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4.
Zentralbl Chir ; 111(13): 781-7, 1986.
Article in German | MEDLINE | ID: mdl-3765925

ABSTRACT

An analysis was made of the authors' surgical patients in childhood with perforated appendicitis for two periods of time, 1957 to 1967 and 1971 to 1985. The rate of perforation remained to be high, with no change to the good being discernible. Hints are given on its possible reduction.


Subject(s)
Appendectomy , Appendicitis/surgery , Intestinal Perforation/surgery , Abscess/etiology , Appendicitis/diagnosis , Child , Diagnosis, Differential , Female , Humans , Intestinal Perforation/diagnosis , Male , Rupture, Spontaneous , Surgical Wound Dehiscence/etiology , Surgical Wound Infection/etiology
5.
Zentralbl Chir ; 111(14): 825-36, 1986.
Article in German | MEDLINE | ID: mdl-3765930

ABSTRACT

The study described in this paper helped to establish the present position in locally delimited treatment of children for thermic injuries. 25 hospitals or other medical institutions were involved in the inquiry programme, including 16 departments of paediatric surgery and nine departments of general surgery. Studies were conducted also into 2 outpatient departments. The programme was centrally evaluated on the basis of 15 questions distributed, in the first place, in a questionnaire. Locally delimited treatment of cases of different severities was on the list together with an analysis of open and closed wound treatment and indications for surgery to cope with injuries of greater severity. Answers were sought to questions of burn blister treatment, and reference was made to surgical removal of necrotic foci as well as to advantages implied in two-session approach to post-necrectomy cases. A critical analysis is made of fractionated necrectomy. The important of synthetic skin substitutes is underlined. Locally delimited surgical therapy is associated with aspects relating to suture fixation, scarification, and change of dressing. Benefits and drawbacks are analysed. An evaluation was made of methods for after-treatment of cured burns and of celoid treatment.


Subject(s)
Burns/surgery , Debridement , Dermatologic Agents/therapeutic use , Administration, Topical , Anti-Bacterial Agents/therapeutic use , Child , Combined Modality Therapy , Disinfectants/therapeutic use , Humans , Postoperative Complications/therapy , Surgical Flaps
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