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    1. Medicin
    2. Kirurgi
    3. Allmänkirurgi

    Vagotomy and Pyloroplasty

    Advances 1975–1980

    AvF. Holle,G.E. Holle

    Häftad, Engelska, 1980

    1 118 kr

    Beställningsvara. Skickas inom 10-15 vardagar. Fri frakt över 249 kr.

    Beskrivning

    The preceding monograph: ''Vagotomy - latest advances", Springer-Verlag, 1974 ed. by F. Holle and S. Andersson reported an innovation in surgery: the so-called "selective proximal vago­ tomy (spv) with pyloroplasty (pypl)". The usefulness of the method was put to the test in cases of peptic ulcer disease and in dog experiments. No claim was made - as some reviewers erroneously supposed - that the method was a comprehensive presentation of the surgery of peptic ulcer disease or even that it offered a patent solution to this subject Instead, it should be regarded as the initial step towards this goal. The clinical results obtained during the years 1964-74 encouraged us to pursue this line of approach with a view of reaching a stomachpreserving or non-resective method in peptic ulcer surgery and to test the appli­ cability of the method to other benign disorders of the stomach. After 16 years of testing and experience with over 2000 cases S (Dec. 1t. 1979) of selective proximal vagotomy with pyloroplasty, supplemented by advanced studies on the pathophysiology of the method, an additional volume is now proposed: "Vagotomy and Pyloroplasty, advances 1975-1980", Springer-Verlag 1980. This subsequent volume deals primarily with improvements and findings made during the last 5 years. It also refers to important questions concerning the practical performance of the method which arose from congresses and discussions in this field. These are: 1. Definition, efficiency and effects of the model: spv + pypl. 2.

    Produktinformation

    • Utgivningsdatum:1980-11-01
    • Mått:170 x 244 x 10 mm
    • Vikt:296 g
    • Format:Häftad
    • Språk:Engelska
    • Antal sidor:146
    • Förlag:Springer-Verlag Berlin and Heidelberg GmbH & Co. KG
    • ISBN:9783540100836

    Utforska kategorier

    • Allmänkirurgi inom Medicin

    Innehållsförteckning

    • Contents1.- A: Introduction.- I. Mechanical Versus Functional Surgery.- II. The Beginning of Functional Surgery for Peptic Ulcer.- III. Early Observations on a Functional Method of Surgical Treatment for Peptic Ulcer.- IV. Establishment of Theoretical Model of a Non-resective Method.- B: Patho-physiological Background.- I. Definition and Efficiency of the Model.- II. Effects of the Model.- C: Prerequisites and Technique of Adequate SPV (= a-SPV).- I. Prerequisites for an a-SPV.- II. Functional Considerations Regarding Indication and Choice of Procedure.- III. Standard Technique of Adequate SPV (a-SPV).- D: The Why? and How? of Drainage Within the Non-resective Method.- I. The Deficiencies of a-SPV.- II. The Importance of the Antro-pyloric Canal.- III. Functional Measurement of the Motility of the Stomach as a Whole (Especially Functional Scintigraphy).- IV. The Meaning of Pyloroplasty appropriate to Form and Function (ff-pypl) and its Standard Techniques.- E: Results: Short Review of Experiences with the Non-resective Method in 2072 Cases.- I Clinical and Experimental Examinations on the Efficiency of a ff-Pyloroplasty.- II Effect of Different Pyloroplasties on Functional Results.- III Clinical Results of the Munich Series Compared to Other Studies.- IV Summary of Present Non-resective Surgery for Primary Peptic Ulcer.- F: Indication, Application and Results of the Method in Cases Other Than Primary Peptic Ulcer.- I. Complicated Ulcer.- II. Achalasia, Hiatal Hernia and other Indications.- III. Appendix.- References.