Novel surgical procedure in design of advancement endorectal flap in the surgical treatment of complex anal fistulas.

Introduction: Anal fistula is a common disease with incidence of 5.6 per 100,000 women and 12.3 men.

[Internal hernias--uncommon causes of the status ileosus].

Internal hernia is an uncommon cause of acute intestinal obstruction with. Preoperative diagnosis of an internal hernia is difficult because of the lack of specific signs. Only a few cases of internal hernia have been successfully diagnosed, however, most cases (74%) were initially diagnosed as intestinal obstructions.

[Primary tumors of the duodenum and the small intestine in our clinical study subjects over a ten-year period].

The authors are evaluating occurrence of primary tumors of duodenum and small intestine during last 10 years (1995-2004) as a retrospective study. 13 patients were operated in this period, three of them are presented as case reports. The main clinical symptoms were bleeding and obstruction, two patients had no symptoms.

Functional outcome after surgical treatment of intramedullary spinal cord tumors: experience with 78 patients.

Objective: To analyze factors with impact on the functional outcome for patients with surgically treated intramedullary spinal cord tumors (IMSCT) and to point out characteristics of the different histological entities.

Setting: Neurosurgical Department, University of Essen, Germany.

Methods: Between 1990 and 2000, a consecutive series of 78 patients were referred to our institution and underwent surgical treatment.