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DerChirurg.60670940.eng.abstr
DerChirurg.60670940.eng.abstr
[ { "id": "DerChirurg.60670940.eng.abstr-passage-0", "type": "abstract", "text": [ "Hemorrhoidal disease is the most common pathophysiologic abnormality in the anus in the western civilized world . Sixty years after publication of the method in The Lancet , hemorrhoidectomy according to Milligan and Morgan and modifications of their method are still considered the standard procedure in cases of advanced hemorrhoidal disease . During the last 5 years , 107 patients underwent hemorrhoidectomy in the Department of Surgery at the University of Cologne . In most of these patients , the operation followed Milligan and Morgan's method . There were 69 males and 38 females with a mean age of 47.9 years . Mean length of hospital stay was 4.5 days . We saw one case of postoperative bleeding that required operative review . The patients ' risk profile ( age , concomitant diseases , ASA classification ) did not influence the length of the hospital stay . Operative hemorrhoidectomy according to Milligan and Morgan allows a short stay in hospital according to the individual needs of the patient , with a high degree of safety concerning possible postoperative complications ." ], "offsets": [ [ 0, 1093 ] ] } ]
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[]
[]
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"DerChirurg.60670940.eng.abstr-s9-r6-t2.1-t1.1", "type": "uses", "arg1_id": "DerChirurg.60670940.eng.abstr-s9-t2", "arg2_id": "DerChirurg.60670940.eng.abstr-s9-t1", "normalized": [] } ]
DerChirurg.60670944.eng.abstr
DerChirurg.60670944.eng.abstr
[ { "id": "DerChirurg.60670944.eng.abstr-passage-0", "type": "abstract", "text": [ "Right hemihepatectomy is an anatomically based major resection technique for primary and metastatic liver cancer . The most dangerous step in the procedure is to mobilize the right liver lobe from the retroperitoneum and the inferior vena cava . Large tumors or those with extension to the diaphragm , adrenal gland , or kidney may be more easily resected if a frontal approach to dividing the liver is followed . After dissection of the hilus , the liver is divided and during this step all vessels draining to the vena cava are separated . Then , the right liver lobe is mobilized together with surrounding structures if necessary , but with no significant risk of bleeding . Our experience in four patients operated on for metastases or different primary tumors demonstrates that this frontal approach may be safely used and allows minimal manipulation of the tumor . Intraoperative ultrasound may be helpful in the detection of the middle and right hepatic vein ." ], "offsets": [ [ 0, 967 ] ] } ]
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"type": "umlsterm", "text": [ "liver cancer" ], "offsets": [ [ 100, 112 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0345904" } ] }, { "id": "DerChirurg.60670944.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "procedure" ], "offsets": [ [ 146, 155 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.60670944.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "right" ], "offsets": [ [ 175, 180 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035621" } ] }, { "id": "DerChirurg.60670944.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "liver" ], "offsets": [ [ 181, 186 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0345904" }, { "db_name": "UMLS", "db_id": "C0023884" } ] }, { "id": "DerChirurg.60670944.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "retroperitoneum" ], "offsets": [ [ 201, 216 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035359" } ] }, { "id": "DerChirurg.60670944.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "cava" ], "offsets": [ [ 239, 243 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0521083" } ] }, { "id": "DerChirurg.60670944.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "vena cava" ], "offsets": [ [ 234, 243 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042460" } ] }, { "id": "DerChirurg.60670944.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "inferior vena cava" ], "offsets": [ [ 225, 243 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042458" } ] }, { "id": "DerChirurg.60670944.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "tumors" ], "offsets": [ [ 252, 258 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.60670944.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "diaphragm" ], "offsets": [ [ 290, 299 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042241" }, { "db_name": "UMLS", "db_id": "C0011980" } ] }, { "id": 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"db_name": "UMLS", "db_id": "C0023884" } ] }, { "id": "DerChirurg.60670944.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "vessels" ], "offsets": [ [ 492, 499 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005847" }, { "db_name": "UMLS", "db_id": "C0148346" } ] }, { "id": "DerChirurg.60670944.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "cava" ], "offsets": [ [ 521, 525 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0521083" } ] }, { "id": "DerChirurg.60670944.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "vena cava" ], "offsets": [ [ 516, 525 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042460" } ] }, { "id": "DerChirurg.60670944.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "right" ], "offsets": [ [ 553, 558 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035621" } ] }, { "id": "DerChirurg.60670944.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "liver" ], "offsets": [ [ 559, 564 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0345904" }, { "db_name": "UMLS", "db_id": "C0023884" } ] }, { "id": "DerChirurg.60670944.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "risk" ], "offsets": [ [ 659, 663 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035647" } ] }, { "id": "DerChirurg.60670944.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "risk of" ], "offsets": [ [ 659, 666 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035647" } ] }, { "id": "DerChirurg.60670944.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 701, 709 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.60670944.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "metastases" ], "offsets": [ [ 726, 736 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027627" } ] }, { "id": "DerChirurg.60670944.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "tumors" ], "offsets": [ [ 758, 764 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": 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[]
[]
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DerChirurg.60670949.eng.abstr
DerChirurg.60670949.eng.abstr
[ { "id": "DerChirurg.60670949.eng.abstr-passage-0", "type": "abstract", "text": [ "A mini-laparotomy as described by Hasson was used in a modified way in 1000 laparoscopic procedures . In comparison with the insertion of a Veress needle we find the open approach to be a safer and quicker way of obtaining pneumoperitoneum ." ], "offsets": [ [ 0, 241 ] ] } ]
[ { "id": "DerChirurg.60670949.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "mini-laparotomy" ], "offsets": [ [ 2, 17 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023038" } ] }, { "id": "DerChirurg.60670949.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "procedures" ], "offsets": [ [ 89, 99 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.60670949.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "needle" ], "offsets": [ [ 147, 153 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027551" } ] }, { "id": "DerChirurg.60670949.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "open" ], "offsets": [ [ 166, 170 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0266061" } ] } ]
[]
[]
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DerChirurg.60670952.eng.abstr
DerChirurg.60670952.eng.abstr
[ { "id": "DerChirurg.60670952.eng.abstr-passage-0", "type": "abstract", "text": [ "The essential limitations of laparoscopic procedures - lack of palpation , problematic retrieval of specimen and anastomosis , etc. - are abolished by the hand of the surgeon , which is inserted into the peritoneal cavity through a mini-laparotomy . While holding the pneumoperitoneum , the hand acts as an intelligent instrument performing surgical exploration , exposition of the field of operation , blunt dissection or intracorporal knot-tying . The mini-laparotomy is used to insert conventional instruments and suture material , as well as for specimen retrieval and anastomosis . Our preliminary experience ( 3 x splenectomy , 2 x sigmoid colectomy , 1 x anterior resection of rectum , 1 x proctocolectomy with J-pouch ) shows that even extensive laparoscopic operations are accomplished much more simply . The time spent for such procedures is markedly reduced ." ], "offsets": [ [ 0, 870 ] ] } ]
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[]
[]
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DerChirurg.60670959.eng.abstr
DerChirurg.60670959.eng.abstr
[ { "id": "DerChirurg.60670959.eng.abstr-passage-0", "type": "abstract", "text": [ "Carcinomas of the bronchi often infiltrate veins , particularly in advanced stages . Tumor propagation in pulmonary veins with intra-atrial extension has been reported . Systemic arterial tumor embolism is a potentially fatal hazard that is caused by surgery or it can be the initial manifestation of a bronchogenic carcinoma . The importance of early pulmonary venous ligation in lung cancer surgery , first stressed by Aylwin in 1951 , is evident , particularly when intravenous tumor progression has been diagnosed preoperatively by echocardiography or CT scan . We report a case of lethal hemispheric brain infarction following tumor embolism during lobectomy for bronchus carcinoma . A review of the literature on this subject is presented ; there were 38 cases of arterial tumor embolism because of primary lung neoplasms ." ], "offsets": [ [ 0, 829 ] ] } ]
[ { "id": "DerChirurg.60670959.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Carcinomas" ], "offsets": [ [ 0, 10 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007097" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "bronchi" ], "offsets": [ [ 18, 25 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006255" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "veins" ], "offsets": [ [ 43, 48 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042449" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "stages" ], "offsets": [ [ 76, 82 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027646" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "Tumor" ], "offsets": [ [ 85, 90 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "veins" ], "offsets": [ [ 116, 121 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042449" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "pulmonary veins" ], "offsets": [ [ 106, 121 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034090" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 188, 193 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "embolism" ], "offsets": [ [ 194, 202 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013922" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 251, 258 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "carcinoma" ], "offsets": [ [ 316, 325 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007097" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "tumor embolism" ], "offsets": [ [ 188, 202 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013930" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "bronchogenic carcinoma" ], "offsets": [ [ 303, 325 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007121" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "ligation" ], "offsets": [ [ 369, 377 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023690" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "lung" ], "offsets": [ [ 381, 385 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024109" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "cancer" ], "offsets": [ [ 386, 392 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 393, 400 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 481, 486 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "lung