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Biomedical subjects

H Vinz

Publications and source records attributed to H Vinz.

At least 37 records · Page 2Linked to original sources
PubMed1980

[Treatment of open fractures in children (author's transl)].

Open fractures in children with soft tissue injuries of second and third degree generally require osteosynthesis. Minimal osteosynthesis is sufficient. Articular fractures and juxtaarticular fractures are stabilized with Kirschner wires. In shaft fractures of long bones short SAO plates are used in most cases. For shaft fractures of the upper extremity alternatively intramedullary osteosynthesis with Kirschner wires or Rush pins may be applied. Indication, osteosynthesis, and operating technique are discussed.

Child↗
PubMed1980

[Complications of vagotomy (author's transl)].

The different types of vagotomy are highly standardized, but show a typical spectrum of complications, injuries of spleen (1 to 4%) and liver, perforation of the oesophagus (0,5 to 1,0%) intraoperative bleeding, lesions of the pleura (0,5%), necrosis of the lesser curvature of the stomach, chylothorax and chyloperitoneum. The article deals with avoidance and successful treatment of such intraoperative lesions.

Esophageal Perforation↗
PubMed1980

[Open diaphyseal tibial fractures in children].

In a collective study of 22 surgical clinics 138 open diaphyseal tibial fractures in children from 0 to 14 years were examined. The incidence of open fractures, in relation to all tibial shaft fractures comes up to 6.9%, one third (2.3%) are second degree and third degree open fractures. 80% of these fractures are caused by traffic accidents. In 33% there exist multiple fragments. In first degree open fractures conservative treatment generally is practiced, while in second and third degree open fractures osteosynthesis often is performed.

Accidents, Traffic↗
PubMed1979

[Hepatological aspects of surgical interventions in the stomach].

By means of quantitative-biochemical and histomorphological methods after vagotomies changes of the liver could be proved to a smaller extent than after resections of the stomach (Billroth II). Among the bionomic operation methods the supra-selective proximal vagotomy without pylorplastics is superior to other methods under the aspect of the change of the liver.

Gastrectomy↗
PubMed1979

[Tibial fractures in children (author's transl)].

In a collective study of 22 surgical clinics 1235 closed diaphyseal tibial fractures in children from 0 to 14 years were analysed. The incidence of this type of fracture in relation to all fractures in childhood, was 6.2%. In pre-school children isolated tibial fractures and incomplete fractures predominated, while in children from 6 to 14 years tibial plus fibular fractures as well as displaced fractures occurred more frequently. Closed reduction and plaster cast were used as standard treatment. Traction was used only exceptionally. In only 3.0% osteosynthesis was performed under the following indications: irreducible fracture, multiple fractures, concomitant chest or abdominal injury, polytrauma.

Adolescent↗
PubMed1977

[Solitary renal cyst as a focus of sepsis in a child].

Report on a 9-year-old boy with infected solitary cyst of the kidney on the left, resulting from this chronic relapsing sepsis with abscess of the spleen, perforation of the abscess into the left subphrenium, subphrenical abscess, basic empyema of the pleura on the left, purulent system of the fistulae in the left upper retroperitoneum. Causative organism: staphylococcus aureus. After 6 successless attempts to command the process from the flank side section, the transperitoneal radical operation with extirpation of the spleen, resection of the cyst and removal of the left upper retroperitoneum was carried out. After transient improvement acute relapse of the sepsis after 6 months with subcutaneous abscesses and empyema of the ankle joint on the left. Causative organism again staphylococcus aureus. Under repeated surgical, antibiotical and general treatment rapid and final disappearing of the sepsis. Since 3 1/2 years free from recidivation.

Child↗
PubMed1977

[Reduction of hospital stay in surgical units (author's transl)].

Reduction of hospital stay increases the surgical efficiency and reduces the danger of bacterial hospitalism. It is to be accomplished by: 1. admittance of patients with regard to the operative capacity; 2. out-patient diagnosis and preoperative anaesthesiologie care; 3. early postoperative discharge; 4. reduction of septic surgery.

Germany, East↗
PubMed1976

[Consultation hours for special surgery in a surgical department of a district infirmary ("kreiskrankenhaus") (author's transl)].

At the Surgical Department of the Kreiskrankenhaus of Burg five consultation hours for special surgery have been established and have been working for 2 to 3 years: 1. consultation hours for surgical angiology, especially varicosis and proctology, 2. consultation hours for goitre, 3. consultation hours for traumatology, especially follow up control of patients after operative fracture treatment, 4. consultation hours for pediatric surgery, 5. consultation hours for surgical gastroenterology, especially follow up control of patients after partial and total gastrectomy, vagotomy, and complications after biliary surgery. The experiences gained from these consultation hours are discussed. With regard to the personal and organizational problems in district infirmaries many difficulties have to be overcome in establishing consultation hours for special surgery. However, these consultation hours offer the possibility to improve the surgical care in the rural population and to hold international standards in general surgery practice even in smaller surgical departments.

Adult↗