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Biomedical subjects

H Stirnemann

Publications and source records attributed to H Stirnemann.

At least 37 records · Page 2Linked to original sources

[Dissolution of choledochus stones with heparin-saline solution].

In a series of 336 cholecystectomies a revision of the bile ducts was necessary in 60 cases (18%). One to three residual concrements were evident in 6 patients from control cholangiograms made 8-10 days postoperatively (1.8%). Three of these patients were successfully reoperated. The remaining three were treated by irrigation with a herparin solution: the stones of two patients disappeared in 13 and 20 days, respectively. The third patient had to be reoperated due to septic fever on the 13th day, whereby soft, decayed material could be extracted. All patients had a complication-free recovery. Check-ups made six to twelve months later revealed painfree patients and normal cholangiographic values.

Aged↗

[Spiegeli's hernia].

Spontaneous lateral ventral hernia (spigelian hernia) is briefly reviewed in the light of 7 patients with a total of 8 hernias. The relatively high incidence of spigelian hernia (5% of all abdominal hernias operated on in 1 year) suggests that this hernia type is not uncommon if borne in mind when diagnosing conditions with abdominal pain. Pain, tenderness and a palpable mass along the lateral edge of the rectus abdominis are the leading symptoms. Since the operation is simple and the postoperative period uneventful, operative treatment is strongly recommended. Accurate diagnosis with resultant surgery for this type of hernia spares the patient unnecessary examinations and totally relieves symptoms.

Adult↗