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In January 1980, the First Symposium on the Measurement of Tis sue
Oxygen Pressure in Patients was held in Frankfurt. After a 4-year
"rest period," the organizers of the 1984 symposium, Profes sor R.
Huch of Zurich and Dr. J. Hauss of Munster, together with myself,
extended another invitation to come to Frankfurt to find out what
had gone on in the field of oxygen pressure measurement and its
application in clinical medicine. As the following presentations
will show, the application of oxygen pressure measurements has been
broadened considerably. Furthermore, technological advances have
been made, particularly with the increased use of computers. For
various reasons, including technical ones, these methods have not
been adapted as widely as one would want. Although con gresses on
tissue oxygen pressure have been held in the last few years, the
clinical aspect of tissue P0 measurement has not been 2 dealt with
in such a concentrated and comprehensive way since 1980. It
therefore seemed necessary to hold such a symposium, not only for
scientific reasons, but also to enable a larger group of clini
cians to gain insight into the importance of the possibilities
these methods offer."
In recent years the treatment of kidney stones has taken on a new
dimension, thanks to modem techniques. E. Schmiedt and Ch. Chaussy
revolutionized the therapy of kidney stones with their extra
corporeal shockwave lithotripsy. After percutaneous fistulization
of the renal cavities by ultrasonically controlled puncture became
a rou tine procedure, the obvious next step was to use the same
approach, after dilating the track, to carry out intrarenal
operations. Dr. Knut Korth has been using this operative technique
for some time now. He has gained a great deal of experience, having
treated hundreds of patients who have come to him from all parts of
Europe. In this book he describes the endoscopic technique which he
has used in 400 cases. He does not attempt to compare and contrast
his method with others, but rather describes and discusses the
route he has taken. The book hence takes on a very subjective
character - in the positive sense of the word. Dr. Korth believes -
and emphasi zes - that puncture should be performed by the
urologist himself so that the final responsibility for an operation
is not divided. Our own experience in exclusively urological
operations without the help of a radiologist confirm this position.
Korth has developed many ideas - some in the form of instru ments -
for transcutaneous operations. He describes in detail the various
procedures according to the type of stone, providing nume rous
examples.
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