cancer" ], "offsets": [ [ 381, 392 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0242379" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "CT scan" ], "offsets": [ [ 556, 563 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040405" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "brain" ], "offsets": [ [ 605, 610 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0153633" }, { "db_name": "UMLS", "db_id": "C0006104" }, { "db_name": "UMLS", "db_id": "C0496899" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "infarction" ], "offsets": [ [ 611, 621 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021308" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 632, 637 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "embolism" ], "offsets": [ [ 638, 646 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013922" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "bronchus" ], "offsets": [ [ 668, 676 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006255" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "carcinoma" ], "offsets": [ [ 677, 686 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007097" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s5-t7", "type": "umlsterm", "text": [ "brain infarction" ], "offsets": [ [ 605, 621 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0751955" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s5-t8", "type": "umlsterm", "text": [ "tumor embolism" ], "offsets": [ [ 632, 646 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013930" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s5-t9", "type": "umlsterm", "text": [ "bronchus carcinoma" ], "offsets": [ [ 668, 686 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007121" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "review" ], "offsets": [ [ 691, 697 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0282443" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "literature" ], "offsets": [ [ 705, 715 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023866" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 779, 784 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "embolism" ], "offsets": [ [ 785, 793 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013922" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "lung" ], "offsets": [ [ 813, 817 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024109" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s6-t6", "type": "umlsterm", "text": [ "neoplasms" ], "offsets": [ [ 818, 827 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" }, { "db_name": "UMLS", "db_id": "C0036210" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s6-t7", "type": "umlsterm", "text": [ "tumor embolism" ], "offsets": [ [ 779, 793 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013930" } ] }, { "id": "DerChirurg.60670959.eng.abstr-s6-t8", "type": "umlsterm", "text": [ "lung neoplasms" ], "offsets": [ [ 813, 827 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024121" } ] } ]
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DerChirurg.60670980.eng.abstr
DerChirurg.60670980.eng.abstr
[ { "id": "DerChirurg.60670980.eng.abstr-passage-0", "type": "abstract", "text": [ "None of the human gene transfer studies to date has shown definitive proof of clinical efficacy , despite more than 100 clinical protocols involving nearly 600 patients . In spite of the lack of positive results , tremendous hope permeates the field , biotechnology companies are getting started and raising millions of dollars from venture capital , and patients all over the world are agreeing to enroll in protocols involving this technology . Critics of the field claim that gene therapy has been overemphasized by researchers in academia , government and industry and by the scientific and popular media . Supporters of the field argue that the state of gene therapy is no different than other experimental therapies in its early stages . During the early stages of chemotherapy , agents were tested on hundreds of patients , often with a similar level of hope and no clinical effects . Despite the many controversies , one issue is shared by both groups : all of them recognize the tremendous potential of this technology to have an impact on human disease and share hope for long-term results ." ], "offsets": [ [ 0, 1101 ] ] } ]
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[]
[]
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DerChirurg.60670984.eng.abstr
DerChirurg.60670984.eng.abstr
[ { "id": "DerChirurg.60670984.eng.abstr-passage-0", "type": "abstract", "text": [ "The clinical course of 12 patients with mushroom poisoning was evaluated in order to define the parameters considered to be relevant to the indication for liver transplantation . Eight patients recovered under conservative therapy ; one patient died due to pre-existing , concomitant cardiopulmonary disease . In three patients transplantations had to be performed because of severe liver failure . On admission , the transplanted patients had a decreased Quick's test score and factor V value ( 10 % ) . The peak of liver enzymes , serum bilirubin , serum creatinine , partial thromboplastin time and azotemia were not of any prognostic value . Main indications for liver transplantation were a very low initial Quick's test score and factor V value ( both 10 % ) and their inadequate response under substitution therapy . The development of encephalopathy and renal failure were further parameters indicating poor prognosis ." ], "offsets": [ [ 0, 927 ] ] } ]
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"C0029216" }, { "db_name": "UMLS", "db_id": "C0040732" }, { "db_name": "UMLS", "db_id": "C0040733" } ] }, { "id": "DerChirurg.60670984.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "mushroom poisoning" ], "offsets": [ [ 40, 58 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026865" } ] }, { "id": "DerChirurg.60670984.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "liver transplantation" ], "offsets": [ [ 155, 176 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023911" } ] }, { "id": "DerChirurg.60670984.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 185, 193 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.60670984.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 223, 230 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.60670984.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 237, 244 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.60670984.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 300, 307 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.60670984.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "patient died" ], "offsets": [ [ 237, 249 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011065" } ] }, { "id": "DerChirurg.60670984.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "cardiopulmonary disease" ], "offsets": [ [ 284, 307 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034072" } ] }, { "id": "DerChirurg.60670984.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 319, 327 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.60670984.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "transplantations" ], "offsets": [ [ 328, 344 ] ], "normalized": [ { 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], "offsets": [ [ 464, 468 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0076174" } ] }, { "id": "DerChirurg.60670984.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "value" ], "offsets": [ [ 488, 493 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042295" } ] }, { "id": "DerChirurg.60670984.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "factor V" ], "offsets": [ [ 479, 487 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015498" } ] }, { "id": "DerChirurg.60670984.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "liver" ], "offsets": [ [ 517, 522 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0345904" }, { "db_name": "UMLS", "db_id": "C0023884" } ] }, { "id": "DerChirurg.60670984.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "enzymes" ], "offsets": [ [ 523, 530 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0014442" }, { "db_name": "UMLS", "db_id": "C0014445" } ] }, { "id": "DerChirurg.60670984.eng.abstr-s5-t3", "type": "umlsterm", "text": [ 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[]
[]
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DerChirurg.60671002.eng.abstr
DerChirurg.60671002.eng.abstr
[ { "id": "DerChirurg.60671002.eng.abstr-passage-0", "type": "abstract", "text": [ "Sinde the introduction of the bladder drainage technique , the number of pancreas transplants performed has now reached 1000/year worldwide . Most of these transplants have been performed in the United States . In contrast , the number of pancreas transplants performed in the Eurotransplant community has remained at a low level for several years . The results of a consecutive series of 20 simultaneous pancreas/kidney grafts ( SPK ) performed between June 1994 and October 1995 demonstrate that high graft function rates of 83.5 % for pancreas and kidney grafts can be achieved . Therefore SPK can be recommended as a standard procedure for patients with insulin-dependent diabetes mellitus and end-stage renal disease in Germany , too ." ], "offsets": [ [ 0, 740 ] ] } ]
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"db_name": "UMLS", "db_id": "C0040733" } ] }, { "id": "DerChirurg.60671002.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "pancreas transplants" ], "offsets": [ [ 73, 93 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030275" } ] }, { "id": "DerChirurg.60671002.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "transplants" ], "offsets": [ [ 156, 167 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0332835" }, { "db_name": "UMLS", "db_id": "C0040733" } ] }, { "id": "DerChirurg.60671002.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "United States" ], "offsets": [ [ 195, 208 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041703" } ] }, { "id": "DerChirurg.60671002.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "contrast" ], "offsets": [ [ 214, 222 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0110625" } ] }, { "id": "DerChirurg.60671002.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "pancreas" ], "offsets": [ [ 239, 247 ] ], "normalized": [ { "db_name": "UMLS", 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[]
[]
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DerChirurg.60671007.eng.abstr
DerChirurg.60671007.eng.abstr
[ { "id": "DerChirurg.60671007.eng.abstr-passage-0", "type": "abstract", "text": [ "In 96 patients ( ductal pancreatic carcinoma , n = 34 ; periampullary carcinoma , n = 43 ; chronic pancreatitis , n = 19 ) the role of CA 19-9 in the diagnosis of lesions of the head of the pancreas were evaluated . The sensitivity for ductal pancreatic carcinoma was 73.3 % , for periampullary carcinoma 48.8 % , and specificity was 63.2 % . Carcinoembryonic antigen was elevated only in every fifth patient . Even when combining the two tumor markers no increase in sensitivity could be observed . The low specificity of 63 % , which decreased to 33 % in the case of obstructive jaundice , does not allow adequate preoperative differentiation between cancer patients and those with chronic pancreatitis . In cases of postoperatively elevated CA 19-9 level the prognosis is worse than in patients with normal tumor markers ." ], "offsets": [ [ 0, 825 ] ] } ]
