Joint Meeting: Special Reprint of the Gynecological Section

129 Pages·1969·4.458 MB·German

by  Josef Zander (auth.), Dr. med. H. Bürkle de la Camp, Dr. F. Linder M. D., F. R. C. S. (Eng. Hon), F. A. C. S. (Hon.), M. Trede, Dr. med. J. Zander (eds.)

American College of Surgeons
Deutsche Gesellschaft fur Chirurgie
Joint Meeting
Munich 1968
Edited by
H. Burkle de la Camp, F. Linder and M. Trede
Assisted by G. Kolig and K. Junghanns
Section on Gynecology edited by J. Zander
Special Reprint
of the
Gynecological Section
With 51 Figures
Springer-Verlag Berlin Heidelberg GmbH 1969
Proceedings oft he Sectional Meeting oft he American College ofS urgeons
z.n Cooperation with the Deutsche Gesellschafl fur Chirurgie
june 26-29, 1968, in Munich
These papers arc reprinted from the full report of the Joint Meeting of the American College of Surgeons
and the Deutsche Gcscllschaft fur Chirurgie, Munich, June 26-29, 1968, and published by Springer-Verlag
Berlin Heidelberg GmbH 1969
ISBN 978-3-662-23068-8 ISBN 978-3-662-25034-1 (eBook)
DOI 10.1007/978-3-662-25034-1
The usc of general descriptive names, trade names, trade marks, etc. in this publication, even if the former arc
not especially identified, is not to be taken as a sign that such names, as understood by the Trade Marks and
Merchandise Marks Act, may accordingly be used freely by anyone
All rights reserved. No part of this book may be translated or reproduced in any form without written per
mission from Springer-Verlag Berlin Heidelberg GmbH.
© by Springer-Verlag Berlin Heidelberg 1969.
Ursprünglich erschienen bei Springer-Verlag 1969
Library of Congress Catalog Card Number 76-92154.
Title No. 1616
Contents
ZANDER, J.: Surgical Treatment of Defects of the Uterovaginal Tract . . . . 509
LEVENTHAL, M. L.: Polycystic Ovarian Disease . . . . . . . . . . . . . 516
MULLIGAN, W. J.: The Role of Fallopian Tubes in Physiology of Conception . 520
HuFFMAN, J. W.: Roentgenographic and Other Techniques in the Diagnosis
of Uterotubal Factors in Sterility and Infertility . . . . . . . . . . . . 522
FIKENTSCHER, R.: Utero-tubal Insufflation and Perfusion . . . . . . . . . 530
PALMER, R.: Restorative Surgery of the Tubes (a study of 600 personal cases). 539
HAMPERL, H.: Histopathology and Biology of Carcinoma in Situ . . . . . . 548
KERN, G.: Early Detection and Cytology of Carcinoma in Situ 555
BEACHAM, W. D., and E. H. LAWSON JR.: Surgical Treatment of Carcinoma in
Situ of the Cervix Uteri . . . . . . . . . . . . . . . . . . . . . . 560
OBER, K. G.: Tendencies of Growth and Spread of Squamous Cell Cancer of
the Cervix ........................... . 574
GusBERG, S. B., and J. RuDOLPH: Individualization of Treatment for Cancer of
the Cervix .................. . 585
PARSONS, L.: Abdominal Operations for Cervical Cancer . . . . . . . . . 592
NAVRATIL, E.: Vaginal Surgery of Cervical Carcinoma ......••.. 600
KXSER, 0., and A. CASTANO Y ALMENDRAL: Evaluation of Different Methods
of Treatment of Cervical Carcinoma . . . . . . . . . . . 606
PRATT, J. H.: Diagnosis of Recurrent Carcinoma of the Cervix. 612
BRICKER, E. M.: Management of Recurrent Cervical Cancer . . 616
III
Introduction, authors and titles of the other papers
presented at this Meeting are listed below.
