After intraperitoneal administration of 14C-labeled PVP iodine with lower and higher molecular weights (viscosity constants K 17 and K 28) in 124 female Wi star rats, both substances were resorbed completely from the peritoneal cavity. The distribution and the retention of PVP with higher molecular weights in all organs is identicaL to the already known phenomena which occur after intravenous administration of PVP. Compared with the half life of PVP K 17, that of PVP K 28 is clearly prolonged in all organs. Furthermore, the renal elimination of the high-molecular weight PVP K 28 is significantly slower. Literatur 1. AMMON R, DEPNER E (1957): Z ges exp Med 128: 607-628 2. HESPE W, MEIER AM, BLANKWATER YJ (1977): Arzneim-Forsch Drug Res 27 (I), 6, 11 58 -11 62 3. SCHILLER REB, G, TAUGNER R (1978): Arzneim-Forsch Drug Res 28 (II), 11, 2064-2070 Dr. G. Gortz, Chirurgische Klinik und Poliklinik im Klinikum Steglitz der Freien Universitat Berlin, Hindenburgdamm 30, D- 1000 Berlin 45 2. Untersuchungen zur pathophysiologischen Bedeutung von transfundierten Thrombocytenaggregaten Pathophysiologic Significance of Tranifused Platelet Aggregates K L. LauteIjung, J. Seifert und W. Brendel Institut fUr Chirurgische Forschung am Klinikum GroBhadern (Dir.: Prof. Dr. Dr. h. c. W. Brendel) und Chirurgische Klinik, Klinikum GroBhadern (Dir.: Prof. Dr. G. Heberer) Wahrend der Lagerung von ACD-Blut bilden sich Mikroaggregate, die vorwiegend aus Thrombocyten bestehen."

H. Bauer Dieses Geburtstagssymposium, das zu einem etwas verspateten Termin stattfmde- der eigentliche Geburtstag am 30. April wurde auf Wunsch des Jubilars im engsten Familienkreis gefeiert - sollte, dem Willen und der Einstellung unseres verehrten Chefs entsprechend, als Arbeitssitzung gestaltet und auf seine Bitte hin auch nicht mit Laudationes eingeleitet werden. Gestatten Sie mir dennoch, verehrter Chef, stell- vertretend fUr aIle Ihre Schiller, einleftend einige kurze Gedanken auszusprechen, welehe, ausgehend yom Thema dieses Symposiums uber die nichtresezierende Ulcus- chirurgie, sich mit einem wesentlichen Teillhres Lebenswerkes befassen. Ich glaube, d!& sich daraus auch Ihre ganze Einstellung zur Chirurgie, wie Sie sie uns als Ope- rateur, Lehrer und Forscher praktisch und beispielhaft vorgelebt haben, ableiten la t. Die dabei von Ihnen geubte Konsequenz des Handelns und das unbeirrbare Weiter- schreiten auf dem als richtig erkannten Weg, Eigenschaften, die Sie uns immer wieder in langen, oft vaterlichen Gesprachen als wesentliche Handlungsmerkmale des chir- urgischen Forscher herausgestellt haben, lassen sich gut an einem personlichen Er- lebnis darstellen. Fur mich war es als Medizinalassistent ungeheuer eindrucksvoll, beim Besuch meines ersten Chirurgenkongresses 1968 mitzuerleben, wie Sie damals von dem Auditorium mit lauten Buhrufen bedacht wurden, als Sie Ihren Vortrag damit endeten, d!& es heute in der Chirurgie des Ulcus-duodeni-Leidens keine Opera- tion mehr ohne irgendeine Form der Vagotomie geben durfe. Ich habe spater auf keinem Kongre mehr die Ablehnung einer detaillierten A erung eines Referenten in einer soleh scharf en Form gehOrt.

Make the most of your study time preparing for the American Board of Surgery In-Training Examination (ABSITE), written boards, and certification! The 4th Edition of The Surgical Review is a concise yet comprehensive review tool that keeps you up to date with surgical practice and current exams. Short, to-the-point chapters highlight all of the basic science and clinical science you need to know to perform at your best and improve your test scores. Every chapter is co-authored by a resident and an attending physician at the Hospital of the University of Pennsylvania, and the table of contents is organized to match the current exam.Key Features More than 300 full-color illustrations complement the text, improve retention of key concepts, and facilitate quick review. Key Points located at the beginning of each chapter for a rapid overview or last-minute reference now target both junior residents and senior residents, with specific information for each. Thoroughly updated throughout , including new information on endovascular therapies. Now with the print edition, enjoy the bundled interactive eBook edition, which can be downloaded to your tablet and smartphone or accessed online and includes features like: Complete content with enhanced navigation Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web Cross-linked pages, references, and more for easy navigation Highlighting tool for easier reference of key content throughout the text Ability to take and share notes with friends and colleagues Quick reference tabbing to save your favorite content for future use

This book is intended for medical students and surgical trainees such as surgical residents and fellows. It provides a practical preparation guide for common surgical procedures. Operations are divided into twelve sections that cover commonly performed general surgery operations such as bariatric, breast, cardiothoracic, colorectal, minimally invasive, and more. The chapters included in these sections aim to assist residents and fellows in facilitating memorization of the operation sequence and movements required to perform a given task. It will also help enhance skill development in the operating room. Written by residents and highly experienced attending surgeons, Mental Conditioning to Perform Common Operations in General Surgery Training: A Systematic Approach to Expediting Skill Acquisition and Maintaining Dexterity in Performance provides a comprehensive systematic approach to performing surgical procedures.