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} ] }, { "id": "DerChirurg.60671007.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "sensitivity" ], "offsets": [ [ 220, 231 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036667" } ] }, { "id": "DerChirurg.60671007.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "pancreatic" ], "offsets": [ [ 243, 253 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0070016" } ] }, { "id": "DerChirurg.60671007.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "carcinoma" ], "offsets": [ [ 254, 263 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007097" } ] }, { "id": "DerChirurg.60671007.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "carcinoma" ], "offsets": [ [ 295, 304 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007097" } ] }, { "id": "DerChirurg.60671007.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "specificity" ], "offsets": [ [ 318, 329 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037791" } ] }, { "id": "DerChirurg.60671007.eng.abstr-s3-t1", "type": 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"normalized": [ { "db_name": "UMLS", "db_id": "C0036667" } ] }, { "id": "DerChirurg.60671007.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "tumor markers" ], "offsets": [ [ 439, 452 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041365" } ] }, { "id": "DerChirurg.60671007.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "specificity" ], "offsets": [ [ 508, 519 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0037791" } ] }, { "id": "DerChirurg.60671007.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "jaundice" ], "offsets": [ [ 581, 589 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022346" } ] }, { "id": "DerChirurg.60671007.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "cancer" ], "offsets": [ [ 653, 659 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.60671007.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 660, 668 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": 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"arg2_id": "DerChirurg.60671007.eng.abstr-s6-t4", "normalized": [] } ]
DerChirurg.60671012.eng.abstr
DerChirurg.60671012.eng.abstr
[ { "id": "DerChirurg.60671012.eng.abstr-passage-0", "type": "abstract", "text": [ "We report on three female patients with solid pseudopapillary tumors of the pancreas . The histogenetic origin of this entity is still unclear . The tumor , usually occurring in young women , forms large masses ( up to 10 cm in diameter ) before becoming symptomatic . Metastases have very rarely been reported . In contrast to other pancreatic tumors , the main pancreatic duct was displaced , but of normal caliber without stenosis , in all our patients . Despite the large size of the tumors , they were curatively resected in all three cases . Two of the tumors infiltrated the parenchyma or adipose tissue of the pancreas but did not spread into the lymph nodes or other organs . All of the patients are alive and without signs of tumor recurrence up to 8 years after surgical resection ." ], "offsets": [ [ 0, 793 ] ] } ]
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], "offsets": [ [ 334, 344 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0070016" } ] }, { "id": "DerChirurg.60671012.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "tumors" ], "offsets": [ [ 345, 351 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.60671012.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "pancreatic" ], "offsets": [ [ 363, 373 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0070016" } ] }, { "id": "DerChirurg.60671012.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "stenosis" ], "offsets": [ [ 425, 433 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009814" } ] }, { "id": "DerChirurg.60671012.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "all" ], "offsets": [ [ 439, 442 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023449" } ] }, { "id": "DerChirurg.60671012.eng.abstr-s5-t7", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 447, 455 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.60671012.eng.abstr-s5-t8", "type": "umlsterm", "text": [ "pancreatic duct" ], "offsets": [ [ 363, 378 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030288" } ] }, { "id": "DerChirurg.60671012.eng.abstr-s5-t9", "type": "umlsterm", "text": [ "main pancreatic duct" ], "offsets": [ [ 358, 378 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0447557" } ] }, { "id": "DerChirurg.60671012.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "tumors" ], "offsets": [ [ 488, 494 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.60671012.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "tumors" ], "offsets": [ [ 559, 565 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.60671012.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "tissue" ], "offsets": [ [ 604, 610 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerChirurg.60671012.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "pancreas" ], "offsets": [ [ 618, 626 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0346647" }, { "db_name": "UMLS", "db_id": "C0030274" } ] }, { "id": "DerChirurg.60671012.eng.abstr-s7-t4", "type": "umlsterm", "text": [ "lymph" ], "offsets": [ [ 655, 660 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024202" } ] }, { "id": "DerChirurg.60671012.eng.abstr-s7-t5", "type": "umlsterm", "text": [ "adipose tissue" ], "offsets": [ [ 596, 610 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001527" } ] }, { "id": "DerChirurg.60671012.eng.abstr-s7-t6", "type": "umlsterm", "text": [ "lymph nodes" ], "offsets": [ [ 655, 666 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024204" } ] }, { "id": "DerChirurg.60671012.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "All" ], "offsets": [ [ 685, 688 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023449" } ] }, { "id": "DerChirurg.60671012.eng.abstr-s8-t2", "type": "umlsterm", "text": [ 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DerChirurg.60671016.eng.abstr
DerChirurg.60671016.eng.abstr
[ { "id": "DerChirurg.60671016.eng.abstr-passage-0", "type": "abstract", "text": [ "Osteomyelofibrosis is a myeloproliferative disorder in which fibrosis and sclerosis finally lead to bone marrow obliteration . Liver and spleen compensate for bone marrow loss with extramedullary hematopoesis . In some patients the resulting splenomegaly causes severe symptoms such as local compression , thrombocytopenia and hemolytic anemia . In such patients , splenectomy is the only promising treatment , although it represents a significant risk ." ], "offsets": [ [ 0, 454 ] ] } ]
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[]
[]
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DerChirurg.60671020.eng.abstr
DerChirurg.60671020.eng.abstr
[ { "id": "DerChirurg.60671020.eng.abstr-passage-0", "type": "abstract", "text": [ "The reappearance of incisional hernias after reconstruction depends on the size and tension of the hernia . An additional risk factor is the number of operations that have been performed before . There are two decisive factors that influence the rate of recurrence : the operation technique and the tension applied . To reach a functional reconstruction the incisional hernia must be closed and the abdominal wall must be joined together in an anatomical way . The technique used must be able to tolerate the tension which is necessary to close the abdominal wall . Application of arbitrary tension produces a high rate of recurrence , irrespective of the kind of reconstruction used . Through the intraoperative measurement of the tension applied one can match each hernia ( according to size , value and tension ) to the most suitable technique . Here the inlay/onlay technique tolerates the highest tension , up to 3.5 kp . With this method and a maximum tension of 3.5 kp we achieved a complete functional reconstruction in 65 % of cases and our rate of recurrence amounted to 2.3 % ." ], "offsets": [ [ 0, 1088 ] ] } ]
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[]
[]
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DerChirurg.60671028.eng.abstr
DerChirurg.60671028.eng.abstr
[ { "id": "DerChirurg.60671028.eng.abstr-passage-0", "type": "abstract", "text": [ "In a retrospective study on 245 patients we evaluated the results of 272 incisional hernia repairs in the Department Surgery of the University Hospital Aachen . The group consisted of 58 % male and 42 % female patients with a mean age of 61.1 years and 111 primary and 161 recurrent incisional hernias . Conventional techniques ( simple closure , Mayo ) and alloplastic repairs were performed in 69.9 and 30.1 % , respectively . During the last 4 years we predominantly used the preperitoneal mesh repair with polypropylene mesh ( Marlex ) . The results of 87 % of our group of patients were evaluated by questionnaire and information from the family physicians ( mean follow-up period 64 months ) . The patients who underwent preperitoneal mesh repair were examined clinically and with ultrasound . In comparison to the results of conventional hernia repair , early complications ( seroma , hematoma ) were higher . The recurrence rate , however , was significantly lower in this group with mesh repair ( 6.8 % ) than in patients without alloplastic augmentation ( 32.6 % ) . Whereas preperitoneal mesh repair is convincingly the ideal surgical technique , optimization of the alloplastic materials by reduction of the amount of foreign substance and improvement of elasticity and biocompatibility is mandatory ." ], "offsets": [ [ 0, 1313 ] ] } ]
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DerChirurg.60671036.eng.abstr
DerChirurg.60671036.eng.abstr
[ { "id": "DerChirurg.60671036.eng.abstr-passage-0", "type": "abstract", "text": [ "In a prospective study , from June 1992 to February 1994 94 patients with 100 hernias were treated laparoscopically ( TAPP ) and from March 1993 to November 1994 100 patients with 108 hernias were treated with a Lichtenstein patch . Concerning duration of operation , postoperative outcome , complications and return to work , only minor differences were noted . Because of the more demanding and difficult technique , all TAPP procedures were performed by one surgeon , whereas all 11 surgeons of the department performed the Lichtenstein procedure without any learning curve , which demonstrates the simplicity of the procedure . A higher recurrence rate was found for the TAPP procedure ( 8 vs 0 ) , however the learning curve has to be considered . The Lichtenstein operation is easy to learn and perform , safe , efficient , cheaper ( 750 DM ) and therefore superior to the TAPP procedure . A planned randomized study was cancelled ; laparoscopic hernia repair is no longer carried out in our department ." ], "offsets": [ [ 0, 1010 ] ] } ]
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[]
[]
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"normalized": [] }, { "id": "DerChirurg.60671036.eng.abstr-s5-r10-t2.1-t2.2", "type": "associated_with", "arg1_id": "DerChirurg.60671036.eng.abstr-s6-t2", "arg2_id": "DerChirurg.60671036.eng.abstr-s5-t2", "normalized": [] }, { "id": "DerChirurg.60671036.eng.abstr-s5-r11-t2.1-t1.2", "type": "associated_with", "arg1_id": "DerChirurg.60671036.eng.abstr-s6-t2", "arg2_id": "DerChirurg.60671036.eng.abstr-s5-t1", "normalized": [] }, { "id": "DerChirurg.60671036.eng.abstr-s5-r12-t1.2-t2.1", "type": "associated_with", "arg1_id": "DerChirurg.60671036.eng.abstr-s5-t1", "arg2_id": "DerChirurg.60671036.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.60671036.eng.abstr-s5-r13-t1.2-t1.1", "type": "associated_with", "arg1_id": "DerChirurg.60671036.eng.abstr-s5-t1", "arg2_id": "DerChirurg.60671036.eng.abstr-s6-t1", "normalized": [] }, { "id": "DerChirurg.60671036.eng.abstr-s5-r14-t4.1-t2.2", "type": "affects", "arg1_id": "DerChirurg.60671036.eng.abstr-s5-t4", "arg2_id": "DerChirurg.60671036.eng.abstr-s5-t2", "normalized": [] }, { "id": "DerChirurg.60671036.eng.abstr-s5-r15-t4.1-t3.2", "type": "diagnoses", "arg1_id": "DerChirurg.60671036.eng.abstr-s5-t4", "arg2_id": "DerChirurg.60671036.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.60671036.eng.abstr-s5-r16-t2.2-t2.1", "type": "associated_with", "arg1_id": "DerChirurg.60671036.eng.abstr-s5-t2", "arg2_id": "DerChirurg.60671036.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.60671036.eng.abstr-s5-r17-t1.1-t4.1", "type": "uses", "arg1_id": "DerChirurg.60671036.eng.abstr-s6-t1", "arg2_id": "DerChirurg.60671036.eng.abstr-s5-t4", "normalized": [] }, { "id": "DerChirurg.60671036.eng.abstr-s5-r18-t2.2-t1.1", "type": "associated_with", "arg1_id": "DerChirurg.60671036.eng.abstr-s5-t2", "arg2_id": "DerChirurg.60671036.eng.abstr-s6-t1", "normalized": [] }, { "id": "DerChirurg.60671036.eng.abstr-s5-r19-t4.1-t1.2", "type": "affects", "arg1_id": "DerChirurg.60671036.eng.abstr-s5-t4", "arg2_id": "DerChirurg.60671036.eng.abstr-s5-t1", "normalized": [] }, { "id": "DerChirurg.60671036.eng.abstr-s5-r20-t5.1-t1.1", "type": "conceptual_part_of", "arg1_id": "DerChirurg.60671036.eng.abstr-s5-t5", "arg2_id": "DerChirurg.60671036.eng.abstr-s6-t1", "normalized": [] }, { "id": "DerChirurg.60671036.eng.abstr-s5-r21-t4.1-t1.2", "type": "diagnoses", "arg1_id": "DerChirurg.60671036.eng.abstr-s5-t4", "arg2_id": "DerChirurg.60671036.eng.abstr-s5-t1", "normalized": [] }, { "id": "DerChirurg.60671036.eng.abstr-s5-r22-t3.2-t2.1", "type": "associated_with", "arg1_id": "DerChirurg.60671036.eng.abstr-s5-t3", "arg2_id": "DerChirurg.60671036.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.60671036.eng.abstr-s6-r1-t1.1-t2.1", "type": "result_of", "arg1_id": "DerChirurg.60671036.eng.abstr-s6-t1", "arg2_id": "DerChirurg.60671036.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.60671036.eng.abstr-s6-r2-t2.1-t1.1", "type": "result_of", "arg1_id": "DerChirurg.60671036.eng.abstr-s6-t2", "arg2_id": "DerChirurg.60671036.eng.abstr-s6-t1", "normalized": [] } ]
