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Biomedical subjects

K Hell

Publications and source records attributed to K Hell.

At least 73 records · Page 4Linked to original sources
PubMed1980

[Suspected appendicitis -- is a conservative attitude advantageous? (author's transl)].

Between 1970 and 1973 1333 patients with suspected appendicitis were seen at the University Hospital of Basle. Operations were performed on 87.5%, of whom 89.8% proved to have appendicitis. The incidence of perforation was 13.5%. A five-year follow-up study was carried out on 100 cases dismissed without operative revision and appendectomy. Of these patients 20 later had an appendectomy and 42% did not approve of the conservative attitude. The high rate of secondary appendectomies within 5 years seems to advocate liberal indication for appendectomy if appendicitis is considered.

Appendicitis↗
PubMed1980

[Injuries through traffic accidents to car occupants with and without the obligation to wear safety belts (author's transl)].

Two prospective studies of car accidents within the town of Basel in cars with and without safety belts were conducted. Between June 1, 1972 and May 31, 1973 the police registered 1856 accidents of vehicles with 2862 occupants. Between January 1, 1976 and December 31, 1976 2459 accidents of vehicles with a total of 3332 occupants were recorded. A comparison was made between the frequency of accidents, the type of cars involved, the estimated speed at the time of collision, the direction of the impact at the time of the accident, the estimated damage on the car, the existence of safety belts in the different cars, the kind of the safety belt, if any, the occupation of seats and sex and age of the occupants. Furthermore it was noted how often the safety belt was used in relation to sex, age, place in the car and the estimated speed at the time of collision. Special emphasis was laid upon the probability of an injury and the degree of such an injury in persons with and without safety belt. Since 1976 all card had to be equipped with safety belts. In 1976 31% less injured persons per period of observation and 41% less injuries per accident were observed. Among persons who used the belt four times less head injuries, three times less minor injuries and five times less severe injuries were found compared to occupants not wearing safety belts.

Accidents, Traffic↗
PubMed1980

[Neomycin versus plus metronidazol for large bowel preparation in elective colon surgery].

Two series of 50 consecutive elective colonic resections with bowel preparation either with Neomycin (group A) or Neomycin combined with Metronidazole (group B) are presented. 17 bacterial inflammatory complications in group A versus 10 in group B were noted. It is concluded that the addition of an antianaerobic antibiotic agent in elective colonic surgery might be of beneficial effect.

Colonic Diseases↗
PubMed1980

[Anastomoses in intestinal surgery (author's transl)].

Prerequisites for anastomoses in intestinal surgery are: 1. no tension on the suture line, 2. preservation of vascularity, 3. cut bowel ends without malignant or severe inflammatory disease. Healing is influenced by general conditions, operative technique, kind and strength of suture material, number of sutures and layers and so on. Usually, a one step procedure with end-on single layer anastomosis is recommended.

Humans↗
PubMed1980

[Intestinal endometriosis as a surgical problem].

6 cases of colonic endometriosis, treated by surgery, are presented. The average age was 50 years. All patients also had concomitant genital endometriosis and 5 of these 6 women have had previous pregnancies. Pathological findings were intramural colonic growth leading to stenosis and tumor like endometriomas. 3 times a sigma resection, once an ileo-cecal and once an anterior resection was carried out, there is in one instancy the stenosis could be overcome by enucleation. Postoperative course was uneventful, but one case later on developed a rectal carcinoma--first mistaken as recurrence of intestinal endometriosis.

Colonic Neoplasms↗
PubMed1979

[Colonic perforation with special reference to spontaneous ileo-colic perforation].

Aetiology of colonic perforation is reviewed and discussed. 8 cases of "spontaneous" ileo-colic perforations observed between 1975 and 1977 are presented. Two of these patients had recently undergone appendectomy, and 4 others showed a simultaneous distal carcinoma of the large bowel. Histo-pathological evaluation did not reveal the cause of intestinal perforation. Operative treatment and results are given.

Adolescent↗
PubMed1978

[Colonic stenosis with primary resection (author's transl)].

A primary resection and reanastomosis of the colon is often the procedure of choice, even in the presence of a significant stenotic element, provided there are no mayor disturbances of water-electrolyte homeostasis. In a series of 100 consecutive colonic resections (23 complicated by perforation, 9 by ileus, and 2 by bleeding), 97 patients were treated by primary resection (92 without a protective colostomy). No untoward effects were noted specifically due to this technique. The overall mortality rate was 4%, a favorable result when compared with the cumulative risk of a multiple stage procedure.

Aged↗
PubMed1977

[Azygoportal interruption, fundoplication and vagotomy in hemorrhagic esophageal varices].

A vascular interruption to the azygoportal zone, achieved by devascularisation about the cardia and a closed transmural ligation of the varices is described, which is combined with a simultaneous truncal vagotomy, pyloroplasty procedure and a fundoplication. This fourfold method combats the bleeding varices at several points: a direct disruption of vascular paths, haemodynamic control, reduced influence of peptic factors, the management of coincident ulcer pathology and the prevention of gastro-oesophageal reflux. The results from 5 patients are encouraging. This abdominal operation is swift, comparatively atraumatic and may be undertaken in emergency cases and in at-risk patients on an elective basis.

Cardia↗
PubMed1977

[Subhepatic abscess after cholecystectomy with coagulation active substance].

4 cases of postoperative subhepatic abscess formation after cholecystectomy are reported, where absorbable hemostatic agents for control of bleeding had been used. The etiology of these complications is discussed. The use of local hemostyptica is strongly disadvised in all possibly bacteriologically contaminated procedures.

Aged↗
PubMed1976

[Aerodynamic analysis of a new sterile operating enclosure, and comparative bacteriologic testing between a conventional operating theatre and a sterile enclosure during sham operations (author's transl)].

An aerodynamic and bacteriological evaluation of a new sterile operating enclosure has been undertaken, comparing it with a conventional operating theatre under sham operating conditions with or without coincident use of either a surgical helmet or surgical face mask. Statistical analysis of these studies show the bacterial level in the sterile enclosure at the wound site is significantly lower than in ordinary operating theatre conditions whereas the use of a helmet with evacuating ducts effects these findings insignificantly.

Air Microbiology↗
PubMed1976

[Perforation of the small intestine in systemic diseases].

Small intestine perforations caused by systemic disorders are, except with M. Crohn, extremely rare. Therefore we report two cases of "spontaneous" small intestine perforations: one with hypersensitivity angiitis and one with Moya-Moya-disease, the latter not yet described in the literature.

Adult↗