This text provides a comprehensive, state-of-the art review of this field, and will serve as a valuable resource for clinicians, surgeons and researchers with an interest in surgical critical care. The book reviews up to date data regarding the management of common problems that arise in the Surgical Intensive Care Unit. The protocols, care bundles, guidelines and checklists that have been shown to improve process measures, and in certain circumstances, are discussed in detail. The text also discusses several well designed randomized prospective trials conducted recently that have altered the way we care for surgical patients with traumatic brain injury, hemorrhagic shock, acute respiratory distress syndrome, and sepsis. This book provides the practicing physician with a clinically oriented practical approach to handle basic and complex issues in the Surgical Intensive Care Unit. This text will serve as a very useful resource for physicians dealing with critically ill surgical patients. It provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts. All chapters are written by experts in their fields and include the most up to date scientific and clinical information. This text will become an invaluable resource for all graduating fellows and practicing physicians who are taking the surgical critical care board examinations.

The key reference dedicated to surgery for cholesteatoma... The cholesteatoma, strictly speaking a cyst and not a cancer, nevertheless shows expansive and destructive growth patterns that may give rise to serious symptoms and consequences, including fatality, not unlike those seen for malignant neoplasms. The great challenge of therapy is to eradicate the pathologic growth while preserving hearing and other critical functions of the middle ear and petrous bone, respecting the proximity of vital neural and vascular structures, and the intricate three-dimensional relationships involved. Mario Sanna's Microsurgical Management of Middle Ear and Petrous Bone Cholesteatoma is the ultimate illustrated guide to complete management of the cholesteatoma, including assessment of the full expansion and degree of destruction caused by the growths, and short- and long-term follow-up to assess and treat for recurrence. Key Features Brilliantly illustrated with diagnostic images from otoscopy and radiology, both normal and pathological Step-by-step description of approaches and techniques for the procedures Special coverage of petrous bone cholesteatoma, which is less frequent than other forms but more difficult to diagnose and treat, with introduction and description of a new function-sparing procedure, the subtotal petrosectomy Microsurgical Management of Middle Ear and Petrous Bone Cholesteatoma extends Mario Sanna's passionate dedication to excellence in otologic teaching and training into this highly complex surgical area. Practitioners, residents, and fellows will find it indispensable. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Dieser Buchtitel ist Teil des Digitalisierungsprojekts Springer Book Archives mit Publikationen, die seit den Anfangen des Verlags von 1842 erschienen sind. Der Verlag stellt mit diesem Archiv Quellen fur die historische wie auch die disziplingeschichtliche Forschung zur Verfugung, die jeweils im historischen Kontext betrachtet werden mussen. Dieser Titel erschien in der Zeit vor 1945 und wird daher in seiner zeittypischen politisch-ideologischen Ausrichtung vom Verlag nicht beworben.

Der Band aus der dreib ndigen Reihe Praxis der Viszeralchirurgie liefert eine umfassende Wissensbasis und praxisnahe Entscheidungshilfen f r den Chirurgen sowie f r seine Partner: Alle chirurgisch relevanten benignen Erkrankungen der gastrointestinalen Organe sind fundiert und detailliert beschrieben. Renommierte Autoren aus der Chirurgie und ihren Nachbargebieten geben differenzierte, wissenschaftlich begr ndete Empfehlungen zu Diagnostik und Therapie. Die Neuauflage wurde an den aktuellen wissenschaftlichen Stand angepasst.

Dieser Buchtitel ist Teil des Digitalisierungsprojekts Springer Book Archives mit Publikationen, die seit den Anfangen des Verlags von 1842 erschienen sind. Der Verlag stellt mit diesem Archiv Quellen fur die historische wie auch die disziplingeschichtliche Forschung zur Verfugung, die jeweils im historischen Kontext betrachtet werden mussen. Dieser Titel erschien in der Zeit vor 1945 und wird daher in seiner zeittypischen politisch-ideologischen Ausrichtung vom Verlag nicht beworben.

