LIVIVO - Search results -

Search results

Result 1 - 10 of total 39

Search options

Article ; Online: Relationship between the anatomical location and the selective non-operative management of penetrating stab wounds in the abdomen.

Tudela Lerma, María / Turégano Fuentes, Fernando / Pérez Díaz, María Dolores / Rey Valcárcel, Cristina / Martín Román, Lorena / Ruiz Moreno, Cristina / Fernández Vázquez, María Luz / Fernández Martínez, María

Cirugia espanola

2022 Volume 100, Issue 2, Page(s) 67–73

Abstract: Introduction: The relationship between the anatomical location of penetrating abdominal stab wounds (SW) and the rate of selective non-operative management (SNOM) based on that location is scarcely reflected in the specialized literature. Our main ... ...

Abstract	Introduction: The relationship between the anatomical location of penetrating abdominal stab wounds (SW) and the rate of selective non-operative management (SNOM) based on that location is scarcely reflected in the specialized literature. Our main objective has been to assess this rate based on the anatomical location, and our results. Methods: Retrospective review of a prospective registry of abdominal trauma from April 1993 to June 2020. The two study groups considered were the Operative Management (OM), and the SNOM, including in this one the use of diagnostic laparoscopy. Penetrating SWs in the abdomen were classified according to anatomical location. Results: We identified 259 patients who fulfilled the inclusion criteria. SNOM was applied in 31% of the patients with a success rate of 96%, and it was more frequent in the lumbar, flank, and thoraco-abdominal regions; within the anterior abdomen it was more applicable in the RH, followed by the LH and epigastrium, respectively. An unnecessary laparotomy was done in 21% of patients, with the highest number in the epigastrium. Taking into account the unnecessary laparotomies and the rates of successful SNOM, 70.5% of lumbar, 66.5% of epigastric, 62% of flank, and 59% of RH penetrating SW could have been managed without a laparotomy. Conclusions: SNOM of penetrating SW in the abdomen has been safer and more applicable in those located in the lumbar, flank, epigastric, and RH regions.
Language	English
Publishing date	2022-02-02
Publishing country	Spain
Document type	Journal Article
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.cireng.2022.01.006
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Relationship between the anatomical location and the selective non-operative management of penetrating stab wounds in the abdomen.

Cirugia espanola

2021

Title translation	Relación entre la localización anatómica y el manejo selectivo no operatorio de las heridas por arma blanca penetrantes en abdomen.
Abstract	Introduction: The relationship between the anatomical location of penetrating abdominal stab wounds (SW) and the rate of selective non-operative management (SNOM) based on that location is scarcely reflected in the specialized literature. Our main objective has been to assess this rate based on the anatomical location, and our results. Methods: Retrospective review of a prospective registry of abdominal trauma from April 1993 to June 2020. The two study groups considered were the Operative Management (OM), and the SNOM, including in this one the use of diagnostic laparoscopy. Penetrating SWs in the abdomen were classified according to anatomical location. Results: We identified 259 patients who fulfilled the inclusion criteria. SNOM was applied in 31% of the patients with a success rate of 96%, and it was more frequent in the lumbar, flank, and thoraco-abdominal regions; within the anterior abdomen it was more applicable in the RUQ, followed by the LUQ and epigastrium, respectively. An unnecessary laparotomy was done in 21% of patients, with the highest number in the epigastrium. Taking into account the unnecessary laparotomies and the rates of successful SNOM, 70,5% of lumbar, el 66,5% of epigastric, 62% of flank, and 59% of RUQ penetrating SWs could have been managed without a laparotomy. Conclusions: SNOM of penetrating SWs in the abdomen has been safer and more applicable in those located in the lumbar, flank, epigastric, and RUQ regions.
Language	Spanish
Publishing date	2021-02-13
Publishing country	Spain
Document type	Journal Article
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.ciresp.2020.12.003
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Are Spanish surgeons prepared to treat trauma patients? Multicentre descriptive observational study.