DerChirurg.60671047.eng.abstr
DerChirurg.60671047.eng.abstr
[ { "id": "DerChirurg.60671047.eng.abstr-passage-0", "type": "abstract", "text": [ "A possible intraoperative complication of laparoscopic cholecystectomy is opening of the gallbladder with subsequent loss of gallstones . We report on a 61-year-old woman who was hospitalised with an obscure subhepatic tumor . Intraoperatively an abscess was found that had been caused by lost gallstones following after laparoscopic cholecystectomy 3 years previously . There is a low incidence of late abscesses caused by loss of gallstones , but because of the long latency and unspecific symptoms there may be problems in diagnosis . Taking into consideration possible complications caused by intraoperative loss of gallstones , all concrements should be retrieved , even though there is no indication for changing to an open procedure ." ], "offsets": [ [ 0, 741 ] ] } ]
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[]
[]
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DerChirurg.60671053.eng.abstr
DerChirurg.60671053.eng.abstr
[ { "id": "DerChirurg.60671053.eng.abstr-passage-0", "type": "abstract", "text": [ "Rudolf Nissen was born in Neisse , Schlesien , 9 September 1896. From 1921 to 1933 he was the favorite pupil of Ferdinand Sauerbruch in Munich and Berlin . 1930 he became professor of surgery at the Charité . The assumption of power by the Nazi-regime forced Nissen to resign his position and end his career in Germany . He took over the surgical chair in Istanbul , Turkey . Emigrating in 1939 to the USA , he held surgical positions in hospitals at New York and accepted in 1952 the chair of Surgery at the University of Basel , Switzerland . Nissen died in Riehen/Basel on 22 January 1981. Nissen was a critical observant clinician , an efficient and popular physician , a teacher and a speaker . Of historical significance are pioneering works in thoracic surgery , the first successful pneumectomy in man , the classical works about the treatment of gastro-oesophageal reflux disease and hiatus hernia . The Nissen-Rossetti type of fundoplication has remained the standard procedure in Europe and the USA ." ], "offsets": [ [ 0, 1011 ] ] } ]
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[]
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DerChirurg.60671063.eng.abstr
DerChirurg.60671063.eng.abstr
[ { "id": "DerChirurg.60671063.eng.abstr-passage-0", "type": "abstract", "text": [ "Lower leg fractures with an osseous defect can be treated effectively with the callus distraction technique by Bier-Ilizarov . Because osteocytes are cultivated at the site of the defect , a real biological system is working - in contrast to other methods . Especially in lower leg fractures with a denuded tibia , the technique of primary shortening to cover the soft-tissue defect with subsequent compensatory lengthening by callus distraction is valuable . This technique does not need special hospitals but skillful surgeons . A closed surgeon-patient relation ship is required because most treatments are done on an outpatient basis . The cosmetic and functional results are good ." ], "offsets": [ [ 0, 686 ] ] } ]
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[]
[]
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DerChirurg.60671069.eng.abstr
DerChirurg.60671069.eng.abstr
[ { "id": "DerChirurg.60671069.eng.abstr-passage-0", "type": "abstract", "text": [ "A treatment protocol is demonstrated , consisting of an osteotomy , either proximal or distal , of the bone defect with subsequent segmental transport via an anteromedially ( tibia ) or laterally ( femur ) mounted AO external fixation over an unreamed interlocking nail ( monorail system ) . Twenty patients were treated by this method with indications as follows : 13 had a segmental bone defect of the tibia , 3 of the femur . Three patients showed post-traumatic and postinfectious leg-length discrepancies and one was treated for hypertrophic non-union of the femur . Defect distance varied between 5 and 18.5 cm and average time for transport was 19,42 days/cm for the tibial shaft , 15,93 days/cm for the femur . Two patients developed deep infection , which required change of treatment , removing the monorail system and application of an Ilizarov apparatus . Despite complications using the monorail system , all patients healed and no amputations were required . The monorail system can be used as an alternative to the Ilizarov method under certain criteria of patient selection ; these criteria are shown by an algorithm for segmental bone defects without infection , respecting the soft-tissue status with or without neurovascular compromise ." ], "offsets": [ [ 0, 1256 ] ] } ]
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[]
[]
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DerChirurg.60671080.eng.abstr
DerChirurg.60671080.eng.abstr
[ { "id": "DerChirurg.60671080.eng.abstr-passage-0", "type": "abstract", "text": [ "Sequential radical debridement and early soft-tissue reconstruction have considerably decreased the amputation rate , length of hospital stay , chronic osteitis , the rehabilitation period and secondary reconstructive procedures in lower leg injuries . The introduction of distraction osteotomy and \" biologic osteosynthesis procedures \" have led to shorter and safer osteoplastic methods . The indication , tactics and technical pitfalls of current interdisciplinary treatment options requiring modifications in soft-tissue coverage are presented ." ], "offsets": [ [ 0, 549 ] ] } ]
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[]
[]
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DerChirurg.60671087.eng.abstr
DerChirurg.60671087.eng.abstr
[ { "id": "DerChirurg.60671087.eng.abstr-passage-0", "type": "abstract", "text": [ "Different bone substitutes exist for reconstruction of segmental tibial bone defects . The choice of bone substitute is limited by the quality of the surrounding tissue and the size of the bone defect . Especially in large bone defects , the freely or microvascularly transferred autogenic graft should be preferred . Allogenic transplants or artificial bone substitutes , such as spongy calcium phosphate materials , are suitable only for implantation in smaller , well-vascularized bone defects or as an additional procedure in large bone defects . In infected cases , allogenic and artificial , especially slowly resorbable implants , have to be avoided . The prerequisite for defect reconstruction is stable internal fixation ." ], "offsets": [ [ 0, 731 ] ] } ]
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[]
[]
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"interacts_with", "arg1_id": "DerChirurg.60671087.eng.abstr-s4-t6", "arg2_id": "DerChirurg.60671087.eng.abstr-s4-t4", "normalized": [] } ]
DerChirurg.60671093.eng.abstr
DerChirurg.60671093.eng.abstr
[ { "id": "DerChirurg.60671093.eng.abstr-passage-0", "type": "abstract", "text": [ "In the last two decades our understanding of the pathophysiology of severe head injury has significantly increased . It has become evident that secondary neuronal damage may occur and should be prevented . It is ischemia , similar to that seen with stroke and aneurysmal subarachnoid hemorrhage , that causes secondary brain damage . Therefore , careful monitoring of blood pressure is indicated , and the treatment of arterial hypotension/hypertension should begin as soon as possible . Moreover , there are some new pharmacological concepts for changing the threshold for ischemia in brain tissue . At the present time , however , valid data concerning clinical use are still not available . Therefore , mild hyperventilation and sedation during the initial post-traumatic phase and lowering of intracranial pressure by osmotherapeutics remain the most important treatment modalities , as they were 20 years ago ." ], "offsets": [ [ 0, 915 ] ] } ]
[ { "id": "DerChirurg.60671093.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "understanding" ], "offsets": [ [ 28, 41 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0162340" } ] }, { "id": "DerChirurg.60671093.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "pathophysiology" ], "offsets": [ [ 49, 64 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031847" } ] }, { "id": "DerChirurg.60671093.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "head" ], "offsets": [ [ 75, 79 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018670" } ] }, { "id": "DerChirurg.60671093.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "injury" ], "offsets": [ [ 80, 86 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.60671093.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "head injury" ], "offsets": [ [ 75, 86 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018674" } ] }, { "id": "DerChirurg.60671093.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "secondary" ], "offsets": [ [ 144, 153 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027627" }, { "db_name": "UMLS", "db_id": "C0036525" } ] }, { "id": "DerChirurg.60671093.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "ischemia" ], "offsets": [ [ 212, 220 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022116" } ] }, { "id": "DerChirurg.60671093.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "stroke" ], "offsets": [ [ 249, 255 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038454" } ] }, { "id": "DerChirurg.60671093.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "hemorrhage" ], "offsets": [ [ 284, 294 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019080" } ] }, { "id": "DerChirurg.60671093.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "secondary" ], "offsets": [ [ 309, 318 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027627" }, { "db_name": "UMLS", "db_id": "C0036525" } ] 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[]
[]
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"type": "measurement_of", "arg1_id": "DerChirurg.60671093.eng.abstr-s7-t2", "arg2_id": "DerChirurg.60671093.eng.abstr-s7-t3", "normalized": [] }, { "id": "DerChirurg.60671093.eng.abstr-s7-r8-t1.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.60671093.eng.abstr-s7-t1", "arg2_id": "DerChirurg.60671093.eng.abstr-s7-t3", "normalized": [] } ]
DerChirurg.60671098.eng.abstr
DerChirurg.60671098.eng.abstr
[ { "id": "DerChirurg.60671098.eng.abstr-passage-0", "type": "abstract", "text": [ "The basis for aggressive treatment of patients with severe head injuries is swift and efficient diagnostic management of trauma victims . The best imaging modality for the detection of relevant intracranial injuries is cranial computed tomography . The use of CT is also justified from an economic point of view . CT is supported by plain X-ray and for special purposes by Doppler sonography , digital subtraction angiography and magnetic resonance imaging . Further indications of imaging procedures are the evaluation of the time course of intracranial injuries , treatment monitoring and the detection of secondary complications ." ], "offsets": [ [ 0, 633 ] ] } ]
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{ "id": "DerChirurg.60671098.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "trauma" ], "offsets": [ [ 121, 127 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerChirurg.60671098.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "head injuries" ], "offsets": [ [ 59, 72 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018674" } ] }, { "id": "DerChirurg.60671098.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "imaging" ], "offsets": [ [ 147, 154 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011923" } ] }, { "id": "DerChirurg.60671098.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "injuries" ], "offsets": [ [ 207, 215 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.60671098.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "tomography" ], "offsets": [ [ 236, 246 ] ], "normalized": [ { "db_name": "UMLS", "db_id": 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[]
