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DerChirurg.60671215.eng.abstr
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DerChirurg.60671215.eng.abstr
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"Technical advances in the field of endoscopical surgery have widened the spectrum of thoracoscopic operations in the therapy of lung emphysema . Especially in patients who are severely disabled as a result of their reduced lung function , a less surgical trauma should result in better postoperative performance . Bullectomy , which was an integral part of the spectrum in thoracic surgery for a long time , should be performed in a minimally invasive way today . In the American literature , disappointing results have been published concerning laser resection of emphysematous lung tissue . As a result , this method should be abandoned . In contrast , lung volume reduction surgery in patients with diffuse emphysema has caused significant improvement in lung function . The initial approach to this method was a median sternotomy . However , recent experiences in several centers have demonstrated the feasibility and efficiency of a thoracoscopic procedure ."
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DerChirurg.60671222.eng.abstr
|
DerChirurg.60671222.eng.abstr
|
[
{
"id": "DerChirurg.60671222.eng.abstr-passage-0",
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"text": [
"Lung transplantation ( uni- or bilateral ) is an accepted treatment option for patients with end-stage chronic obstructive pulmonary disease . Pulmonary function improves significantly and 5-year-actuarial survival is more than 70 % at acceptable early mortality rates . Careful evaluation of risks and benefits is necessary because of the known donor-organ shortage and the risks of life-long immunosuppressive treatment . The bronchiolitis obliterans syndrome is still a non-solved problem in the long-term course after LTx and it can influence late graft function and patient survival ."
],
"offsets": [
[
0,
589
]
]
}
] |
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] |
DerChirurg.60671226.eng.abstr
|
DerChirurg.60671226.eng.abstr
|
[
{
"id": "DerChirurg.60671226.eng.abstr-passage-0",
"type": "abstract",
"text": [
"From April 1993 to December 1995 210 TAPP procedures were performed because of recurrent hernia . With the TAPP method there is no difference between primary and recurrent repair . All procedures in this study were done with general anaesthesia by senior surgeons . The learning curve shows a reduction of operation time ( 60 to 55 min ) with increasing experience and a reduction in complications as well ( total 4.3 % ) . Recurrence was observed in two cases . The reasons for these recurrences were technical failures during the previous repair . In both cases a second TAPP repair was carried out successfully . The main advantage of TAPP in recurrent hernia is that this method gives possibilities to avoid anterior scar tissue . Secondly tension-free repair can be combined with the benefit of the minimal access technique . For this reason , the TAPP procedure must be considered the method of choice in recurrent hernia repair ."
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[] |
[] |
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DerChirurg.60671231.eng.abstr
|
DerChirurg.60671231.eng.abstr
|
[
{
"id": "DerChirurg.60671231.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The detection of cytokines may elucidate the pathophysiological mechanisms that produce early systemic complications in acute interstitial ( i ) or necrotizing ( n ) pancreatitis ( AP ) . The increase in the level of cytokines in the blood of patients with AP may correlate with the severity of the disease . In a prospective clinical trial from October 1992 to August 1993 , 23 patients with AP were recruited and blood samples taken for cytokine detection by commercially available Elisa kits and C-reactive protein ( CRP ) by laser nephelometry . Six of 11 patients with nAP died either early ( n = 1 ) or of late septic complications . None died of iAP . The peak of cytokine and CRP level in the first 3 days of hospitalization was used for calculation . The IL-6 concentration in the blood reached up to 2600 pg/ml in the 1st few days , depending on the severity of AP , and dropped to almost zero in the next days , independently of the clinical course . The differentiation of i- versus nAP , using a cutoff line of 600 pg/ml , was correct in 20 patients [ 87 % , sensitivity ( SE ) : 82 % , specificity ( SP ) : 91 % , P 0.001 ] . The blood levels of IL-8 reached a maximum of 1381 pg/ml in the 1st few days , depending on the severity of AP , and showed a correlation with the clinical course in the following days . The peak of IL-8 blood levels indicated correctly the severity of AP in 18 out of 23 patients using a cutoff level of 200 pg/ml ( accuracy : 78 % , SE : 82 % , SP : 75 % , P 0.01 ) . The CRP levels increased up to a maximum of 535 mg/l and indicated the course of AP correctly in 18 out of 22 patients ( SE and SP 82 % , P 0.01 ) . There was no correlation between cytokine blood levels and mortality . In the blood samples of five patients with i- or nAP , no TNF- was detectable . The blood levels of IL-6, and to a lesser extent of IL-8 and CRP , can predict the severity and early systemic complications of AP . The excessive rise in cytokines can be explained by the stimulation of immunological cells ( macrophages , lymphocytes and endothelial cells ) in the course of AP , inducing early systemic complications ."
],
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0,
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] |
[] |
[] |
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] |
DerChirurg.60671237.eng.abstr
|
DerChirurg.60671237.eng.abstr
|
[
{
"id": "DerChirurg.60671237.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Soft-tissue sarcomas ( STS ) of the extremities are characterized by a high rate of local recurrences . Limb salvage approaches using multimodality therapy protocols have replaced amputation . In order to evaluate isolated hyperthermic limb perfusion ( ILP ) in a multimodality therapy concept , we reviewed our patients treated using this method . Between January 1982 and December 1995 , 25 ILPs , using cisplatin , melphalan and adriamycin , were performed in 22 patients with STS . Forty percent were treated for local recurrences ; histology was dominated by malignant fibrous histiocytoma ( MFH ) and synovial sarcoma . In all , 68 % of the STS were classified as UICC stage IIb or IIIa/b . Most of the cases ( 14 ) underwent wide or radical resection , 4 patients received intraoperative radiotherapy , and 5 were treated with external beam radiation . Complications were recorded in 32 % of the cases . With a median follow-up of 45 months ( range 1-143 ) , the 5-year overall survival rate was 81 % . The median recurrence-free time was 19 months and the 5-year disease-free survival rate 34 % . There were 13 local failures , and distant metastases developed in 36 % of the patients . Concerning high-grade sarcomas ( UICC stage IIb , IIIa/b ) , we found local recurrences in 75 % of all cases . Five of 11 patients with local failures underwent perfusion after they refused amputation , and 7 incompletely resected STS received ILP without reoperation . All of these demonstrated local recurrence . This rate of local recurrence proved to be different from patients with tumor-free resection margins ( p = 0.0001 , log-rank test ) . The amputation rate after isolated limb perfusion was 27 % ( mean 11 months after treatment ) . Long-term results of ILP showed a considerable local recurrence rate and a low disease-free survival . Perfusion in patients without tumor-free resection margins does not prevent local recurrence . We conclude that ILP with cisplatin , melphalan and adriamycin should be considered carefully and is not an additional treatment strategy of first choice ."
],
"offsets": [
[
0,
2093
]
]
}
] |
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"id": "DerChirurg.60671237.eng.abstr-s1-t2",
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] |
[] |
[] |
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] |
DerChirurg.60671244.eng.abstr
|
DerChirurg.60671244.eng.abstr
|
[
{
"id": "DerChirurg.60671244.eng.abstr-passage-0",
"type": "abstract",
"text": [
"From January 1992 until April 1995 , 31 patients with trans- and suprasphincteric anal fistulae ( transsphincteric n = 21 ; suprasphincteric n = 4 ; transsphincteric in Crohn's disease n = 6 ) underwent a fistulectomy followed by closure of the internal opening by suture and anocutaneous flap . All patients had undergone previous operations , some several times . The recurrence rate of 13 % appeared to be low after a short follow-up . Continence was only negligibly impaired , although the anal resting pressure and contraction pressure were significantly reduced . In five patients a shortened prewarning period was noticed . Also in Crohn's fistulae the results were equivalent when the surgical treatment was performed in a non-inflammatory period ."
],
"offsets": [
[
0,
756
]
]
}
] |
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{
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"fistulae"
],
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[
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95
]
],
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"disease"
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{
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"flap"
],
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"anal fistulae"
],
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"times"
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358,
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]
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"id": "DerChirurg.60671244.eng.abstr-s3-t1",
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"text": [
"recurrence"
],
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"pressure"
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},
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"id": "DerChirurg.60671244.eng.abstr-s6-t1",
"type": "umlsterm",
"text": [
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647,
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],
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}
] |
[] |
[] |
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"id": "DerChirurg.60671244.eng.abstr-s6-r10-t1.1-t2.1",
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}
] |
DerChirurg.60671261.eng.abstr
|
DerChirurg.60671261.eng.abstr
|
[
{
"id": "DerChirurg.60671261.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The indications , operative procedure , postoperative complications and advantages of laparoscopic ileostomy and colostomy as compared with \" open \" enterostomy are described and demonstrated in our own patients with Crohn's disease . Major indications for laparoscopic enterostomy in patients with Crohn's disease are stenosis , fecal incontinence and complex anal fistulas in those with severe Crohn's proctitis . Most Crohn patients tolerate laparoscopic enterostomy and an increasing number demand this minimally invasive technique . The period of convalescence is much shorter and complications in connection with laparotomy are minimized ."
],
"offsets": [
[
0,
645
]
]
}
] |
[
{
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"procedure"
],
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28,
37
]
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}
]
},
{
"id": "DerChirurg.60671261.eng.abstr-s1-t2",
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40,
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},
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"id": "DerChirurg.60671261.eng.abstr-s1-t3",
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},
{
"id": "DerChirurg.60671261.eng.abstr-s1-t4",
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"ileostomy"
],
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]
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"id": "DerChirurg.60671261.eng.abstr-s1-t6",
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"open"
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},
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"id": "DerChirurg.60671261.eng.abstr-s1-t7",
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"text": [
"enterostomy"
],
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}
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{
"id": "DerChirurg.60671261.eng.abstr-s1-t10",
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"operative procedure"
],
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18,
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{
"id": "DerChirurg.60671261.eng.abstr-s1-t11",
"type": "umlsterm",
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"id": "DerChirurg.60671261.eng.abstr-s2-t1",
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"id": "DerChirurg.60671261.eng.abstr-s2-t4",
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"stenosis"
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"id": "DerChirurg.60671261.eng.abstr-s2-t6",
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"id": "DerChirurg.60671261.eng.abstr-s2-t8",
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] |
[] |
[] |
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}
] |
DerChirurg.60671270.eng.abstr
|
DerChirurg.60671270.eng.abstr
|
[
{
"id": "DerChirurg.60671270.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Pelvic floor hernias are rare . Three different types can be distinguished ; these are , in order of decreasing frequency : obturator , perineal and sciatic hernias . We report a rare case of a perineal hernia with an intra- and extraperitoneal part. Furthermore a two-stage surgical approach ( first transabdominal , then posterior ) is presented ."
],
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0,
349
]
]
}
] |
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] |
[] |
[] |
[
{
"id": "DerChirurg.60671270.eng.abstr-s1-r1-t3.1-t1.1",
"type": "location_of",
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{
"id": "DerChirurg.60671270.eng.abstr-s3-r1-t2.1-t1.1",
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}
] |
DerChirurg.60671273.eng.abstr
|
DerChirurg.60671273.eng.abstr
|
[
{
"id": "DerChirurg.60671273.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Malignant mixed Muellerian tumours ( MMMT ) are tumours of the female genital tract which rarely occur in extragenital sites . We report a case of a 46-year-old female with MMMT with primary occurrence in the greater omentum . Only 19 cases of primary extragenital manifestation of this tumour are described in the literature . The clinical appearance , diagnosis , therapy , histological evaluation and histogenesis are discussed ."
],
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"id": "DerChirurg.60671273.eng.abstr-s4-t2",
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] |
[] |
[] |
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] |
DerChirurg.60671276.eng.abstr
|
DerChirurg.60671276.eng.abstr
|
[
{
"id": "DerChirurg.60671276.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Among Saxony's schools of surgery , Albert Fromme's in Dresden attained importance . On the basis of his work as a university professor in Goettingen for 10 years , he was able to train a large circle of surgeons in a major hospital . However , this did not detract from his clinical and scientific work . A. Fromme reached the top of German surgery and his crowning achievement was gaining the full professorship and rectorship of the Medical Academy \" Carl Gustav Carus \" in Dresden ( today the Medical Faculty of the Technical University ."
],
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0,
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]
]
}
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"id": "DerChirurg.60671276.eng.abstr-s1-t2",
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[] |
[] |
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DerChirurg.60671280.eng.abstr
|
DerChirurg.60671280.eng.abstr
|
[
{
"id": "DerChirurg.60671280.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Between April 1993 and December 1995 the perioperative courses of 3183 patients were recorded within the frame work of a quality assurance project at the Department of Surgery , University of Mainz . The age of the operated patients and the rate of morbidity increased significantly during the observation period . Morbidity and mortality were not correlated to increasing need for intensive care . Morbidity was dependent on the surgical approach and also on the surgeon . On the other hand , high numbers of operations did not necessarily correlate with low complications rates . The concept described makes it possible to compare quality assurance among different hospitals , helps surgeons to recognize and improve their weak points , and serves as an additional method for monitoring the quality of treatment in the clinic ."
],
"offsets": [
[
0,
829
]
]
}
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] |
[] |
[] |
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] |
DerChirurg.70680001.eng.abstr
|
DerChirurg.70680001.eng.abstr
|
[
{
"id": "DerChirurg.70680001.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Epidemiological data reveal a decline in the incidence of appendicitis and appendectomy in the industrialized countries . A peak is found in adolescents aged 10-19 years ; however , the highest rates of perforation are reported for the extremely young and old age groups . The elevated rate of appendectomies without histological evidence of acute inflammation , especially in young women , and the high perforation ratio in small children and elderly patients reflect poor diagnostic accuracy . Analysis of the epidemiological data does not allow for an unequivocal conclusion regarding the etiopathogenesis of acute appendicitis ."
],
"offsets": [
[
0,
632
]
]
}
] |
[
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],
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],
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}
]
},
{
"id": "DerChirurg.70680001.eng.abstr-s1-t2",
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"appendicitis"
],
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58,
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]
],
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]
},
{
"id": "DerChirurg.70680001.eng.abstr-s1-t3",
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"appendectomy"
],
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[
75,
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]
],
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},
{
"id": "DerChirurg.70680001.eng.abstr-s1-t4",
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"industrialized countries"
],
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],
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},
{
"id": "DerChirurg.70680001.eng.abstr-s2-t1",
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"text": [
"adolescents"
],
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141,
152
]
],
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]
},
{
"id": "DerChirurg.70680001.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"old"
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]
},
{
"id": "DerChirurg.70680001.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"age"
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},
{
"id": "DerChirurg.70680001.eng.abstr-s2-t4",
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"text": [
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],
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260,
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]
},
{
"id": "DerChirurg.70680001.eng.abstr-s3-t1",
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"appendectomies"
],
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[
294,
308
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],
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}
]
},
{
"id": "DerChirurg.70680001.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"inflammation"
],
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[
348,
360
]
],
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]
},
{
"id": "DerChirurg.70680001.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"women"
],
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[
383,
388
]
],
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]
},
{
"id": "DerChirurg.70680001.eng.abstr-s3-t4",
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"text": [
"children"
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]
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]
},
{
"id": "DerChirurg.70680001.eng.abstr-s3-t5",
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"elderly"
],
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444,
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],
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"patients"
],
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452,
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]
],
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"db_id": "C0030705"
}
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},
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"id": "DerChirurg.70680001.eng.abstr-s3-t7",
"type": "umlsterm",
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"diagnostic"
],
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],
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"db_id": "C0348026"
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},
{
"id": "DerChirurg.70680001.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
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},
{
"id": "DerChirurg.70680001.eng.abstr-s4-t2",
"type": "umlsterm",
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],
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]
}
] |
[] |
[] |
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DerChirurg.70680006.eng.abstr
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DerChirurg.70680006.eng.abstr
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{
"id": "DerChirurg.70680006.eng.abstr-passage-0",
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"Appendectomy is one of the most frequent surgical procedures . Accuracy in the clinical diagnosis of acute non-specific appendicitis , however , suffers from the fact that the symptoms and clinical findings of acute appendicitis can be mimicked by many other abdominal diseases . The clinical diagnosis of acute appendicitis , therefore , can only be definitely confirmed by pathomorphological analysis , the criteria of which are reviewed in this paper . Special emphasis is given to distinct variants of acute appendicitis and the significance of neuroappendicopathy ."
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[] |
[] |
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DerChirurg.70680012.eng.abstr
|
DerChirurg.70680012.eng.abstr
|
[
{
"id": "DerChirurg.70680012.eng.abstr-passage-0",
"type": "abstract",
"text": [
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],
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0,
609
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}
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[] |
[] |
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DerChirurg.70680040.eng.abstr
|
DerChirurg.70680040.eng.abstr
|
[
{
"id": "DerChirurg.70680040.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In recent years there has been an increasing incidence of streptococcal toxic shock-like syndrome ( TSLS ) in otherwise healthy adults . It is characterized by fever , rash , hypotension and early shock with consecutive organ failure and a mortality rate of about 30 % . This paper describes the history of two patients with severe streptococcal TSLS . Various aspects of the pathophysiology , diagnosis and therapy are discussed . Only early , aggressive and repeated surgical debridement can reduce the bacterial load and decrease circulating exotoxins and thereby , in combination with antibiotic therapy , decrease the high mortality of this entity ."
],
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0,
654
]
]
}
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[] |
[] |
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DerChirurg.70680045.eng.abstr
|
DerChirurg.70680045.eng.abstr
|
[
{
"id": "DerChirurg.70680045.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In cutaneous melanoma , biopsy of the first tumor-draining lymph node ( Sentinel node , SLN ) may replace routine elective lymph-node dissection ( ELND ) . The SLN has been shown to contain the first micrometastasis in early lymphatic tumor dissemination . As micrometastases were identified in 10-30 % of stage I ( AJCC/UICC ) patients , sentinel lymphonodectomy ( SLND ) should enable us to select patients clinically in stages I and II , but histopathologically in stage III . This optimization of patient selection is mandatory , as only this subgroup profits from ELND . Since the beginning of 1995 we was scintillation detector ( gamma probe ) -guided sentinel biopsy in patients with a melanoma > 1.0 mm and clinically negative lymph nodes . After injecting colloidal 99m-Tc-labelled tin ( II ) -sulfide solution around the tumor ( or the biopsy scar ) , the SLN can be localized exactly . The technique is minimally invasive and easy to handle . If the SLN contains tumor , a standard en bloc lymphonodectomy is performed . Long-term follow-up , however , is needed to delineate the role of this procedure in melanoma treatment ."
],
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DerChirurg.70680057.eng.abstr
|
DerChirurg.70680057.eng.abstr
|
[
{
"id": "DerChirurg.70680057.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Endorectal ultrasound ( EUS ) is important for the indication of preoperative radio ( chemo ) therapy of locally advanced rectal carcinomas . Preoperative radio ( chemo ) therapy causes an increased echogenity of the ultrasound , which histologically corresponds with increased fibrosis . After preoperative radio ( chemo ) therapy , the accuracy rate for EUS of tumor infiltration depth ( T ) and lymph-node status ( N ) is 75 % compared with postoperative histology . With the help of EUS before and after radio ( chemo ) therapy ( n = 28 patients ) \" downstaging \" was noticed endosonographically in 10 patients ( 3 times in T and 7 times in N staging ) and \" upstaging \" in 3 patients ( 3 times in T and 1 times in N staging ) . There was no \" understaging \" of local tumor infiltration depth after preoperative radio ( chemo ) therapy ."
],
"offsets": [
[
0,
841
]
]
}
] |
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]
}
] |
[] |
[] |
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}
] |
DerChirurg.70680063.eng.abstr
|
DerChirurg.70680063.eng.abstr
|
[
{
"id": "DerChirurg.70680063.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Following Shouldice repair of a primary inguinal hernia 50 patients were given subcutaneous Redon drains , while another 50 patients underwent operations without drains in a prospective randomized trial . The amount of postoperative wound secretion in the drainage bottle was added to fluid retention established by sonographic volumetric analysis . The degree of personal impairment was estimated by a visual analogue score . Inflammation parameters were recorded as well as the rate of complications . The drain group showed significantly increased fluid production in comparison to the group without drains on the 1st postoperative day ( 36.0 vs. 2.5 ml ) . Wound sepsis was found in two patients in the drain group . Seven patients with drains and eight patients without underwent percutaneous seroma puncture . The drain only slightly affected personal impairment ( 25.6 % vs 21.4 % , visual analogue score ) . Body temperature was elevated in the drain group on the 3rd day after operation ( 37.2 vs 36.7 °C). We believe there is no indication for the routine use of a Redon drain in the repair of a primary inguinal hernia . Instead , percutaneous puncture of subcutaneous fluid retentions should be performed ."
