[Acute rectus sheath hematoma (differential diagnosis of acute abdomen)].

The rectus sheath hematoma is a generally rare disease, however the frequency of occurrence has increased with introduction of anticoagulant therapy. It almost always mimics the symptoms of acute abdomen. In 7 out of 14 cases, which we observed, an anticoagulant therapy was administered.

[Early results of valgus osteotomy in treatment of unstable intertrochanteric fractures of the femur (author's transl)].

Unstable intertrochanteric fractures of the femur in aged patients primarily require a full weight-bearing stabilization because of the high vital risk due to immobilization. Valgus osteosynthesis with 160 degrees angled plate fixation and more or less medial displacement of the shaft fragment has produced good clinical results. The very low lethality of only 10% in our patients with an average age of 78.

[Arterial blood supply of the stomach in esophago-gastroplasty with cervical anastomosis].

The supply area of each particular stomach artery was illustrated by the Technovit corrosion technique and X-rays. Despite the extensive skeletonization of the stomach, an adequate blood supply was maintained as a whole, especially the extreme fundus area, solely via the A. gastroepiploica dextra.

[Monitoring of respiratory failure in polytraumatized patients with pulmonary contusion (author's transl)].

In polytraumatized patients, pulmonary contusion complicated by pneumonia is associated with a high risk of fatality. The effects of both contusion and bacterial infection on pulmonary function can be estimated early by measuring the parameters PAPd-PCWP, pulmonary shunt volume and maximal PaO2 following FiO2 = 1.0 for 20 min.

[Long-term observation of pulmonary water and protein extravasation in traumatic-hemorrhagic shock (author's transl)].

Eleven mongrel dogs were observed for 72 h following a standardized traumatic hemorrhagic shock. The decrease of plasma albumin concentration and blood 125-I-albumin activity with a concomitant increase in lung I-albumin content is possibly caused by capillary leakage. A rise in the extravascular lung water content was measured by a gravimetric postmortem method.

Investigation of cardiac glycoside levels in human post mortem blood and tissues determined by a special radioimmunoassay procedure.

Even after the introduction of radioimmunological methods the question of a cardiac glycoside causing or contributing to the death of a patient can not be answered satisfactorily. By means of a special radioimmunoassay procedure for digoxin as well as for the structurally related methyl- and acetylderivatives we measured the concentrations in human blood and post mortem tissues. We investigated the glycoside contents in the blood of intravenously digitalised (Novodigal) al) patients before and after death.

[Extravascular albumin and water content of the lungs in traumatic-hemorrhagic shock].

Fifteen mongrel dogs are subjected to a standardized traumatic hemorrhagic shock. Plasma albumin, measured by J-125-albumin distribution, decreases to 58% of its original level after trauma and hemorrhage. Lung albumin content increases to 53% of the blood level.

[Local gastric fibrinolysis].

Local fibrinolytic activity was studied in normal and hemorrhagic gastric juice and in the gastric wall of men and pigs. This activity was definitely higher in hemorrhagic juice than in normal gastric juice, and its probably released from hemolyzed erythrocytes and mucosal lesions of the gastric wall.

[Management of traumatic pelvic bleedings using embolization].

Massive retroperitoneal bleeding in pelvic trauma is a difficult problem in surgery, and surgical treatment is rarely attempted due to the risk involved. Angiographic embolization in this region is an uncomplicated and effective measure that may be performed without general anesthesia and simultaneous with shock treatment. Four patients with massive traumatic hemorrhage in the pelvic region were successfully treated with embolization.

[Surgical treatment of carcinoma of the oesophagus (author's transl)].

Cervical oesolphagogastrostomy (Kirschner's operation) was performed on 16 patients with carcinoma of the oesophagus. There were five hospital deaths (two due to myocardial infarction). The average hospital stay of the survivals was 22 days.

[Studies of arterial blood flow of the stomach in the application of long-section esophagoplasty].

The individual supply areas of the stomach arteries are clearly shown by the technovit corrosion methods, angiography and measurement of the circulation by radioactive microspheres. All three methods prove that the right gastro-epiploic artery is capable of maintaining an adequate blood supply of the stomach including the critical fundus region.

[Prophylaxis of peritoneal adhesions with streptokinase and streptodornase (Varidase). An experimental study in animals (author's transl)].

Animal experiments on 40 Wistar rats show that intraperitoneal application of Varidase can reduce or prevent the formation of adhesions after intra-abdominal interventions. This effect is interpreted as the sequel to a local increase in fibrinolytic activity which leads to the accelerated breakdown of fibrinous pseudo-membranes. The healing of intestinal sutures appears not to be impaired by Varidase.

[The juvenile bone cyst. Diagnosis, therapy and late results. Report about 60 cases (author's transl)].

60 patients were operated for a solitary bone cyst during a 20 years period. In about 50% the patients were between 8 and 14 years old. The quotient male to female was 2:1.

[Renal sarcoma in neonates (author's transl)].

Unlabelled: Sarcoma of the kidney is rare. Report on a neonate aged 9 days with highly differentiated leiomyosarcoma of the right kidney. Diagnosis certain only histologically.

[Local gastric fibrinolysis activation].

Hemorrhagic gastric juice contains a higher fibrinolytic activity than normal gastric juice. It is liberated from damaged muco and possibly from hemolytic erythrocytes.