Biomedical subjects
Publications and source records attributed to L Kronberger.
The main reasons for using a resection in midrectal cancer are presented. The knowledge about the direction of the lymph-drainage and the cell infiltration in the rectal wall and the progress in the dissection technique of the ampulla now allow the preservation of the sphincterorgan without severe oncological doubts. The results are well comparable with those after the exstripation but the comfort of the patient is better.
After a short historical review of the surgical intervention for rectal cancer the precondition for the resection are presented. The technique of the resection is described in the following. We use routinely the double row suture for the anastomosis. Also the stapler technique for deeper localized growth is presented.
Spontaneous non traumatic small bowel perforation is a rare cause of an acute abdomen. Preoperative diagnosis is especially difficult, since the symptoms are extremely nonspecific. In most cases, the acute perforation is only diagnosed at exploratory laparotomy. We performed a retrospective analysis on spontaneous perforations of small intestine, occurring in 35 patients, which were treated at our department during a 14-year period from 1974 to 1988. The average age on presentation was 57 years. At the time of operation, peritoneal involvement was already well advanced. In 16 (45.7%) patients, the lesion was oversewn and in 19 (54.3%) cases, resection was required. The difference in mortality between these two methods was statistically not significant.