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Biomedical subjects

S Weimann

Publications and source records attributed to S Weimann.

10 recordsLinked to original sources
PubMed1992

Graft replacement of post-traumatic thoracic aortic aneurysm: results without bypass or shunting.

From 1986 to 1991 13 cases of post-traumatic thoracic aneurysm were treated at our department. All patients had apparent thoracic injury at the time of trauma, and their mean age was 35 years. The mean time between trauma and operation was 3 years and six patients were asymptomatic. In all patients the diagnosis was made by computed tomography and angiography and all post-traumatic thoracic aneurysms were located at the aortic isthmus. No spinal cord protection by bypass or shunting was used during surgery and the clamp-and-repair method with a mean clamping time of 38 min was used in all 13 patients. No renal or neurological complications were observed postoperatively and there were no hospital deaths. The data of 202 patients who had been operated upon for post-traumatic thoracic aneurysms since 1981 have been reviewed with regard to the relationship between spinal cord protection and the incidence of postoperative paraplegia. Different methods of spinal cord protection were used in 121 patients resulting in paraplegia rate of 1.6%. In 81 patients the clamp-and-repair method was used and no case of paraplegia was observed in this group.

Adult↗
PubMed1978

[Operative therapy of the pilonidal sinus; 115 controlled patients (author's transl)].

The operative results of 115 patients with pilonidal sinus are described. The patients were controlled in 1977, 2 to 11 years after surgery. Only small, non-infected pilonidal sinuses should be radically excised followed by primary suture and Redon-drainage. For extended sinuses and for recurrences the best results are obtained when the wound is left open or marsupialisation is applied. Pilonidal sinus-abscesses should be incised. This simple procedure resulted in primary healing in 23% of our patients.

Adolescent↗
PubMed1977

[Social medical aspects of patients with a permanent colostomy (author's transl)].

Problems of 39 patients with permanent colostomies/ileostomies are investigated one up to seven years after having got the anus praeternaturalis. The postoperative problems of everyday life are various and often serious, they are the more severe, the less patients had been informed preoperatively and the older the patients are. Younger and more intelligent patients integrate the colostomy easier and more quickly in their everyday life. Very useful for rehabilitation is the close contact between patient and the surgeon, respectively special colostomy-consulting hours.

Activities of Daily Living↗
PubMed1977

[The Dieulafoy's ulcer (author's transl)].

In the years 1971-1976 five patients with Dieulafoy's ulcer were operated upon succfully in the Innsbruck University Surgical Clinic. A high consumption of alcohol and tobacco was an outstanding feature in the history of all these patients. Gastroscopy is the diagnostic procedure of choice in this disease; it should be done during the acute phase of hemorrhage since the rather minor morphological changes often cannot be detected when they are not bleeding. Occluding the bleeding vessel by stitches is the therapy of choice. Procedure including resections, especially a socalled "blind" resection, do not seem to be justified. If the bleeding vessel cannot be found during endoscopy a large gastrotomy ought to be done with careful inspection especially of the upper third of the stomach. Our patients were followed up to 64 months; they all are well and without complaints. Prognosis thus seems to be very good if a correct diagnosis is established quickly and if surgery is done adequately.

Adult↗
PubMed1977

[Carcinoma in Zenker's diverticulum (author's transl)].

Carcinoma arising in Zenker's diverticulum have to be thought of, if it has been present for long time, if there is blood mixed the food regurgitated, and if there are irregularities of the wall of the diverticulum to be detected radiologically. In most cases resection is the method of choice. A case of a 70 year old patient is reported, who harbored a microcarcinoma in the mucosa of a resected Zenker's diverticulum. Surgery was done 10 years ago and no recurrence or mestastases have been observed since.

Aged↗