Search

Hintergrund: Sowohl zielortferne ischämische Gewebekonditionierung (remote ischemic preconditioning/ RIPC) als auch extrakorporale Stoßwellentherapie (ESWT) spielen eine wichtige Rolle in der experimentellen und klinischen Anwendung zur Beeinflussung der Mikrozirkulation der Haut. Obwohl[zum vollständigen Text gelangen Sie über die oben angegebene URL], 46. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen (DGPRÄC), 20. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen (VDÄPC)

Hintergrund: Eine zügige und sichere Behandlung von progressiver mikrovaskulärer Dysfunktion nach Weichteiltrauma im Rahmen einer thermischen Verletzung stellt noch immer eine Herausforderung in der präklinischen und frühen klinischen Versorgung dar. Obwohl vorangegangene Studien[for full text, please go to the a.m. URL], 33. Jahrestagung der Deutschsprachigen Arbeitsgemeinschaft für Verbrennungsbehandlung (DAV 2015)

Aortic valve (AV) prolapse and subsequent aortic regurgitation (AR) are two complications of ventricular septal defects (VSD) that are located close to or in direct contact with the AV. This finding is one of the indications for surgical VSD closure even in absence of symptoms in order to protect the AV integrity. Goal of our study was to assess the outcome, and to identify the predictors for improvement or progression of AR after surgical repair. A retrospective study of all children with VSD and AV prolapse who underwent cardiac surgery at King Abdulaziz Cardiac Center in Riyadh between July 1999 till August 2013. A total of 41 consecutive patients, operated for VSD with prolapsed AV, with or without AR, were reviewed. The incidence of AV prolapse in the study population was 6.8% out of 655 patients with VSD. Thirty-six (88%) patients had a perimembranous VSD and 4 had doubly committed VSD. Only one patient had an outlet muscular VSD. Right coronary cusp prolapse was found in 38 (92.7%) patients. Preoperative AR was absent in 5 patients, mild or less in 25 patients, moderate in 7 and severe in 4 patients. Twenty six patients showed improvement in the degree of AR after surgery (Group A), 14 patients showed no change in the degree of AR (Group B) while only one patient showed progression of his AR after surgery. Those with absent AR before surgery remained with no AR after surgery. Improvement was found more in those with mild degree of AR preoperatively compared to those with moderate and severe AR. Female gender also showed tendency to improve more as compared to male. Early surgical closure is advisable for patients with VSD and associated AV prolapse in order to achieve a better outcome after repair and to prevent progression of AR in future.

OBJECTIVES If they do not respond to other treatments, patients with Budd-Chiari syndrome are potential candidates for a liver transplant. Timing for transplant is controversial; however, before other systems deteriorate, early intervention in relatively stable patient may improve the outcome and survival of these patients. MATERIALS AND METHODS Six patients (2 women and 4 men) had Budd-Chiari syndrome (1.2%) among 475 patients who had undergone a liver transplant at our center between 2001 and 2012. Imaging modalities including duplex ultrasound, abdominal computed tomography angiography, and hematologic evaluation were part of our routine diagnostic work-up. Although we perform mostly living-donor liver transplants, these patients received a liver transplant from a deceased donor, because there was not enough evidence to justify a living-donor liver transplant. We thought that not replacing the caval vein might negatively influence the outcome. Postoperatively, these recipients were started on a heparin infusion and triple therapy immunosuppression; only then was warfarin introduced as long-term anticoagulant. RESULTS Two patients died, 1 from uncontrollable bleeding and disseminated intravascular coagulopathy, and the other died in the intensive care unit after 5 months because of multiorgan failure and sepsis. One patient had portal vein thrombosis 9 months after the liver transplant; the other patient needed a liver retransplant after 5 years owing to liver failure, secondary to chronic rejection. Graft survival rate was 75%, and patient survival rate was 66.6%. CONCLUSIONS This is the first article from Saudi Arabia to describe the outcome of a liver transplant in this subgroup of patients with Budd-Chiari syndrome. Treatment of Budd-Chiari syndrome follows a therapeutic algorithm that should start with anticoagulation and may end up with liver transplant; however, it should be considered early if other treatments fail.

Einleitung: Nicht heilende Wundinfektionen an den Füßen sind häufige Komplikationen bei Patienten mit DM und / oder pAVK. Mikrozirkulatorische Veränderungen scheinen eine wichtige Rolle dabei zu spielen. Allerdings wurde die Untersuchung von funktionellen Veränderungen [for full text, please go to the a.m. URL], 130. Kongress der Deutschen Gesellschaft für Chirurgie

Fragestellung: In Fällen von Durchblutungsstörungen freier Lappenplastiken ist die Reaktionszeit von größter Wichtigkeit. Je schneller und valider die Daten eines Lappenmonitorings zur Entscheidungsfindung beitragen können, desto höher ist die Chance einer erfolgreichen[for full text, please go to the a.m. URL], Deutscher Kongress für Orthopädie und Unfallchirurgie; 75. Jahrestagung der Deutschen Gesellschaft für Unfallchirurgie, 97. Tagung der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie, 52. Tagung des Berufsverbandes der Fachärzte für Orthopädie

Kabbani M. Allocution de M. Kabbani représentant le premier ministre libanais, S. El Hoss . In: Reconstruire Beyrouth. Les paris sur le possible.