2006 - UZ Leuven

More documents

Recommendations

Info

infection. Complete wound healing was achieved after 4 to 8 weeks,depending on the “take” of the skin grafts. Secondary skin graftingwas necessary in two patients, while revision of the donor site wasnecessary in two patients. From an aesthetic point of view, fourpatients complained about the appearance of the retroauricular skinisland. After removal of the skin island 6 months after the initialoperation, all patients judged the result as good or acceptable.Besides the free omentum flap, the free latissimus dorsi transfer is theonly option for cover of subtotal or total scalp defects. Compared tothe omentum flap, the latissimus dorsi offers more tissue, has lessdonor site morbidity, and secondary surgery such as cranial bonereconstruction is possible. Contrary to most authors, our preferreddonor vessels are maxillary artery and the external jugular vein. Toavoid any vascular compression, we use a myocutaneous flap. Theskin island must be removed secondarily. In patients where no bonereconstruction is possible or planned, the de-epithelialized skin paddlecan be used for correction of a contour defect.HIERNER R. WILHELM K.: Callotaxis lengthening of the capitate afterresection of the lunate for the treatment of stage III lunate necrosis – a10 year follow-up. J. Hand Surg., 2006; 31B: 35.Background: In order to reduce the risk of iatrogenic devascularizationof the capitate in the conventional GRANER-II technique, thecallotaxis lengthening techique of ILIZAROV has been used aftercapitate osteotomy between the middle and distal third of the capitate.Patients and methods: Since november 1993 the callotaxislengthening technique has been used to gradually lengthen thecapitate after resection of the lunate in stage IIIa NECROSIS in 23patients.Results: Results of 10 patients with a follow-up of more than five yearsshowed rapid and sufficient callus formation in every patientregardless of age.Conclusion: The callotaxis lengthening modification of the Graner-IIoperation provides all advantages, and avoids the major inconvenientof the traditional Graner-II-operation. There was no increased rate ofdisturbed fracture healing. Results of the DTPA-Gadullinium MRIstudydid not show any significant impairment of vascularization withinthe region of the capitate bone. With the "intrinsic bone formation",contrary to every other intercarpal arthrodesis at the wrist, there is noneed of an additional bone graft.86
MASSAGE P., VANDENHOF B., VRANCKX J.J.: Full face resurfacing of3rd degree burns with artificial dermis: barriers & opportunities. J.Plast. Reconstr. & Aesth. Surg., 2006; 59: S7.The face is a visiting card for every individual human being, playing amajor role in his social and professional life. Scar formation in theface, its prevention and its reconstructive treatment has always been amajor concern for all surgeons. In this search for solutions cliniciansand research team up. At the extreme of the scope of facial scarring isthe deep dermal complete facial burn. We show the results obtainedwith a tissue engineered skin substitute in 2 immediate and 2 latemajor facial reconstructions. These results encourage the furthersearch for the ideal skin substitute and raise questions about the ideaof considering facial transplantation for treatment of facial burnsequellae.PEETERS W., HIERNER R., NIJS S., VAN DENKERCKHOVE E.: Cost ofreplantation injuries at the hand: replantation versus stump providing.J. Hand Surg., 2006. 31B: 53.Background: With increasing financial pressure in the health caresector the question arises if the costs of replantation do outweight thebenefit ?Patients and Methods: The financial costs for reconstruction andstump providing are calculated and compaired in case of a: 1) singlelong finger amputation, 2) thumb amputation, and 3) multiple fingeramputation involving the thumb. Financial costs are calculated for a 25year old and a 50 year old manual worker.Criterias for calculation are:medical costs (for primary and secondary surgery), costs for unfit ofwork, and costs for disability.Results: Costs of single finger replantation for a 25 year old manualworker are equal for reconstruction and primary amputation. From apure financial point of view reconstruction of a subtotal or total singlefinger amputation in a 50 year old manual worker is not justified. Forthumb amputation in a 25 year old manual worker, there is a cleardifference in costs in favour reconstruction, thus justifyingreplantation/revascularization in every case possible and reasonable.From a pure financial point of view reconstruction of a subtotal or totalthumb amputation even in a 50 year old manual worker is justified. Inmultiple finger amputation there is a clear difference in cost in favourof reconstruction for the 25 and 50 year old manual worker.Conclusion: From a pure financial point of view all replantations arejustified except for the single long finger replantation in a 50 year oldmanual worker. Although in each group the major part of costs iscreated by costs for disability, there is no worldwide accepted87