Introduction
This volume contains some hundred papers read before a Sectional Meeting
of the American College of Surgeons held in conjunction with the German
Surgical Society in Munich from 25th through 29th June 1968. The committee
responsible for the scientific program, headed by WILLIAM P. LoNGMIRE (Los
Angeles) and FRITZ LINDER (Heidelberg) was able to obtain the cooperation of
American and European experts in providing a survey of topical problems
concerning general and special operative medicine. Thus the subjects range
from general surgery with all its specialities, to traumatology and orthopedics,
urology as well as gynecology. The response from our colleagues was most
gratifying: More than 1200 surgeons from 33 nations, two-thirds of them
from the United States and Canada, participated in this international exchange
of information, which was supplemented by a series of panel discussions.
We wish to thank Springer-Verlag, Berlin-Heidelberg-New York for
publishing these proceedings and thereby contributing to a world wide interest
in the improvement of operative therapy. In addition our gratitude has to be
expressed to many members of the Surgical Department of Heidelberg Uni
versity who have given great support and enthusiasm to the preparation of
this volume.
The Editors.
v
Contents
Opening Addresses
BuRKLE DE LA CAMP, H. 1
VossscHULTE, K. 2
NESBIT, R. M ..... . 3
OcHSNER, A.: The Influence of German Surgery on American Surgery 4
LINDER, F.: American-German Relations in Surgery . . . . . . . . 10
Vascular Disease
ScHETrLER, G.: Etiology of Arteriosclerosis. Relationships to Systemic Diseases 16
WENZ, W.: Radiographic Techniques in Diagnosis of Vascular Disease . . . . 22
VoLLMAR, J ., and K. LAUBACH: Management of Chronic Femoropopliteal Artery
Obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
RoB, C.: Indications for and Techniques of Surgical Treatment for Carotid Artery Ste-
nosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
MoRRIS, G. C., ]R., E. S. CRAWFORD, and M. E. DE BAKEY: The Vertebral Artery in
Cerebral Anoxia . . . . . . . . . . . . . . . . . . . . . . . 42
ZUIDEMA, G. D.: The Superior Mesenteric Artery Syndrome . . . . . . . . . . 49
WYLIE, E. J., W. K. EHRENFELD, and R. ]. STONEY: Renal Artery Stenosis . . . . . 53
HEBERER, G., and R. GIESSLER: The Treatment of Abdominal Aortic Aneurysms 61
AusTEN, W. G.: Management of Thoracic Aortic Aneurysms. . . . . . . . . . . 67
Cardiac Surgery
Ross, D. N.: Plastic Homologous and Heterologous Valves 76
GERBODE, F., W. J. KERTH, P. A. SANCHEZ, and G. H. PuRYEAR: Reconstruction and
Replacement of the Mitral Valve . . . . . . . . . . . . . 82
BIGELOW, J. C., and A. STARR: Multiple Valve Replacement . . . 91
MULLER, W. H., JR.: Assisted Circulation and the Artificial Heart 103
BoRST, H. G., and A. ScHAUDIG: Results of Intracardiac Pacing . 109
Shock and Trauma
GoGLER, E.: Statistics of Civilian Trauma . . . . . . . . . . . . . . 113
SHIRES, G. T.: The Current Management of Hypovolemic Shock 123
FucHSIG, P., E. KuTSCHA-LISSBERG, and H. SPANGLER: Abdominal Injury 132
VosssCHULTE, K.: Chest Injury. . . . . . . . . . . 142
ALLGOWER, M.: Rigid Internal Fixation. . . . . . . . . . . . . . . 149
SPENCER, F. C.: Management of Acute Arterial Injuries . . . . . . . . 154
NAHUM, A.M.: Mechanism and Prevention of Design-Related Injuries in Automobile