],
"offsets": [
[
0,
1218
]
]
}
] |
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26
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{
"id": "DerChirurg.70680063.eng.abstr-s1-t2",
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"text": [
"hernia"
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"db_id": "C0019270"
}
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"patients"
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67
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}
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{
"id": "DerChirurg.70680063.eng.abstr-s1-t6",
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"inguinal hernia"
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}
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},
{
"id": "DerChirurg.70680063.eng.abstr-s2-t2",
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}
]
},
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"id": "DerChirurg.70680063.eng.abstr-s2-t3",
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"secretion"
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},
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"id": "DerChirurg.70680063.eng.abstr-s2-t5",
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"retention"
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"id": "DerChirurg.70680063.eng.abstr-s2-t6",
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{
"id": "DerChirurg.70680063.eng.abstr-s4-t1",
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"Inflammation"
],
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"db_id": "C0021368"
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"id": "DerChirurg.70680063.eng.abstr-s4-t2",
"type": "umlsterm",
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"db_id": "C0009566"
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"production"
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{
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{
"id": "DerChirurg.70680063.eng.abstr-s6-t1",
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"text": [
"Wound"
],
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] |
DerChirurg.70680068.eng.abstr
|
DerChirurg.70680068.eng.abstr
|
[
{
"id": "DerChirurg.70680068.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A postoperative bile fistula is a rare but severe complication after biliary surgery . Clinical signs , laboratory findings , ultrasound and ERC lead to diagnosis . We report on 40 cases with postoperative bile leakage after cholecystectomy treated by a nasobiliary tube . In all patients the fistula healed within 7 days after placement of the tube . Two patients needed operative treatment of a subhepatic abscess , and in 2 patients drainage of a bilioma was performed . In 2 cases with biliary peritonitis , a step-by-step lavage was necessary . The nasobiliary tube for postoperative bile fistula offers regular radiological control and reduces the necessity of operative reintervention in the biliary tract ."
],
"offsets": [
[
0,
714
]
]
}
] |
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DerChirurg.70680072.eng.abstr
|
DerChirurg.70680072.eng.abstr
|
[
{
"id": "DerChirurg.70680072.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Twenty-nine unicondylar fractures of the distal femur were treated at the Trauma Center \" Bergmannsheil \" , University of Bochum , Germany , between 1981 and 1994. All patients sustained their injuries from severe direct trauma . There were 16 lateral condylar fractures , 7 medial condylar fractures and 6 tangential posterior ( \" Hoffa-type \" ) fractures . Twenty-eight closed injuries and 1 grade IIIB open fracture were included . Eleven patients sustained concomitant injuries to the skeleton . All fractures were treated with open reduction and internal fixation with screws within 8 h of admission . Postoperative management consisted of early continuous passive motion and minimal weight-bearing for 6-8 weeks , progressing to full weight-bearing . The mean follow-up was 68 months ( 18-120 ) . The therapeutic outcome ( clinical result , radiographs ) was rated by the Neer score . Twenty-seven patients were available for follow-up examination . Of these , 23 were rated as excellent . 3 achieved satisfactory results , and 1 had an unsatisfactory result . All patients who did not achieve an excellent outcome had had accompanying injuries . Open reduction and internal screw fixation of unicondylar femur fractures provided overall excellent long-term results . The therapeutic outcome was significantly affected by associated injuries of the skeleton ."
],
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]
]
}
] |
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"id": "DerChirurg.70680072.eng.abstr-s14-r1-t4.1-t1.1",
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"id": "DerChirurg.70680072.eng.abstr-s14-r2-t1.1-t2.2",
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] |
DerChirurg.70680077.eng.abstr
|
DerChirurg.70680077.eng.abstr
|
[
{
"id": "DerChirurg.70680077.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The aim of our study was to observe the incorporation and induced immune response of sterilized bone allografts . We performed an orthotopical tibial segment transplantation using two different inbred rat strains . We compared irradiated ( 25 kGy ) , autoclaved ( 134 °C) and cryopreserved ( -80 °C) bone grafts . The observation took place 6 and 12 weeks post-operativelely . Results : The incorporation of irradiated grafts took longer than cryopreserved transplants . Autoclaved grafts were not incorporated and only bridged by new callus formation . A cell-mediated immune response against the cryopreserved grafts could be demonstrated . Irradiated grafts induced a minor immune response ; autoclaved grafts did not . Conclusion : There seems to be a correlation between loss of antigenicity and failure of graft incorporation . Therefore , it seems probable , that some bone antigenicity is necessary for the induction of cellular mechanisms during graft incorporation ."
],
"offsets": [
[
0,
976
]
]
}
] |
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"type": "umlsterm",
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"bone"
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{
"id": "DerChirurg.70680077.eng.abstr-s1-t4",
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"allografts"
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"id": "DerChirurg.70680077.eng.abstr-s2-t1",
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"transplantation"
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"id": "DerChirurg.70680077.eng.abstr-s2-t2",
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"rat"
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"id": "DerChirurg.70680077.eng.abstr-s2-t4",
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"id": "DerChirurg.70680077.eng.abstr-s3-t1",
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"bone"
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300,
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}
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{
"id": "DerChirurg.70680077.eng.abstr-s3-t2",
"type": "umlsterm",
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"grafts"
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"id": "DerChirurg.70680077.eng.abstr-s3-t3",
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"id": "DerChirurg.70680077.eng.abstr-s5-t3",
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"id": "DerChirurg.70680077.eng.abstr-s6-t2",
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}
] |
[] |
[] |
[
{
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"type": "affects",
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},
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"type": "disrupts",
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{
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{
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{
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{
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{
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},
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},
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"id": "DerChirurg.70680077.eng.abstr-s6-r3-t1.1-t1.2",
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},
{
"id": "DerChirurg.70680077.eng.abstr-s6-r4-t1.1-t2.2",
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},
{
"id": "DerChirurg.70680077.eng.abstr-s6-r6-t2.2-t1.1",
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},
{
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{
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},
{
"id": "DerChirurg.70680077.eng.abstr-s8-r4-t1.1-t1.2",
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{
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DerChirurg.70680084.eng.abstr
|
DerChirurg.70680084.eng.abstr
|
[
{
"id": "DerChirurg.70680084.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report the case of a 55-year-old male patient who underwent transanal endoscopic microsurgery for recurrent benign rectal adenoma . He developed severe postoperative retroperitoneal phlegmon and sepsis and died 28 days after the operation due to untreatable diffuse intraabdominal bleeding caused by persistent thrombocytopenia ."
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[] |
[] |
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DerChirurg.70680099.eng.abstr
|
DerChirurg.70680099.eng.abstr
|
[
{
"id": "DerChirurg.70680099.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Minimally invasive adrenalectomy is now an accepted alternative to conventional adrenalectomy . As in open surgery , several different endoscopic approaches to the adrenal glands have been described . In principle , one must distinguish between the laparoscopic and the retroperitoneoscopic access . All adrenal tumors - pheochromocytomas included - except adrenal carcinomas can be removed endoscopically . However , the use of these techniques is limited in patients with particularly large tumors . The results reported to date are convincing . Only limited data are available as yet to compare conventional and endoscopic adrenalectomy . Because adrenal diseases requiring surgery are rare , endoscopic adrenalectomy is an operation that , for the present , will be limited to centers with a particular interest in laparoscopic and endocrine surgery ."
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}
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[] |
[] |
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DerChirurg.70680107.eng.abstr
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DerChirurg.70680107.eng.abstr
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"id": "DerChirurg.70680107.eng.abstr-passage-0",
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"In this review therapeutic strategies for neuroendocrine tumors of the gastrointestinal tract and the pancreas are proposed , based on the recent classification . Generally , for all neuroendocrine tumors even with obvious metastases , surgery is recommended . Particularly for neuroendocrine tumors of the upper intestinal tract and the pancreas an extensive preoperative clinical and histopathological diagnosis is required . We tried to simplify the therapeutic strategies according to the classification ; in several cases , however , very close cooperation between gastroenterologists , surgeons and pathologists is necessary to decide on the appropriate therapeutic strategy ."
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[] |
[] |
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DerChirurg.70680116.eng.abstr
|
DerChirurg.70680116.eng.abstr
|
[
{
"id": "DerChirurg.70680116.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Insulinomas are rare tumors and account for 90 % of all endocrine pancreatic tumors . They typically present as a solitary tumor , but may occur in multiple sites ( e.g. multiple endocrine neoplasia type I ) or as a malignant disease in 10 % of cases and rarely as nesidioblastosis or islet cell adenomatosis . Neuroglucopenic symptoms lead to the diagnosis ; inadequate high insulin and C-peptide secretion with hypoglycemia in the fasting test confirm the diagnosis . Preoperative localization is not necessary prior to the first operation . The standard operation is enucleation or , depending on size and location , resection . The treatment of multiple tumors and islet cell hyperplasia with a high risk of recurrence is problematic . Subtotal resection plus enucleation seems to be better than selective tumor resection . In malignant insulinomas , mostly presenting with liver metastases , aggressive surgical therapy with hepatectomy and debulking , chemoembolization and systemic chemotherapy are the modalities of choice ."
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[] |
[] |
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DerChirurg.70680136.eng.abstr
|
DerChirurg.70680136.eng.abstr
|
[
{
"id": "DerChirurg.70680136.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Neuroendocrine tumors of the thymus , also known as thymic carcinoids , are rare tumors of the anterior mediastinum . They occur sporadically or in association with the MEN I syndrome . We present five patients ( four male , one female ; age of first manifestation 19-53 years ) who were operated on at our hospital between 1984 and 1995 for neuroendocrine thymic tumors . A hormone-producing tumor presented with Cushing's syndrome in two patients . Two patients had MEN I syndrome . Only in the female patient the primary tumor was confined to the thymus . We found lymph node metastases in three patients and a distant metastasis in one . The neuroendocrine tumors have a high rate of local recurrences and thus we performed 11 operations using a transthoracic or transsternal approach . Since there was no operative mortality and adjuvant therapies are of limited value , we recommend surgery even in case of recurrence ."
],
"offsets": [
[
0,
925
]
]
}
] |
[
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"tumors"
],
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15,
21
]
],
"normalized": [
{
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}
]
},
{
"id": "DerChirurg.70680136.eng.abstr-s1-t2",
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"thymus"
],
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29,
35
]
],
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{
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],
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69
]
],
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] |
DerChirurg.70680141.eng.abstr
|
DerChirurg.70680141.eng.abstr
|
[
{
"id": "DerChirurg.70680141.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Surgery for symptomatic hyperparathyroidism remains the standard therapy . Asymptomatic primary hyperparathyroidsm ( pHPT ) is being diagnosed with increasing frequency owing to broad serum testing . Indications for surgery in this setting are controversial . For evaluation of surgical safety we performed a retrospective analysis of our patients who were being operated on for asymptomatic pHPT . From January 1988 until August 1995 , 243 patients were treated for pHPT and registered prospectively at our unit . Seventy-six patients were classified as asymptomatic . In all , 75 % of the patients were female ; the mean age was 62 years . In this group , 87 % of the patients had cervical sonography in order to localize the adenoma . Highly selective venous catheterization was required in cervical reexplorations . Statistical analysis for potential prognostic factors for the clinical outcome was performed . Successful cervical exploration was possible in 71 patients ( 94.7 % ) . With 4 patients remaining hypercalcemic , the rate of persistency was 5.2 % . Localization procedures were correct in 58 % for cervical ultrasound and 77 % for selective venous catheterization . Postoperative morbidity included one permanent recurrent laryngeal nerve palsy and 2 patients with hemorrhage who were treated by reoperation . While one case of permanent hypoparathyroidism was well controlled by oral supplementation , 18 patients recovered from temporary hypoparathyroidism . No postoperative mortality occurred . Risk factor analysis revealed only cervical reexplorations for HPT to be associated with a higher morbidity ( P = 0.02 ) . Surgery for asymptomatic pHPT can be performed with reasonable safety . Cervical reexplorations in asymptomatic patients should be reserved for special indications . Apart from this small group , all patients should be evaluated for surgery ."
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] |
[] |
[] |
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DerChirurg.70680147.eng.abstr
|
DerChirurg.70680147.eng.abstr
|
[
{
"id": "DerChirurg.70680147.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A prospective long-term follow-up study in patients who had had surgical therapy for renal hyperparathyroidism was launched to investigate the results of surgical treatment and to evaluate possible correlations between preoperative laboratory values and the course of the symptoms . From August 1987 to December 1995 , 79 patients underwent surgery for renal hyperparathyroidism . It was the first neck exploration for 72 patients . Total parathyroidectomy with autotransplantation to a forearm was our preferred procedure ( n = 67 ) . The postoperative course of all patients is known . We carried out one to nine reexaminations ( median 4 ) in 74 of 79 patients . The follow-up period ranged from 1 month to 5 years with a median of 18 months . After the operation transient hypocalcaemia occurred in 84.8 % of patients . Postoperative hypocalcaemia correlated negatively with the preoperative levels of alkaline phosphatase and intact parathyroid hormone . Within the first month after surgery 60 % of the preoperatively affected patients completely recovered from pruritus , whereas the skeletal syndrome took longer to disappear . One year after surgery 75 % of the patients with pruritus and 79 % of those with skeletal syndrome had became asymptomatic . After total parathyroidectomy with autotransplantation , patients with preoperatively elevated concentrations of alkaline phosphatase ( > 200 U/l ) experienced faster relief from joint pain than patients with preoperatively normal concentrations ( P = 0.0297 ) . To date 4.5 % of the patients developed recurrent hyperparathyroidism after total parathyroidectomy with autotransplantation . Morbidity of surgery for renal hyperparathyroidism is influenced by patients ' risk factors . Postoperative hypocalcaemia correlates negatively with the grade of renal osteopathy at the time of operation . Preoperative concentrations of alkaline phosphatase influence the rapidity of the relief from joint pain ."
],
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0,
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[] |
[] |
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] |
DerChirurg.70680154.eng.abstr
|
DerChirurg.70680154.eng.abstr
|
[
{
"id": "DerChirurg.70680154.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In 20 patients the hemodynamic and ventilatory data during endoscopic retroperitoneal adrenalectomy were checked retrospectively to analyze the hemodynamic and ventilatory effects of a pneumoretroperitoneum . After insufflation of CO2 into the retroperitoneal space we observed an increase in systolic blood pressure [ median 180 mm Hg ( [ 130-200 ) ] . Analyzing the ventilatory parameters we noted that the minute ventilation had to be invreased by a median value of 4.25 l ( 0,4-13) to reduce the increased carbon dioxide levels during CO2 insufflation . After insufflation of CO2 into the retroperitoneal space we observed no major complications . We therefore believe that retroperitoneal endoscopic adrenalectomy is also indicated in patients with cardiac or pulmonary diseases ."
],
"offsets": [
[
0,
785
]
]
}
] |
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] |
[] |
[] |
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DerChirurg.70680159.eng.abstr
|
DerChirurg.70680159.eng.abstr
|
[
{
"id": "DerChirurg.70680159.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report three patients who were operated on because of an intraabdominal schwannoma between February 1991 and October 1994 in our department . In the first case , a benign gastric schwannoma was treated by a distal gastric resection ( Billroth II ) ; the main symptom was gastric bleeding . In the second case , a malignant duodenal schwannoma with liver metastasis was treated by wide en-bloc resection of the tumor including retroperitoneal lymphadenectomy and an anatomical resection of the right lobe of the liver . A metachronous metastasis of the liver , appearing 7 months postoperatively , was treated by intraparenchymatous laser coagulation ; a local recurrence , appearing 19 months postoperatively , led to another tumor resection . The main symptom was a palpable intraabdominal mass in this case . In the third case , a malignant schwannoma of the abdominal wall was resected in fragments in another clinic . Six months later a local recurrence with infiltration of the liver appeared in spite of postoperative radiation and was resected en bloc . Early peritoneal sarcomatosis was apparent at that time . Postoperative chemotherapy did not prevent quick progression of the tumor . The patient died 18 months after the first operation . The clinical presentation , differential diagnosis and operative strategy for benign and malignant intraabdominal schwannomas are discussed ."
],
"offsets": [
[
0,
1394
]
]
}
] |
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"id": "DerChirurg.70680159.eng.abstr-s3-t3",
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[] |
[] |
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] |
DerChirurg.70680174.eng.abstr
|
DerChirurg.70680174.eng.abstr
|
[
{
"id": "DerChirurg.70680174.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A total of 113 patients with acute and chronic instability of the ulnar collateral ligament metacarpal phalangeal ( MP ) joint of the thumb were treated surgically between 1980 and 1985 ; 82 patients were followed up after a mean period of 10 years . Of 59 patients with acute injuries , 52 were painfree with full stability of the MP joint ; 23 patients with chronic instability and tendon grafting also showed restoration of stability . Nevertheless , the range of motion was reduced severely and opposition of the thumb was impaired . The results of follow-up reveal that acute reattachment of the injured ulnar collateral ligament is more effective ."
],
"offsets": [
[
0,
654
]
]
}
] |
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]
],
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},
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],
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},
{
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],
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[] |
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] |
DerChirurg.70680180.eng.abstr
|
DerChirurg.70680180.eng.abstr
|
[
{
"id": "DerChirurg.70680180.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In 1-6 % of the patients who are investigated by endoscopic retrograde cholangio-pancreatography a pancreas divisum can be found . In some patients pancreas divisum can lead to an acute relapsing and finally chronic pancreatitis ( CP ) . Surgical intervention in these cases seems to offer a good chance of recovery . We report our experience with the duodenum-preserving resection of the head of the pancreas in 12 patients with pancreas divisum and CP . In all patients the preoperative evaluation showed clinical , functional or radiological signs of CP . The duodenum-preserving resection of the head of the pancreas was carried out in all patients without perioperative mortality . Ten postoperative versus eight preoperative patients showed a pathological exocrine function of the pancreas . Endocrine function , measured by the oral glucose tolerance test ( OGTT ) , improved postoperatively in two patients . Eleven patients who were investigated after a mean follow-up time of 31 months ( 3-75 months ) were completely pain free . No late mortality occurred . OGTT revealed a diabetic endocrine function in two patients . Disturbed exocrine pancreatic function had to be substituted in nine patients . One patient had to be reoperated by duct incision and renewal of the pancreatico-jejunostomy 10 months after the first operation . In conclusion , the duodenum-preserving resection of the head of the pancreas reduced pain in all patients with pancreas divisum and CP and may lead to an improvement of endocrine pancreatic function . Other , nonresecting procedures or endoscopic interventional therapy should be avoided in these patients ."
],
"offsets": [
[
0,
1650
]
]
}
] |
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DerChirurg.70680187.eng.abstr
|
DerChirurg.70680187.eng.abstr
|
[
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],
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0,
202
]
]
}
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] |
[] |
[] |
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{
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] |
DerChirurg.70680190.eng.abstr
|
DerChirurg.70680190.eng.abstr
|
[
{
"id": "DerChirurg.70680190.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Hemangiomas of the gastrointestinal tract are very rare in both children and adults . The following case history describes a child with uncharacteristic abdominal pain and stenosis of the terminal ileum . Intraoperatively we found an enlarged hamartomatous alteration of the ileocecal region . The histological analysis showed a hamartomatous venous hemangioma . Problems concerning classification and diagnosis are discussed ."
],
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[
0,
427
]
]
}
] |
[
{
"id": "DerChirurg.70680190.eng.abstr-s1-t1",
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0,
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{
"id": "DerChirurg.70680190.eng.abstr-s1-t2",
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DerChirurg.70680196.eng.abstr
|
DerChirurg.70680196.eng.abstr
|
[
{
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"text": [
"Hans von Haberer ( 1875-1958 ) gained wide experience in the reconstructive surgery of vascular aneurysms at the universities of Innsbruck , Graz , Duesseldorf and Cologne . In this period he operated on 421 vascular aneurysms - including 30 carotid aneurysms - mainly by means of direct circular vascular suture . In 1914 von Haberer described the first repair of a carotid aneurysm . Therefore he is the pioneer of reconstructive carotid surgery . Based on detailed clinical and operation reports on approximately 16 000 cases , written by Hans von Haberer between 1904 and 1949 , and on the contemporary literature , we describe his experience in vascular surgery ."
],
"offsets": [
[
0,
668
]
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}
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[] |
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DerChirurg.70680201.eng.abstr
|
DerChirurg.70680201.eng.abstr
|
[
{
"id": "DerChirurg.70680201.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The so-called extended diagnostic laparoscopy ( EDL ) facilitates the comprehensive exploration of the abdominal cavity , thus improving the precision of the pretherapeutic tumor staging in gastrointestinal malignancies . EDL comprises visual inspection with a specific preparation of all relevant sites , laparoscopic sonography and retrieval of samples for biopsy and cytology . Additional relevant therapeutic information was obtained through EDL in 40.5 % of gastric cancer patients . EDL could be of similar importance for diagnosing esophageal , hepatobiliary and pancreatic malignancies ."
],
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[
0,
595
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]
}
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}
] |
[] |
[] |
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] |
DerChirurg.70680210.eng.abstr
|
DerChirurg.70680210.eng.abstr
|
[
{
"id": "DerChirurg.70680210.eng.abstr-passage-0",
"type": "abstract",
"text": [
"As the importance of laparoscopic surgery for benign diseases of the gastrointestinal tract continues to grow , the application of this approach in cases of malignancy remains controversial . Although the concept of cancer recurrence in the area of surgical wounds is not new , the incidence of port site recurrence is the most obvious concern . Indications and contraindications for surgery as well as a standardized nomenclature describing the type of laparoscopic procedures being performed are some other issues that need to be clarified . Complete laparoscopic procedures or the combination of laparoscopy with open techniques can offer advantages and disadvantages that surgeons will have to take into consideration when making decisions . The skill of the operating team and the extent of disease define the boundaries of laparoscopic surgery possible . The continued research as well as development of intelligent instruments and standardized techniques might give laparoscopy a clear role in the treatment of abdominal malignancies ."
