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  1. Article: Extrapleurale Zugangswege bei der Versorgung der Bronchusstumpfinsuffizienz nach Pneumonektomie.

    Hoffmann, E / Jankowski, J / Lersmacher, J / Kantartzis, M

    Langenbecks Archiv fur Chirurgie

    1990  Volume 375, Issue 1, Page(s) 46–50

    Abstract: Insufficiency of the bronchial stump is still a dreaded complication. The treatment with the use of extrapleural accesses led to a significant improvement of the therapeutical results. We have to distinguish between transpericardial techniques and the ... ...

    Title translation Extra-pleural approaches in the management of bronchial stump insufficiency following pneumonectomy.
    Abstract Insufficiency of the bronchial stump is still a dreaded complication. The treatment with the use of extrapleural accesses led to a significant improvement of the therapeutical results. We have to distinguish between transpericardial techniques and the contralateral thoracotomy with transpleural or extrapleural access. If the pleural cavity is still sterile, immediate or four week postoperative insufficiency may be treated using rethoracotomy with resuturing the stump. Coverage of the stump with pedicled muscle tissue provides a rather good method for a secondary treatment of the bronchial stump. When the pleural cavity is already infected, extrapleural treatment of the bronchial stump should be undertaken immediately. In addition, all late insufficiencies are treated extrapleurally. If only a very small opening of a fistula is found, an endoscopical closure of the fistula should be attempted using acryl glue or fibrin glue. Our own therapeutic results concerning four right hand and one left hand stump insufficiency after pneumonectomy are presented in this study and we have classified the up to now published therapeutical results.
    MeSH term(s) Adenocarcinoma/surgery ; Aged ; Bronchi/surgery ; Carcinoma, Squamous Cell/surgery ; Female ; Humans ; Lung Neoplasms/surgery ; Lymph Node Excision/methods ; Male ; Middle Aged ; Pleura/surgery ; Pneumonectomy/methods ; Reoperation ; Surgical Wound Dehiscence/surgery ; Suture Techniques ; Thoracotomy/methods
    Language German
    Publishing date 1990
    Publishing country Germany
    Document type English Abstract ; Journal Article
    ZDB-ID 123061-x
    ISSN 0023-8236 ; 0174-4542
    ISSN 0023-8236 ; 0174-4542
    DOI 10.1007/bf00186120
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Abtragung von Zenker'schen Divertikeln mit Hilfe von automatischen Klammernahtgeräten.

    Lersmacher, J / Kantartzis, M / Hoffmann, E

    Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen

    1989  Volume 60, Issue 3, Page(s) 163–167

    Abstract: Own experiences with the resection of pharyngoesophageal (Zenker's) diverticula using a stapling device are reported and compared with the rare literature. No patient developed a leakage or a stenosis after surgery. All patients were free of symptoms ... ...

    Title translation Removal of Zenker's diverticula using automatic staplers.
    Abstract Own experiences with the resection of pharyngoesophageal (Zenker's) diverticula using a stapling device are reported and compared with the rare literature. No patient developed a leakage or a stenosis after surgery. All patients were free of symptoms after the operation and no patient died due to surgery.
    MeSH term(s) Aged ; Aged, 80 and over ; Diverticulum, Esophageal/diagnostic imaging ; Diverticulum, Esophageal/surgery ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Postoperative Complications/diagnostic imaging ; Radiography ; Surgical Staplers ; Wound Healing
    Language German
    Publishing date 1989-03
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1521-0
    ISSN 1433-0385 ; 0009-4722
    ISSN (online) 1433-0385
    ISSN 0009-4722
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Senkt die Retroperitonealisierung der Anastomosen bei linksseitigen Dickdarmresektionen die postoperative Letalität?

    Kantartzis, M / Lersmacher, J / Ulatowski, L / Usmiani, J

    Langenbecks Archiv fur Chirurgie

    1988  Volume 373, Issue 3, Page(s) 143–146

    Abstract: 601 low anterior anastomoses of the rectum are analysed concerning suture techniques, leakage rate and operative mortality. None of the patients who developed a dehiscence (9.3%) died due to the extraperitoneal position of the anastomosis and the ... ...

