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Biomedical subjects

U Büchler

Publications and source records attributed to U Büchler.

59 records · Page 4Linked to original sources
PubMed1981

[Free contralateral index finger pollicization].

A mutilating explosion injury of a dominant hand with amputation of thumb and index rays, loss of middle and ring fingers, and amputation through the proximal phalanx of the small finger was treated in four stages. The main step of functional restoration consisted in microsurgical transfer of the contralateral index ray for reconstruction of the thumb. Utilizing the principles of pollicization, pinch and grasp of wide amplitude were successfully restored. The rationale of this unusual plan of reconstruction is explained.

Adult↗
PubMed1981

[Evaluation of functional results after replantations and revascularizations in the area of the upper extremity].

Several established methods of functional assessment are presented and compared, in order to standardize the end result following replantation. It appears that none of the available evaluation systems permits comprehensive analysis of underlying functional problems of replantation surgery. However, this becomes possible when different methods of functional assessment are simultaneously applied.

Finger Injuries↗
PubMedDate not supplied

Classification and severity staging of acute pancreatitis.

For clinical use a classification system for acute pancreatitis based on morphological and clinical criteria into four different entities has been proved to be very efficient in clinical practice. These are acute interstitial-edematous pancreatitis, acute necrotizing pancreatitis (sterile or infected), pancreatic abscess and postacute pseudocyst. In acute pancreatitis the first two major steps in the clinical management of these patients is to establish a reliable diagnosis and to stage the disease, that is, to estimate the severity of acute pancreatitis. The discrimination between acute interstitial-edematous and necrotizing pancreatitis has been shown to be the most relevant prognostic criterion. The "gold standard" for discriminating these two forms is by performing contrast-enhanced CT-scanning. For routine clinical use as an alternative to CT serum necrosis indicating parameters such as, C-reactive protein or LDH are useful in this respect. Therefore, CT-scanning for the evaluation of the extent of intra- and extrapancreatic necrosis can be restricted to those patients with increased values of necrosis indicating markers.

Abscess↗