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Biomedical subjects

L Helmig

Publications and source records attributed to L Helmig.

25 records · Page 2Linked to original sources

[Surgical management of deep venous thrombosis (author's transl)].

Acute deep venous thrombosis of the pelvis and leg are classified according to their mode of origin and development. Because of the low frequency of pulmonary embolism, operation is preferred to thrombolysis. The surgical procedure referred to includes de Weese's caval clip to prevent pulmonary embolism during and after operation. Thrombolysis may be done in cases of deep thrombosis distal to the confluent point or in cases of May's iliac venous "sporn".

Arteriovenous Shunt, Surgical

[Results of reconstructive procedures concerning occlusive arterial disease of the full length of the trifurcation of the lower limb (author's transl)].

42 vascular reconstructive procedures, concerning occlusions in full length of the trifurcation of the lower limb, were carried out in 40 patients. The success-rate was unsatisfactory. It was as low as 55% after 30 days and 25% after 28 months. This is thought to be due to wrong indication and unfavorable operative proceedings. The high hospital letality of 12%, observed in aged persons only, may be reduced by improving post-operative care. It is stressed that any bad result of this kind of vascular surgery is connected with a high vital danger to the patient in question. Avoiding pre- and intraoperative unfavorable factors is rewarded by better early result; thus it is not the method itself but its wrong application which is bad.

Adult

[1-Year-results of anuloplastisy (Carpentier-technic) in 7 patients (author's transl)].

Of 7 patients who had Carpentier anuloplasty, two had very good, two had good and two had unsatisfactory results in postoperative cardiac catheterization one year after operation. One patient died of acute hepatitis. Reasons for the poor results are false indications and inadequate operative technic. These results show that the Carpentier-technic can well be recommended for critical use in carefully selected patients with mitral insufficiency.

Adolescent

[Chances of reducing the formation of immune antibodies after massive transfusions in open heart surgery (author's transl)].

Children, young people and women at the age of possible maternity form the majority of patients operated by extracorporal circulation. A longterm planning of these operations should also have donor in call, who are compatible with the patients' Rh groups and Kell antigens. Having practiced such a selection of donors we succeeded in reducing the formation of immune antibodies. 6 out of 330 patients had antibodies, but 4 had been sensibilized before operation. In the case of the other 2 it would not be excluded that they might have been immunized a long time ago. We emphasize the importance of hemodilution, strict indication of every postoperative therapy with red cells and the autologous transfusion.

ABO Blood-Group System