    Title translation Does retroperitonealization of anastomoses in left-sided large intestine resections lower postoperative mortality?.
    Abstract 601 low anterior anastomoses of the rectum are analysed concerning suture techniques, leakage rate and operative mortality. None of the patients who developed a dehiscence (9.3%) died due to the extraperitoneal position of the anastomosis and the continuous sump-suction drainage of the retroperitoneum. The operative mortality was 1.5%.
    MeSH term(s) Aged ; Anastomosis, Surgical/methods ; Colectomy/methods ; Female ; Humans ; Intestinal Diseases/surgery ; Male ; Middle Aged ; Peritonitis/mortality ; Postoperative Complications/mortality ; Rectum/surgery ; Surgical Staplers ; Surgical Wound Dehiscence/mortality
    Language German
    Publishing date 1988
    Publishing country Germany
    Document type English Abstract ; Journal Article
    ZDB-ID 123061-x
    ISSN 0023-8236 ; 0174-4542
    ISSN 0023-8236 ; 0174-4542
    DOI 10.1007/bf01274225
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Massive gastrointestinale Blutung aus einer Hepatikojejunostomie bei pankreatogener Mesenterialvenenthrombose. Diagnose und Therapie.

    Kantartzis, M / Usmiani, J / Lersmacher, J / Damanakis, K / Hoffmann, E

    Langenbecks Archiv fur Chirurgie

    1992  Volume 377, Issue 3, Page(s) 141–143

    Abstract: Gastrointestinal hemorrhage in a patient with a biliodigestive anastomosis necessitates exclusion of a bleeding source in the region of the choledocho- or hepaticojejunal anastomosis. This cannot be achieved by endoscopic methods. The source of bleeding ... ...

    Title translation Massive gastrointestinal hemorrhage from a hepaticojejunostomy in pancreatogenic mesenteric vein thrombosis. Diagnosis and therapy.
    Abstract Gastrointestinal hemorrhage in a patient with a biliodigestive anastomosis necessitates exclusion of a bleeding source in the region of the choledocho- or hepaticojejunal anastomosis. This cannot be achieved by endoscopic methods. The source of bleeding can sometimes, though rarely, be localised by performance of selective angiography during hemorrhage. Laparotomy with exploration of the anastomosis during such an episode is at the same time a diagnostic and a therapeutic intervention. The surgical procedure of choice is de-anastomosis, resection of the bypassed jejunal loop and formation of a hepatico-duodenostomy.
    MeSH term(s) Anastomosis, Roux-en-Y ; Anastomosis, Surgical ; Angiography ; Cholestasis, Extrahepatic/diagnosis ; Cholestasis, Extrahepatic/surgery ; Duodenostomy ; Gastrointestinal Hemorrhage/etiology ; Gastrointestinal Hemorrhage/surgery ; Humans ; Jejunostomy ; Male ; Mesenteric Vascular Occlusion/diagnosis ; Mesenteric Vascular Occlusion/surgery ; Mesenteric Veins/surgery ; Middle Aged ; Pancreatitis/diagnosis ; Pancreatitis/surgery ; Postoperative Complications/diagnosis ; Postoperative Complications/surgery ; Reoperation ; Thrombosis/diagnosis ; Thrombosis/surgery ; Varicose Veins/diagnosis ; Varicose Veins/surgery
    Language German
    Publishing date 1992
    Publishing country Germany
    Document type Case Reports ; English Abstract ; Journal Article
    ZDB-ID 123061-x
    ISSN 0023-8236 ; 0174-4542
    ISSN 0023-8236 ; 0174-4542
    DOI 10.1007/bf00184370
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Comparative study of the antiarrhythmic efficacy of mexiletine and disopyramide in patients with chronic ventricular arrhythmias.

    Breithardt, G / Seipel, L / Lersmacher, J / Abendroth, R R

    Journal of cardiovascular pharmacology

    1982  Volume 4, Issue 2, Page(s) 276–284

    MeSH term(s) Adult ; Aged ; Arrhythmias, Cardiac/drug therapy ; Arrhythmias, Cardiac/physiopathology ; Chronic Disease ; Clinical Trials as Topic ; Disopyramide/adverse effects ; Disopyramide/therapeutic use ; Female ; Heart Ventricles ; Humans ; Male ; Mexiletine/adverse effects ; Mexiletine/therapeutic use ; Middle Aged ; Propylamines/therapeutic use ; Pyridines/therapeutic use
    Chemical Substances Propylamines ; Pyridines ; Mexiletine (1U511HHV4Z) ; Disopyramide (GFO928U8MQ)
    Language English
    Publishing date 1982-03
    Publishing country United States
    Document type Clinical Trial ; Comparative Study ; Controlled Clinical Trial ; Journal Article
    ZDB-ID 391970-5
    ISSN 1533-4023 ; 0160-2446
    ISSN (online) 1533-4023
    ISSN 0160-2446
    DOI 10.1097/00005344-198203000-00017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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