Stoffwechseluntersuchungen bei ultraradikalen Operationen

Heller, L

doi:10.1007/bf01547192

Cited by 2 publications

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“…These surgical procedures can heal about 30% of the women who would otherwise have died inevitably within a short time from their disease (1-5). As a rule, these women must receive complete parenteral nutrition for some time; this must be followed by partial parenteral nutrition over a longer period (6,7). Today, these patients hardly ever die from blood losses, surgical shock or anesthesia, but from biochemical effects.…”

Section: Ultraradical Surgerymentioning

confidence: 99%

Parenteral nutrition in obstetries and gynecology

Heller¹

1977

Current Concepts in Parenteral Nutrition

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In gynaecology the problems of parenteral nutrition have become increasingly important, especially in view of the advanced methods of radical surgery and the intensification of radiotherapy. Furthermore, more older patients in a poor state of health also undergo major surgery. In many of these patients food cannot be given by the oral route or can ~nly be given inadequately. If this situation continues for any significant period, parenteral nutrition will be necessary. In gynaecology, long-term complete parenteral nutrition is seldom necessary; short-term complete parenteral nutrition, however, is required more often. Especially in ultraradical surgical procedures, an adequate metabolic control -and this means in many cases parenteral nutrition -is certainly necessary and decisive for therapeutic success.In the Department of Obstetrics and Gynaecology at the University of Frankfurt/Main, about 4.500 women receive clinical treatment every year. On the average, about 150 to 200 of these women receive parenteral nutrition for short or long periods. INDICATIONSComplete parenteral nutrition becomes necessary in almost every case of radical and ultraradical surgery in gynaecology. After ultraradical operations and frequently also second-look operations, short-term or long-term parenteral nutrition is one of the most essential conditions for any success. After radical operations for cancer of the cervix uteri, we generally give short-term parenteral nutrition for four or five days. If, however, complications such as infections, ileus or renal failure occur, complete parenteral nutritioh becomes necessary for a longer period. Further indications for total parenteral nutrition in gynaecology are cancerous cachexia, patients undergoing chemotherapy and anorexia nervosa.In obstetrics, parenteral nutrition is seldom indicated. It becomes necessary in cases of severe eclampsia with acute renal failure, in cases of septic

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Section: Ultraradical Surgerymentioning

confidence: 99%

Parenteral nutrition in obstetries and gynecology

Heller¹

1977

Current Concepts in Parenteral Nutrition

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“…During the routine gynecologic opera tions, nitrogen losses amount to 5-15 g/day (8). In the ultraradical operations, however, nitrogen losses up to 32 g/day are observed (7). These excessive nitro gen losses must be corrected as early as possible after the operation or at least be kept within tolerable limits.…”

Section: Ultraradical Surgerymentioning

confidence: 99%

“…These operations can heal about 30 % of the women who would otherwise inevitably have died within a short time from their disease (2,3,14,15). As a rule, these women must be nourished completely parenterally for some time and following this they must be partially parenterally nourished over a longer period (7,8). Today these patients hardly ever die from blood losses, surgical shock or anesthesia, but rather from biochemical death (6 -8 ) (table II).…”

Section: Ultraradical Surgerymentioning

confidence: 99%

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Survey of the Value of Complete Parenteral Nutrition in Obstetrics and Gynecology

Heller¹

1976

Ann Nutr Metab

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Stoffwechseluntersuchungen bei ultraradikalen Operationen

Cited by 2 publications

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Parenteral nutrition in obstetries and gynecology

Parenteral nutrition in obstetries and gynecology

Survey of the Value of Complete Parenteral Nutrition in Obstetrics and Gynecology

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