Tallón-Aguilar, Luis / Durán-Muñoz-Cruzado, Virginia María / Martínez-Casas, Isidro / Aranda-Narváez, José Manuel / Pérez-Díaz, María Dolores / Montón-Condón, Soledad / Turégano-Fuentes, Fernando / Pareja-Ciuró, Felipe

European journal of trauma and emergency surgery : official publication of the European Trauma Society

2020 Volume 48, Issue 2, Page(s) 901–906

Abstract: Purpose: Specific training in the management of trauma patients is beneficial for surgeons. Training through specific courses in this area has a direct impact on the care of these patients. The aim of this work is to understand the participation and ... ...

Abstract	Purpose: Specific training in the management of trauma patients is beneficial for surgeons. Training through specific courses in this area has a direct impact on the care of these patients. The aim of this work is to understand the participation and specific training in the care of trauma patients by Spanish surgeons. Methods: A national survey was conducted and administered to all members of the Spanish Association of Surgeons. The survey assessed their degree of participation in emergency surgery, and therefore the probability of attending trauma patients, their assessment of the initial care of trauma patients in their centre, and their specific training in this field. Results: The survey was completed by 510 surgeons from 47 Spanish provinces, with Catalonia and Andalusia being the most represented regions. In total, 456 (89.41%) of those surveyed work in the emergency department on a routine basis. Only 171 (33.53%) refer to having a registry of trauma patients in their hospital. While 79.02% of surgeons reported that general surgeons are not involved in care of severe trauma from the outset, only 66.47% have completed the ATLS course, 40.78% the DSTC course and 18.82% the MUSEC course. Despite this, 85.69% believe that the ATLS course should be compulsory during residency and 43.33% believe that severe trauma care in their hospital is poor or very poor. Conclusion: Only 40% have received specific training in definitive surgical management of severe trauma. Despite this, a large percentage of surgeons work in the emergency department on a routine basis and potentially face the challenge of managing these patients.
MeSH term(s)	Emergency Service, Hospital ; Humans ; Surgeons ; Surveys and Questionnaires
Language	English
Publishing date	2020-09-13
Publishing country	Germany
Document type	Journal Article ; Multicenter Study ; Observational Study
ZDB-ID	2275480-5
ISSN	1863-9941 ; 1863-9933
ISSN (online)	1863-9941
ISSN	1863-9933
DOI	10.1007/s00068-020-01492-0
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Zs.A 1221: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 607: Show issues

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Article ; Online: Pelvic fractures with associated retroperitoneal hematoma: time until angioembolization and results.

Ciriano Hernández, Patricia / Moreno Hidalgo, Ana / Grao Torrente, Irene / Ruiz Moreno, Cristina / Seisdedos Rodrigez, Leticia / Kayser Mata, Silvia / Echenagusia Boyra, Miguel Jesús / González Leyte, Manuel / Pérez Díaz, Maria Dolores / Turégano Fuentes, Fernando

Cirugia espanola

2019 Volume 97, Issue 5, Page(s) 261–267

Abstract: Introduction: Two areas of controversy in the management of bleeding pelvic fractures are the need to perform angioembolization (AE) in patients with a retroperitoneal hematoma (RPH) but no contrast extravasation (CE) on Computerized Tomography (CT) and/ ...