Collisions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160
VII
Physiology and Surgery of Peptic Ulcer
KAY, A. W. : The Physiology of Duodenal Ulcer with Special Emphasis on Gastric
Acid Secretion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168
GRIFFITH, C. A.: Selective Vagotomy. . . . . . . . . . . . . . . . . . . . . 172
ZuKSCHWERDT, L., and E. FARTHMANN: Treatment of Bleeding Gastric and Duodenal
Ulcers . . . . . . . . . . . . . . . . . . . 181
WELCH, C. E., and J. F. BURKE: High Gastric Ulcers 186
The Pancreas
GROZINGER, K. H.: Management of Acute Hemorrhagic Pancreatitis . . . . . . . 196
PRIESTLEY, J. T., and W. H. RE MINE: Surgical Treatment of Chronic Relapsing Pan-
creatitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 202
LoNGMIRE, W. P., JR., and W. L. BRUCKNER: Periampullary Carcinoma . . . . . . 210
ZENKER, R., H. HAMELMANN, A. GRABIGER, and R. BEDACHT: Diagnosis and Therapy
of Islet-Cell-Tumors . . . . . . . . . . . . . . . . 216
ZoLLINGER, R. M.: Non-Insulin-Secreting Islet Cell Tumors 221
Portal Hypertension
WARREN, W. D.: Hepatic Blood Flow and Portal Hypertension . . . . . . . . . 227
GtiTGEMANN, A.: Selection and Preparation of Patients for Porto-Caval Shunt Opera-
tion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 238
EKMAN, C.-A.: Porto-Caval Shunt and Ascites . . . . . . . . . . . . . . . . . 244
VoORHEES, A. B., JR., J. B. PRICE JR., and R. C. BRITTON: The Late Results of Portacaval
Shunts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 248
Surgery of Infants and Children
GooDWIN, W. E.: Anomalies of the Genitourinary Tract . . 253
REHBEIN, F., and H. HALSBAND: Treatment of Megacolon . . . . . . . . . . . . 269
HENDREN, W. H., and J.D. CRAWFORD: Surgical Treatment of Endocrine Disorders
in Children . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 273
GROB, M.: Abdominal Tumours in Infants . . . . . . . . . . . . . . . . . . . 282
HALLER, J. A., JR., D. 0. MAZUR, and W. W. MoRGAN JR.: Diagnosis and Manage
ment of Mediastinal Masses in Children . . . . . . . . . . . . . . . . . . 289
Plastic and Reconstructive Surgery
LYNCH, J. B.: Reconstruction Following Facial and Thoracic Burns 298
SCHMID, E.: Surgery Following Facial and Thoracic Burns . . . 305
ScHUCHARDT, K.: Late Repair of Facial Injuries . . . . . . . . 310
DINGMAN, R. 0.: The Management of Acute Soft Tissue Injuries of the Face and
Fractures of the Facial Bones . . . . . . . . . . . . 324
PEACOCK, E. E., JR.: Early Management of Injured Hands . . . . . 327
ScHINK, W.: Surgery Following Burns of the Hand . . . . . . . . 336
GEORG, H.: Delayed Primary Suture After Severe Injuries of the Hand 340
BoYES, J. H.: The Basic Principles of Tendon Transfers 347
- Dupuytren's Contracture. The Abductor Minimi Digiti Band . 349
BucK-GRAMCKO, D.: Dupuytren's Contracture . . . . . . . . 352
REIMERS, TH. C.: Plastic Surgery of the Hip Following Trauma 355
VIII
GEORGIADE, N. G., and R. A. MLADICK: Traumatic Injuries of the Groin Including
the Genitalia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 361
PICK.RELL, K., R. MLADICK, L. THOMPSON, and M. KASDAN: Reconstructive Surgery
of the Legs Following Trauma . . . . . . . . . . . . . . . . . . . . . . 370
Operative Treatment of Fractures
MAURER, G., and F. LECHNER: Indications for Conservative and Operative Treat-