[]
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DerChirurg.60671107.eng.abstr
DerChirurg.60671107.eng.abstr
[ { "id": "DerChirurg.60671107.eng.abstr-passage-0", "type": "abstract", "text": [ "Head traumas frequently occur in polytrauma patients but are also found as isolated injuries . In our hospital trauma center without a neurosurgical department , in a 21-month period , 489 patients with head/brain trauma were treated . This represents 6.5 % of all patients treated in the trauma and reconstructive surgery clinic . In commotio cerebri ( CC = 89.5 % of the patients ) constant conservative management and an uneventful course were observed ; in 69 patients with contusio cerebri , 18 craniotomy operations had to be performed . In contrast , in only two cases was reoperation because of recurrent hematoma necessary . In four cases with complex and/or additional injuries , transfer to a neurosurgical center took place , and in two cases photophone consultation with that center was used . The mortality was 14.5 % . The diagnostic and therapeutic regimens for the different types of injury and the requirements for the management of head/brain trauma in trauma centers without neurosurgical departments are presented : emergency service and medical staff , emergency room management , intensive care management , qualified neurological examination , X-ray imaging , including CT scan , OP-room equipment and trained surgeons . If these requirements are not available in a given hospital , early transfer of all patients for whom surgical management could be necessary to a neurosurgical department should be attempted . Only in patients with severe bleeding must immediate craniotomy be performed even in hospitals which do not have all the above mentioned facilities . In patients with intracerebral bleeding , bleeding in the dorsal fossa , injury of brain nerves , carotid artery or sinus cavernosus injuries , frontobasal injuries with liquor fistula or pneumonencephalon , transfer of the patients to specialized neurosurgical centers is indicated . With this selection , we obtained the same results in a trauma center without a neurosurgical department as reported in the literature . This avoids overloading neurosurgical centers with head/brain injury patients ." ], "offsets": [ [ 0, 2089 ] ] } ]
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DerChirurg.60671129.eng.abstr
DerChirurg.60671129.eng.abstr
[ { "id": "DerChirurg.60671129.eng.abstr-passage-0", "type": "abstract", "text": [ "Open reduction and internal fixation of intra-articular calcaneus fractures have been increasingly emphasized in recent years . Operation of most of these fractures is via an extended lateral approach . Different implants are used to stabilize the often complex fractures . We have developed a low contact plate that is specially designed for calcaneal fractures . Because the design is based on the anatomy of the calcaneus , all types of fractures can be treated . The plate has a large number of holes to accommodate screw fixation . Our results in 36 cases were comparable to those of other series using open reduction and internal fixation with plates and the demands on the plate were fulfilled ." ], "offsets": [ [ 0, 702 ] ] } ]
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[]
[]
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DerChirurg.60671135.eng.abstr
DerChirurg.60671135.eng.abstr
[ { "id": "DerChirurg.60671135.eng.abstr-passage-0", "type": "abstract", "text": [ "Between June 1993 and September 1995 , 18 distal femoral fractures were treated using the supracondylar intramedullary nail . There were 8 type A fractures and 10 type C fractures ( AO classification ) . The operative technique involved retrograde insertion of an unreamed supracondylar nail through the intercondylar notch . Follow-up was available on all patients and averaged 18.3 months ( range 6-32 months ) . All fractures healed with an average time to union of 12.4 weeks ( range 8-16 weeks ) . Bone grafting was not necessary in any case . Sixteen patients achieved almost the same ROM as they had had before the injury . One patient developed a varus malignment and underwent correction with a supracondylar osteotomy 20 months post trauma . There were no infections or nonunions . The retrograde supracondylar nail is an excellent alternative to plate osteosynthesis in the management of dia- and supracondylar femoral fractures ." ], "offsets": [ [ 0, 941 ] ] } ]
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}, { "db_name": "UMLS", "db_id": "C0040733" } ] }, { "id": "DerChirurg.60671135.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "Bone grafting" ], "offsets": [ [ 503, 516 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005976" } ] }, { "id": "DerChirurg.60671135.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 557, 565 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.60671135.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "injury" ], "offsets": [ [ 622, 628 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.60671135.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 635, 642 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.60671135.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "osteotomy" ], "offsets": [ [ 718, 727 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029468" } ] }, { "id": "DerChirurg.60671135.eng.abstr-s8-t3", "type": "umlsterm", "text": [ "trauma" ], "offsets": [ [ 743, 749 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerChirurg.60671135.eng.abstr-s9-t1", "type": "umlsterm", "text": [ "infections" ], "offsets": [ [ 766, 776 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021311" } ] }, { "id": "DerChirurg.60671135.eng.abstr-s10-t1", "type": "umlsterm", "text": [ "nail" ], "offsets": [ [ 821, 825 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027342" } ] }, { "id": "DerChirurg.60671135.eng.abstr-s10-t2", "type": "umlsterm", "text": [ "plate" ], "offsets": [ [ 857, 862 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005971" } ] }, { "id": "DerChirurg.60671135.eng.abstr-s10-t3", "type": "umlsterm", "text": [ "fractures" ], "offsets": [ [ 930, 939 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016658" } ] }, { "id": "DerChirurg.60671135.eng.abstr-s10-t4", "type": "umlsterm", "text": [ "femoral fractures" ], "offsets": [ [ 922, 939 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015802" } ] } ]
[]
[]
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DerChirurg.60671141.eng.abstr
DerChirurg.60671141.eng.abstr
[ { "id": "DerChirurg.60671141.eng.abstr-passage-0", "type": "abstract", "text": [ "From January 1987 to March 1994 three hospitals in the city of Magdeburg treated a total of 103 subcutaneous Achilles tendon ruptures operatively . We created a special score to compare the outcome of the different operation techniques used . Important aspects of the follow-up examination were isokinetic measuring of power and staying power by means of a KIN-TREX dynamic measuring device and the clinical check-up in comparison with the histological results and the patients ' history . Degeneration could only be proved histologically in 38,8 % of the cases . The average score of all OP methods applied was 767 of possible 1000 points . The adaptation suture ( 781 points ) , Silfverskiold's technique ( 772 points ) and the fibrin adhesive technique ( 754 points ) showed approximately the same results . The theory that all of the ruptures have a histological degeneration background seems to be wrong . Isokinetic measuring can be very helpful in preparing a postoperative regimen to find the optimum load ." ], "offsets": [ [ 0, 1015 ] ] } ]
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[]
[]
[ { "id": "DerChirurg.60671141.eng.abstr-s1-r1-t3.1-t4.1", "type": "developmental_form_of", "arg1_id": "DerChirurg.60671141.eng.abstr-s6-t3", "arg2_id": "DerChirurg.60671141.eng.abstr-s6-t4", "normalized": [] }, { "id": "DerChirurg.60671141.eng.abstr-s1-r2-t4.1-t3.1", "type": "surrounds", "arg1_id": "DerChirurg.60671141.eng.abstr-s6-t4", "arg2_id": "DerChirurg.60671141.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.60671141.eng.abstr-s3-r1-t5.2-t5.1", "type": "issue_in", "arg1_id": "DerChirurg.60671141.eng.abstr-s3-t5", "arg2_id": "DerChirurg.60671141.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.60671141.eng.abstr-s3-r2-t3.1-t5.2", "type": "uses", "arg1_id": "DerChirurg.60671141.eng.abstr-s6-t3", "arg2_id": "DerChirurg.60671141.eng.abstr-s3-t5", "normalized": [] }, { "id": "DerChirurg.60671141.eng.abstr-s3-r3-t3.2-t5.1", "type": "issue_in", "arg1_id": "DerChirurg.60671141.eng.abstr-s6-t3", "arg2_id": "DerChirurg.60671141.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.60671141.eng.abstr-s3-r4-t2.1-t5.1", "type": "issue_in", "arg1_id": "DerChirurg.60671141.eng.abstr-s6-t2", "arg2_id": "DerChirurg.60671141.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.60671141.eng.abstr-s3-r5-t1.1-t5.1", "type": "issue_in", "arg1_id": "DerChirurg.60671141.eng.abstr-s8-t1", "arg2_id": "DerChirurg.60671141.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.60671141.eng.abstr-s3-r6-t3.1-t5.1", "type": "issue_in", "arg1_id": "DerChirurg.60671141.eng.abstr-s6-t3", "arg2_id": "DerChirurg.60671141.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.60671141.eng.abstr-s6-r1-t1.1-t3.2", "type": "produces", "arg1_id": "DerChirurg.60671141.eng.abstr-s8-t1", "arg2_id": "DerChirurg.60671141.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.60671141.eng.abstr-s6-r2-t3.2-t1.1", "type": "affects", "arg1_id": "DerChirurg.60671141.eng.abstr-s6-t3", "arg2_id": "DerChirurg.60671141.eng.abstr-s8-t1", "normalized": [] }, { "id": "DerChirurg.60671141.eng.abstr-s6-r3-t5.1-t3.2", "type": "interacts_with", "arg1_id": "DerChirurg.60671141.eng.abstr-s6-t5", "arg2_id": "DerChirurg.60671141.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.60671141.eng.abstr-s6-r4-t2.1-t5.1", "type": "interacts_with", "arg1_id": "DerChirurg.60671141.eng.abstr-s6-t2", "arg2_id": "DerChirurg.60671141.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.60671141.eng.abstr-s6-r5-t2.1-t3.2", "type": "interacts_with", "arg1_id": "DerChirurg.60671141.eng.abstr-s6-t2", "arg2_id": "DerChirurg.60671141.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.60671141.eng.abstr-s6-r6-t1.1-t2.1", "type": "produces", "arg1_id": "DerChirurg.60671141.eng.abstr-s8-t1", "arg2_id": "DerChirurg.60671141.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.60671141.eng.abstr-s6-r7-t3.2-t5.1", "type": "interacts_with", "arg1_id": "DerChirurg.60671141.eng.abstr-s6-t3", "arg2_id": "DerChirurg.60671141.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.60671141.eng.abstr-s6-r8-t5.1-t1.1", "type": "affects", "arg1_id": "DerChirurg.60671141.eng.abstr-s6-t5", "arg2_id": "DerChirurg.60671141.eng.abstr-s8-t1", "normalized": [] }, { "id": "DerChirurg.60671141.eng.abstr-s6-r9-t5.1-t2.1", "type": "interacts_with", "arg1_id": "DerChirurg.60671141.eng.abstr-s6-t5", "arg2_id": "DerChirurg.60671141.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.60671141.eng.abstr-s6-r10-t3.2-t2.1", "type": "interacts_with", "arg1_id": "DerChirurg.60671141.eng.abstr-s6-t3", "arg2_id": "DerChirurg.60671141.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.60671141.eng.abstr-s6-r11-t2.1-t1.1", "type": "affects", "arg1_id": "DerChirurg.60671141.eng.abstr-s6-t2", "arg2_id": "DerChirurg.60671141.eng.abstr-s8-t1", "normalized": [] } ]
DerChirurg.60671147.eng.abstr
DerChirurg.60671147.eng.abstr
[ { "id": "DerChirurg.60671147.eng.abstr-passage-0", "type": "abstract", "text": [ "Between 1980 and 1995 , 207 patients with 219 extensive pelvic pressure sores underwent reconstructive surgery at our department . Eighty patients operated upon between 1992 and 1995 were followed up . The postoperative complication rate was 22 % and the relapse rate 27 % . Pre- and postoperative management has been standardized for the purposes of quality control . The value of preoperative management , choice of flap , operative procedure and postoperative care are discussed in this paper ." ], "offsets": [ [ 0, 497 ] ] } ]