Title translation	Fracturas de pelvis con hematoma retroperitoneal asociado: tiempo hasta la angioembolización y resultados.
Abstract	Introduction: Two areas of controversy in the management of bleeding pelvic fractures are the need to perform angioembolization (AE) in patients with a retroperitoneal hematoma (RPH) but no contrast extravasation (CE) on Computerized Tomography (CT) and/or angiography, and the delay to AE. Our main objective was to assess whether there had been differences in the percentage and delay to AE between patients admitted on weekdays versus off-hours (weekends and admission after 3pm) at our hospital. Our hypothesis was that angiography and AE would be more frequent on weekdays, and the time delay would be longer during off-hours, with a higher mortality in this latter group for a similar overall severity. A secondary objective was to assess the correlation between CE on CT scan and angiography. Methods: Retrospective review of two cohorts of patients with RPH from a pelvic fracture during a period of 24 years. Patients were divided depending on the time of arrival (Group A: weekdays, and Group B: off-hours). The decision to perform angiography and AE was made by the general surgeons on call, in consensus with the interventional radiologist. We analyzed demographics, mechanism of injury, associated injuries, physiologic and anatomic trauma scores, CE on CT scan, need of AE, Intensive Care Unit (ICU) stay and mortality. Results: 104 patients were admitted with RPH from a pelvic fracture. We performed AE in 63 cases (61%). The groups were comparable in the variables analyzed. In 70% of patients in group A, angiography was done, vs 57% in group B, with the same median time delay. CE on CT scan was seen in 53 out of 96 patients and confirmed by angiography in 45 (85%) of them. No significant differences were found in mortality between the two groups. Conclusions: There was a short delay from admission to AE, even during off-hours, and a good correlation of CE on CT scan and angiography.
MeSH term(s)	Adolescent ; Adult ; After-Hours Care/standards ; After-Hours Care/statistics & numerical data ; Aged ; Aged, 80 and over ; Angiography ; Embolization, Therapeutic/standards ; Embolization, Therapeutic/statistics & numerical data ; Female ; Fractures, Bone/complications ; Hematoma/diagnostic imaging ; Hematoma/etiology ; Hematoma/therapy ; Humans ; Male ; Middle Aged ; Pelvic Bones/injuries ; Retroperitoneal Space/diagnostic imaging ; Retrospective Studies ; Time Factors ; Time-to-Treatment/statistics & numerical data ; Tomography, X-Ray Computed ; Young Adult
Language	Spanish
Publishing date	2019-03-28
Publishing country	Spain
Document type	Journal Article ; Review
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.ciresp.2019.02.002
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Atención de la urgencia quirúrgica durante la pandemia COVID-19. Recomendaciones de la Asociación Española de Cirujanos.

Aranda-Narváez, José Manuel / Tallón-Aguilar, Luis / Pareja-Ciuró, Felipe / Martín-Martín, Gonzalo / González-Sánchez, Antonio Jesús / Rey-Simó, Ignacio / Tamayo-Medel, Gonzalo / Yánez-Benítez, Carlos / Costa-Navarro, David / Montón-Condón, Soledad / Navarro-Soto, Salvador / Turégano-Fuentes, Fernando / Pérez-Díaz, María Dolores / Ceballos-Esparragón, José / Jover-Navalón, José María / Balibrea, José María / Morales-Conde, Salvador

Cirugia espanola

2020 Volume 98, Issue 8, Page(s) 433–441

Abstract: New coronavirus SARS-CoV-2 infection (coronavirus disease 2019 [COVID-19]) has determined the necessity of reorganization in many centers all over the world. Spain, as an epicenter of the disease, has been forced to assume health policy changes in all ... ...

Title translation	Emergency Surgery and Trauma Care During COVID-19 Pandemic. Recommendations of the Spanish Association of Surgeons.
Abstract	New coronavirus SARS-CoV-2 infection (coronavirus disease 2019 [COVID-19]) has determined the necessity of reorganization in many centers all over the world. Spain, as an epicenter of the disease, has been forced to assume health policy changes in all the territory. However, and from the beginning of the pandemic, every center attending surgical urgencies had to guarantee the continuous coverage adopting correct measures to maintain the excellence of quality of care. This document resumes general guidelines for emergency surgery and trauma care, obtained from the available bibliography and evaluated by a subgroup of professionals designated from the general group of investigators
MeSH term(s)	Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Coronavirus Infections/transmission ; Emergency Medical Services/organization & administration ; Humans ; Infection Control/organization & administration ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/transmission ; SARS-CoV-2 ; Spain ; Traumatology/organization & administration
Keywords	covid19
Language	Spanish
Publishing date	2020-04-29
Publishing country	Spain
Document type	Journal Article
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.ciresp.2020.04.031
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article: Pólipos sincrónicos en estómago y yeyuno en un paciente con poliposis adenomatosa familiar.

de Tomás, Jorge / Al Lal, Yusef / Pérez Díaz, M Dolores / Sanz, Mercedes

Gastroenterologia y hepatologia

2011 Volume 34, Issue 10, Page(s) 683–685

Abstract: The management of extracolonic gastrointestinal polyps is controversial in patients with familial adenomatous polyposis (FAP). The treatment of adenomatous polyps with severe dysplasia in the stomach through wide gastric resections can hamper subsequent ... ...