ment of Fractures . . . . . . . . . . . . . . . . . . . . . . . . . . . . 377
ScuDERI, C. S.: Discussion . . . . . . . . . . . . . . . . . . . . . . . . 387
REHN, J.: Immediate Surgical Care of Fractures Involving the Socket of the Hip-joint 388
CAVE, E. F.: Discussion . . . . . . . . . . . . . . . . . . . . . . . . . 395
MERLE D'AuBIGNE, R.: Is Prosthesis Treatment of Fresh Femoral Neck Fractures
Justified? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 396
HAMMOND, G.: Discussion . . . . . . . . . . . . . . . . . . . . . . . . 399
MAATZ, R.: Long Term Experience with Internal Nail Fixation of Fractures of the Fe-
mur and Tibia . . . . . . . . . . . . . . . . . . . . . . . . . . 401
MooRE, M., )R.: Discussion . . . . . . . . . . . . . . . . . . . . 405
WILLENEGGER, H.: Prevention and Management of Infection in Osteosynthesis 406
MooRE, M., )R.: Discussion . . . . . . . . . . . . . . . . . . . . 414
WILSON, P. D., )R.: Surgery for Rheumatoid Arthritis of the Lower Extremities 415
HARRISON, E. G., )R., and M. B. CovENTRY: Synovial Tumors: Diagnosis, Treatment,
and Prognosis . . . . . . . . . . . . . . . . . 420
WILSON, J. C., JR.: Injuries of Growth Cartilage . . . . . . . . . . . . 431
PoNSETI, I. V.: The Pathogenesis of Adolescent Scoliosis . . . . . . . . 439
MULLER, M. E.: Intertrochanteric Osteotomy in Arthrosis of the Hip-Joint 440
BAILEY, R. W.: Neurological Complications of Cervical Spine Injuries: Diagnosis and
Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 445
Urologic Injuries
CocKETT, A. T. K., S. A. BROSMAN, and W. E. GooDWIN: Diagnosis of Injuries to the
Kidney: a Review of 125 Cases . . . . . . . . . . . . . . . . . . . . . . 452
LUTZEYER, W.: Conservative Management oflnjuries to the Kidney . . . . . . . . 456
PETERS, P. C., M. 0. PERRY, and H. M. SPENCE: The Operative Management of Renal
Injuries . . . . . . . . . . . . . . . . . . . . . . . . . . . . 462
RoHL, L.: Results Following Conservative Surgery of Injuries to the Kidney 471
RoTH, R. B.: Surgical Injuries to the Ureter . . . . . . . . . . . . . . 474
Renal Stones
BROSIG, W. J.: Etiology of Renal Calculi .... . 479
ScARDINO, P. L.: Diagnosis of Renal Calculus .. . 483
KLOSTERHALFEN, H.: Conservative Treatment of Urinary Stones 488
KERR, W. S., JR.: Surgical Management of Renal Stones . 496
ScHWAIGER, M.: Kidney Stones and Hyperparathyroidism 499
CoPE, 0.: Surgery of the Parathyroids . . . . . . 505
Gynecology
ZANDER, J.: Surgical Treatment of Defects of the Uterovaginal Tract 509
LEVENTHAL, M. L.: Polycystic Ovarian Disease . . . . . . . . . 516
MuLLIGAN, W. J.: The Role of Fallopian Tubes in Physiology of Conception 520
IX
HuFFMAN, J. W.: Roentgenographic and Other Techniques in the Diagnosis of Utero-
tubal Factors in Sterility and Infertility . . . . . . • . . . . . . . 522
FIKENTSCHER, R. : Utero-tubal Insufflation and Perfusion . . . . . . . . 530
PALMER, R.: Restorative Surgery of the Tubes (a study of 600 personal cases) 539
HAMPERL, H. : Histopathology and Biology of Carcinoma in Situ . • . . . 548
KERN, G.: Early Detection and Cytology of Carcinoma in Situ • . . . . . 555
BEACHAM, W. D., and E. H. LAwsoN JR.: Surgical Treatment of Carcinoma in Situ of
the Cervix Uteri . . . . . . . . . . . . . . . . . . . . . . . . . . . . 560
OBER, K. G.: Tendencies of Growth and Spread of Squamous Cell Cancer of the