Page 1:
CYRURGIE2006
Page 4 and 5:
Heelmeesters allerhande, verenig u!
Page 7:
INHOUDSOPGAVEAbdominale Heelkunde 1
Page 10 and 11:
De resultaten van een grote Noord-A
Page 12 and 13:
VEGF (P = 0.008) correlate with a p
Page 14 and 15:
severe ulcerative ileitis and jejun
Page 16 and 17:
tekens op CT en/of MRI kunnen een b
Page 18 and 19:
data we propose a scoring system in
Page 20 and 21:
ABDOMINALETRANSPLANTATIECHIRURGIECA
Page 22 and 23:
DYCKMANS K., LERUT E., GILLARD P.,
Page 24 and 25:
LERUT J., ORLANDO G., ADAM R., SABB
Page 26 and 27:
histopathologic diagnostic process.
Page 28 and 29:
additional stimulants that the inna
Page 30 and 31:
ARTIKELS UIT HETLEUVENSE NETCREVITS
Page 32 and 33:
PRUYT M., DEVRIENDT D., VANNESTE A.
Page 34 and 35:
BOSHOFF D., BUDTS W., MERTENS L., E
Page 36 and 37:
FLAMENG W., MEURIS B., HERIJGERS P.
Page 38 and 39:
prosthetic valve endocarditis who w
Page 40 and 41:
in these patients We present a case
Page 42 and 43:
SERCA2a. In SKO mice, gene-targeted
Page 44 and 45: MULTIDISCIPLINAIRBORSTCENTRUMMORALE
Page 46 and 47: east implant. Only two other cases
Page 48 and 49: Object: Based on data from primate
Page 50 and 51: SISCOM hyperperfusion cluster and M
Page 52 and 53: ONCOLOGISCHEHEELKUNDEBROUNS F., SCH
Page 54 and 55: infiltrative multilobular spindle c
Page 56 and 57: multivariable Cox model adjusted fo
Page 58 and 59: We retrospectively evaluated a surg
Page 60 and 61: We performed resection arthroplasty
Page 62 and 63: earing posterior-stabilised. To do
Page 64 and 65: age and key pinch strength. The dif
Page 66 and 67: FABRY K., LAMMENS J., DELHEY P., ST
Page 68 and 69: cases. The mean Knee Society’s kn
Page 70 and 71: short-term solution for his fractur
Page 72 and 73: the foot and result in major septic
Page 75 and 76: SAEGEMAN V., LISMONT D., VERDUYCKT
Page 77 and 78: Objective: The objective of this st
Page 79 and 80: VICTOR J., BELLEMANS J.: Physiologi
Page 81 and 82: skin construct displays authentic f
Page 83 and 84: Bewertung des Spenderdefektes ergab
Page 85 and 86: HIERNER R., BERGER A.: Options and
Page 87 and 88: vascularized ulnar nerve graft and
Page 89 and 90: cranial bone and dura which cannot
Page 91 and 92: defects.Adequate debridement, early
Page 93: Patients and Methods: Between 1995
Page 97 and 98: Background: High pressure injuries
Page 99 and 100: VERMEULEN P., DICKENS S., VRANCKX J
Page 101 and 102: inhibitors that neutralize the impa
Page 103 and 104: internship. These components repres
Page 105 and 106: Objective: To evaluate the expressi
Page 107 and 108: patients were diagnosed with acute
Page 109 and 110: Conclusions: This study demonstrate
Page 111 and 112: progressive accumulation of FVIII a
Page 113 and 114: his name to this condition through
Page 115 and 116: gevallen, beschouwen wij de minimaa
Page 117 and 118: Table 1Reperfusion time(min)PVR(dyn
Page 119 and 120: transplantation; dehiscence (n = 25
Page 121 and 122: upon reperfusion results from a red
Page 123 and 124: VAN DE WAUWER C., VAN RAEMDONCK D.E
Page 125 and 126: Bronchiolitis obliterans syndrome (
Page 127 and 128: noodzakelijk een beter inzicht te v
Page 129 and 130: patients of 70 years and older trea
Page 131 and 132: of debate. A good pain relief can b
Page 133 and 134: VAN GESTEL L., NIJS S., BROOS P.: T
Page 135 and 136: UROLOGIEALBERSEN M., JONIAU S., VAN
Page 137 and 138: children achieve bladder and bowel
Page 139 and 140: Results: Ninety-five percent of the
Page 141 and 142: esistant to degradation, but at 365
Page 143 and 144: Results: Although the surgery was m
Page 145 and 146:
DE RIDDER D.: Conservatieve aanpak
Page 147 and 148:
pressures were measured. The effect
Page 149 and 150:
GOEMAN L., JONIAU S., OYEN R., VAN
Page 151 and 152:
pelvic lymph node status were not w
Page 153 and 154:
literature on nephron-sparing surge
Page 155 and 156:
on overall survival was studied. Su
Page 157 and 158:
materials, although it was architec
Page 159 and 160:
Material und Methoden: Von 13 Zentr
Page 161 and 162:
a remarkable higher number of forei
Page 163 and 164:
VAN CALSTEREN K., VAN MENSEL K., JO
Page 165 and 166:
VANDE WALLE J.G.J., BOGAERT G.A., M
Page 167 and 168:
Introduction & Objectives: Control
Page 169 and 170:
VAATHEELKUNDEBLADT O., MALEUX G., H
Page 171 and 172:
FOURNEAU I., SABBE T., DAENENS K.,
Page 173 and 174:
computed tomography (CT) and magnet
Page 175 and 176:
We report an unusual case of a uret
Page 177:
during GPIb stimulation, its activa
show all

2006 - UZ Leuven

Create successful ePaper yourself

Delete template?

Save as template?