],
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0,
1042
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}
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DerChirurg.70680215.eng.abstr
|
DerChirurg.70680215.eng.abstr
|
[
{
"id": "DerChirurg.70680215.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Oncological problems associated with laparoscopic colorectal surgery with curative intent include port site metastases , inadequate radicality , seeding of tumour cells through unprotected recovery of the surgical specimen , faulty surgical technique , and failure to observe the technical and/or oncological limitations applicable to certain tumour sites . Investigations so far reported reveal a preponderance of mechanical pathogenesis of port site metastases caused by the contamination of trocar entry ports by tumour cells borne on instruments , trocars and resected material . This suggests that appropriate precautionary measures could resolve the problem . It appears that the CO2 pneumoperitoneum plays only a minor role in the development of port site metastases . Owing to a lack of long-term data , the oncological radicality of laparosopic resections for colorectal carcinoma cannot be assessed ; merely a few reports on the number of lymph nodes removed during such operations have been published . Nevertheless , it would appear that fewer lymph nodes were removed than with comparable conventional surgery . However , a more accurate analysis needs to take account of the fact that the indication for laparoscopic surgery is determined by the size and location of the tumour . The many potential pitfalls and hazards of oncological laparoscopic surgery make it mandatory that such interventions should be done only within the framework of prospective clinical studies covering limited indications . Randomized prospective studies to cover all tumour stages and sites cannot be recommended ."
],
"offsets": [
[
0,
1607
]
]
}
] |
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DerChirurg.70680231.eng.abstr
|
DerChirurg.70680231.eng.abstr
|
[
{
"id": "DerChirurg.70680231.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Patients who had undergone elective resection for primary colorectal cancer were included in a prospective study . The purpose of the study was to specify the current role of laparoscopic surgery in the treatment of colorectal cancer . Therefore , the reasons for performing the resection conventionally were documented under the general guideline that all colorectal cancer should be resected laparoscopically . Of 111 patients treated in 1995 , only 22 underwent a laparoscopic resection and 4 patients a laparoscopic-assisted resection . Age , sex and tumor stage were comparable between groups . Operative time was longer in the laparoscopy group ; duration of postoperative ileus and postoperative hospital stay were shorter . The most frequent indications for using a conventional approach were rectal cancer ( n = 29 ) , adhesions ( n = 15 ) , randomly selected patients ( n = 14 ) and advanced cancer ( n = 12 ) . Cardiovascular risk factors were not so important . Laparoscopic techniques were only applied in a minority of patients with colorectal cancer ( 24-37 % ) . Laparoscopic sphincter-preserving surgery is currently not recommended for rectal cancer in the middle and lower rectum . General risk factors are rarely a contraindication for a laparoscopic approach ."
],
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DerChirurg.70680237.eng.abstr
|
DerChirurg.70680237.eng.abstr
|
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{
"id": "DerChirurg.70680237.eng.abstr-passage-0",
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"From January 1991 to May 1996 a total of 3,010 cholecystectomies was performed for cholelithiasis . Pathohistologically an acute cholecystitis was found in 483 patients ( 16 % ) . The overall proportion of laparoscopic operations has increased from 12.5 % in 1991 to 96.6 % at present . In patients with acute cholecystitis the proportion of laparoscopic operations has increased from initially only 1.87 % up to 83.3 % . The duration of surgery ( 81 min versus 54 min ) , rate of conversion ( 12 % versus 1.07 % ) and rate of complications ( 7.76 % versus 2.2 % ) were all significantly higher in cases of acute cholecystitis than in those without inflammation . There was no mortality in either group . Furthermore no significant difference was found between patients with histopathologically proven acute inflammation and patients with an acute episode of chronic cholecystitis . The duration of complaints , however , had a significant influence on surgical results . In patients that were either operated on within 48 h after the onset of disease or more than 10 days later , the length of the operation was shorter and the rates of conversion and complications were lower . Our results prove that laparoscopic cholecystectomy is also very successful in cases of acute cholecystitis , though a long learning curve has to be expected . Taking efficiency and economy into consideration , surgery within a few days of the onset of disease must be recommended ."
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[] |
[] |
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] |
DerChirurg.70680244.eng.abstr
|
DerChirurg.70680244.eng.abstr
|
[
{
"id": "DerChirurg.70680244.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Kryopreserved specimens of cystic ducts were used for displacement tests to investigate the security of different laparoscopic clips . The cystic duct was fixed , and the transverse placed clips were distracted in axial direction and the forces registered . The median values of the six investigated clips ranged between 4.1 N and 11.2 N with a highly significant difference ( P 0.001 , Kruskal-Wallis ANOVA ) . In detail , both resorbable clips ( polydioxanone , polyglyconate/polyglycol acetate ) were superior to the four titanium clips ( P 0.005 , Wilcoxon test ) . In addition to the advantage of complete biodegradibility , these data favour the use of absorbable clips because holding force is better than that of titanium clips ."
],
"offsets": [
[
0,
737
]
]
}
] |
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"id": "DerChirurg.70680244.eng.abstr-s4-t3",
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] |
[] |
[] |
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DerChirurg.70680247.eng.abstr
|
DerChirurg.70680247.eng.abstr
|
[
{
"id": "DerChirurg.70680247.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Between 1985 and 1994 , 262 patients with metastases underwent resectional treatment in the Department for General and Abdominal Surgery of the University of Mainz . Twenty-seven patients with recurrent metastases were treated with repeat resections . The records of these 27 patients were reviewed and analyzed . After 42 repeat resections , 4 of 27 patients ( 14.8 % ) developed complications . Three of 27 patients died in the postoperative period ( 11.1 % ) . For patients with R0 resection of metastases from colorectal primaries the median survival time was 69 months after resection of the primary tumor ( n = 16 ) , 38 months after the first resection of metastases ( n = 15 ) , and 25 months after the second resection of metastases ( n = 15 ) . After the last repeat resection of metastases in each patient , median survival was 25 months in patients with R0 resection ( n = 11 ) , compared to 7 months following R1/2 resection ( n = 5 ) ( P = 0.007 ) . Disease-free survival following first R0 resection of colorectal metastases ( n = 15 ) , was not significantly different from disease-free survival following repeated R0 resection of colorectal metastases ( n = 21 ) . Patients with repeat resection of colorectal liver metastases ( n = 9 ) had longer disease-free survival ( median 18 months ) than patients with repeat resection of colorectal metastases in organs other than liver or lungs ( median 4 months ; n = 4 ) ( P = 0.005 ) . Repeat resections for metastases are characterized by low operative risk and a prognostic benefit for highly selected patients ."
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] |
DerChirurg.70680255.eng.abstr
|
DerChirurg.70680255.eng.abstr
|
[
{
"id": "DerChirurg.70680255.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Between 1984 and 1994 , 27 men and 4 women with primary spontaneous pneumothorax were treated surgically by excision of the bullae , without pleurectomy . The purpose of the present study was to establish by computed tomography ( CT ) of the lung whether the excision permanently eliminated the cause of pneumothorax . The median follow-up was 72 ( 21-127 ) months . There were two patients with recurrences ( 6.4 % ) who were operated on again . Sixteen of 31 patients had new blebs in the apex of the lung as documented by postoperative CT . The study indicates that simple excision of the bullous area cannot prevent the recurrence of blebs ."
],
"offsets": [
[
0,
645
]
]
}
] |
[
{
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],
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[
27,
30
]
],
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{
"db_name": "UMLS",
"db_id": "C0025266"
},
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}
]
},
{
"id": "DerChirurg.70680255.eng.abstr-s1-t2",
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],
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37,
42
]
],
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}
]
},
{
"id": "DerChirurg.70680255.eng.abstr-s1-t3",
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"pneumothorax"
],
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[
68,
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]
],
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},
{
"id": "DerChirurg.70680255.eng.abstr-s1-t4",
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],
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] |
[] |
[] |
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] |
DerChirurg.70680264.eng.abstr
|
DerChirurg.70680264.eng.abstr
|
[
{
"id": "DerChirurg.70680264.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In order to determine the efficacy of hand disinfectants based on alcohol against three MRSA strains and 3 methicillin-susceptible S. aureus strains ( MSSA ) , 1-propanol ( 60 % ) as well as Sterillium and Spitaderm were investigated in the quantitative suspension test at various dilutions and reactions times ( 15 , 30 and 60 s ) . All undiluted disinfectants revealed reduction factors > 6 against MRSA and MSSA after 30 s. Diluted disinfectants ( 50 % ) were significantly less effective against MRSA at short reaction times ( 15 s ) ( p 0.05 ) . Sterillium in a dilution of 50 % did not reach 5 reduction factors against either MRSA or MSSA after 30 s. The impact of an appropriate use of hand disinfectants in order to break chains of infections with MRSA is obvious ."
],
"offsets": [
[
0,
774
]
]
}
] |
[
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{
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"disinfectants"
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{
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{
"id": "DerChirurg.70680264.eng.abstr-s1-t4",
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"strains"
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},
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{
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{
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{
"id": "DerChirurg.70680264.eng.abstr-s1-t11",
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{
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{
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},
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"id": "DerChirurg.70680264.eng.abstr-s2-t3",
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},
{
"id": "DerChirurg.70680264.eng.abstr-s2-t4",
"type": "umlsterm",
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},
{
"id": "DerChirurg.70680264.eng.abstr-s3-t1",
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"text": [
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[] |
[] |
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DerChirurg.70680271.eng.abstr
|
DerChirurg.70680271.eng.abstr
|
[
{
"id": "DerChirurg.70680271.eng.abstr-passage-0",
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"text": [
"We report on a 28-year-old patient , who acquired a left diaphragmatic hernia after suffering a motorcycle accident seven years ago . The diaphragmatic hernia was not diagnosed at that time . After a laparoscopic cholecystectomy performed for acute cholcystitis , there was herniation and secondary incarceration of a bowel segment into the preexistent diaphragmatic hernia . We describe laparoscopic surgical repositioning of the bowel segment and closure of the diaphragmatic defect ."
],
"offsets": [
[
0,
486
]
]
}
] |
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] |
[] |
[] |
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DerChirurg.70680274.eng.abstr
|
DerChirurg.70680274.eng.abstr
|
[
{
"id": "DerChirurg.70680274.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The PEG-ileus is a complication of the intestinal migration of the \" bumper \" . The resulting obstruction or perforation is usually located in the ileum . Patients with hernias , who have a possible or known intrinsic or extrinsic stenosis or who have been X-rayed in the area of the small pelvis , are not suitable for the application of Korula's \" migration \" -technique with the scheduled intestinal elimination of the \" bumper \" . \" Bumpers \" that are allowed to remain in the stomach for a long time lose their elasticity and frequently cause a PEG-ileus . When choosing the type of gastrostomy , we should consider which technique could be used in the case of a change or a removal of the material ."
],
"offsets": [
[
0,
705
]
]
}
] |
[
{
"id": "DerChirurg.70680274.eng.abstr-s1-t1",
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"text": [
"complication"
],
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19,
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]
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{
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"db_id": "C0009566"
}
]
},
{
"id": "DerChirurg.70680274.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"migration"
],
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[
50,
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]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0600210"
}
]
},
{
"id": "DerChirurg.70680274.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"ileum"
],
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[
147,
152
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0020885"
}
]
},
{
"id": "DerChirurg.70680274.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"Patients"
],
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[
155,
163
]
],
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{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerChirurg.70680274.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"hernias"
],
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[
169,
176
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0019270"
}
]
},
{
"id": "DerChirurg.70680274.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"stenosis"
],
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231,
239
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0009814"
}
]
},
{
"id": "DerChirurg.70680274.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"pelvis"
],
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[
290,
296
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030797"
}
]
},
{
"id": "DerChirurg.70680274.eng.abstr-s3-t5",
"type": "umlsterm",
"text": [
"migration"
],
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350,
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]
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}
]
},
{
"id": "DerChirurg.70680274.eng.abstr-s3-t6",
"type": "umlsterm",
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"-technique"
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"db_id": "C0025664"
}
]
},
{
"id": "DerChirurg.70680274.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"stomach"
],
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481,
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]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0038351"
},
{
"db_name": "UMLS",
"db_id": "C0024623"
}
]
},
{
"id": "DerChirurg.70680274.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"time"
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},
{
"id": "DerChirurg.70680274.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"elasticity"
],
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"db_id": "C0013764"
}
]
},
{
"id": "DerChirurg.70680274.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"gastrostomy"
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588,
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]
},
{
"id": "DerChirurg.70680274.eng.abstr-s5-t2",
"type": "umlsterm",
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"technique"
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{
"db_name": "UMLS",
"db_id": "C0025664"
}
]
}
] |
[] |
[] |
[
{
"id": "DerChirurg.70680274.eng.abstr-s3-r1-t3.1-t2.1",
"type": "associated_with",
"arg1_id": "DerChirurg.70680274.eng.abstr-s4-t3",
"arg2_id": "DerChirurg.70680274.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "DerChirurg.70680274.eng.abstr-s3-r2-t3.1-t2.1",
"type": "result_of",
"arg1_id": "DerChirurg.70680274.eng.abstr-s4-t3",
"arg2_id": "DerChirurg.70680274.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "DerChirurg.70680274.eng.abstr-s3-r3-t2.1-t1.1",
"type": "occurs_in",
"arg1_id": "DerChirurg.70680274.eng.abstr-s5-t2",
"arg2_id": "DerChirurg.70680274.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerChirurg.70680274.eng.abstr-s3-r4-t4.1-t3.1",
"type": "location_of",
"arg1_id": "DerChirurg.70680274.eng.abstr-s3-t4",
"arg2_id": "DerChirurg.70680274.eng.abstr-s4-t3",
"normalized": []
},
{
"id": "DerChirurg.70680274.eng.abstr-s3-r5-t2.1-t3.1",
"type": "associated_with",
"arg1_id": "DerChirurg.70680274.eng.abstr-s5-t2",
"arg2_id": "DerChirurg.70680274.eng.abstr-s4-t3",
"normalized": []
},
{
"id": "DerChirurg.70680274.eng.abstr-s3-r6-t2.1-t3.1",
"type": "result_of",
"arg1_id": "DerChirurg.70680274.eng.abstr-s5-t2",
"arg2_id": "DerChirurg.70680274.eng.abstr-s4-t3",
"normalized": []
},
{
"id": "DerChirurg.70680274.eng.abstr-s3-r7-t1.1-t5.1",
"type": "performs",
"arg1_id": "DerChirurg.70680274.eng.abstr-s5-t1",
"arg2_id": "DerChirurg.70680274.eng.abstr-s3-t5",
"normalized": []
},
{
"id": "DerChirurg.70680274.eng.abstr-s3-r8-t3.1-t1.1",
"type": "occurs_in",
"arg1_id": "DerChirurg.70680274.eng.abstr-s4-t3",
"arg2_id": "DerChirurg.70680274.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerChirurg.70680274.eng.abstr-s3-r9-t1.1-t6.1",
"type": "uses",
"arg1_id": "DerChirurg.70680274.eng.abstr-s5-t1",
"arg2_id": "DerChirurg.70680274.eng.abstr-s3-t6",
"normalized": []
},
{
"id": "DerChirurg.70680274.eng.abstr-s3-r10-t4.1-t2.1",
"type": "location_of",
"arg1_id": "DerChirurg.70680274.eng.abstr-s3-t4",
"arg2_id": "DerChirurg.70680274.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "DerChirurg.70680274.eng.abstr-s4-r1-t3.1-t1.2",
"type": "result_of",
"arg1_id": "DerChirurg.70680274.eng.abstr-s4-t3",
"arg2_id": "DerChirurg.70680274.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerChirurg.70680274.eng.abstr-s4-r2-t1.1-t1.2",
"type": "location_of",
"arg1_id": "DerChirurg.70680274.eng.abstr-s5-t1",
"arg2_id": "DerChirurg.70680274.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerChirurg.70680274.eng.abstr-s4-r3-t1.2-t3.1",
"type": "result_of",
"arg1_id": "DerChirurg.70680274.eng.abstr-s4-t1",
"arg2_id": "DerChirurg.70680274.eng.abstr-s4-t3",
"normalized": []
}
] |
DerChirurg.70680279.eng.abstr
|
DerChirurg.70680279.eng.abstr
|
[
{
"id": "DerChirurg.70680279.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Intramuscular lipomas are rare , benign unencapsulated tumors . They are also called infiltrating lipomas because of their infiltrative growth pattern which , deeply localized , seizes the skeleton muscle . The only obvious symptom is a palpable mass . Microscopically , monovacular fat tissue shows up between the muscle fiber . In extreme cases the preexisting muscle can be totally replaced by fat tissue . A precise pathohistological examination is needed to avoid the mistaken diagnosis of a well-differentiated liposarcoma . Late diagnosis , the extent and the localization of the tumor often do not allow for an R0 resection and influence the postoperative recurrence rates , which lie between 3 and 62 % . R0 resections are not desirable when postoperative severe loss of function can be expected . Malfunctions will slowly take place and can greatly be compensated , in contrast to a radical procedure with immediate loss of function ."
],
"offsets": [
[
0,
944
]
]
}
] |
[
{
"id": "DerChirurg.70680279.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"lipomas"
],
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14,
21
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0023798"
}
]
},
{
"id": "DerChirurg.70680279.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"tumors"
],
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[
55,
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]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027651"
}
]
},
{
"id": "DerChirurg.70680279.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"lipomas"
],
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[
98,
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]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0023798"
}
]
},
{
"id": "DerChirurg.70680279.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"growth"
],
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136,
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},
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}
]
},
{
"id": "DerChirurg.70680279.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"skeleton"
],
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189,
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],
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{
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"db_id": "C0037253"
}
]
},
{
"id": "DerChirurg.70680279.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"muscle"
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198,
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{
"id": "DerChirurg.70680279.eng.abstr-s3-t1",
"type": "umlsterm",
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"symptom"
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"id": "DerChirurg.70680279.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"fat"
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}
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},
{
"id": "DerChirurg.70680279.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"tissue"
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{
"id": "DerChirurg.70680279.eng.abstr-s4-t3",
"type": "umlsterm",
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"id": "DerChirurg.70680279.eng.abstr-s4-t4",
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"id": "DerChirurg.70680279.eng.abstr-s4-t5",
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],
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"db_id": "C0242697"
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"id": "DerChirurg.70680279.eng.abstr-s5-t1",
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"id": "DerChirurg.70680279.eng.abstr-s5-t2",
"type": "umlsterm",
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"fat"
],
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]
},
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"id": "DerChirurg.70680279.eng.abstr-s5-t3",
"type": "umlsterm",
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"tissue"
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},
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"id": "DerChirurg.70680279.eng.abstr-s5-t4",
"type": "umlsterm",
"text": [
"fat tissue"
],
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"id": "DerChirurg.70680279.eng.abstr-s6-t1",
"type": "umlsterm",
"text": [
"diagnosis"
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]
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{
"id": "DerChirurg.70680279.eng.abstr-s6-t2",
"type": "umlsterm",
"text": [
"liposarcoma"
],
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]
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{
"id": "DerChirurg.70680279.eng.abstr-s7-t1",
"type": "umlsterm",
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"id": "DerChirurg.70680279.eng.abstr-s7-t2",
"type": "umlsterm",
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"tumor"
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{
"id": "DerChirurg.70680279.eng.abstr-s7-t3",
"type": "umlsterm",
"text": [
"postoperative"
],
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},
{
"id": "DerChirurg.70680279.eng.abstr-s7-t4",
"type": "umlsterm",
"text": [
"recurrence"
],
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"normalized": [
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{
"id": "DerChirurg.70680279.eng.abstr-s8-t1",
"type": "umlsterm",
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"postoperative"
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"id": "DerChirurg.70680279.eng.abstr-s8-t2",
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"id": "DerChirurg.70680279.eng.abstr-s9-t1",
"type": "umlsterm",
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"contrast"
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"id": "DerChirurg.70680279.eng.abstr-s9-t2",
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}
]
},
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"id": "DerChirurg.70680279.eng.abstr-s9-t3",
"type": "umlsterm",
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],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0031843"
}
]
}
] |
[] |
[] |
[
{
"id": "DerChirurg.70680279.eng.abstr-s2-r1-t2.1-t1.1",
"type": "result_of",
"arg1_id": "DerChirurg.70680279.eng.abstr-s9-t2",
"arg2_id": "DerChirurg.70680279.eng.abstr-s9-t1",
"normalized": []
},
{
"id": "DerChirurg.70680279.eng.abstr-s2-r2-t1.1-t4.1",
"type": "produces",
"arg1_id": "DerChirurg.70680279.eng.abstr-s9-t1",
"arg2_id": "DerChirurg.70680279.eng.abstr-s7-t4",
"normalized": []
},
{
"id": "DerChirurg.70680279.eng.abstr-s2-r3-t4.1-t1.1",
"type": "location_of",
"arg1_id": "DerChirurg.70680279.eng.abstr-s7-t4",
"arg2_id": "DerChirurg.70680279.eng.abstr-s9-t1",
"normalized": []
},
{
"id": "DerChirurg.70680279.eng.abstr-s2-r4-t1.1-t2.1",
"type": "result_of",
"arg1_id": "DerChirurg.70680279.eng.abstr-s9-t1",
"arg2_id": "DerChirurg.70680279.eng.abstr-s9-t2",
"normalized": []
},
{
"id": "DerChirurg.70680279.eng.abstr-s2-r5-t4.1-t2.2",
"type": "conceptual_part_of",
"arg1_id": "DerChirurg.70680279.eng.abstr-s7-t4",
"arg2_id": "DerChirurg.70680279.eng.abstr-s9-t2",
"normalized": []
},
{
"id": "DerChirurg.70680279.eng.abstr-s2-r6-t4.1-t2.1",
"type": "location_of",
"arg1_id": "DerChirurg.70680279.eng.abstr-s7-t4",
"arg2_id": "DerChirurg.70680279.eng.abstr-s9-t2",
"normalized": []
},
{
"id": "DerChirurg.70680279.eng.abstr-s4-r1-t5.1-t4.1",
"type": "part_of",
"arg1_id": "DerChirurg.70680279.eng.abstr-s4-t5",
"arg2_id": "DerChirurg.70680279.eng.abstr-s7-t4",
"normalized": []
},
{
"id": "DerChirurg.70680279.eng.abstr-s4-r2-t3.1-t5.1",
"type": "surrounds",
"arg1_id": "DerChirurg.70680279.eng.abstr-s9-t3",
"arg2_id": "DerChirurg.70680279.eng.abstr-s4-t5",
"normalized": []
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] |
DerChirurg.70680293.eng.abstr
|
DerChirurg.70680293.eng.abstr
|
[
{
"id": "DerChirurg.70680293.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Repair of abdominal wall hernias is the most frequently performed operation in surgery . Primary hernias arise at anatomical weak points ; incisional hernias result from laparotomies . As the fascia heals slowly , the suture should be strong enough to withstand the intraabdominal pressure . Complications in wound healing may lead to a hernia , especially when absorbable sutures have been used . The rate of incisional hernias is technically influenced by the type of incision , the suture technique , and the suture material . To achieve adequate repair it is often necessary to change the principles of abdominal wall closure , for example by using alloplastic material . The meshes reinforce the architecture of the abdominal wall both by pure mechanical means and by induction of a stable scar formation ( polypropylene , polyester ) ."