Title translation	Chronic polyps in the stomach and jejunum in a patient with familial adenomatous polyposis.
Abstract	The management of extracolonic gastrointestinal polyps is controversial in patients with familial adenomatous polyposis (FAP). The treatment of adenomatous polyps with severe dysplasia in the stomach through wide gastric resections can hamper subsequent surveillance of the development of new polyps in the duodenal-jejunal area. We report the exceptional case of a 45-year-old man with FAP who developed two synchronic adenomatous polyps, with severe dysplasia. The first was located in the gastric antrum and the second in the proximal jejunum. Given the preoperative diagnosis of gastric neoplasm with invasion of the gastric wall (T(2)N(0)), subtotal Roux-en-Y gastrectomy and resection of the proximal jejunal segment were performed.
MeSH term(s)	Adenomatous Polyposis Coli/diagnosis ; Chronic Disease ; Humans ; Jejunal Neoplasms/diagnosis ; Male ; Middle Aged ; Neoplasms, Multiple Primary/diagnosis ; Polyps/diagnosis ; Stomach Neoplasms/diagnosis
Language	Spanish
Publishing date	2011-12
Publishing country	Spain
Document type	Case Reports ; English Abstract ; Journal Article
ZDB-ID	632502-6
ISSN	0210-5705
ISSN	0210-5705
DOI	10.1016/j.gastrohep.2011.06.006
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Zs.A 2044: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (1.OG)
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Article ; Online: The role of surgery in the management of "body packers".

Álvarez Llano, L / Rey Valcalcel, C / Al-Lal, Y M / Pérez Díaz, M D / Stafford, A / Turégano Fuentes, F

European journal of trauma and emergency surgery : official publication of the European Trauma Society

2014 Volume 40, Issue 3, Page(s) 351–355

Abstract: Introduction: The concealment of packets of illegal substances within body cavities is a common technique for drug smuggling worldwide. The goal of our study was to analyze the results of conservative treatment of "body packers", indications for ... ...

Abstract	Introduction: The concealment of packets of illegal substances within body cavities is a common technique for drug smuggling worldwide. The goal of our study was to analyze the results of conservative treatment of "body packers", indications for surgical intervention, and postoperative morbidity. Methods: This is a retrospective study of patients admitted to our hospital and diagnosed as body packers. The diagnostic protocol included an abdominal X-ray and urinalysis for toxic substances. Only patients with gastrointestinal symptoms, signs of intoxication, or a positive urinalysis were admitted for observation. Conservative management included bowel rest and serial abdominal radiographs to confirm the passage per rectum of all foreign bodies. Asymptomatic patients were given laxatives in the emergency department (ED) to promote bowel movements and were not admitted to the hospital. Results: A total of 763 body packers were admitted to the hospital, all of whom were initially treated conservatively. Of these patients, 47 (6 %) developed complications: 28 with bowel obstruction, three with bowel perforation, and 16 with substance intoxication. In patients developing complications, urinalysis for toxic substances was negative in 19 (40 %). Sixteen (34 %) patients who developed complications were successfully managed nonoperatively. Three (6 %) other patients died before surgery: two deaths resulted from acute toxicity (one of them with an acute onset and a negative urinalysis) and the third patient died of bowel perforation. Laparotomy was required in 28 (3.5 %) body packers admitted for observation. Enterotomy and/or gastrotomy to remove the packets were the most frequently performed procedures. Postoperative morbidity occurred in 57 % of patients, with wound infection being the most frequent complication. Conclusions: Conservative management was effective in 94 % of symptomatic patients. A laparotomy was required in only 3.5 % of cases. The mortality rate in this series was low, resulting from either severe cocaine poisoning from ruptured packets or bowel perforation.
Language	English
Publishing date	2014-06
Publishing country	Germany
Document type	Journal Article
ZDB-ID	2275480-5
ISSN	1863-9941 ; 1863-9933
ISSN (online)	1863-9941
ISSN	1863-9933
DOI	10.1007/s00068-014-0388-5
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Zs.A 1221: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 607: Show issues

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Article ; Online: Acute bleeding from pseudoaneurysms following liver and pancreatobiliary surgery.

Sanchez Arteaga, A / Orue-Echebarria, M I / Zarain, L / Lusilla, A / Martinez, C M / Moreno, A / Cuadrado, M / Rey, C / Perez Diaz, M D / Leyte, M G / Turégano, F J

European journal of trauma and emergency surgery : official publication of the European Trauma Society

2017 Volume 43, Issue 3, Page(s) 307–311

Abstract: Purpose: We report 12 patients with visceral PA following pancreato-biliary and hepatic surgery.: Results: Seven patients (7/11, 63 %) had developed postoperative complications from their original procedure; that information was missing in one ... ...

