[Primary immediate coverage of decubitus ulcers by musculocutaneous flaps and gentamicin PMMA beads].

Myo- or fasciocutaneous flaps for coverage of longstanding pressure sores in para- or quadriplegic patients have been proved superior to cutaneous flaps. Pretreatment with ulcer-debridement and systemic antibiotics for urinary-tract-infection and septicaemia was thought to be necessary for successful closure of these difficult defects. In a prospective, clinical trial 17 patients with 20 pressure sores were treated this way during 1980-1983.

[Stapler suture or single button suture? A controlled clinical study on the comparison of both skin closure methods].

In a controlled randomized clinical trial, skin closure with a skin-stapling technique was compared with interrupted sutures on 50 patients (26 sutured and 24 stapled). The two groups were similar in all important respects. The clinical side of the study was to compare 1) the cosmetic results, 2) the time taken to close the skin, and 3) advantages and disadvantages of the two techniques by a questionnaire completed by the clinical staff.

[Results of multiple surgical therapy in pronounced acne conglobata].

Acne conglobata - hidradenitis suppurativa - as a particular form of acne vulgaris is, in its pronounced, chronic progressive form, incontrollable by conservative means. Smaller foci of infection need only a local excision of skin and subcutis followed by primary wound closure or secondary healing. When large areas are involved, a generous excision including removal of the fistula system is followed by a 1-3 week intermediary phase with hydrotherapy and antiseptic local treatment.

[Occlusion of chronic decubitus ulcers by musculocutaneous gluteus maximus flaps].

Early coverage of long-standing pressure sores in patients with paraplegia, multiple sclerosis and prolonged immobilisation due to fractures of the lower extremities should be performed in order to avoid further bone destruction and septic complications. Musculocutaneous flaps offer several advantages in covering infected soft tissue defects and proved to be superior to cutaneous flaps. Surgical repair of pressure sores requires a prospective selection of available musculocutaneous flaps.

[Histamine level and histamine metabolism of the human liver in biliary tract diseases].

In a control group (n = 12) the histamine content of the liver was 1.42 microgram/g tissue and the activity of the histamine-degradating enzyme, HMT, 421.5 pmol/(min .