This book covers the following on a wide variety of surgery cases such as general surgery, neurosurgery, orthopedic and traumatology, otorhinolaryngology-head, and oncology. Other topics related to surgery in this volume include anesthesiology, oncology, and anatomical pathology. This book provides an authentic, fresh, and educational case in each section. The purpose of this book is to contribute some perspective on basic science and clinical evidence of unusual case, which will give educational benefit to our readers. In addition, this volume is designed to meet the demand of practitioners to face challenging and unexpected cases in the surgical field, which readers will find very helpful. This valuable book contains 38 real cases in surgery. Access to case scenario is given at the beginning, followed by physical examination, differential diagnosis, and management in surgery. We emphasize in evidence-based medicine to expand the knowledge of surgical education and practice. The explanation was conducted understandably, and key learning points were summed up to help the readers. We believe that our readers will find this text, written by our best practitioners and specialists, very informative and useful.

Liver steatosis or nonalcoholic fatty liver disease (NAFLD) is a progressive disorder characterized by the fat accumulation in the parenchyma of the liver. The progressive form of NAFLD called nonalcoholic steatohepatitis (NASH) is the advanced condition that shows different grades of fibrosis, which could progress to cirrhosis, hepatocellular carcinoma and liver-related morbidity and mortality. Bariatric surgery gains attention as a potential treatment for liver steatosis because different studies revealed an improvement in 90% of cases of fatty liver after surgery. The improvement occurred within the first year and persisted up to five years. Pathogenic mechanisms that are involved in the evolution steatosis are intimately connected with insulin resistance, type 2 diabetes (T2D) and the metabolic syndrome. Bariatric surgery is a powerful treatment to ameliorate all these conditions. The aim of this book is to update the actual evidence about liver steatosis, non-alcoholic fatty liver disease and non-alcoholic steatohepatitis in morbidly obese patients, the diagnostic methods and the evolution after the different techniques of bariatric surgery.

Surgical site infection (SSI) is one of the most frequent complications after abdominal surgery as abdominal procedures are often clean-contaminated, contaminated or even dirty procedures, so long the gastrointestinal tract, plenty of microorganisms, is entered. SSI is associated with morbidity and mortality, and reduces the patients' quality of life after surgery. Moreover, it prolongs hospital stay and requires increased instrumentation, medication and complementary tests, altogether representing an economic burden for the Health Services. This has led to the development of several Guidelines and Consensus documents, including prophylactic measures to prevent SSI. Different scientific societies, including the World Health Organization (WHO), the Center for Disease Control (CDC), the American College of Surgeons (ACS) and the Surgical Infection Society (SIS), have published recommendations for the prevention of SSI in the last years. All the documents agree with most of the recommendations. However, the evidence grade of these recommendations is often low to moderate and with the aim to generalise these measures to all the surgical procedures, the extrapolations lead to a lowered evidence power. Thus, in some cases the force of the recommendations is based on the opinion of experts in the field. The aim of this book is to revise the actual evidence about these prophylactic measures in abdominal surgery.

Selected as a Doody's Core Title for 2022 and 2023! Part of the highly respected Master Techniques in Surgery series, Colon and Rectal Surgery: Anorectal Operations, 2nd Edition, provides the authoritative, up-to-date guidance you need to master both traditional techniques and innovative new procedures in colon and rectal surgery. Covering both basic and advanced procedures, this edition contains superbly illustrated, expertly written chapters covering virtually any colorectal surgical technique likely to be performed today. Each contributing author presents a real-world viewpoint on a particular surgery, and outstanding full-color illustrations provide visual support for every procedure. Presents easy-to-digest, clinically relevant material from world-renowned colon and rectal surgeons who explain their preferred techniques step by step, including indications and contraindications, preoperative planning, postoperative management, outcomes, complications, and follow-up. Covers hemorrhoidectomies, anal and rectovaginal fistula and sphincter procedures, fecal incontinence, procedures for perineal prolapse and excision of rectal carcinoma, lateral sphincterotomy, rectocele, and muscle, anal and pilonidal flap procedures. Includes 17 all-new chapters: Ultrasound-guided Ligation/Mucosalpexy for Hemorrhoidal Disease Rubber Band Ligation Ligation of the Intersphincteric Fistula Tract (LIFT): Without Mesh Repair of Rectovaginal Fistula Repair with Bioprosthetic Mesh, Transvaginal Rectovaginal Fistula: Transvaginal Approach Without Mesh Magnetic Anal Sphincter Encirclement Procedure for Rectal Prolapse in the Elderly Perineal Rectosigmoidectomy Closed Lateral Interanal Sphincterotomy Transanal Endoscopic Operating Transanal Minimally Invasive Surgery (TAMIS) for Local Excision Transabdominal Rectus Flaps Ventral Hernia Repair Incision, Excision and Wound VAC Closure Surgical Management of Anogenital Hidradenitis Condylomata Acuminatum Anal Carinoma and Melanoma Enrich Your eBook Reading Experience with Enhanced Video, Audio and Interactive Capabilities! Read directly on your preferred device(s ), such as computer, tablet, or smartphone Easily convert to audiobook , powering your content with natural language text-to-speech Adapt for unique reading needs , supporting learning disabilities, visual/auditory impairments, second-language or literacy challenges, and more