Cervix. . . • . . . • . . . . . . . . . . • . . . . . . . . . . . . . . 574
GusBERG, S. B., and J. RuDOLPH: Individualization of Treatment for Cancer of the
Cervix . . . . . . . . . • . . . • . . . . . 585
PARSONS, L. : Abdominal Operations for Cervical Cancer . . . . . . . . . . . . . 592
NAVRATIL, E.: Vaginal Surgery of Cervical Carcinoma . . . . . . . . . . . . . 600
KXSER, 0., and A. CASTANO Y ALMENDRAL: Evaluation of Different Methods of
Treatment of Cervical Carcinoma . . . . . . . . . . . 606
PRATT, J. H. : Diagnosis of Recurrent Carcinoma of the Cervix 612
BRICKER, E. M. : Management of Recurrent Cervical Cancer . 616
X
List of Participants
ALKEN, C. E., Professor Dr. med., Director of the Urological University Hospital and
Medical School of the University at Homburg/Saar
ALLGOWER, M., M. D., F. A. C. S., Professor and Chairman of the Department of Surgery,
University of Basel, Switzerland
AusTEN, W. G., M.D., F. A. C. S., Professor of Surgery, Harvard Medical School, Boston
BAILEY, R. W., M.D., F. A. C. S., Professor of Surgery, Section of Orthopaedic Surgery,
University of Michigan School of Medicine, Ann Arbor
BAUER, K. H., Professor Emeritus of Surgery, Delegate of the Board of Trustees, German
Cancer Research Institute, Heidelberg
BEACHAM, W. D., M. D., F. A. C. S., Professor of Clinical Obstetrics and Gynecology,
Tulane University School of Medicine, New Orleans
BISCHOFF, P., Dr., Professor of Urology and Chief, Department of Urology, St. Elizabeth
Hospital and Children's Hospital of Hochallee, Hamburg
BLOCKER, T. G., JR., M.D., F. A. C. S., Professor of Surgery and Dean, University of Texas
Medical Branch, Galveston
BoRST, H.-G., M. D., Professor of Surgery and Director, Surgical University Hospital,
Hannover
BoYES, J. H., M. D., F. A. C. S., Clinical Professor of Surgery, University of Southern
California School of Medicine, Los Angeles
BRAMANN, C. voN, Dr. med., Specialist in Surgery, Berlin
BREWER, J. I., M.D., F. A. C. S., Professor of Obstetrics and Gynecology, Northwestern
University Medical School, Chicago
BRICKER, E. M., M. D., F. A. C. S., Professor of Clinical Surgery, Washington University
School of Medicine, St. Louis
BROSIG, W. J., Dr., Professor of Urology and Director, Urological University Clinic, Free
University School of Medicine, Berlin
BucK-GRAMCKO, D., Dr. med., Chief, Department of Hand Surgery, Traumatology Hos
pital, Hamburg-Betgedorf
BuRKLE DE LA CAMP, H., Dr. med., Professor of Surgery and Secretary of the German
Surgical Society, Dottingen
CAVE, E. F., M.D., F. A. C. S., Consulting Visiting Orthopaedic Surgeon, Massachusetts
General Hospital, Boston
CocKETT, A. T. K., M. D., F. A. C. S., Associate Professor of Surgery/Urology, Harbor
· General Hospital, Torrance, California
CoPE, 0., M.D., F. A. C. S., Professor of Surgery, Harvard Medical School and Visiting
Surgeon, Massachusetts General Hospital, Boston
CuLP, D. A., M.D., F. A. C. S., Professor of Urology, State University of Iowa College of
Medicine, Iowa City
D'AUBIGNE, R. MERLE, Prof. M.D., F. A. C. S. (Hon.), Professor of Orthopaedic Surgery,
University of Paris
DETERLING, R. A., JR., M.D., F. A. C. S., Professor and Chairman, Department of Surgery,
Tufts University School of Medicine, Boston
DINGMAN, R. 0., M. D., F. A. C. S., Professor of Surgery and Head, Section of Plastic
Surgery, University of Michigan School of Medicine, Ann Arbor
XI