[ { "id": "DerChirurg.60671147.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 28, 36 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.60671147.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "pressure" ], "offsets": [ [ 63, 71 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033095" } ] }, { "id": "DerChirurg.60671147.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 103, 110 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.60671147.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "pressure sores" ], "offsets": [ [ 63, 77 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011127" } ] }, { "id": "DerChirurg.60671147.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "reconstructive surgery" ], "offsets": [ [ 88, 110 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0524865" } ] }, { "id": "DerChirurg.60671147.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 138, 146 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.60671147.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 206, 219 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.60671147.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "complication" ], "offsets": [ [ 220, 232 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.60671147.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "postoperative complication" ], "offsets": [ [ 206, 232 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032787" } ] }, { "id": "DerChirurg.60671147.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 284, 297 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.60671147.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "control" ], "offsets": [ [ 359, 366 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243148" } ] }, { "id": "DerChirurg.60671147.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "quality control" ], "offsets": [ [ 351, 366 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034378" } ] }, { "id": "DerChirurg.60671147.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "value" ], "offsets": [ [ 373, 378 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042295" } ] }, { "id": "DerChirurg.60671147.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "choice" ], "offsets": [ [ 408, 414 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008300" } ] }, { "id": "DerChirurg.60671147.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "flap" ], "offsets": [ [ 418, 422 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038925" } ] }, { "id": "DerChirurg.60671147.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "procedure" ], "offsets": [ [ 435, 444 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.60671147.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 449, 462 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.60671147.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "care" ], "offsets": [ [ 463, 467 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0150499" } ] }, { "id": "DerChirurg.60671147.eng.abstr-s5-t7", "type": "umlsterm", "text": [ "paper" ], "offsets": [ [ 490, 495 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030351" } ] }, { "id": "DerChirurg.60671147.eng.abstr-s5-t8", "type": "umlsterm", "text": [ "operative procedure" ], "offsets": [ [ 425, 444 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.60671147.eng.abstr-s5-t9", "type": "umlsterm", "text": [ "postoperative care" ], "offsets": [ [ 449, 467 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032786" } ] } ]
[]
[]
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DerChirurg.60671152.eng.abstr
DerChirurg.60671152.eng.abstr
[ { "id": "DerChirurg.60671152.eng.abstr-passage-0", "type": "abstract", "text": [ "In a prospective study 20 patients were monitored with serial sonograms and radiographs during distraction osteogenesis at the lower limb . All sonograms were obtained in four planes using a 7.5 MHz transducer . The distraction gap was seen as a sonolucent area in all patients after corticotomy . At an average of 20.7 ( 14-28 ) days after the beginning of the distraction , echogenic foci occurred and showed increasing longitudinal alignment with further distraction . Radiographical signs of beginning mineralization were seen an average of 48.3 days after the start of the distraction . Exact measurement of the distraction gap was possible in all patients during lengthening . Bone healing complications and hematoma could be detected by ultrasound . A rapid increase of bone mineralization was seen after the distraction was stopped . With increasing cortication of the regenerate bone , sonograms showed a hyper-reflecting solid line so that further mineralization and the time of removal of the fixator could not be assessed by ultrasound . Ultrasound is more sensitive than radiography in identifying new bone formation during distraction , measuring the length of the distraction gap , and detecting early bone-healing complications and can therefore reduce the need for radiographs ." ], "offsets": [ [ 0, 1295 ] ] } ]
[ { "id": "DerChirurg.60671152.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 26, 34 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.60671152.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "serial" ], "offsets": [ [ 55, 61 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031082" } ] }, { "id": "DerChirurg.60671152.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "sonograms" ], "offsets": [ [ 62, 71 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041618" } ] }, { "id": "DerChirurg.60671152.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "radiographs" ], "offsets": [ [ 76, 87 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043299" } ] }, { "id": "DerChirurg.60671152.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "osteogenesis" ], "offsets": [ [ 107, 119 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029433" } ] }, { "id": "DerChirurg.60671152.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "limb" ], "offsets": [ [ 133, 137 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015385" } ] }, { "id": "DerChirurg.60671152.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "prospective study" ], "offsets": [ [ 5, 22 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033522" } ] }, { "id": "DerChirurg.60671152.eng.abstr-s1-t8", "type": "umlsterm", "text": [ "distraction osteogenesis" ], "offsets": [ [ 95, 119 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0524975" } ] }, { "id": "DerChirurg.60671152.eng.abstr-s1-t9", "type": "umlsterm", "text": [ "lower limb" ], "offsets": [ [ 127, 137 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023216" } ] }, { "id": "DerChirurg.60671152.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "All" ], "offsets": [ [ 140, 143 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023449" } ] }, { "id": "DerChirurg.60671152.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "sonograms" ], "offsets": [ [ 144, 153 ] ], "normalized": [ { 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[]
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"normalized": [] }, { "id": "DerChirurg.60671152.eng.abstr-s10-r34-t1.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.60671152.eng.abstr-s10-t1", "arg2_id": "DerChirurg.60671152.eng.abstr-s10-t3", "normalized": [] }, { "id": "DerChirurg.60671152.eng.abstr-s10-r35-t5.1-t1.1", "type": "evaluation_of", "arg1_id": "DerChirurg.60671152.eng.abstr-s10-t5", "arg2_id": "DerChirurg.60671152.eng.abstr-s10-t1", "normalized": [] } ]
DerChirurg.60671160.eng.abstr
DerChirurg.60671160.eng.abstr
[ { "id": "DerChirurg.60671160.eng.abstr-passage-0", "type": "abstract", "text": [ "In a standard questionnaire distributed nationwide , we questioned staff from 1307 clinics ( surgical , trauma-surgical , orthopedic ) , of which 787 clinics ( 60.2 % ) answered by letter . In 698 clinics ( 88.7 % ) , operation is considered the standard therapy . Seventy-five clinics ( 9.5 % ) use both conservative and operative therapy ( average postoperative rate of complication 3.5 % ) . Only 14 hospitals ( 1.8 % ) treat strictly conservatively . The average rate of reruptures is 1.6 % in the operated group ( 77.7 % postoperative plaster cast fixation ) regardless of postoperative treatment ; the conservative group ( 96.1 % functional treatment ) showed 2.7 % reruptures . Thus , operation is the standard therapy for fresh ruptures of the Achilles tendon in Germany . However , there seems to be a trend towards conservative functional therapy ." ], "offsets": [ [ 0, 858 ] ] } ]
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"db_id": "C0038895" } ] }, { "id": "DerChirurg.60671160.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "orthopedic" ], "offsets": [ [ 122, 132 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029355" } ] }, { "id": "DerChirurg.60671160.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "letter" ], "offsets": [ [ 181, 187 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0282413" }, { "db_name": "UMLS", "db_id": "C0010102" } ] }, { "id": "DerChirurg.60671160.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 218, 227 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.60671160.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "standard" ], "offsets": [ [ 246, 254 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038137" }, { "db_name": "UMLS", "db_id": "C0175675" } ] }, { "id": "DerChirurg.60671160.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 255, 262 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.60671160.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 332, 339 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.60671160.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 350, 363 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.60671160.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "complication" ], "offsets": [ [ 372, 384 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.60671160.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "operative therapy" ], "offsets": [ [ 322, 339 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.60671160.eng.abstr-s4-t1", "type": "umlsterm", "text": [ 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"umlsterm", "text": [ "plaster cast" ], "offsets": [ [ 540, 552 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032159" } ] }, { "id": "DerChirurg.60671160.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 692, 701 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.60671160.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "standard" ], "offsets": [ [ 709, 717 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038137" }, { "db_name": "UMLS", "db_id": "C0175675" } ] }, { "id": "DerChirurg.60671160.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 718, 725 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.60671160.eng.abstr-s6-t4", "type": "umlsterm", "text": [ "ruptures" ], "offsets": [ [ 736, 744 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035955" } ] }, { "id": "DerChirurg.60671160.eng.abstr-s6-t5", "type": "umlsterm", "text": [ "tendon" ], "offsets": [ [ 761, 767 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039508" } ] }, { "id": "DerChirurg.60671160.eng.abstr-s6-t6", "type": "umlsterm", "text": [ "Germany" ], "offsets": [ [ 771, 778 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017480" } ] }, { "id": "DerChirurg.60671160.eng.abstr-s6-t7", "type": "umlsterm", "text": [ "Achilles tendon" ], "offsets": [ [ 752, 767 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001074" } ] }, { "id": "DerChirurg.60671160.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "trend" ], "offsets": [ [ 811, 816 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040833" } ] }, { "id": "DerChirurg.60671160.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 849, 856 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] } ]
[]
[]
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"arg1_id": "DerChirurg.60671160.eng.abstr-s6-t5", "arg2_id": "DerChirurg.60671160.eng.abstr-s7-t1", "normalized": [] }, { "id": "DerChirurg.60671160.eng.abstr-s6-r19-t1.1-t1.2", "type": "associated_with", "arg1_id": "DerChirurg.60671160.eng.abstr-s7-t1", "arg2_id": "DerChirurg.60671160.eng.abstr-s6-t1", "normalized": [] }, { "id": "DerChirurg.60671160.eng.abstr-s6-r20-t7.1-t5.1", "type": "surrounds", "arg1_id": "DerChirurg.60671160.eng.abstr-s6-t7", "arg2_id": "DerChirurg.60671160.eng.abstr-s6-t5", "normalized": [] }, { "id": "DerChirurg.60671160.eng.abstr-s6-r21-t7.1-t3.1", "type": "location_of", "arg1_id": "DerChirurg.60671160.eng.abstr-s6-t7", "arg2_id": "DerChirurg.60671160.eng.abstr-s6-t3", "normalized": [] } ]
DerChirurg.60671166.eng.abstr
DerChirurg.60671166.eng.abstr
[ { "id": "DerChirurg.60671166.eng.abstr-passage-0", "type": "abstract", "text": [ "ORIF management of unstable trochanteric fractures of type A3 of the A0 classification is difficult because of lateral dislocation of the proximal fractured segments , particularly when only the sliding hip-screw is used for fixation . A connectable butt-press plate was recently developed in order to prevent this type of dislocation . We review the results with this fixation technique in 22 elderly patients with an average age of 76 years who presented with highly unstable trochanteric fracture of the A3 type . Three patients died of diseases unrelated to the trauma or operation before the fractures had healed . The other 19 were followed prospectively until fracture healing had occurred . Complaints , leg shortening and changes in the CCD angle were recorded . Furthermore , the mobility score was determined . Although the patients were able to bear full weight after the operation , no lateral dislocation of fragments was observed . Only 1 patient had a varus dislocation of 5 ° until the fracture had consolidated . This was due to severe osteopenia and subsequent dislocation of the screw within the femoral head . No pseudarthrosis , osteitis or rotational malalignment was noted . Five of the surviving patients had a lower mobility score after fracture healing as compared to the status before the fracture was sustained . On the basis of this review , we recommend the use of this new connectable buttress plate with sliding hip screws because it provides sifficient fixation of highly unstable fractures of type A3." ], "offsets": [ [ 0, 1536 ] ] } ]
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[]
[]
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"treats", "arg1_id": "DerChirurg.60671166.eng.abstr-s13-t5", "arg2_id": "DerChirurg.60671166.eng.abstr-s13-t6", "normalized": [] }, { "id": "DerChirurg.60671166.eng.abstr-s13-r2-t1.1-t4.1", "type": "measurement_of", "arg1_id": "DerChirurg.60671166.eng.abstr-s13-t1", "arg2_id": "DerChirurg.60671166.eng.abstr-s13-t4", "normalized": [] }, { "id": "DerChirurg.60671166.eng.abstr-s13-r3-t4.1-t6.1", "type": "location_of", "arg1_id": "DerChirurg.60671166.eng.abstr-s13-t4", "arg2_id": "DerChirurg.60671166.eng.abstr-s13-t6", "normalized": [] }, { "id": "DerChirurg.60671166.eng.abstr-s13-r4-t2.1-t4.1", "type": "measurement_of", "arg1_id": "DerChirurg.60671166.eng.abstr-s13-t2", "arg2_id": "DerChirurg.60671166.eng.abstr-s13-t4", "normalized": [] }, { "id": "DerChirurg.60671166.eng.abstr-s13-r5-t1.1-t6.1", "type": "treats", "arg1_id": "DerChirurg.60671166.eng.abstr-s13-t1", "arg2_id": "DerChirurg.60671166.eng.abstr-s13-t6", "normalized": [] } ]
DerChirurg.60671174.eng.abstr
DerChirurg.60671174.eng.abstr
[ { "id": "DerChirurg.60671174.eng.abstr-passage-0", "type": "abstract", "text": [ "Extracorporal shock-wave application ( ESWA ) has been used in the treatment of stones located in the kidneys , bile , pancreas and the glandula parotis . In the last 2 years several studies have shown the benefit of ESWA in the treatment of soft-tissue disorders and tendinosis calcarea . To date , the exact mechanism is unknown . Local hyperemia following damage or afferent inhibition is discussed . The possibilities and indications of ESWA with respect to several syndroms are presented . The results show the benefit of ESWA in the treatment of chronic soft-tissue disorders without severe side effects . Some patients showed small subcutaneous hematomas and erosion of the skin when energies about 20 mJ were used . Forty-seven of 84 of the patients obtained complete relief ; 24 patients showed a marked reduction in their complaints . In only 13 of 84 cases was the treatment unsuccessful ." ], "offsets": [ [ 0, 900 ] ] } ]
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[]
[]
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"DerChirurg.60671174.eng.abstr-s1-t4", "normalized": [] }, { "id": "DerChirurg.60671174.eng.abstr-s4-r3-t1.1-t2.1", "type": "result_of", "arg1_id": "DerChirurg.60671174.eng.abstr-s9-t1", "arg2_id": "DerChirurg.60671174.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerChirurg.60671174.eng.abstr-s4-r4-t2.1-t1.2", "type": "result_of", "arg1_id": "DerChirurg.60671174.eng.abstr-s8-t2", "arg2_id": "DerChirurg.60671174.eng.abstr-s9-t1", "normalized": [] }, { "id": "DerChirurg.60671174.eng.abstr-s4-r5-t1.2-t2.1", "type": "result_of", "arg1_id": "DerChirurg.60671174.eng.abstr-s9-t1", "arg2_id": "DerChirurg.60671174.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerChirurg.60671174.eng.abstr-s4-r7-t1.1-t2.1", "type": "evaluation_of", "arg1_id": "DerChirurg.60671174.eng.abstr-s9-t1", "arg2_id": "DerChirurg.60671174.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerChirurg.60671174.eng.abstr-s4-r8-t2.1-t1.1", "type": "result_of", "arg1_id": "DerChirurg.60671174.eng.abstr-s8-t2", "arg2_id": 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"DerChirurg.60671174.eng.abstr-s7-t3", "arg2_id": "DerChirurg.60671174.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerChirurg.60671174.eng.abstr-s7-r5-t2.1-t3.1", "type": "evaluation_of", "arg1_id": "DerChirurg.60671174.eng.abstr-s8-t2", "arg2_id": "DerChirurg.60671174.eng.abstr-s7-t3", "normalized": [] } ]
DerChirurg.60671179.eng.abstr
DerChirurg.60671179.eng.abstr
[ { "id": "DerChirurg.60671179.eng.abstr-passage-0", "type": "abstract", "text": [ "Quality management requires correct and comprehensive monitoring of all complications . Since January 1995 in the department of trauma and orthopaedic surgery complications have been recorded immediately when the patient is scheduled for reoperation or when complications become evident during the X-ray conference or at follow-up clinics . Two senior surgeons note all available information on a sheet of paper . Data are completed as soon as possible and entered into a PC data base . All cases are followed up by the respective surgeon and discussed at monthly complication conferences . A case is not closed until the end result has been documented . We discuss the theoretical and practical problems of this procedure and present the statistical evaluation for 1995." ], "offsets": [ [ 0, 771 ] ] } ]
[ { "id": "DerChirurg.60671179.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 72, 85 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.60671179.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "trauma" ], "offsets": [ [ 128, 134 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043251" } ] }, { "id": "DerChirurg.60671179.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 151, 158 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.60671179.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 159, 172 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.60671179.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 213, 220 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.60671179.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "reoperation" ], "offsets": [ [ 238, 249 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035110" } ] }, { "id": "DerChirurg.60671179.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 258, 271 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.60671179.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "X-ray" ], "offsets": [ [ 298, 303 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043299" }, { "db_name": "UMLS", "db_id": "C0043309" } ] }, { "id": "DerChirurg.60671179.eng.abstr-s2-t8", "type": "umlsterm", "text": [ "conference" ], "offsets": [ [ 304, 314 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086047" } ] }, { "id": "DerChirurg.60671179.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "paper" ], "offsets": [ [ 406, 411 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030351" } ] }, { "id": "DerChirurg.60671179.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "data base" ], "offsets": [ [ 475, 484 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0242356" } ] }, { "id": "DerChirurg.60671179.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "complication" ], "offsets": [ [ 564, 576 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.60671179.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "conferences" ], "offsets": [ [ 577, 588 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086047" } ] }, { "id": "DerChirurg.60671179.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "procedure" ], "offsets": [ [ 713, 722 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.60671179.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "evaluation" ], "offsets": [ [ 751, 761 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220825" } ] } ]
[]
[]
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"normalized": [] }, { "id": "DerChirurg.60671179.eng.abstr-s5-r2-t2.1-t1.1", "type": "result_of", "arg1_id": "DerChirurg.60671179.eng.abstr-s7-t2", "arg2_id": "DerChirurg.60671179.eng.abstr-s7-t1", "normalized": [] }, { "id": "DerChirurg.60671179.eng.abstr-s7-r1-t2.1-t1.1", "type": "measures", "arg1_id": "DerChirurg.60671179.eng.abstr-s7-t2", "arg2_id": "DerChirurg.60671179.eng.abstr-s7-t1", "normalized": [] } ]
DerChirurg.60671193.eng.abstr
DerChirurg.60671193.eng.abstr
[ { "id": "DerChirurg.60671193.eng.abstr-passage-0", "type": "abstract", "text": [ "Biocoral is a biomaterial derived from natural corals , and it has surgical applications . Since 1992 the author has been using this material as a bone graft substitute in maxillofacial surgery . Seventy-seven clinical implantations were done for different indications . The results suggest that coral grafts are well tolerated and become partially ossified when the calcified skeleton is resorbed . This material has been demonstrated to be successful ." ], "offsets": [ [ 0, 454 ] ] } ]
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[]
[]
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DerChirurg.60671204.eng.abstr
DerChirurg.60671204.eng.abstr
[ { "id": "DerChirurg.60671204.eng.abstr-passage-0", "type": "abstract", "text": [ "Lung volume reduction ( LVR ) is a new surgical approach designed to relieve shortness of breath and to improve exercise tolerance in patients with severe lung emphysema . Selection of patients for LVR is based on history , clinical investigation , chest X-ray studies , CT scan , lung perfusion scan , lung function testing , and blood gas analysis . Selection criteria are severe emphysema ( FEV1 20-35 % pred . , TLC > 120 % pred . , RV > 250 % pred . ) , dyspnea despite optimized medical therapy , abstinence from smoking , acceptable nutritional status and rehabilitation potential . Patients with a uniform pattern of lung destruction benefit far less than those with a more localised pattern ( > 30 % on chest X-ray or CT scan ) with the remaining lung being quite normal and a reduced perfusion of only the damaged areas . Prior to the final decision for LVR , all patients are enrolled in a supervised rehabilitation programme of 4 weeks duration . Some patients benefit so much that LVR can be postponed . The surgical approach of choice is a median sternotomy for bilateral LVR when the upper lobes are the target areas and a bilateral thoracotomy if the lower lobes are mainly affected . When a bilateral procedure is contraindicated , a unilateral approach may be an option . It is not yet clear whether an approach by thoracoscopy allows adequate surgical removal of all affected areas and whether the morbidity is lower . Laser ablation is a further therapeutic option but is much less effective than the surgical resection . Reinforcement of sutures using bovine pericardium strips reduces the chance of a prolonged air leak but is expensive . The results from our institution in 57 patients 1 month after LVR surgery showed the following : improvement in dyspnea was a consistent finding in 88 % of patients , the 6-min walking distance increased on average by 150 m , the FEV1 by 0.3 l for unilateral LVR and 0.5 l for bilateral LVR . The mean PaO2 in ambient air increased 6 mmHg after unilateral and 8 mmHg after bilateral LVR . There was also a significant improvement in respiratory muscle function and a reduction in respiratory drive . A significant improvement in quality of life was documented in 83 % of the patients . Major hospital complications are prolonged air leak , pneumonia , and myocardial failure . Three cases of a delayed pneumothorax were observed . Early hospital mortality ( 30 days ) was 1.7 % and 90 days mortality 3.4 % . Few follow-up data are available beyond 1 year , and the long-term benefit of LVR surgery therefore remains to be defined ." ], "offsets": [ [ 0, 2592 ] ] } ]