],
"offsets": [
[
0,
841
]
]
}
] |
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{
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"hernias"
],
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{
"id": "DerChirurg.70680293.eng.abstr-s2-t1",
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"id": "DerChirurg.70680293.eng.abstr-s2-t2",
"type": "umlsterm",
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{
"id": "DerChirurg.70680293.eng.abstr-s2-t3",
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{
"id": "DerChirurg.70680293.eng.abstr-s2-t4",
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},
{
"id": "DerChirurg.70680293.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"fascia"
],
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192,
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},
{
"id": "DerChirurg.70680293.eng.abstr-s3-t2",
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"pressure"
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"Complications"
],
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"id": "DerChirurg.70680293.eng.abstr-s4-t2",
"type": "umlsterm",
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"wound"
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},
{
"id": "DerChirurg.70680293.eng.abstr-s4-t3",
"type": "umlsterm",
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},
{
"id": "DerChirurg.70680293.eng.abstr-s4-t4",
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{
"id": "DerChirurg.70680293.eng.abstr-s4-t5",
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},
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"id": "DerChirurg.70680293.eng.abstr-s5-t1",
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"architecture"
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{
"id": "DerChirurg.70680293.eng.abstr-s7-t2",
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{
"id": "DerChirurg.70680293.eng.abstr-s7-t3",
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"id": "DerChirurg.70680293.eng.abstr-s7-t4",
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}
] |
[] |
[] |
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DerChirurg.70680304.eng.abstr
|
DerChirurg.70680304.eng.abstr
|
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[] |
[] |
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DerChirurg.70680310.eng.abstr
|
DerChirurg.70680310.eng.abstr
|
[
{
"id": "DerChirurg.70680310.eng.abstr-passage-0",
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"Incisional hernias are a common complication following abdominal surgery . However , when performed correctly , the techniques utilized for direct hernia repair , Mayo's closure and plastic covering of the defect appear to be effective in the management of primary hernia closure . The recurrence rates of 30-50 % continue to represent a significant challenge in the initial management of incisional hernia repair . Fortunately , there is evidence that , with correct preparation of the patient and with correct anatomical reconstruction , better results can be achieved . Also , the use of strictly applied technical skills in combination with standardized operative techniques may help to eliminate further complications and recurrences . In addition , the application of mesh or cutis transplantation to reinforce the attenuated tissue has also been shown to reduce the recurrence rate . With the diligent application of the above measures , as well as of new concepts , which at present include a promising technique called tension-adapted closure , there may be positive developments in the treatment and management of incisional hernias ."
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DerChirurg.70680317.eng.abstr
|
DerChirurg.70680317.eng.abstr
|
[
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"The increasing spectrum of therapeutic options for tumors of the gastrointestinal tract has resulted in a refinement of the pretherapeutic diagnostic strategies . The diagnostic approach in surgical institutions that are focused on primary surgical resection will therefore be much less sophisticated than in institutions who propose a selective therapeutic approach based on the pretherapeutic tumor stage and prognostic parameters . Pretherapeutic assessment of the depth of tumor infiltration , i . e . the T-category , is essential because most further diagnostic and therapeutic decisions are based on this information . This can today be achieved with a high degree of accuracy by endoscopy and endoscopic ultrasonography . Early T-stages ( T1-2) are usually an indication for primary surgical resection and , after exclusion of distant metastases , no further diagnostic studies are required . In patients with locally advanced esophageal , gastric or rectum tumors ( T3-4) multimodal therapeutic concepts should be considered . This usually requires additional diagnostic studies . None of the available diagnostic imaging modalities today allows satisfactory pretherapeutic assessment of lymph node metastases . The assumed nodular status should therefore currently not influence therapeutic decisions . Essential is , however , the assessment of distant metastases , since the documentation of distant tumor spread will change the therapeutic approach to a palliative situation . Detailed histologic and molecular-biologic assessment of tumor characteristics is growing in importance . This not only provides therapeutically relevant information regarding tumor grading , but opens the door towards a modern molecular diagnostic approach . It can be expected that in the near future a vast amount of relevant prognostic information can be obtained from endoscopic tumor biopsies , which may soon alter our therapeutic concepts ."
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DerChirurg.70680325.eng.abstr
|
DerChirurg.70680325.eng.abstr
|
[
{
"id": "DerChirurg.70680325.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Imaging of tumors of the pancreas may have a series of significant implications for surgical decision making . First of all verification and localization of a suspected tumor is crucial . Later on , accurate staging of local tumor extent and of distant metastases is necessary for evaluating the indications for surgical intervention . If histologic proof of malignancy of a pancreatic lesion is needed , different imaging techniques can be used for percutaneous biopsy of the tumor . Finally imaging is required in patients with a pancreatic tumor if an obstruction of the common bile duct is treated with palliative intent by endoscopy or transhepatic intervention . A rational and efficient selection from all the imaging techniques currently available requires a clear-cut definition of what is needed for surgical decision making in each individual case . Thereby one has to take into account whether the tumor arises from the exocrine or from the endocrine tissue of the pancreas ."
],
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[
0,
987
]
]
}
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] |
DerChirurg.70680346.eng.abstr
|
DerChirurg.70680346.eng.abstr
|
[
{
"id": "DerChirurg.70680346.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The indication for surgical treatment of tumors of the retroperitoneum should not depend on findings of radiological examinations , because all radiographic procedures lack tissue specificity . Instead , it can only be determined histologically after an open biopsy or resection of the tumor , which should always be attempted . With the help of appropriate radiological examinations , a retroperitoneal mass will not only be detected , but the relationship to the adjacent anatomical structures will also be delineated . Therefore , valid information for planning the operation and estimating the morbidity and mortality can be provided for the surgeon ."
],
"offsets": [
[
0,
655
]
]
}
] |
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] |
[] |
[] |
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DerChirurg.70680364.eng.abstr
|
DerChirurg.70680364.eng.abstr
|
[
{
"id": "DerChirurg.70680364.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Duodenum-preserving resection of the head of the pancreas was developed 25 years ago by Beger . This procedure is indicated in patients suffering from chronic pain in combination with inflammation of the head of the pancreas , common bile duct obstruction , pancreatic duct obstruction and/or obstruction of the retropancreatic vessels . At the Inselspital in Berne , 74 patients underwent this operation between 1993 and 1996. The median length of the operation was 380 min , with the need for transfusion in a median of 0 units ( 0-6 ) . There was no postoperative mortality . Total postoperative morbidity was 13 % . One patient needed relaparotomy on day 17 for small bowel obstruction . Median length of hospital stay was 11 days . Postoperatively , two patients developed diabetes . Duodenum-preserving resection of the head of the pancreas represents an organ-preserving principle of surgery . This procedure treats the complications of chronic pancreatitis and provides long-term pain relief in more than 80 % of patients ."
],
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[
0,
1031
]
]
}
] |
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] |
[] |
[] |
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DerChirurg.70680378.eng.abstr
|
DerChirurg.70680378.eng.abstr
|
[
{
"id": "DerChirurg.70680378.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Between 1 January 1986 and 31 December 1994 , 45 patients with carcinoma of the hepatic bifurcation underwent operations in the department of surgery . According to Bismuth's classification ( 1992 ) , there were 7 type I , 4 type II , 22 type III and 12 type IV tumors . 31 of the 45 patients ( 68.9 % ) underwent surgical resections with curative intentions : resection of the hepatic bifurcation ( n = 9 , 29 % ) , resection of the hepatic bifurcation with hilar liver resection ( n = 7 , 22.6 % ) , resection of the hepatic bifurcation with left hemihepatectomy ( n = 10 , 32.3 % ) , orthotopic liver transplantation ( n = 5 , 16.1 % ) . The remaining 14 patients underwent palliative ( n = 6 ) or diagnostic ( n = 8 ) operations . Two of the 45 patients ( 4.2 % ) died in hospital . Histological examination demonstrated R0 resection in 17 of 31 ( 54.8 % ) of the patients , while in the remaining 14 cases , only a R1/RX resection had been achieved . One- , 2- and 5-year survival rates were 75.4 % , 53.9 % and 24.5 % ( median survival : 729 days ) in the 31 resected patients , and 30.8 % , 10.3 % and 0 % ( median survival : 153 days ) in the palliative treatment group . A statistically significant influence on survival could be demonstrated for nodal status ( N0/N1) and residual tumor status ( R0/R1, R2)."
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[] |
[] |
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DerChirurg.70680385.eng.abstr
|
DerChirurg.70680385.eng.abstr
|
[
{
"id": "DerChirurg.70680385.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A 41-year-old patient with liver cirrhosis due to autoimmune hepatitis received an emergency transjugular portosystemic stent shunt for uncontrolled acute variceal hemorrhage . Because of markedly impaired liver function , liver transplantation was considered to be indicated and was performed on the following day . Intraoperatively , one of the intrahepatic metal stents migrated unnoticed into the pulmonary artery . The postoperative course was uncomplicated and the displaced stent was left in situ . Eighteen months after the transplantation the patient is well with normal liver function and no pulmonary problems ."
],
"offsets": [
[
0,
622
]
]
}
] |
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DerChirurg.70680389.eng.abstr
|
DerChirurg.70680389.eng.abstr
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{
"id": "DerChirurg.70680389.eng.abstr-passage-0",
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"We present four cases of esophageal rupture ( three iatrogenic , one Boerhaave syndrome ) to demonstrate the difficulty in diagnosis and therapy . The current literature is discussed and conclusions are drawn as regards the modus operandi . All our patients were operated on . The site of esophageal rupture was always closed with a primary suture and substantial irrigation and drainage were performed . In two cases the suture line was in addition covered with fibrin glue or by an omentum flap , respectively . All patients survived and recovered was unremarkable . Our own results and a subsequent analysis of literature allow the following conclusions . At an early stage of esophageal rupture surgical intervention is indicated . The method of choice is primary closure of the rupture site by suture , possibly combined with a muscle or omentum flap . In cases of delayed diagnosis with advanced mediastinitis , suture of the rupture site should also be striven for . Additional coverage is advisable in these cases . Resection procedures with or without reconstruction should be done only in exceptional cases before of the high surgical risk ."
],
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}
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[] |
[] |
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] |
DerChirurg.70680395.eng.abstr
|
DerChirurg.70680395.eng.abstr
|
[
{
"id": "DerChirurg.70680395.eng.abstr-passage-0",
"type": "abstract",
"text": [
"As laparoscopic cholecystectomy becomes more established , interest in legal aspects increases . The legal cases dealt with in Germany since the introduction of this laparoscopic method in 1989 were studied to determine the legal consequences of complications . Of 40 cases , 16 were judged to be cases of malpractice , whereas 24 were not . The most common cause was injury of the common bile duct ( 26 cases ) . Seven of these 26 cases were judged to be cases of malpractice , 2 of these as grave errors . The main reasons for the acceptance of a case as malpractice were delay in changing to conventional cholecystectomy , delayed revision , laparoscopic revisions and not reverting to conventional cholecystectomy in unclear situations ."
],
"offsets": [
[
0,
741
]
]
}
] |
[
{
"id": "DerChirurg.70680395.eng.abstr-s1-t1",
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"text": [
"cholecystectomy"
],
"offsets": [
[
16,
31
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0008320"
}
]
},
{
"id": "DerChirurg.70680395.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"legal aspects"
],
"offsets": [
[
71,
84
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0022433"
},
{
"db_name": "UMLS",
"db_id": "C0220868"
}
]
},
{
"id": "DerChirurg.70680395.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"Germany"
],
"offsets": [
[
127,
134
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0017480"
}
]
},
{
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}
] |
[] |
[] |
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"id": "DerChirurg.70680395.eng.abstr-s1-r1-t1.1-t2.1",
"type": "isa",
"arg1_id": "DerChirurg.70680395.eng.abstr-s6-t1",
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"id": "DerChirurg.70680395.eng.abstr-s2-r1-t2.1-t3.1",
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"arg2_id": "DerChirurg.70680395.eng.abstr-s6-t3",
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},
{
"id": "DerChirurg.70680395.eng.abstr-s2-r2-t3.1-t2.1",
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"arg1_id": "DerChirurg.70680395.eng.abstr-s6-t3",
"arg2_id": "DerChirurg.70680395.eng.abstr-s6-t2",
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},
{
"id": "DerChirurg.70680395.eng.abstr-s2-r3-t1.1-t3.1",
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},
{
"id": "DerChirurg.70680395.eng.abstr-s2-r4-t3.1-t1.1",
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},
{
"id": "DerChirurg.70680395.eng.abstr-s4-r1-t4.1-t1.1",
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},
{
"id": "DerChirurg.70680395.eng.abstr-s4-r2-t1.1-t2.1",
"type": "causes",
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},
{
"id": "DerChirurg.70680395.eng.abstr-s4-r3-t5.1-t2.1",
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"normalized": []
},
{
"id": "DerChirurg.70680395.eng.abstr-s4-r4-t4.1-t1.1",
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},
{
"id": "DerChirurg.70680395.eng.abstr-s4-r5-t4.1-t2.2",
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},
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},
{
"id": "DerChirurg.70680395.eng.abstr-s4-r7-t1.1-t5.1",
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"arg2_id": "DerChirurg.70680395.eng.abstr-s4-t5",
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},
{
"id": "DerChirurg.70680395.eng.abstr-s4-r8-t5.1-t1.1",
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},
{
"id": "DerChirurg.70680395.eng.abstr-s4-r9-t5.1-t2.2",
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},
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"id": "DerChirurg.70680395.eng.abstr-s4-r10-t5.1-t1.1",
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},
{
"id": "DerChirurg.70680395.eng.abstr-s4-r11-t1.1-t4.1",
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"arg2_id": "DerChirurg.70680395.eng.abstr-s4-t4",
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},
{
"id": "DerChirurg.70680395.eng.abstr-s4-r12-t4.1-t2.1",
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"arg2_id": "DerChirurg.70680395.eng.abstr-s6-t2",
"normalized": []
},
{
"id": "DerChirurg.70680395.eng.abstr-s6-r1-t1.1-t3.1",
"type": "evaluation_of",
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"arg2_id": "DerChirurg.70680395.eng.abstr-s6-t3",
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},
{
"id": "DerChirurg.70680395.eng.abstr-s6-r2-t1.1-t2.1",
"type": "evaluation_of",
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"arg2_id": "DerChirurg.70680395.eng.abstr-s6-t2",
"normalized": []
}
] |
DerChirurg.70680403.eng.abstr
|
DerChirurg.70680403.eng.abstr
|
[
{
"id": "DerChirurg.70680403.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The co-existence of horseshoe kidney ( HSK ) and abdominal aortic aneurysm ( AAA ) is rare and demands a special diagnostic workup and a meticulous surgical procedure . Ten patients with HSK associated with AAA are reported . All underwent aortic replacement with successful preservation of multiple renal arteries . One patient died at the 7th postoperative day from myocardial infarction . HSK does not represent a contraindication for aortic repair . Angiography for identification of aberrant renal arteries and classification into three types for surgical management is mandatory . In type I and II we recommend a standard midline transperitoneal approach . Only in type III does a thoraco-abdominal approach seem favourable . The aortic reconstruction should be performed with tube grafts , if possible . Aberrant renal arteries are reattached directly to the prosthesis . Dissection of renal isthmus should be avoided . Temporary cold renal perfusion is indicated to extend the ischemic tolerance time . As repair of a ruptured AAA in patients with HSK may be quite difficult and time consuming , we recommend more liberal indications for aneurysm surgery in patients with HSK ."
],
"offsets": [
[
0,
1185
]
]
}
] |
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"kidney"
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30,
36
]
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"db_id": "C0022646"
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]
},
{
"id": "DerChirurg.70680403.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"aneurysm"
],
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66,
74
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"db_id": "C0002940"
}
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},
{
"id": "DerChirurg.70680403.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"diagnostic"
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113,
123
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"db_name": "UMLS",
"db_id": "C0348026"
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{
"id": "DerChirurg.70680403.eng.abstr-s1-t4",
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"surgical"
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{
"id": "DerChirurg.70680403.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"procedure"
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]
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{
"id": "DerChirurg.70680403.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"aortic aneurysm"
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59,
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"db_name": "UMLS",
"db_id": "C0003486"
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{
"id": "DerChirurg.70680403.eng.abstr-s1-t7",
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"surgical procedure"
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148,
166
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"db_name": "UMLS",
"db_id": "C0543467"
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},
{
"id": "DerChirurg.70680403.eng.abstr-s1-t8",
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49,
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"db_id": "C0162871"
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},
{
"id": "DerChirurg.70680403.eng.abstr-s2-t1",
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"text": [
"patients"
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173,
181
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"db_name": "UMLS",
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{
"id": "DerChirurg.70680403.eng.abstr-s3-t1",
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"All"
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"id": "DerChirurg.70680403.eng.abstr-s3-t3",
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"renal arteries"
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"patient"
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}
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},
{
"id": "DerChirurg.70680403.eng.abstr-s4-t2",
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"postoperative"
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]
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{
"id": "DerChirurg.70680403.eng.abstr-s4-t3",
"type": "umlsterm",
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"infarction"
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"db_id": "C0021308"
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},
{
"id": "DerChirurg.70680403.eng.abstr-s4-t4",
"type": "umlsterm",
"text": [
"patient died"
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321,
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]
},
{
"id": "DerChirurg.70680403.eng.abstr-s4-t5",
"type": "umlsterm",
"text": [
"myocardial infarction"
],
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368,
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"db_id": "C0027051"
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]
},
{
"id": "DerChirurg.70680403.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"contraindication"
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417,
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"db_id": "C0079164"
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{
"id": "DerChirurg.70680403.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"repair"
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{
"id": "DerChirurg.70680403.eng.abstr-s6-t1",
"type": "umlsterm",
"text": [
"Angiography"
],
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454,
465
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"id": "DerChirurg.70680403.eng.abstr-s6-t2",
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"identification"
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{
"id": "DerChirurg.70680403.eng.abstr-s6-t3",
"type": "umlsterm",
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503,
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]
},
{
"id": "DerChirurg.70680403.eng.abstr-s6-t4",
"type": "umlsterm",
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"classification"
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{
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{
"id": "DerChirurg.70680403.eng.abstr-s6-t6",
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{
"id": "DerChirurg.70680403.eng.abstr-s7-t1",
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"standard"
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}
]
},
{
"id": "DerChirurg.70680403.eng.abstr-s7-t2",
"type": "umlsterm",
"text": [
"midline"
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"db_id": "C0677502"
}
]
},
{
"id": "DerChirurg.70680403.eng.abstr-s9-t1",
"type": "umlsterm",
"text": [
"grafts"
],
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[
788,
794
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],
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"db_name": "UMLS",
"db_id": "C0332835"
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"db_id": "C0040733"
}
]
},
{
"id": "DerChirurg.70680403.eng.abstr-s10-t1",
"type": "umlsterm",
"text": [
"arteries"
],
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"db_id": "C0003842"
}
]
},
{
"id": "DerChirurg.70680403.eng.abstr-s10-t2",
"type": "umlsterm",
"text": [
"prosthesis"
],
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866,
876
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],
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"db_id": "C0525024"
},
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"db_name": "UMLS",
"db_id": "C0175649"
}
]
},
{
"id": "DerChirurg.70680403.eng.abstr-s10-t3",
"type": "umlsterm",
"text": [
"renal arteries"
],
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820,
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"db_name": "UMLS",
"db_id": "C0035065"
}
]
},
{
"id": "DerChirurg.70680403.eng.abstr-s11-t1",
"type": "umlsterm",
"text": [
"Dissection"
],
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[
879,
889
]
],
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"db_name": "UMLS",
"db_id": "C0012737"
}
]
},
{
"id": "DerChirurg.70680403.eng.abstr-s12-t1",
"type": "umlsterm",
"text": [
"cold"
],
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DerChirurg.70680410.eng.abstr
|
DerChirurg.70680410.eng.abstr
|
[
{
"id": "DerChirurg.70680410.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Owing to increasing limitations on resources in health care , there is an urgent need to investigate effectiveness and efficiency of medical procedures . Therefore , we retrospectively studied the courses of 62 surgical patients who required at least 30 days of intensive care regarding mortality , long-term prognosis and quality of life . Additionally , a cost analysis was made using quality-adjusted life years ( QALYs ) . The hospital mortality was 40.3 % . The overall median survival time of discharged patients ( n = 37 ) was 3.7 years and the calculated 3-year survival was 56.4 % . The most frequent causes of death were septic complications or multiple organ failure in hospitalized patients and tumor relapses in discharged patients . In most of the surviving patients quality of life ( median Gastrointestinal Quality of Life Index : 104 points ) was good . About 20 % of the discharged patients were able to return to work . Although extended intensive care therapy is extremely expensive ( DM 68,250 per QALY ) , these costs are comparable with other accepted procedures in medicine ( i . e . hemodialysis ) . Therefore , economical aspects should not be a generalized reason for withdrawing or withholding intensive care therapy ."