Abstract	Purpose: We report 12 patients with visceral PA following pancreato-biliary and hepatic surgery. Results: Seven patients (7/11, 63 %) had developed postoperative complications from their original procedure; that information was missing in one patient. Bleeding occurred in eight (three with hemoperitoneum two with haemobilia, and three with GI bleeding through a biliary-enteric anastomosis), three were asymptomatic, and the other one presented with abdominal pain. Eleven patients had an interventional radiology procedure performed (Five underwent angioembolization, a stent was placed in four, and two patients underwent both procedures). Complications related to the procedure developed in 6 (54.5 %) patients, and surgery was required in four of them. Conclusion: Postoperative pseudoaneurysms (PA) of visceral arteries are rare and usually secondary to vascular injury after pancreato-biliary and liver surgery. They usually present with bleeding and nowadays most are amenable to initial control by interventional radiology.
Language	English
Publishing date	2017-06
Publishing country	Germany
Document type	Journal Article
ZDB-ID	2275480-5
ISSN	1863-9941 ; 1863-9933
ISSN (online)	1863-9941
ISSN	1863-9933
DOI	10.1007/s00068-016-0672-7
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Zs.A 1221: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 607: Show issues

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Article: Hemorragia digestiva baja secundaria a tumor del estroma gastrointestinal rectal.

García-Marin, A / Martín-Gil, J / Nofuentes-Riera, C / Vaquero-Rodríguez, A / Pérez-Díaz, M D / Turégano-Fuentes, F

Revista de gastroenterologia de Mexico

2010 Volume 75, Issue 3, Page(s) 332–334

Abstract: Gastrointestinal stromal tumors are the most frequent mesenchymal digestive tract neoplasms, but represent only 1 to3% of all GI tract neoplasms. We report an uncommon case of stromal rectal tumor because of its atypical location. ...

Title translation	Lower gastrointestinal bleeding secondary to rectal gastrointestinal stromal tumor.
Abstract	Gastrointestinal stromal tumors are the most frequent mesenchymal digestive tract neoplasms, but represent only 1 to3% of all GI tract neoplasms. We report an uncommon case of stromal rectal tumor because of its atypical location.
MeSH term(s)	Gastrointestinal Hemorrhage/etiology ; Gastrointestinal Hemorrhage/therapy ; Gastrointestinal Stromal Tumors/pathology ; Humans ; Immunohistochemistry ; Male ; Middle Aged ; Rectal Neoplasms/complications ; Rectal Neoplasms/pathology ; Rectal Neoplasms/secondary
Language	Spanish
Publishing date	2010
Publishing country	Mexico
Document type	Case Reports ; English Abstract ; Journal Article
ZDB-ID	732082-6
ISSN	0375-0906
ISSN	0375-0906
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Zs.B 2057: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Article: Liposarcoma gigante mixto de la grasa perirrenal.

García Marín, A / Martín Gil, J / Sánchez Rodríguez, T / Pérez Díaz, M D / Turégano Fuentes, F

Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva

2010 Volume 102, Issue 3, Page(s) 221–222

Title translation	Giant mixed-type perirenal fat liposarcoma.
MeSH term(s)	Aged, 80 and over ; Female ; Humans ; Liposarcoma/diagnosis ; Liposarcoma/surgery ; Retroperitoneal Neoplasms/diagnosis ; Retroperitoneal Neoplasms/surgery
Language	Spanish
Publishing date	2010-04-01
Publishing country	Spain
Document type	Case Reports ; Letter
ZDB-ID	1070381-0
ISSN	1130-0108 ; 0212-7512
ISSN	1130-0108 ; 0212-7512
DOI	10.4321/s1130-01082010000300015
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Zs.B 199: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

To top

More links

Kategorien

Order via subito

Inter-library loan at ZB MED

More links

Kategorien

Order via subito

Inter-library loan at ZB MED

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

Order via subito

Inter-library loan at ZB MED

More links

Kategorien

Order via subito

Inter-library loan at ZB MED

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito