible future development in the gastrointestinal tract. They are suitable for as much as 80% of plastic gastrointestinal operations, but still need statistical comparison of results.

Digestive System Surgical Procedures↗
PubMed1975

[Treatment of malignant fractures of the femur with total hip-femur-knee joint alloplastics (author's transl)].

This is to report as an example of 2 such cases, the indications and operative procedures of total hip-femur-knee joint alloplastics for malignant fractures of the femur. This is an alternative to the exarticulation of the femur in the case of impossibility to fix the osteosynthesis material on the remaining femur. The higher radicality of this method in comparison to the common femur-saving way might lead to a wider usage.

Adenocarcinoma↗
PubMed1975

[The therapy of malignant fractures of the extremities (author's transl)].

The surgical treatment of malignant fractures of the extremities includes a wide range of methods today. The intramedullary Küntscher nailing of the femur and tibia by the AO (Society for Osteosynthesis) method, Hackethal's multiple nailing in the upper arm and fore arm, and the bone glue-plate compound osteosynthesis methods are described. The alloplastic joint prostheses for hip and knee are extended to proximal and distal femur prostheses. Total femur prosthesis with simultaneous hip and knee joint alloplasty seems to be full of prospect.

Bone Cements↗