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DerChirurg.70680416.eng.abstr
|
DerChirurg.70680416.eng.abstr
|
[
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"id": "DerChirurg.70680416.eng.abstr-passage-0",
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"The aim of this study was to examine the effect of decontamination as compared to placebo medication on post-gastrectomy treatment costs . The results of a prospective double-blind placebo-controlled multicenter trial indicate that perioperative i . v. prophylaxis with cefotaxim and topical decontamination with polymyxin B , tobramycin , vancomycin and amphotericin B from the day before surgery until the 7th postoperative day is most effective in the prevention of esophagojejunal anastomotic leakage following total gastrectomy . For the cost analysis , only patients who had been decontaminated according to the study protocol ( n = 90 ) were compared to the non-decontaminated patients ( n = 103 ) . The esophagojejunal leakage rate was 10.6 % in placebo patients ( n = 103 ) and could be reduced significantly to 1.1 % in decontaminated patients ( n = 90 , P = 0.0061 ; two-tailed Fisher's exact test ) . There was only one asymptomatic leakage detected on Gastrografin swallow . The pulmonary infection ( P = 0.0173 ) and overall complication rates ( p = 0.0238 ) were significantly reduced in the decontamination group as well . During the observation period , 9 ( 8.7 % ) patients in the placebo group and 3 ( 3.3 % ) in the decontaminated group died ( P = n . s. ) . Patients were followed up for the initial 42 postoperative days and treatment costs were calculated for this time period only . The parameters compiled in the study pertaining to use of medical resources formed the basis for the determination of the postoperative treatment costs . These were the costs for decontaminating drugs , intravenous antibiotics , reoperations and non-surgical reinterventions as well as daily treatment costs of the general ward , the intensive care unit ( ICU ) and rehabilitation . The average costs per patient in the placebo group amounted to DM 20 000 while the costs for decontaminated patients were only DM 16 200 , which was due to a significantly lower number of patients requiring treatment in the ICU ( P = 0.0082 ) , significantly fewer patients requiring i . v. antibiotics ( P = 0.0232 ) and fewer patients with reoperations ( P = 0.0909 ) . The prophylaxis employing decontaminating drugs in the amount of DM 400 lowered post-gastrectomy treatment costs by DM 3800 or 19 % . The prophylaxis can be recommended , because it lowers morbidity , mortality and the costs of total gastrectomy ."
],
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DerChirurg.70680429.eng.abstr
|
DerChirurg.70680429.eng.abstr
|
[
{
"id": "DerChirurg.70680429.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The combination of abdominal aortic aneurysm ( AAA ) and necrosis of the lumbar vertebral bodies is often the consequence of ischemia of the lumbar arteries and local compression from the aneurysm . A patient with necrosis of lumbar vertebral bodies 2 to 4 was admitted for abdominal aneurysm repair . CT scanning revealed almost complete destruction of the second and fourth lumbar vertebral bodies . In a combined operation an orthopedic and a vascular surgical team implanted two carbonic cages with autogenous splinter of the pelvic bone and an aortic vascular graft , using a retroperitoneal approach . Three months after the operation the 61-year-old man is entirely well and without any signs of back pain . He could be fully mobilized within 3 weeks postoperatively . This case study depicts the surgical techniques and discusses the advantages of the simultaneous operation and retroperitoneal exposure ."
],
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[
0,
913
]
]
}
] |
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] |
[] |
[] |
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DerChirurg.70680439.eng.abstr
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DerChirurg.70680439.eng.abstr
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"All 1994 publications of four leading journals in surgery , orthopedics and internal medicine in Germany ( Der Chirurg , Der Unfallchirurg , Langenbecks Archiv fuer Chirurgie , Medizinische Klinik ) were reviewed by means of a structured analysis . The type of article , authorship , number of references , geographical location , quality , and main conclusion ( positive ; neutral ; negative ) of each article were documented . The journals focused on clinical studies ( 32.2-59.6 % ) , case reports ( 11.0-26.1 % ) and reviews ( 6.4-40.9 % ) . Articles about surgical techniques were mainly found in Der Chirurg ( 16.9 % ) , experimental studies in Der Unfallchirurg ( 14.7 % ) and Langenbecks Archiv fuer Chirurgie ( 25.7 % ) . Most articles were written by university clinic personnel ( 62.6-81.4 % ) . In 11.0-22.6 % of all articles , the head of a clinic was the first author and the co-author in 36.5-58.7 % . Women were found to be first author in 4 % in surgery , and in 10.4 % in internal medicine . Of a total of 495 publications , 53.9 % were written in Northrhine-Westphalia , Bavaria or Baden-Wuerttemberg and only 1.6 % in the five new federal states . Of all articles 16.4 % were by foreign authors , with 10.5 % originating from German-speaking countries . The portion of controlled randomized trials ranged between 4.9 % ( Der Unfallchirurg ) and 11.3 % ( Der Chirurg ) of all published studies . Studies and case reports with negative results were found to be more evident in Der Chirurg and Langenbecks Archiv fuer Chirurgie ( ca. 20 % ) as compared to Der Unfallchirurg and Medizinische Klinik ( ca. 6 % ) . All journals provided good general information about the actual developments in a variety of topics to the reader . However , some improvement concerning international contributions , participation of the new federal states , and the quality of studies is recommended ."
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DerChirurg.70680454.eng.abstr
|
DerChirurg.70680454.eng.abstr
|
[
{
"id": "DerChirurg.70680454.eng.abstr-passage-0",
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"Soft tissue defects of the extremities are infrequent within the spectrum of general surgery and are predominantly found with perfusion disorders of macro- and microcirculation in the lower extremities . In the upper extremity , they are more frequently seen after i . v. cytostatic drug administration and tumor resections . This article describes the most frequent causes of complex defects of the extremities . Common flaps for the reconstruction of these defects and the pathway to decision making are elucidated ."
],
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[
0,
518
]
]
}
] |
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[] |
[] |
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DerChirurg.70680461.eng.abstr
|
DerChirurg.70680461.eng.abstr
|
[
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"Full-thickness defects of the thoracic wall following tumor resection , irradiation damage or secondary wound healing in thoracic surgery require early interdisciplinary cooperation to achieve patient-specific treatment modalities . Plastic surgical differential therapy allowing for sufficient soft tissue coverage , stabilisation of the thoracic wall and space filling in intrathoracic cavities , is presented and critically discussed ."
],
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[
0,
438
]
]
}
] |
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] |
[] |
[] |
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DerChirurg.70680469.eng.abstr
|
DerChirurg.70680469.eng.abstr
|
[
{
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"Complex defects of the trunk and pelvic region are rare , but are mostly the sequelae of serious conditions . Stable soft tisue coverage after radical debridement of all avital tissue may be of vital importance for the patient . The article will demonstrate the options of plastic surgery procedures that should be known by the general surgeon to be eventually integrated into a interdisciplinary therapeutic concept ."
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[] |
[] |
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DerChirurg.70680477.eng.abstr
|
DerChirurg.70680477.eng.abstr
|
[
{
"id": "DerChirurg.70680477.eng.abstr-passage-0",
"type": "abstract",
"text": [
"This article reviews the molecular basis of cell adhesion and its possible implications in surgery . Adhesion of circulating cells to endothelial cells is mediated by a variety of celladhesion molecules . The first steps in the celladhesion cascade ( rolling , tethering ) are regulated by selectins ( P , E , L selectin ) . Stable adhesion and transmural migration predominantly involve integrins ( LFA-1, etc. ) and members of the immunoglobulin supergene family ( ICAM-1, etc. ) . The mechanisms of leucocyte-endothelial interaction are markedly similar in various organs under both physiological and pathophysiological conditions . However , it is likely that cell trafficing to specific tissues/organs ( e.g. , homing ) is regulated by additional organ-specific , topical adhesion molecules ( e . g . , MAdCAM-1). In surgery , cell adhesion molecules are involved in organ-transplantation pathology ( ischemia/reperfusion injury , rejection ) , inflammation ( e.g. , chronic inflammatory bowel diseases ) , tumor metastasis . Animal experiments with anti-adhesive substances show that blocking the leukocyte-endothelial interaction reduces the cellular inflammatory infiltrate and organ rejection . The transfer of experimental data into clinical practice requires further understanding of the regulators of cell adhesion ( cytokines , chemoattractant substances , etc. ) and the specificity of the process . Current experimental data suggest that early intervention in cell-adhesion mechanisms may offer innovative therapeutic strategies ."
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] |
DerChirurg.70680488.eng.abstr
|
DerChirurg.70680488.eng.abstr
|
[
{
"id": "DerChirurg.70680488.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The aim of any abdominal wall reconstruction is maximal functional stability and adequate soft tissue coverage . The anatomy , elevation and clinical application of the myofascial tensor fasciae latae transposition flap and of the microvascular musculocutaneous latissimus dorsi free flap are presented . Repairing extensive fascial defects and recurrent hernias with the tensor fasciae latae transposition flap provides strong , dynamic , and functional reconstruction of fascial continuity to prevent a further recurrence . Adequate functional and aesthetic repair of a full-thickness abdominal wall defect can be optimally managed by the innervated microsurgical latissimus dorsi free flap ."
],
"offsets": [
[
0,
694
]
]
}
] |
[
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"aim"
],
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4,
7
]
],
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"db_id": "C0108800"
}
]
},
{
"id": "DerChirurg.70680488.eng.abstr-s1-t2",
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"text": [
"tissue"
],
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[
95,
101
]
],
"normalized": [
{
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}
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15,
29
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117,
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{
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"fasciae"
],
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187,
194
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}
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"type": "umlsterm",
"text": [
"flap"
],
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215,
219
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}
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355,
362
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}
]
},
{
"id": "DerChirurg.70680488.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"fasciae"
],
"offsets": [
[
379,
386
]
],
"normalized": [
{
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}
]
},
{
"id": "DerChirurg.70680488.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"flap"
],
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407,
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"recurrence"
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]
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"id": "DerChirurg.70680488.eng.abstr-s4-t1",
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"text": [
"repair"
],
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},
{
"id": "DerChirurg.70680488.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"defect"
],
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}
]
},
{
"id": "DerChirurg.70680488.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"flap"
],
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688,
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]
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]
},
{
"id": "DerChirurg.70680488.eng.abstr-s4-t4",
"type": "umlsterm",
"text": [
"abdominal wall"
],
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[
587,
601
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0836916"
}
]
}
] |
[] |
[] |
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] |
DerChirurg.70680493.eng.abstr
|
DerChirurg.70680493.eng.abstr
|
[
{
"id": "DerChirurg.70680493.eng.abstr-passage-0",
"type": "abstract",
"text": [
"During total extraperitoneal dissection of inguinal hernias , an artificial preperitoneal cavity is created in the supravesical space by using a balloon dissector . During the operative procedure in vivo and while examining cadavers specially fixated according to the method developed by Thiel in 1992 , we investigated the position relative to the balloon the transversalis fascia could be found in and what happened to it during inflation of the balloon . In all cases , the fascia medial to the inferior epigastric arteries was adjacent to the peritoneum and lateral to the abdominal wall . We observed systematic tearing of the fascia along the lateral umbilical plica ( inferior epigastric artery ) . These results suggested that the transversalis fascia could be used only laterally for reinforcement of the dorsal wall of the inguinal canal and/or the support of a mesh used to cover the inguinal floor ."
],
"offsets": [
[
0,
911
]
]
}
] |
[
{
"id": "DerChirurg.70680493.eng.abstr-s1-t1",
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"text": [
"dissection"
],
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[
29,
39
]
],
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{
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"db_id": "C0012737"
}
]
},
{
"id": "DerChirurg.70680493.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"hernias"
],
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[
52,
59
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0019270"
}
]
},
{
"id": "DerChirurg.70680493.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"inguinal hernias"
],
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[
43,
59
]
],
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{
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"db_id": "C0019294"
}
]
},
{
"id": "DerChirurg.70680493.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"procedure"
],
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[
186,
195
]
],
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{
"db_name": "UMLS",
"db_id": "C0184661"
},
{
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"db_id": "C0025664"
}
]
},
{
"id": "DerChirurg.70680493.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"cadavers"
],
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[
224,
232
]
],
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{
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"db_id": "C0006629"
}
]
},
{
"id": "DerChirurg.70680493.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"method"
],
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[
268,
274
]
],
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{
"db_name": "UMLS",
"db_id": "C0025663"
},
{
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"db_id": "C0025664"
}
]
},
{
"id": "DerChirurg.70680493.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"relative"
],
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333,
341
]
],
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{
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"db_id": "C0080103"
}
]
},
{
"id": "DerChirurg.70680493.eng.abstr-s2-t5",
"type": "umlsterm",
"text": [
"fascia"
],
"offsets": [
[
375,
381
]
],
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{
"db_name": "UMLS",
"db_id": "C0015641"
}
]
},
{
"id": "DerChirurg.70680493.eng.abstr-s2-t6",
"type": "umlsterm",
"text": [
"inflation"
],
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[
431,
440
]
],
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{
"db_name": "UMLS",
"db_id": "C0021398"
}
]
},
{
"id": "DerChirurg.70680493.eng.abstr-s2-t7",
"type": "umlsterm",
"text": [
"operative procedure"
],
"offsets": [
[
176,
195
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0543467"
},
{
"db_name": "UMLS",
"db_id": "C0038895"
}
]
},
{
"id": "DerChirurg.70680493.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"fascia"
],
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[
477,
483
]
],
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{
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"db_id": "C0015641"
}
]
},
{
"id": "DerChirurg.70680493.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"arteries"
],
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[
518,
526
]
],
"normalized": [
{
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"db_id": "C0003842"
}
]
},
{
"id": "DerChirurg.70680493.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"peritoneum"
],
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[
547,
557
]
],
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{
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"db_id": "C0031153"
}
]
},
{
"id": "DerChirurg.70680493.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"epigastric arteries"
],
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507,
526
]
],
"normalized": [
{
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"db_id": "C0282640"
}
]
},
{
"id": "DerChirurg.70680493.eng.abstr-s3-t5",
"type": "umlsterm",
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"abdominal wall"
],
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577,
591
]
],
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"db_id": "C0836916"
}
]
},
{
"id": "DerChirurg.70680493.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"systematic"
],
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606,
616
]
],
"normalized": [
{
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"db_id": "C0220922"
}
]
},
{
"id": "DerChirurg.70680493.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"fascia"
],
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632,
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]
],
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}
]
},
{
"id": "DerChirurg.70680493.eng.abstr-s4-t3",
"type": "umlsterm",
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],
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]
],
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}
]
},
{
"id": "DerChirurg.70680493.eng.abstr-s4-t4",
"type": "umlsterm",
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],
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]
},
{
"id": "DerChirurg.70680493.eng.abstr-s5-t1",
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"fascia"
],
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],
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}
]
},
{
"id": "DerChirurg.70680493.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"reinforcement"
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]
],
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"db_id": "C0035007"
}
]
},
{
"id": "DerChirurg.70680493.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"floor"
],
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]
],
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"db_id": "C0016249"
}
]
},
{
"id": "DerChirurg.70680493.eng.abstr-s5-t4",
"type": "umlsterm",
"text": [
"inguinal canal"
],
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833,
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]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0021445"
}
]
}
] |
[] |
[] |
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{
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DerChirurg.70680496.eng.abstr
|
DerChirurg.70680496.eng.abstr
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[
{
"id": "DerChirurg.70680496.eng.abstr-passage-0",
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"text": [
"In an experimental study , the biomechanical qualities of the combined Kirschner wire osteosynthesis ( KWO ) in the unstable Colles ' fracture were analyzed . This type of pin fixation is our preferred osteosynthesis in the treatment of unstable Colles ' fracture because it allows immediate functional therapy . It represents a modification of Kapandji's dynamic KWO , compensating for the insufficient volar stability by means of the conventional static KWO . Clinical experience according to the anatomical and functional results , was very encouraging suggesting that a clinical concept based on the biomechanical principles of combined KWO and its single components should be constituted . Simulation of the unstable Colles ' fracture was realized by dorsal wedge osteotomy of the distal end of the radius using cadaveric material . This fracture model was subsequently pinned using the different KWO types and tested by a standardized vector energy testing device regarding its stability in the four main loading directions . The combined KWO unifies the advantage of volar stability of the conventional KWO with the high dorsal stability of dynamic KWO . The main functional principle of dynamic KWO with regard to its axial stability consists in the repositioning of the dorsal bone fragmentation zone and hence the reconstitution of cortical load transmission . Besides its good stabilization , dynamic KWO also leads to optimal alignment of the distal metaphyseal fragment . Furthermore , the experiments yielded important information about technical aspects of the surgical procedure , which helps us to avoid anatomical and functional deficiencies . Based on these experimental findings , the surgical technique of combined KWO was standardized ."
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0,
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] |
[] |
[] |
[
{
"id": "DerChirurg.70680496.eng.abstr-s1-r1-t3.1-t2.1",
"type": "treats",
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},
{
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},
{
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"type": "associated_with",
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"normalized": []
},
{
"id": "DerChirurg.70680496.eng.abstr-s2-r2-t4.1-t1.1",
"type": "uses",
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},
{
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{
"id": "DerChirurg.70680496.eng.abstr-s2-r4-t2.1-t4.1",
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},
{
"id": "DerChirurg.70680496.eng.abstr-s2-r5-t1.1-t2.1",
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"arg2_id": "DerChirurg.70680496.eng.abstr-s11-t2",
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},
{
"id": "DerChirurg.70680496.eng.abstr-s5-r1-t1.1-t3.1",
"type": "disrupts",
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},
{
"id": "DerChirurg.70680496.eng.abstr-s5-r3-t3.1-t1.1",
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{
"id": "DerChirurg.70680496.eng.abstr-s5-r4-t1.1-t2.1",
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] |
DerChirurg.70680513.eng.abstr
|
DerChirurg.70680513.eng.abstr
|
[
{
"id": "DerChirurg.70680513.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A potential role of homozygous or heterozygous alpha-1-antitrypsin deficiency alleles Pi*Z or Pi*S in the pathogenesis of aortic aneurysms has been debated in recently published papers . Therefore , we have determined the alpha-1-antitrypsin phenotype in 103 patients with aortic aneurysms using isoelectric focusing . The vast majority of patients ( 92.2 % ) had one or more of the established risk factors : hypertension ( 65.0 % ) , lipometabolic dysfunction ( 34.9 % ) , smoking ( 65.0 % ) , hyperuricemia ( 16.5 % ) or diabetes mellitus ( 8.7 % ) . In our patients , the deficiency alleles Pi*Z and Pi*S were more frequent than in the general population of our region , but these differences did not reach statistical significance ( PiMS 6.7 versus 3.4 % , PiMZ 3.8 versus 2.5 % , PiSS 0,9 versus 0.2 % ) . Furthermore , the patients with heterozygous or homozygous antitrypsin deficiency had similar patterns of risk factors to those of the patients with normal phenotypes . In one patient we found a heterozygous PiMZ antitrypsin deficiency associated with Marfan's syndrome . These data do not support the results of recently published studies of fewer cases that suggest a higher prevalence of antitrypsin deficiency alleles in patients with aortic aneurysms . A heterozygous alpha-1-antitrypsin deficiency as a cause or predisposing factor for the development of aortic aneurysms appears to be of little or no importance ."
],
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0,
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}
] |
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{
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] |
DerChirurg.70680517.eng.abstr
|
DerChirurg.70680517.eng.abstr
|
[
{
"id": "DerChirurg.70680517.eng.abstr-passage-0",
"type": "abstract",
"text": [
"According to sonographic criteria , 55 patients underwent surgical treatment with mobilisation in a lower leg plaster or conservative treatment with early mobilisation in heel pad ( 3 cm ) shoes when an acute Achilles tendon rupture ( ATR ) was diagnosed . The follow-up period in 51 patients was 2.4 years ( operated group = 28 patients , conservative group = 23 patients ) with clinical examination and testing of isokinetic muscle strength in knee joint flexion . After surgical treatment , minor wound infections occurred in 10.6 % . Reruptures occurred in 13 % of the conservative group . Following conservative treatment , the rate of stress-related achillodynia was significantly higher ( P = 0.019 ) . In the operated group mean isokinetic muscle strength was 13.7 % lower than in the uninvolved leg and decreased significantly with non-operative treatment to 75.3 % ( P = 0.012 ) . We recommend surgical treatment of acute ATR . The indications for conservative treatment depend on the extent of the rupture ( measured by ultrasound in the equinus position ) , the desired level of daily activity and the patient's degree of compliance ."
],
"offsets": [
[
0,
1146
]
]
}
] |
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],
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]
},
{
"id": "DerChirurg.70680517.eng.abstr-s1-t5",
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"id": "DerChirurg.70680517.eng.abstr-s3-r28-t1.1-t4.1",
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},
{
"id": "DerChirurg.70680517.eng.abstr-s3-r29-t3.1-t2.1",
"type": "performs",
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"id": "DerChirurg.70680517.eng.abstr-s3-r31-t7.1-t1.1",
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},
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"id": "DerChirurg.70680517.eng.abstr-s6-r1-t1.1-t3.1",
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{
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"arg2_id": "DerChirurg.70680517.eng.abstr-s8-t1",
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"id": "DerChirurg.70680517.eng.abstr-s8-r10-t3.1-t1.1",
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] |
DerChirurg.70680525.eng.abstr
|
DerChirurg.70680525.eng.abstr
|
[
{
"id": "DerChirurg.70680525.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The endoscopic release of the carpal ligament gives the opportunity to treat the carpal tunnel syndrome in a comfortable and minimal invasive way . Between 1 October 1994 and 7 May 1995 , 46 patients who underwent endoscopic surgery on 55 hands were documented in a prospective study . The following results were taken from a questionnaire . There were not any complaints , or the complaints were so much diminished that complete division of the carpal ligament could be viewed as accomplished in 51 of 55 cases . There were continuing complaints in four cases , and after an additional check two patients were operated on again . The advantage of the endoscopic method is the inconspicuous scar and the reduced postoperative disablement . No complications have occurred ."
],
"offsets": [
[
0,
772
]
]
}
] |
[
{
"id": "DerChirurg.70680525.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"release"
],
"offsets": [
[
15,
22
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0541720"
}
]
},
{
"id": "DerChirurg.70680525.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"carpal"
],
"offsets": [
[
30,
36
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0007285"
}
]
},
{
"id": "DerChirurg.70680525.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"ligament"
],
"offsets": [
[
37,
45
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0023685"
},
{
"db_name": "UMLS",
"db_id": "C0023686"
}
]
},
{
"id": "DerChirurg.70680525.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"carpal"
],
"offsets": [
[
81,
87
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0007285"
}
]
},
{
"id": "DerChirurg.70680525.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"syndrome"
],
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[
95,
103
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0039082"
}
]
},
{
"id": "DerChirurg.70680525.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"carpal tunnel syndrome"
],
"offsets": [
[
81,
103
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0007286"
}
]
},
{
"id": "DerChirurg.70680525.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"October"
],
"offsets": [
[
158,
165
]
],
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"db_id": "C0029279"
}
]
},
{
"id": "DerChirurg.70680525.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"May"
],
"offsets": [
[
177,
180
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0032335"
}
]
},
{
"id": "DerChirurg.70680525.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
191,
199
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerChirurg.70680525.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"surgery"
],
"offsets": [
[
225,
232
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0038894"
},
{
"db_name": "UMLS",
"db_id": "C0038895"
}
]
},
{
"id": "DerChirurg.70680525.eng.abstr-s2-t5",
"type": "umlsterm",
"text": [
"hands"
],
"offsets": [
[
239,
244
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0018563"
}
]
},
{
"id": "DerChirurg.70680525.eng.abstr-s2-t6",
"type": "umlsterm",
"text": [
"endoscopic surgery"
],
"offsets": [
[
214,
232
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0282493"
}
]
},
{
"id": "DerChirurg.70680525.eng.abstr-s2-t7",
"type": "umlsterm",
"text": [
"prospective study"
],
"offsets": [
[
266,
283
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0033522"
}
]
},
{
"id": "DerChirurg.70680525.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"questionnaire"
],
"offsets": [
[
326,
339
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0034394"
}
]
},
{
"id": "DerChirurg.70680525.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"carpal"
],
"offsets": [
[
446,
452
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0007285"
}
]
},
{
"id": "DerChirurg.70680525.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"ligament"
],
"offsets": [
[
453,
461
]
],
"normalized": [
{
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"db_id": "C0023685"
},
{
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"db_id": "C0023686"
}
]
},
{
"id": "DerChirurg.70680525.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
597,
605
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],
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"db_id": "C0030705"
}
]
},
{
"id": "DerChirurg.70680525.eng.abstr-s6-t1",
"type": "umlsterm",
"text": [
"method"
],
"offsets": [
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]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0025663"
},
{
"db_name": "UMLS",
"db_id": "C0025664"
}
]
},
{
"id": "DerChirurg.70680525.eng.abstr-s6-t2",
"type": "umlsterm",
"text": [
"scar"
],
"offsets": [
[
691,
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]
],
"normalized": [
{
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"db_id": "C0008767"
}
]
},
{
"id": "DerChirurg.70680525.eng.abstr-s6-t3",
"type": "umlsterm",
"text": [
"postoperative"
],
"offsets": [
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712,
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]
],
"normalized": [
{
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"db_id": "C0032790"
}
]
},
{
"id": "DerChirurg.70680525.eng.abstr-s7-t1",
"type": "umlsterm",
"text": [
"complications"
],
"offsets": [
[
743,
756
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0009566"
}
]
}
] |
[] |
[] |
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},
{
"id": "DerChirurg.70680525.eng.abstr-s1-r2-t1.1-t5.1",
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},
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{
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{
"id": "DerChirurg.70680525.eng.abstr-s1-r8-t6.1-t3.1",
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},
{
"id": "DerChirurg.70680525.eng.abstr-s1-r9-t1.1-t5.1",
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},
{
"id": "DerChirurg.70680525.eng.abstr-s1-r10-t3.2-t6.1",
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},
{
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{
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{
"id": "DerChirurg.70680525.eng.abstr-s1-r13-t3.1-t1.1",
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{
"id": "DerChirurg.70680525.eng.abstr-s1-r14-t3.2-t1.1",
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},
{
"id": "DerChirurg.70680525.eng.abstr-s1-r15-t3.1-t3.2",
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"arg2_id": "DerChirurg.70680525.eng.abstr-s1-t3",
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},
{
"id": "DerChirurg.70680525.eng.abstr-s1-r16-t4.1-t1.1",
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},
{
"id": "DerChirurg.70680525.eng.abstr-s1-r17-t3.2-t5.1",
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},
{
"id": "DerChirurg.70680525.eng.abstr-s1-r18-t3.1-t4.1",
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},
{
"id": "DerChirurg.70680525.eng.abstr-s1-r19-t3.2-t3.1",
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"arg1_id": "DerChirurg.70680525.eng.abstr-s1-t3",
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},
{
"id": "DerChirurg.70680525.eng.abstr-s1-r20-t4.1-t5.1",
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"normalized": []
},
{
"id": "DerChirurg.70680525.eng.abstr-s1-r21-t4.1-t3.1",
"type": "surrounds",
"arg1_id": "DerChirurg.70680525.eng.abstr-s2-t4",
"arg2_id": "DerChirurg.70680525.eng.abstr-s6-t3",
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},
{
"id": "DerChirurg.70680525.eng.abstr-s2-r1-t1.1-t4.1",
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},
{
"id": "DerChirurg.70680525.eng.abstr-s2-r2-t2.1-t4.1",
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},
{
"id": "DerChirurg.70680525.eng.abstr-s2-r3-t1.1-t4.2",
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"arg1_id": "DerChirurg.70680525.eng.abstr-s7-t1",
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},
{
"id": "DerChirurg.70680525.eng.abstr-s2-r4-t2.1-t1.1",
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},
{
"id": "DerChirurg.70680525.eng.abstr-s2-r5-t3.1-t4.1",
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},
{
"id": "DerChirurg.70680525.eng.abstr-s2-r6-t4.2-t2.1",
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"arg1_id": "DerChirurg.70680525.eng.abstr-s2-t4",
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"normalized": []
},
{
"id": "DerChirurg.70680525.eng.abstr-s2-r8-t6.1-t4.1",
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}
] |
DerChirurg.70680531.eng.abstr
|
DerChirurg.70680531.eng.abstr
|
[
{
"id": "DerChirurg.70680531.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Translaryngeal tracheostomy is a new type of minimally invasive technique for bedside tracheostomy in intensive care patients . After percutaneous puncture of the trachea below the first tracheal ring , a conic tracheal cannula is fixed to an orally forwarded guide wire . The cannula is then pulled through in orthograde fashion set up , rotated and pushed forward caudally . Among the first 25 translaryngeal tracheostomies in 24 patients , only two complications appeared : one misplacement of the cannula and one infection of the stoma . During a median apnoea time of about 80 s an average PaCO2 increase of 8.0 +/- 6.8 mm Hg was documented ; hypoxias could not be seen . Translaryngeal tracheostomy seems to be an appropriate alternative to established tracheostomy methods ."
],
"offsets": [
[
0,
781
]
]
}
] |
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86,
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"care"
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117,
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147,
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"id": "DerChirurg.70680531.eng.abstr-s2-t2",
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163,
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},
{
"id": "DerChirurg.70680531.eng.abstr-s2-t3",
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220,
227
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{
"id": "DerChirurg.70680531.eng.abstr-s2-t4",
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"wire"
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266,
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{
"id": "DerChirurg.70680531.eng.abstr-s3-t1",
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"cannula"
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277,
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{
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{
"id": "DerChirurg.70680531.eng.abstr-s4-t6",
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{
"id": "DerChirurg.70680531.eng.abstr-s5-t1",
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"hypoxias"
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"id": "DerChirurg.70680531.eng.abstr-s6-t1",
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{
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{
"id": "DerChirurg.70680531.eng.abstr-s6-t3",
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"methods"
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}
]
}
] |
[] |
[] |
[
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},
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"id": "DerChirurg.70680531.eng.abstr-s1-r5-t2.1-t6.1",
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},
{
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"type": "affects",
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},
{
"id": "DerChirurg.70680531.eng.abstr-s1-r7-t1.1-t6.1",
"type": "isa",
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"arg2_id": "DerChirurg.70680531.eng.abstr-s4-t6",
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},
{
"id": "DerChirurg.70680531.eng.abstr-s1-r8-t4.1-t2.1",
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},
{
"id": "DerChirurg.70680531.eng.abstr-s2-r1-t1.1-t3.1",
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},
{
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},
{
"id": "DerChirurg.70680531.eng.abstr-s4-r1-t2.1-t1.1",
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"arg2_id": "DerChirurg.70680531.eng.abstr-s6-t1",
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},
{
"id": "DerChirurg.70680531.eng.abstr-s4-r2-t4.1-t3.1",
"type": "treats",
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"arg2_id": "DerChirurg.70680531.eng.abstr-s6-t3",
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},
{
"id": "DerChirurg.70680531.eng.abstr-s4-r3-t1.1-t2.1",
"type": "affects",
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},
{
"id": "DerChirurg.70680531.eng.abstr-s4-r4-t2.1-t3.1",
"type": "uses",
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"arg2_id": "DerChirurg.70680531.eng.abstr-s6-t3",
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},
{
"id": "DerChirurg.70680531.eng.abstr-s4-r5-t1.1-t3.1",
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},
{
"id": "DerChirurg.70680531.eng.abstr-s4-r6-t3.1-t2.1",
"type": "occurs_in",
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},
{
"id": "DerChirurg.70680531.eng.abstr-s4-r7-t2.1-t4.1",
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{
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},
{
"id": "DerChirurg.70680531.eng.abstr-s4-r9-t3.1-t1.1",
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},
{
"id": "DerChirurg.70680531.eng.abstr-s4-r10-t1.1-t3.1",
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},
{
"id": "DerChirurg.70680531.eng.abstr-s5-r1-t3.1-t1.1",
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},
{
"id": "DerChirurg.70680531.eng.abstr-s5-r2-t1.1-t3.1",
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"arg2_id": "DerChirurg.70680531.eng.abstr-s6-t3",
"normalized": []
}
] |
DerChirurg.70680536.eng.abstr
|
DerChirurg.70680536.eng.abstr
|
[
{
"id": "DerChirurg.70680536.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report the case of a 64-year-old female with an intrahepatic aneurysm of the right hepatic artery . Initially uncharacteristic upper abdominal symptoms were followed by repeated upper gastrointestinal bleeding and , eventually , hemorrhagic shock . Finding the cause of severe hematemesis was challenging due to a previous Billroth-II gastric resection . Delayed diagnosis of hemobilia necessitated coeliacography , whereby an intrahepatic aneurysm of the right hepatic artery was found and , during the same session , superselective embolization was achieved . If the cause of upper abdominal complaints remains unknown after routine diagnostic measures and the origin of bleeding in the upper gastrointestinal tract cannot be identified , aneurysms of abdominal arteries should be considered . Hemobilia of unknown etiology should always be an indication for coeliacography . The superselective angiographic embolization of intrahepatic aneurysms is a promising form of treatment with low risk ."
],
"offsets": [
[
0,
1000
]
]
}
] |
[
{
"id": "DerChirurg.70680536.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"female"
],
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[
36,
42
]
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"db_id": "C0086287"
},
{
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"db_id": "C0015780"
}
]
},
{
"id": "DerChirurg.70680536.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"aneurysm"
],
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[
64,
72
]
],
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"db_id": "C0002940"
}
]
},
{
"id": "DerChirurg.70680536.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"right"
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[
80,
85
]
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{
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"db_id": "C0035621"
}
]
},
{
"id": "DerChirurg.70680536.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"artery"
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[
94,
100
]
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"db_id": "C0003842"
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},
{
"id": "DerChirurg.70680536.eng.abstr-s1-t5",
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DerChirurg.70680540.eng.abstr
|
DerChirurg.70680540.eng.abstr
|
[
{
"id": "DerChirurg.70680540.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Gastric involvement of Hodgkin's disease is very rare and preoperative diagnosis is difficult . We report the case of a 50-year-old woman , who had an ulcerating tumor of the antrum , which was revealed as carcinoma by endoscopic biopsy . A gastrectomy with D2-lymph node dissection was performed . In the pathological specimen Hodgkin's disease was diagnosed because of microscopic detection of typical binucleated Reed-Sternberg cells . Although the patient refused additive chemotherapy , she is still disease-free after 12 months of follow-up ."
],
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0,
548
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]
}
] |
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"id": "DerChirurg.70680540.eng.abstr-s4-t1",
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] |
[] |
[] |
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{
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"arg2_id": "DerChirurg.70680540.eng.abstr-s5-t1",
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}
] |
DerChirurg.70680543.eng.abstr
|
DerChirurg.70680543.eng.abstr
|
[
{
"id": "DerChirurg.70680543.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The therapy for spontaneous or artificial perforation of the esophagus remains a controversial matter . The following case report deals with the medical history of an artificial esophageal perforation after operative treatment of cervical disc disease . A 68-year-old male patient underwent a C4/C5 and C5/C6 discectomy with interbody fusion of C7-T1 vertebral body , according to Smith-Robinson . During this operation , a 3-cm-long lesion was made in the posterior wall of the esophagus , which was treated 24 h later with a primary suture . The clinical follow-up was complicated by mediastinitis with subsequent multiorgan failure . After recovery from this critical condition the patient complained of severe dysphagia , which was related to a persistent lesion in the posterior esophageal wall with endoscopically demonstrated dislocation of a screw . After removal of the screw , the lesion was covered by means of sternocleidomastoid myoplasty . Moderate postoperative dysphagia was successfully treated by bougienage ."
],
"offsets": [
[
0,
1027
]
]
}
] |
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{
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[] |
[] |
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] |
DerChirurg.70680551.eng.abstr
|
DerChirurg.70680551.eng.abstr
|
[
{
"id": "DerChirurg.70680551.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Trauma , operative interventions , infection and other disturbances of homeostasis lead to a uniform reaction of the body , namely release and activation of hormones and cytokines . Profound alterations of substrate flow result , with mobilization of energy stores and degradation of structural and functional proteins of vital organs like the gut mucosa . Due to these reactions the energy demands of the organs are met and energy-consuming synthesis of substrates is indicated . Clinically , hypermetabolism , hyperglycemia , lipolysis and increased urea production with negative nitrogen balance can be observed . The metabolic reactivity is reached by an increased substrate cycling . To avoid negative consequences such as organ dysfunction , a rational situation-adapted substrate supply is warranted as well as reduction of catabolic stimuli and stimulation of anabolic factors . The metabolic care of the surgical patient is still a basic and important task ."
],
"offsets": [
[
0,
967
]
]
}
] |
[
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],
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]
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}
]
},
{
"id": "DerChirurg.70680551.eng.abstr-s1-t2",
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"text": [
"infection"
],
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35,
44
]
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}
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},
{
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],
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82
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{
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},
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138
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],
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}
]
},
{
"id": "DerChirurg.70680551.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"hormones"
],
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157,
165
]
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"db_id": "C0019932"
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]
},
{
"id": "DerChirurg.70680551.eng.abstr-s1-t7",
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],
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170,
179
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],
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},
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DerChirurg.70680559.eng.abstr
|
DerChirurg.70680559.eng.abstr
|
[
{
"id": "DerChirurg.70680559.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Short-bowel syndrome is a rare problem in surgical practice and its prognosis depends on the length of intestinal remnants and/or the presence of a jejunostomy . In adults long-term total parenteral nutrition ( TPN ) can be avoided if the remaining small bowel is longer than 60-100 cm . In all , 50-60 % of patients in the long-term follow-up are expected to be adequately nourished with oral feeding , 25 % with enteral and parenteral feeding and less than 20 % depend on long-term TPN alone . By using a modified diet ( glutamine , growth hormone ) , intestinal absorption and overall prognosis could even be enhanced . The introduction of home TPN by specialized centres has resulted in a remarkable improvement in quality of life ( > 80 % good ) . The main complications of long-term TPN are sepsis , thrombosis and metabolic disorders . Medical therapy of diarrhoea consists of H2-receptor antagonists ( hypergastrinaemia ) , loperamide and secretion inhibitors ( somatostatin ) . Several surgical procedures have been performed , either to decelerate intestinal transit or to increase the area of intestinal absorption with overall unsatisfactory results . However , in the presence of small-bowel dilatation , promising surgical results ( tapering , stricturoplasty , intestinal lengthening ) have been achieved . There may be advances ( immunosuppression ) in the future that will make intestinal transplantation a good option for some patients ; at present , the 1-year patient and graft survival in around 100 patients was 60 % and 40 % , respectively ."
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DerChirurg.70680583.eng.abstr
|
DerChirurg.70680583.eng.abstr
|
[
{
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"type": "abstract",
"text": [
"There seem to be no gender-specific qualifications for surgery , yet the traditional role model keeps the number of women small . The patriarchal character of surgery has hardly changed whereas social organization , the role of men and women and the division of labor inside the family have all changed . This has opened surgery up for women during the last few decades to a certain degree ."
],
"offsets": [
[
0,
391
]
]
}
] |
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]
}
] |
[] |
[] |
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DerChirurg.70680586.eng.abstr
|
DerChirurg.70680586.eng.abstr
|
[
{
"id": "DerChirurg.70680586.eng.abstr-passage-0",
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"The prevention of severe late postsplenectomy infection by vaccination and antibiotic prophylaxis is controversial . This paper reviews the literature and presents a protocol for postsplenectomy adults . Prophylaxis should be adapted to the underlying disease . Every patient has to be informed about the consequences of splenectomy . Depending on the underlying disease , vaccination is recommended against pneumococci , Hemophilus influenzae and Neisseria meningitidis . Long-term antibiotic prophylaxis is not advised in adults ."
],
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0,
532
]
]
}
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] |
[] |
[] |
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DerChirurg.70680591.eng.abstr
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DerChirurg.70680591.eng.abstr
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[] |
[] |
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{
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{
"id": "DerChirurg.70680591.eng.abstr-s5-r21-t5.2-t9.1",
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{
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{
"id": "DerChirurg.70680591.eng.abstr-s5-r26-t5.2-t2.1",
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},
{
"id": "DerChirurg.70680591.eng.abstr-s6-r2-t4.1-t1.1",
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"arg2_id": "DerChirurg.70680591.eng.abstr-s7-t1",
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},
{
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},
{
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},
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"arg2_id": "DerChirurg.70680591.eng.abstr-s7-t3",
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},
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"id": "DerChirurg.70680591.eng.abstr-s7-r4-t1.1-t2.1",
"type": "affects",
"arg1_id": "DerChirurg.70680591.eng.abstr-s7-t1",
"arg2_id": "DerChirurg.70680591.eng.abstr-s7-t2",
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},
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"id": "DerChirurg.70680591.eng.abstr-s7-r6-t4.1-t2.1",
"type": "measurement_of",
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"arg2_id": "DerChirurg.70680591.eng.abstr-s7-t2",
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},
{
"id": "DerChirurg.70680591.eng.abstr-s7-r7-t3.1-t2.1",
"type": "affects",
"arg1_id": "DerChirurg.70680591.eng.abstr-s7-t3",
"arg2_id": "DerChirurg.70680591.eng.abstr-s7-t2",
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}
] |
DerChirurg.70680596.eng.abstr
|
DerChirurg.70680596.eng.abstr
|
[
{
"id": "DerChirurg.70680596.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In 50 lung cancers ( 25 small cell lung cancers , 17 squamous cell carcinomas , 8 adenocarcinomas ) pulmonary , mediastinal and cervical lymph node-metastases were analyzed . Lymph-node \" skipping \" was demonstrated in 46 % of the investigated tumors . In seven of these cases the lymph nodes were skipped , which showed complete hyalinization as a consequence of preexisting anthracosilicosis . In 5 other tumors additional lymph nodes with preserved structure were skipped by the metastatic process . Fibrosis of lymphatic tissue after tuberculosis or exposure to ionizing radiation were further reasons for lymph-node skipping . The skipping of intact lymph nodes can be explained by anatomically demonstrable intra- and perinodal short circuit connections . Apart from that , preexisting lymph node changes ( silicosis , fibrosis ) play an important part."
],
"offsets": [
[
0,
859
]
]
}
] |
[
{
"id": "DerChirurg.70680596.eng.abstr-s1-t1",
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"text": [
"lung"
],
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[
6,
10
]
],
"normalized": [
{
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"db_id": "C0024109"
}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"cancers"
],
"offsets": [
[
11,
18
]
],
"normalized": [
{
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"db_id": "C0006826"
}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"cell"
],
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[
30,
34
]
],
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"db_id": "C0007634"
}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"lung"
],
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35,
39
]
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}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"cancers"
],
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40,
47
]
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{
"id": "DerChirurg.70680596.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"cell"
],
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62,
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]
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"db_id": "C0007634"
}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"carcinomas"
],
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67,
77
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"db_id": "C0007097"
}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s1-t8",
"type": "umlsterm",
"text": [
"adenocarcinomas"
],
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82,
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]
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"db_id": "C0001418"
}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s1-t9",
"type": "umlsterm",
"text": [
"lymph"
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137,
142
]
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}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s1-t10",
"type": "umlsterm",
"text": [
"lung cancers"
],
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[
6,
18
]
],
"normalized": [
{
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"db_id": "C0242379"
}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s1-t11",
"type": "umlsterm",
"text": [
"lung cancers"
],
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35,
47
]
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"db_id": "C0242379"
}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s1-t12",
"type": "umlsterm",
"text": [
"squamous cell carcinomas"
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"db_id": "C0007137"
}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"Lymph-node"
],
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175,
185
]
],
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"db_id": "C0024202"
}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"tumors"
],
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244,
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"db_id": "C0027651"
}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"lymph"
],
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281,
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"db_id": "C0024202"
}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"anthracosilicosis"
],
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[
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]
],
"normalized": [
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"db_id": "C0003164"
}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"lymph nodes"
],
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281,
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]
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"normalized": [
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]
},
{
"id": "DerChirurg.70680596.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"tumors"
],
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]
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}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"lymph"
],
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425,
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]
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}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"metastatic"
],
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482,
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"db_name": "UMLS",
"db_id": "C0036525"
}
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},
{
"id": "DerChirurg.70680596.eng.abstr-s4-t4",
"type": "umlsterm",
"text": [
"lymph nodes"
],
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]
],
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"db_id": "C0024204"
}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"Fibrosis"
],
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[
503,
511
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016059"
}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"tissue"
],
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525,
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]
],
"normalized": [
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"db_id": "C0040300"
}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"tuberculosis"
],
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538,
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]
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"db_id": "C0041296"
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{
"id": "DerChirurg.70680596.eng.abstr-s5-t4",
"type": "umlsterm",
"text": [
"radiation"
],
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"db_id": "C0851346"
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},
{
"id": "DerChirurg.70680596.eng.abstr-s5-t5",
"type": "umlsterm",
"text": [
"lymph-node"
],
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610,
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{
"id": "DerChirurg.70680596.eng.abstr-s5-t6",
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"text": [
"lymphatic tissue"
],
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},
{
"id": "DerChirurg.70680596.eng.abstr-s5-t7",
"type": "umlsterm",
"text": [
"ionizing radiation"
],
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],
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"db_id": "C0034538"
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{
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"type": "umlsterm",
"text": [
"lymph"
],
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]
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"db_id": "C0024202"
}
]
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{
"id": "DerChirurg.70680596.eng.abstr-s6-t2",
"type": "umlsterm",
"text": [
"lymph nodes"
],
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655,
666
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"db_id": "C0024204"
}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s7-t1",
"type": "umlsterm",
"text": [
"lymph"
],
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}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s7-t2",
"type": "umlsterm",
"text": [
"silicosis"
],
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813,
822
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],
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"db_id": "C0037116"
}
]
},
{
"id": "DerChirurg.70680596.eng.abstr-s7-t3",
"type": "umlsterm",
"text": [
"fibrosis"
],
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]
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"db_id": "C0016059"
}
]
},
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"id": "DerChirurg.70680596.eng.abstr-s7-t4",
"type": "umlsterm",
"text": [
"lymph node"
],
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802
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0024204"
}
]
}
] |
[] |
[] |
[
{
"id": "DerChirurg.70680596.eng.abstr-s1-r1-t2.1-t7.1",
"type": "location_of",
"arg1_id": "DerChirurg.70680596.eng.abstr-s7-t2",
"arg2_id": "DerChirurg.70680596.eng.abstr-s5-t7",
"normalized": []
},
{
"id": "DerChirurg.70680596.eng.abstr-s1-r2-t9.1-t10.1",
"type": "causes",
"arg1_id": "DerChirurg.70680596.eng.abstr-s1-t9",
"arg2_id": "DerChirurg.70680596.eng.abstr-s1-t10",
"normalized": []
},
{
"id": "DerChirurg.70680596.eng.abstr-s1-r3-t1.1-t5.1",
"type": "adjacent_to",
"arg1_id": "DerChirurg.70680596.eng.abstr-s7-t1",
"arg2_id": "DerChirurg.70680596.eng.abstr-s5-t5",
"normalized": []
},
{
"id": "DerChirurg.70680596.eng.abstr-s1-r4-t1.1-t9.1",
"type": "connected_to",
"arg1_id": "DerChirurg.70680596.eng.abstr-s7-t1",
"arg2_id": "DerChirurg.70680596.eng.abstr-s1-t9",
"normalized": []
},
{
"id": "DerChirurg.70680596.eng.abstr-s1-r5-t1.1-t5.1",
"type": "location_of",
"arg1_id": "DerChirurg.70680596.eng.abstr-s7-t1",
"arg2_id": "DerChirurg.70680596.eng.abstr-s5-t5",
"normalized": []
},
{
"id": "DerChirurg.70680596.eng.abstr-s1-r6-t4.1-t8.1",
"type": "location_of",
"arg1_id": "DerChirurg.70680596.eng.abstr-s7-t4",
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{
"id": "DerChirurg.70680596.eng.abstr-s1-r7-t2.1-t9.1",
"type": "produces",
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"arg2_id": "DerChirurg.70680596.eng.abstr-s1-t9",
"normalized": []
},
{
"id": "DerChirurg.70680596.eng.abstr-s1-r8-t9.1-t7.1",
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"normalized": []
},
{
"id": "DerChirurg.70680596.eng.abstr-s1-r9-t2.1-t5.1",
"type": "location_of",
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"arg2_id": "DerChirurg.70680596.eng.abstr-s5-t5",
"normalized": []
},
{
"id": "DerChirurg.70680596.eng.abstr-s1-r10-t4.1-t7.1",
"type": "location_of",
"arg1_id": "DerChirurg.70680596.eng.abstr-s7-t4",
"arg2_id": "DerChirurg.70680596.eng.abstr-s5-t7",
"normalized": []
},
{
"id": "DerChirurg.70680596.eng.abstr-s1-r11-t5.1-t8.1",
"type": "location_of",
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"arg2_id": "DerChirurg.70680596.eng.abstr-s1-t8",
"normalized": []
},
{
"id": "DerChirurg.70680596.eng.abstr-s1-r12-t2.1-t4.1",
"type": "adjacent_to",
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"arg2_id": "DerChirurg.70680596.eng.abstr-s7-t4",
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"id": "DerChirurg.70680596.eng.abstr-s7-r1-t2.1-t3.1",
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] |
DerChirurg.70680601.eng.abstr
|
DerChirurg.70680601.eng.abstr
|
[
{
"id": "DerChirurg.70680601.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A number of different mapping systems have been published for the lymph-node staging in lung cancer . The use of a reproducible map is an essential prerequisite for correct determination of the TNM status and comparing the surgical results . In order to evaluate the current status of lymph-node mapping and lymph-node dissection in Germany , we performed a mail survey involving 90 hospitals performing operations for lung cancer . Responses were obtained from 61 ( 67.7 % ) hospitals . Currently , the majority of the departments ( 43 % ) use the German staging system ( according to the Deutsche Gesellschaft fuer Thorax- , Herz- und Gefaesschirurgie/Pneumologie ) , 23 % lymph-node mapping according to Naruke , and 25 % an individual description of the resected lymph nodes . The number of resected lymph nodes is reported in 75 % of the departments , the quotient of involved/not involved lymph nodes in 33 % . Mediastinal lymph-node sampling guided by the intraoperative aspect of lymph nodes is performed in 59 % of the departments . A systematic mediastinal \" en-bloc \" resection is accomplished in 41 % . The results of this survey represent the current status of lymph-node mapping and lymphadenectomy in lung cancer in Germany and might be useful for the development of a uniform staging system ."
],
"offsets": [
[
0,
1308
]
]
}
] |
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66,
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]
},
{
"id": "DerChirurg.70680601.eng.abstr-s1-t2",
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"lung"
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88,
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{
"id": "DerChirurg.70680601.eng.abstr-s1-t3",
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"cancer"
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"lung cancer"
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88,
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{
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"use"
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{
"id": "DerChirurg.70680601.eng.abstr-s2-t2",
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"map"
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"determination"
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"id": "DerChirurg.70680601.eng.abstr-s3-t1",
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"id": "DerChirurg.70680601.eng.abstr-s3-t3",
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"dissection"
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{
"id": "DerChirurg.70680601.eng.abstr-s3-t4",
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"Germany"
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]
}
] |
[] |
[] |
[
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},
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{
"id": "DerChirurg.70680601.eng.abstr-s1-r7-t2.1-t3.1",
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},
{
"id": "DerChirurg.70680601.eng.abstr-s1-r8-t1.1-t4.1",
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},
{
"id": "DerChirurg.70680601.eng.abstr-s2-r1-t3.1-t2.2",
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"normalized": []
},
{
"id": "DerChirurg.70680601.eng.abstr-s2-r2-t3.1-t1.1",
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"arg1_id": "DerChirurg.70680601.eng.abstr-s9-t3",
"arg2_id": "DerChirurg.70680601.eng.abstr-s9-t1",
"normalized": []
},
{
"id": "DerChirurg.70680601.eng.abstr-s2-r3-t3.1-t2.2",
"type": "analyzes",
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{
"id": "DerChirurg.70680601.eng.abstr-s3-r1-t11.1-t6.1",
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},
{
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DerChirurg.70680606.eng.abstr
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DerChirurg.70680606.eng.abstr
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"Chest trauma cases benefit to a great degree from adequate , timely initiated and consistent prehospital treatment . However , prehospital determination and evaluation of blunt chest trauma is associated with a high degree of uncertainety . The purpose of our study was to examine and determine , in a collective of 255 trauma patients , the value of additional prehospital pulse oximetric monitoring regarding the optimization of the emergency physician's diagnosis and treatment of blunt chest trauma . We conclude from our findings that , in addition to the physical examination , with the application of pulse oximetry the prehospital diagnosis of lung contusion as well as the early detection of tension pneumothorax are more accurate . Therefore , the combination of physical examination and pulse oximetric monitoring is a requirement for the optimization of prehospital diagnosis and therapy in blunt chest trauma ."
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[] |
[] |
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DerChirurg.70680613.eng.abstr
|
DerChirurg.70680613.eng.abstr
|
[
{
"id": "DerChirurg.70680613.eng.abstr-passage-0",
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"text": [
"A total of 140 patients underwent outpatient laparoscopic cholecystectomy in an outpatient clinic . Evaluation and follow-up of the patients were done prospectively . Population and preoperative data were comparable to published studies of patients operated on in hospitals . There were no serious intra- or postoperative complications . Postoperatively , patients needed less pain medication , were less tired and returned to work earlier than patients after clinical laparoscopic cholecystectomies . Outpatient laparoscopic cholecystectomy offers a good alternative to patients with moderate operative risks ( ASA 1-3 ) . It could reduce costs in the German health system and would be therefore highly cost effective ."
],
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0,
720
]
]
}
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[] |
[] |
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] |
DerChirurg.70680618.eng.abstr
|
DerChirurg.70680618.eng.abstr
|
[
{
"id": "DerChirurg.70680618.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We combined a newly developed ambulatory fiberoptic system for detecting intragastric bilirubin ( Bilitec 2000 , Synectics Medical Inc. , Sweden ) with prolonged measurement of gastroduodenal motility in 10 healthy volunteers and 10 patients following BI resection . Circadian intragastric bilirubin exposure and the total number of tremendous changes of bilirubin absorption ( more than 20 % , over a period of at least 5 min ) were significantly increased in the BI-resected patients ( P 0.05 ) . In patients the interdigestive motility cycle ( IMC ) was characterized by the appearance of several types of abnormally propagated phase III activity fronts . Of the tremendous increases of bilirubin absorption in the patient group , 90.1 % were associated with abnormally propagated phase III activity fronts . In cases of increased duodenogastric reflux , the combination of ambulatory intragastric bilirubin measurement and long-term manometry seems to be feasible to assess motility and reflux simultaneously ."
],
"offsets": [
[
0,
1014
]
]
}
] |
[
{
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],
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41,
51
]
],
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}
]
},
{
"id": "DerChirurg.70680618.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"bilirubin"
],
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[
86,
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]
],
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]
},
{
"id": "DerChirurg.70680618.eng.abstr-s1-t3",
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"text": [
"Sweden"
],
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[
138,
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]
],
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{
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{
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"measurement"
],
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"volunteers"
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215,
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}
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"patients"
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[
233,
241
]
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{
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}
]
},
{
"id": "DerChirurg.70680618.eng.abstr-s2-t1",
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"bilirubin"
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]
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}
]
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{
"id": "DerChirurg.70680618.eng.abstr-s2-t2",
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"bilirubin"
],
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355,
364
]
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{
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}
]
},
{
"id": "DerChirurg.70680618.eng.abstr-s2-t3",
"type": "umlsterm",
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"absorption"
],
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[
365,
375
]
],
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{
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"db_id": "C0000854"
},
{
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}
]
},
{
"id": "DerChirurg.70680618.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"period"
],
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[
402,
408
]
],
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{
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}
]
},
{
"id": "DerChirurg.70680618.eng.abstr-s2-t5",
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485
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}
]
},
{
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],
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}
]
},
{
"id": "DerChirurg.70680618.eng.abstr-s4-t1",
"type": "umlsterm",
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],
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}
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},
{
"id": "DerChirurg.70680618.eng.abstr-s4-t2",
"type": "umlsterm",
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"absorption"
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700,
710
]
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},
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}
]
},
{
"id": "DerChirurg.70680618.eng.abstr-s4-t3",
"type": "umlsterm",
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],
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725
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],
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}
]
},
{
"id": "DerChirurg.70680618.eng.abstr-s5-t1",
"type": "umlsterm",
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],
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},
{
"id": "DerChirurg.70680618.eng.abstr-s5-t2",
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]
},
{
"id": "DerChirurg.70680618.eng.abstr-s5-t3",
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],
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],
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}
]
},
{
"id": "DerChirurg.70680618.eng.abstr-s5-t4",
"type": "umlsterm",
"text": [
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],
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[
834,
855
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0013299"
}
]
}
] |
[] |
[] |
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},
{
"id": "DerChirurg.70680618.eng.abstr-s5-r6-t1.1-t4.1",
"type": "affects",
"arg1_id": "DerChirurg.70680618.eng.abstr-s5-t1",
"arg2_id": "DerChirurg.70680618.eng.abstr-s5-t4",
"normalized": []
}
] |
DerChirurg.70680630.eng.abstr
|
DerChirurg.70680630.eng.abstr
|
[
{
"id": "DerChirurg.70680630.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Thirty-nine of 63 patients undergoing deep anterior rectal resection received a straight coloanal anastomosis ( CAA ) ; the remaining 24 patients additionally had a colon-j-pouch ( CPA ) constructed . After pouch-anal anastomosis , local septic complications occurred in 12.5 % of patients compared to 20.5 % after coloanal anastomosis . Stool frequency after pouch-anal anastomosis was 3.3 per 24 h compared to 5.2 per 24 h after straight anastomosis within the first year after ileostomy closure ( P = 0.053 ) . Continence was slightly better in the pouch group ( n . s. ) , and anal manometry showed a significant postoperative decrease only in resting pressure after straight coloanal anastomosis ( P 0.001 ) . This study supports the construction of a colon-j-pouch after deep rectal resection , as the pouch-anal anastomosis has fewer local septic complications and seems to improve functional outcome ."
],
"offsets": [
[
0,
909
]
]
}
] |
[
{
"id": "DerChirurg.70680630.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
18,
26
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerChirurg.70680630.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"anterior"
],
"offsets": [
[
43,
51
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0032008"
}
]
},
{
"id": "DerChirurg.70680630.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
137,
145
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerChirurg.70680630.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"complications"
],
"offsets": [
[
245,
258
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0009566"
}
]
},
{
"id": "DerChirurg.70680630.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
281,
289
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerChirurg.70680630.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"Stool"
],
"offsets": [
[
338,
343
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0015733"
}
]
},
{
"id": "DerChirurg.70680630.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"frequency"
],
"offsets": [
[
344,
353
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0376249"
}
]
},
{
"id": "DerChirurg.70680630.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"ileostomy"
],
"offsets": [
[
480,
489
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0020883"
}
]
},
{
"id": "DerChirurg.70680630.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"manometry"
],
"offsets": [
[
586,
595
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0024751"
}
]
},
{
"id": "DerChirurg.70680630.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"postoperative"
],
"offsets": [
[
617,
630
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0032790"
}
]
},
{
"id": "DerChirurg.70680630.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"pressure"
],
"offsets": [
[
656,
664
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0033095"
}
]
},
{
"id": "DerChirurg.70680630.eng.abstr-s6-t1",
"type": "umlsterm",
"text": [
"complications"
],
"offsets": [
[
854,
867
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0009566"
}
]
}
] |
[] |
[] |
[
{
"id": "DerChirurg.70680630.eng.abstr-s5-r1-t1.1-t3.1",
"type": "measures",
"arg1_id": "DerChirurg.70680630.eng.abstr-s6-t1",
"arg2_id": "DerChirurg.70680630.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerChirurg.70680630.eng.abstr-s5-r2-t1.1-t2.1",
"type": "measures",
"arg1_id": "DerChirurg.70680630.eng.abstr-s6-t1",
"arg2_id": "DerChirurg.70680630.eng.abstr-s5-t2",
"normalized": []
}
] |
DerChirurg.70680638.eng.abstr
|
DerChirurg.70680638.eng.abstr
|
[
{
"id": "DerChirurg.70680638.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The tension band , performed with rigid cerclage wire , is known worldwide as a standard operation technique for the patella fracture as well as for all fractures gaping under strong muscular tensile forces . Eccentricity of power input and transformation of tension into pressure forces are its theoretical rationale . This is a contradiction to the knowledge of engineers . Its disadvantages are : tilting and rolling-out , steps and gaps in the cartilage surface and distraction . Rigid cerclage wire is not a tensile instrument . Corresponding to this , the results are only mediocre . Here we describe a static tension band principle , consisting of axial power input by 2 lateral cables . The very good and good X-ray and functional results amount to 78 % , far exceeding the rate with the conventional wire tension band ."
],
"offsets": [
[
0,
828
]
]
}
] |
[
{
"id": "DerChirurg.70680638.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"wire"
],
"offsets": [
[
49,
53
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0005978"
}
]
},
{
"id": "DerChirurg.70680638.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"standard"
],
"offsets": [
[
80,
88
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0038137"
},
{
"db_name": "UMLS",
"db_id": "C0175675"
}
]
},
{
"id": "DerChirurg.70680638.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"operation"
],
"offsets": [
[
89,
98
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0543467"
},
{
"db_name": "UMLS",
"db_id": "C0038895"
}
]
},
{
"id": "DerChirurg.70680638.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"technique"
],
"offsets": [
[
99,
108
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0025664"
}
]
},
{
"id": "DerChirurg.70680638.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"patella"
],
"offsets": [
[
117,
124
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030647"
}
]
},
{
"id": "DerChirurg.70680638.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"fracture"
],
"offsets": [
[
125,
133
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "DerChirurg.70680638.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"fractures"
],
"offsets": [
[
153,
162
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "DerChirurg.70680638.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"power"
],
"offsets": [
[
225,
230
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0032863"
}
]
},
{
"id": "DerChirurg.70680638.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"pressure"
],
"offsets": [
[
272,
280
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0033095"
}
]
},
{
"id": "DerChirurg.70680638.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"knowledge"
],
"offsets": [
[
351,
360
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0376554"
}
]
},
{
"id": "DerChirurg.70680638.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"engineers"
],
"offsets": [
[
364,
373
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0014279"
}
]
},
{
"id": "DerChirurg.70680638.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"cartilage"
],
"offsets": [
[
448,
457
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0007301"
}
]
},
{
"id": "DerChirurg.70680638.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"wire"
],
"offsets": [
[
499,
503
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0005978"
}
]
},
{
"id": "DerChirurg.70680638.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"instrument"
],
"offsets": [
[
521,
531
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0243113"
}
]
},
{
"id": "DerChirurg.70680638.eng.abstr-s7-t1",
"type": "umlsterm",
"text": [
"power"
],
"offsets": [
[
661,
666
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0032863"
}
]
},
{
"id": "DerChirurg.70680638.eng.abstr-s8-t1",
"type": "umlsterm",
"text": [
"X-ray"
],
"offsets": [
[
718,
723
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0043299"
},
{
"db_name": "UMLS",
"db_id": "C0043309"
}
]
},
{
"id": "DerChirurg.70680638.eng.abstr-s8-t2",
"type": "umlsterm",
"text": [
"wire"
],
"offsets": [
[
809,
813
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0005978"
}
]
}
] |
[] |
[] |
[
{
"id": "DerChirurg.70680638.eng.abstr-s1-r1-t2.1-t7.1",
"type": "associated_with",
"arg1_id": "DerChirurg.70680638.eng.abstr-s8-t2",
"arg2_id": "DerChirurg.70680638.eng.abstr-s1-t7",
"normalized": []
},
{
"id": "DerChirurg.70680638.eng.abstr-s1-r2-t7.1-t2.1",
"type": "associated_with",
"arg1_id": "DerChirurg.70680638.eng.abstr-s1-t7",
"arg2_id": "DerChirurg.70680638.eng.abstr-s8-t2",
"normalized": []
},
{
"id": "DerChirurg.70680638.eng.abstr-s1-r3-t2.1-t6.1",
"type": "associated_with",
"arg1_id": "DerChirurg.70680638.eng.abstr-s8-t2",
"arg2_id": "DerChirurg.70680638.eng.abstr-s1-t6",
"normalized": []
},
{
"id": "DerChirurg.70680638.eng.abstr-s1-r4-t6.1-t3.2",
"type": "disrupts",
"arg1_id": "DerChirurg.70680638.eng.abstr-s1-t6",
"arg2_id": "DerChirurg.70680638.eng.abstr-s1-t3",
"normalized": []
},
{
"id": "DerChirurg.70680638.eng.abstr-s1-r5-t3.2-t6.1",
"type": "location_of",
"arg1_id": "DerChirurg.70680638.eng.abstr-s1-t3",
"arg2_id": "DerChirurg.70680638.eng.abstr-s1-t6",
"normalized": []
},
{
"id": "DerChirurg.70680638.eng.abstr-s1-r6-t6.1-t2.1",
"type": "associated_with",
"arg1_id": "DerChirurg.70680638.eng.abstr-s1-t6",
"arg2_id": "DerChirurg.70680638.eng.abstr-s8-t2",
"normalized": []
},
{
"id": "DerChirurg.70680638.eng.abstr-s1-r7-t7.1-t3.2",
"type": "disrupts",
"arg1_id": "DerChirurg.70680638.eng.abstr-s1-t7",
"arg2_id": "DerChirurg.70680638.eng.abstr-s1-t3",
"normalized": []
},
{
"id": "DerChirurg.70680638.eng.abstr-s1-r8-t2.2-t2.1",
"type": "evaluation_of",
"arg1_id": "DerChirurg.70680638.eng.abstr-s1-t2",
"arg2_id": "DerChirurg.70680638.eng.abstr-s8-t2",
"normalized": []
},
{
"id": "DerChirurg.70680638.eng.abstr-s1-r9-t1.1-t6.1",
"type": "treats",
"arg1_id": "DerChirurg.70680638.eng.abstr-s8-t1",
"arg2_id": "DerChirurg.70680638.eng.abstr-s1-t6",
"normalized": []
},
{
"id": "DerChirurg.70680638.eng.abstr-s1-r10-t3.2-t2.1",
"type": "location_of",
"arg1_id": "DerChirurg.70680638.eng.abstr-s1-t3",
"arg2_id": "DerChirurg.70680638.eng.abstr-s8-t2",
"normalized": []
},
{
"id": "DerChirurg.70680638.eng.abstr-s1-r11-t2.1-t1.1",
"type": "uses",
"arg1_id": "DerChirurg.70680638.eng.abstr-s8-t2",
"arg2_id": "DerChirurg.70680638.eng.abstr-s8-t1",
"normalized": []
},
{
"id": "DerChirurg.70680638.eng.abstr-s1-r12-t3.2-t7.1",
"type": "location_of",
"arg1_id": "DerChirurg.70680638.eng.abstr-s1-t3",
"arg2_id": "DerChirurg.70680638.eng.abstr-s1-t7",
"normalized": []
},
{
"id": "DerChirurg.70680638.eng.abstr-s1-r13-t1.1-t7.1",
"type": "treats",
"arg1_id": "DerChirurg.70680638.eng.abstr-s8-t1",
"arg2_id": "DerChirurg.70680638.eng.abstr-s1-t7",
"normalized": []
},
{
"id": "DerChirurg.70680638.eng.abstr-s3-r1-t1.1-t2.1",
"type": "issue_in",
"arg1_id": "DerChirurg.70680638.eng.abstr-s8-t1",
"arg2_id": "DerChirurg.70680638.eng.abstr-s8-t2",
"normalized": []
},
{
"id": "DerChirurg.70680638.eng.abstr-s5-r1-t1.1-t2.1",
"type": "isa",
"arg1_id": "DerChirurg.70680638.eng.abstr-s8-t1",
"arg2_id": "DerChirurg.70680638.eng.abstr-s8-t2",
"normalized": []
},
{
"id": "DerChirurg.70680638.eng.abstr-s8-r2-t1.1-t2.1",
"type": "uses",
"arg1_id": "DerChirurg.70680638.eng.abstr-s8-t1",
"arg2_id": "DerChirurg.70680638.eng.abstr-s8-t2",
"normalized": []
}
] |
DerChirurg.70680643.eng.abstr
|
DerChirurg.70680643.eng.abstr
|
[
{
"id": "DerChirurg.70680643.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Failure to find the gallbladder at the usual or most common atypical sites during surgery for cholecystolithiasis is a rare but known problem . Although ultrasonography has 95 % sensitivity for the diagnosis of cholelithiasis , occasionally a small contracted gallbladder with stones and chronic cholecystitis will be difficult to visualize and can lead to erroneous interpretation . We report on the case of a patient presenting with abdominal colic and ultrasonographically confirmed cholecystolithiasis . During laparoscopic cholecystectomy , the gallbladder could not be detected . After laparoscopic staging followed by endoscopic retrograde cholangiopancreatography and abdominal computed tomography , agenesis of the gallbladder was confirmed . This method can be considered for diagnosis of gallbladder agenesis without the need for laparotomy and thorough exploration ."
],
"offsets": [
[
0,
878
]
]
}
] |
[
{
"id": "DerChirurg.70680643.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"gallbladder"
],
"offsets": [
[
20,
31
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016976"
}
]
},
{
"id": "DerChirurg.70680643.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"surgery"
],
"offsets": [
[
82,
89
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0038894"
},
{
"db_name": "UMLS",
"db_id": "C0038895"
}
]
},
{
"id": "DerChirurg.70680643.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"cholecystolithiasis"
],
"offsets": [
[
94,
113
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0008350"
}
]
},
{
"id": "DerChirurg.70680643.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"ultrasonography"
],
"offsets": [
[
153,
168
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0175676"
},
{
"db_name": "UMLS",
"db_id": "C0041618"
}
]
},
{
"id": "DerChirurg.70680643.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"sensitivity"
],
"offsets": [
[
178,
189
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0036667"
}
]
},
{
"id": "DerChirurg.70680643.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"diagnosis"
],
"offsets": [
[
198,
207
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0011900"
},
{
"db_name": "UMLS",
"db_id": "C0348026"
}
]
},
{
"id": "DerChirurg.70680643.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"cholelithiasis"
],
"offsets": [
[
211,
225
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0008350"
}
]
},
{
"id": "DerChirurg.70680643.eng.abstr-s2-t5",
"type": "umlsterm",
"text": [
"gallbladder"
],
"offsets": [
[
260,
271
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016976"
}
]
},
{
"id": "DerChirurg.70680643.eng.abstr-s2-t6",
"type": "umlsterm",
"text": [
"cholecystitis"
],
"offsets": [
[
296,
309
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0008325"
}
]
},
{
"id": "DerChirurg.70680643.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"patient"
],
"offsets": [
[
411,
418
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerChirurg.70680643.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"colic"
],
"offsets": [
[
445,
450
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0009281"
}
]
},
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DerChirurg.70680646.eng.abstr
|
DerChirurg.70680646.eng.abstr
|
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[] |
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DerChirurg.70680654.eng.abstr
|
DerChirurg.70680654.eng.abstr
|
[
{
"id": "DerChirurg.70680654.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The aim of preoperative risk analysis is to reduce postoperative morbidity and mortality by identification of compromised organ function which can be improved by targeted preoperative measures and problem-oriented postoperative therapy . Ideally , therefore , preoperative risk assessment , influences the timing of the surgical procedure , the choice of the surgical approach , and the postoperative management . Identification of preexisting relevant disorders that may influence the postoperative course is an essential prerequisite of risk analysis . While preoperative risk analysis today gains in importance with the increasing extent of elective surgical procedures , preoperative risk evaluation still plays a minor role in the emergency situation when the given patient-dependent risk usually has to be accepted . Objective risk evaluation depends on the general and nutritional status , the pulmonary , cardio-vascular , hepatic , and renal function , and the cooperation of the patient . These factors , however , clearly have to be seen in relation to the type and extent of the planned surgical procedure . The selection of additional tests of organ function , exceeding the standard tests required prior to any surgical intervention , must be guided by the extent of the planned surgical procedure , the physiologic alterations associated with the surgical procedure , and the suspected underlying organ dysfunction . Generally accepted multifactorial classification systems to identify patients at risk for a wide spectrum of surgical procedures are currently not available . Using the model of esophagectomy in patients with esophageal cancer we could , however , demonstrate that a quantitative assessment of the peri- and postoperative risk based on preoperatively available physiologic parameters is possible and markedly reduces postoperative mortality when applied prospectively . The development and validation of similar risk-score systems for other surgical procedures should be considered ."
],
"offsets": [
[
0,
2015
]
]
}
] |
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DerChirurg.70680662.eng.abstr
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DerChirurg.70680662.eng.abstr
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"Despite improvements in operative and anesthesiological techniques , respiratory problems in surgical patients have been minimized but not eliminated . In addition to risks which are typical for the individual patient , the perioperative respiratory morbidity is affected by anesthesiological manipulations as well as the operation and the nature of the operation ( elective versus emergency ) . In this paper , after describing anesthesia-associated disturbances of the respiratory situation together with worsening due to the disease in patients with COLD , techniques and methods for therapy , prophylaxis , and prognostic assessment are delineated . Two examples are given for patients with respiratory problems ( abdomino-thoracic esophageal resection as a example of local trauma in patients with numerous preoperative risk factors and acute necrotizing pancreatitis to describe the sequelae of a toxic process ) . The essence of our discussion is that , prognostically , preoperative diagnosis is of reduced value . Only a synopsis of clinical findings together with spirometry and blood gas analysis appears to be relevant . Early mobilization in conjunction with excellent postoperative pain therapy is of utmost importance , which is equivalent to the almost routine placement of a patient controllable epidural analgesia technique . These concepts have shown in the two patient groups described that respiratory morbidity may be reduced significantly . Cooperation between surgeons and anesthesiologists , which is characterized by complete and mutually high competence on both sides , is essential for successfully managing patients at increased respiratory risk ."
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DerChirurg.70680670.eng.abstr
|
DerChirurg.70680670.eng.abstr
|
[
{
"id": "DerChirurg.70680670.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Patients under oral anticoagulation with coumarin derivatives have a variable perioperative thromboembolic risk which necessitates continuation of their thromboembolic prophylaxis during elective and emergency surgery . Because of their better handling unfractionated heparin and low-molecular-weight heparins are used most often for this purpose . The overlapping effect of coumarin and heparin therapy requires a close daily monitoring of the clotting inhibition ( partial thromboplastin time , thromboplastin time , thrombin time ) . In elective surgery coumarin therapy is interrupted 2-3 days preoperatively ; in emergency cases vitamin K or fresh frozen plasma have to be substituted . Patients under heparin therapy or prophylaxis are easier to handle , because the effect of heparin disappears in a few hours after stopping the treatment . In the immediate postoperative phase the heparin application is interrupted for 6 h because of increased bleeding risk . It is important to take into account additional risk factors like the underlying disease , disturbances of platelet function , liver diseases and renal insufficiency ."
],
"offsets": [
[
0,
1136
]
]
}
] |
[
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],
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0,
8
]
],
"normalized": [
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"db_id": "C0030705"
}
]
},
{
"id": "DerChirurg.70680670.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"anticoagulation"
],
"offsets": [
[
20,
35
]
],
"normalized": [
{
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}
]
},
{
"id": "DerChirurg.70680670.eng.abstr-s1-t3",
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"anticoagulation"
],
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[
20,
35
]
],
"normalized": [
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}
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},
{
"id": "DerChirurg.70680670.eng.abstr-s1-t4",
"type": "umlsterm",
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],
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],
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}
]
},
{
"id": "DerChirurg.70680670.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"derivatives"
],
"offsets": [
[
50,
61
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DerChirurg.70680675.eng.abstr
|
DerChirurg.70680675.eng.abstr
|
[
{
"id": "DerChirurg.70680675.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Immunosuppressive therapy and its influence on perioperative pathophysiology present special challenges in the event of surgical intervention . Immunosuppressive agents alter the patient's response to surgical stress and infectious complications . The often masked signs , even in the case of severe infection , require a high index of suspicion to establish the diagnosis . This may result in a fatal delay of therapy . In addition , the immunosuppressed state increases the patient's susceptibility to infection and leads to an impairment of wound healing . Therefore , careful perioperative clinical monitoring of the patient and complete control of the immunosuppressive therapy are mandatory . Elective operations in immunosuppressed patients should be performed with special caution regarding the potential perioperative risks for the patient and the graft . On the other hand , if there is evidence of , for example , an acute abdominal event , a more aggressive approach is required to rapidly establish the diagnosis and institute appropriate therapy . From the surgical point of view , special emphasis should be placed on wound closure and on anastomotic sutures when operating on a patient receiving immunosuppressive therapy ."
],
"offsets": [
[
0,
1239
]
]
}
] |
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DerChirurg.70680689.eng.abstr
|
DerChirurg.70680689.eng.abstr
|
[
{
"id": "DerChirurg.70680689.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Low resection and intersphincteric extirpation of rectal cancer in the distal third of the rectum has become an accepted sphincter-saving method . From December 1990 to December 1994 , 42 patients ( 17 women and 25 men ) with a mean age of 67.2 years had a low resection or extirpation of the rectum at our institution . Eighteen patients received a transanal sutured anastomosis , 24 a stapler anastomosis . We had a lethality rate of 2.5 % and a anastomotic insufficiency rate of 14 % ."
],
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0,
488
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]
}
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] |
[] |
[] |
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DerChirurg.70680693.eng.abstr
|
DerChirurg.70680693.eng.abstr
|
[
{
"id": "DerChirurg.70680693.eng.abstr-passage-0",
"type": "abstract",
"text": [
"During the past 7 years 45 patients have been operated upon using the Childs-Phillips method . Of those , 37 were subsequently examined for the study - 7 patients had died in the meantime . None of the deaths occurred as a direct result of transmesenteric small-bowel plication . An early recurrence of intestinal obstruction occurred in 4.4 % and a laparotomy was repeated . During the most recent examinations 86.5 % of those patients checked had ( virtually ) no complaints - 91.9 % based upon the Visick classification . A subtotal intestinal obstruction occurred during the period of the study in 8.1 % of cases , but could be conservatively treated . Up until the most recent examination there were still no instances of a late recurrence . Most intestinal obstruction recurrences are due to errors specific to the technique and are early recurrences . On the basis of our results , we are of the opinion that plication in the presence of existing peritonitis , as well as partial plication , is acceptable ."
],
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0,
1014
]
]
}
] |
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DerChirurg.70680705.eng.abstr
|
DerChirurg.70680705.eng.abstr
|
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"id": "DerChirurg.70680705.eng.abstr-passage-0",
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"During the past 10 years ( 1987-1996 ) , 842 laparotomies were performed for pancreatic or periampullary neoplasms ; in 25 patients ( 2.9 % ) a neuroendocrine tumor was diagnosed . In 19 of these 25 patients ( 76 % ) a non-functioning endocrine tumor and in 6 patients ( 24 % ) a hormone-active tumor ( four insulinoma , one gastrinoma , one VIPoma ) was found . Of 19 non-functioning neuroendocrine tumors , 14 were malignant . The resection rate of these malignant tumors was 78.6 % ( 11 of 14 ; 3 resections were palliative ) ; in comparison , the resection rate of ductal pancreatic carcinoma in our hospital was 28.1 % . The probability of 5-year survival amounts to 73 % after surgical resection in malignant endocrine tumors and to 19 % in ductal pancreatic carcinoma ( including palliative resections ) . As it is not always clear whether non-functioning endocrine tumors are benign or malignant , oncological resection is recommended . Adjuvant chemotherapy seems not to be necessary ."
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[] |
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DerChirurg.70680710.eng.abstr
|
DerChirurg.70680710.eng.abstr
|
[
{
"id": "DerChirurg.70680710.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Juvenile polyposis was first described by Cronkhite and Canada in 1955. This disease is characterized by juvenile intestinal polyps and ectodermal abnormalities . The etiology of Cronkhite-Canada syndrome ( CCS ) , however , is still not well understood . Interestingly , among patients with CCS a significant correlation ( 16.5 % ) with intestinal carcinomas has been observed . Thus , malignant transformation and/or genetic predisposition may be involved in the initiation of the disease . In the following , epidemiology , symptoms , morphology and therapy of CCS are discussed . Our examinations are based on studies reported in the literature and on a case report of a female patient who developed a colon carcinoma 2 years after initial diagnosis of CCS ."
],
"offsets": [
[
0,
762
]
]
}
] |
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[] |
[] |
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] |
DerChirurg.70680715.eng.abstr
|
DerChirurg.70680715.eng.abstr
|
[
{
"id": "DerChirurg.70680715.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A prospective randomized study was designed to determine the effect of postoperative water contact on tissue healing . A total of 121 patients undergoing open hernia repair was divided into two groups . The first group was permitted to shower postoperatively , allowing the wound to come into direct contact with the water , the second group was instructed to keep the incision dry . Water contact , wound healing and patient satisfaction were assessed . There was no difference in wound healing between the two groups and no manifest infection ."
],
"offsets": [
[
0,
546
]
]
}
] |
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{
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{
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"tissue"
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"patients"
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},
{
"id": "DerChirurg.70680715.eng.abstr-s3-t2",
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}
]
},
{
"id": "DerChirurg.70680715.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"water"
],
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317,
322
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},
{
"id": "DerChirurg.70680715.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"dry"
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381
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},
{
"id": "DerChirurg.70680715.eng.abstr-s4-t1",
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"text": [
"Water"
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389
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},
{
"id": "DerChirurg.70680715.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"wound"
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400,
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},
{
"id": "DerChirurg.70680715.eng.abstr-s4-t3",
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"text": [
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]
},
{
"id": "DerChirurg.70680715.eng.abstr-s4-t4",
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"satisfaction"
],
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426,
438
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],
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},
{
"id": "DerChirurg.70680715.eng.abstr-s4-t5",
"type": "umlsterm",
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413
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],
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},
{
"id": "DerChirurg.70680715.eng.abstr-s4-t6",
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{
"id": "DerChirurg.70680715.eng.abstr-s5-t1",
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]
},
{
"id": "DerChirurg.70680715.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
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},
{
"id": "DerChirurg.70680715.eng.abstr-s5-t3",
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495
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],
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"db_id": "C0043240"
}
]
}
] |
[] |
[] |
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] |
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