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[]
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DerChirurg.60671215.eng.abstr
DerChirurg.60671215.eng.abstr
[ { "id": "DerChirurg.60671215.eng.abstr-passage-0", "type": "abstract", "text": [ "Technical advances in the field of endoscopical surgery have widened the spectrum of thoracoscopic operations in the therapy of lung emphysema . Especially in patients who are severely disabled as a result of their reduced lung function , a less surgical trauma should result in better postoperative performance . Bullectomy , which was an integral part of the spectrum in thoracic surgery for a long time , should be performed in a minimally invasive way today . In the American literature , disappointing results have been published concerning laser resection of emphysematous lung tissue . As a result , this method should be abandoned . In contrast , lung volume reduction surgery in patients with diffuse emphysema has caused significant improvement in lung function . The initial approach to this method was a median sternotomy . However , recent experiences in several centers have demonstrated the feasibility and efficiency of a thoracoscopic procedure ." ], "offsets": [ [ 0, 963 ] ] } ]
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DerChirurg.60671222.eng.abstr
DerChirurg.60671222.eng.abstr
[ { "id": "DerChirurg.60671222.eng.abstr-passage-0", "type": "abstract", "text": [ "Lung transplantation ( uni- or bilateral ) is an accepted treatment option for patients with end-stage chronic obstructive pulmonary disease . Pulmonary function improves significantly and 5-year-actuarial survival is more than 70 % at acceptable early mortality rates . Careful evaluation of risks and benefits is necessary because of the known donor-organ shortage and the risks of life-long immunosuppressive treatment . The bronchiolitis obliterans syndrome is still a non-solved problem in the long-term course after LTx and it can influence late graft function and patient survival ." ], "offsets": [ [ 0, 589 ] ] } ]
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"db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.60671222.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "Lung transplantation" ], "offsets": [ [ 0, 20 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024128" } ] }, { "id": "DerChirurg.60671222.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "pulmonary disease" ], "offsets": [ [ 123, 140 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024115" } ] }, { "id": "DerChirurg.60671222.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "function" ], "offsets": [ [ 153, 161 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031843" } ] }, { "id": "DerChirurg.60671222.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "survival" ], "offsets": [ [ 206, 214 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220921" }, { "db_name": "UMLS", "db_id": "C0038952" } ] }, { "id": "DerChirurg.60671222.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "mortality" ], "offsets": [ [ 253, 262 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026566" }, { "db_name": "UMLS", "db_id": "C0026565" } ] }, { "id": "DerChirurg.60671222.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "mortality rates" ], "offsets": [ [ 253, 268 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026565" } ] }, { "id": "DerChirurg.60671222.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "evaluation" ], "offsets": [ [ 279, 289 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220825" } ] }, { "id": "DerChirurg.60671222.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "risks" ], "offsets": [ [ 293, 298 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035647" } ] }, { "id": "DerChirurg.60671222.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "donor-organ" ], "offsets": [ [ 346, 357 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013018" } ] }, { "id": "DerChirurg.60671222.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "risks" ], "offsets": [ [ 375, 380 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035647" } ] }, { "id": "DerChirurg.60671222.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "immunosuppressive" ], "offsets": [ [ 394, 411 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021081" } ] }, { "id": "DerChirurg.60671222.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 412, 421 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.60671222.eng.abstr-s3-t7", "type": "umlsterm", "text": [ "risks of" ], "offsets": [ [ 375, 383 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035647" } ] }, { "id": "DerChirurg.60671222.eng.abstr-s3-t8", "type": "umlsterm", "text": [ "risks and benefits" ], "offsets": [ [ 293, 311 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035652" } ] }, { "id": "DerChirurg.60671222.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "bronchiolitis" ], "offsets": [ [ 428, 441 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006271" } ] }, { "id": "DerChirurg.60671222.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "syndrome" ], "offsets": [ [ 453, 461 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039082" } ] }, { "id": "DerChirurg.60671222.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "graft" ], "offsets": [ [ 552, 557 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0332835" }, { "db_name": "UMLS", "db_id": "C0040733" } ] }, { "id": "DerChirurg.60671222.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "function" ], "offsets": [ [ 558, 566 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031843" } ] }, { "id": "DerChirurg.60671222.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 571, 578 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.60671222.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "survival" ], "offsets": [ [ 579, 587 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220921" }, { "db_name": "UMLS", "db_id": "C0038952" } ] }, { "id": "DerChirurg.60671222.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "bronchiolitis obliterans" ], "offsets": [ [ 428, 452 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006272" } ] } ]
[]
[]
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DerChirurg.60671226.eng.abstr
DerChirurg.60671226.eng.abstr
[ { "id": "DerChirurg.60671226.eng.abstr-passage-0", "type": "abstract", "text": [ "From April 1993 to December 1995 210 TAPP procedures were performed because of recurrent hernia . With the TAPP method there is no difference between primary and recurrent repair . All procedures in this study were done with general anaesthesia by senior surgeons . The learning curve shows a reduction of operation time ( 60 to 55 min ) with increasing experience and a reduction in complications as well ( total 4.3 % ) . Recurrence was observed in two cases . The reasons for these recurrences were technical failures during the previous repair . In both cases a second TAPP repair was carried out successfully . The main advantage of TAPP in recurrent hernia is that this method gives possibilities to avoid anterior scar tissue . Secondly tension-free repair can be combined with the benefit of the minimal access technique . For this reason , the TAPP procedure must be considered the method of choice in recurrent hernia repair ." ], "offsets": [ [ 0, 936 ] ] } ]
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} ]
[]
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"type": "diagnoses", "arg1_id": "DerChirurg.60671226.eng.abstr-s10-t1", "arg2_id": "DerChirurg.60671226.eng.abstr-s10-t5", "normalized": [] } ]
DerChirurg.60671231.eng.abstr
DerChirurg.60671231.eng.abstr
[ { "id": "DerChirurg.60671231.eng.abstr-passage-0", "type": "abstract", "text": [ "The detection of cytokines may elucidate the pathophysiological mechanisms that produce early systemic complications in acute interstitial ( i ) or necrotizing ( n ) pancreatitis ( AP ) . The increase in the level of cytokines in the blood of patients with AP may correlate with the severity of the disease . In a prospective clinical trial from October 1992 to August 1993 , 23 patients with AP were recruited and blood samples taken for cytokine detection by commercially available Elisa kits and C-reactive protein ( CRP ) by laser nephelometry . Six of 11 patients with nAP died either early ( n = 1 ) or of late septic complications . None died of iAP . The peak of cytokine and CRP level in the first 3 days of hospitalization was used for calculation . The IL-6 concentration in the blood reached up to 2600 pg/ml in the 1st few days , depending on the severity of AP , and dropped to almost zero in the next days , independently of the clinical course . The differentiation of i- versus nAP , using a cutoff line of 600 pg/ml , was correct in 20 patients [ 87 % , sensitivity ( SE ) : 82 % , specificity ( SP ) : 91 % , P 0.001 ] . The blood levels of IL-8 reached a maximum of 1381 pg/ml in the 1st few days , depending on the severity of AP , and showed a correlation with the clinical course in the following days . The peak of IL-8 blood levels indicated correctly the severity of AP in 18 out of 23 patients using a cutoff level of 200 pg/ml ( accuracy : 78 % , SE : 82 % , SP : 75 % , P 0.01 ) . The CRP levels increased up to a maximum of 535 mg/l and indicated the course of AP correctly in 18 out of 22 patients ( SE and SP 82 % , P 0.01 ) . There was no correlation between cytokine blood levels and mortality . In the blood samples of five patients with i- or nAP , no TNF- was detectable . The blood levels of IL-6, and to a lesser extent of IL-8 and CRP , can predict the severity and early systemic complications of AP . The excessive rise in cytokines can be explained by the stimulation of immunological cells ( macrophages , lymphocytes and endothelial cells ) in the course of AP , inducing early systemic complications ." ], "offsets": [ [ 0, 2147 ] ] } ]
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"C0079189" } ] }, { "id": "DerChirurg.60671231.eng.abstr-s15-t2", "type": "umlsterm", "text": [ "cells" ], "offsets": [ [ 2028, 2033 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007634" } ] }, { "id": "DerChirurg.60671231.eng.abstr-s15-t3", "type": "umlsterm", "text": [ "macrophages" ], "offsets": [ [ 2036, 2047 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024432" } ] }, { "id": "DerChirurg.60671231.eng.abstr-s15-t4", "type": "umlsterm", "text": [ "lymphocytes" ], "offsets": [ [ 2050, 2061 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024264" } ] }, { "id": "DerChirurg.60671231.eng.abstr-s15-t5", "type": "umlsterm", "text": [ "cells" ], "offsets": [ [ 2078, 2083 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007634" } ] }, { "id": "DerChirurg.60671231.eng.abstr-s15-t6", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 2132, 2145 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] } ]
[]
[]
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"type": "disrupts", "arg1_id": "DerChirurg.60671231.eng.abstr-s15-t1", "arg2_id": "DerChirurg.60671231.eng.abstr-s15-t5", "normalized": [] }, { "id": "DerChirurg.60671231.eng.abstr-s15-r5-t1.1-t6.1", "type": "indicates", "arg1_id": "DerChirurg.60671231.eng.abstr-s15-t1", "arg2_id": "DerChirurg.60671231.eng.abstr-s15-t6", "normalized": [] }, { "id": "DerChirurg.60671231.eng.abstr-s15-r6-t1.1-t3.1", "type": "disrupts", "arg1_id": "DerChirurg.60671231.eng.abstr-s15-t1", "arg2_id": "DerChirurg.60671231.eng.abstr-s15-t3", "normalized": [] }, { "id": "DerChirurg.60671231.eng.abstr-s15-r7-t1.1-t6.1", "type": "affects", "arg1_id": "DerChirurg.60671231.eng.abstr-s15-t1", "arg2_id": "DerChirurg.60671231.eng.abstr-s15-t6", "normalized": [] } ]
DerChirurg.60671237.eng.abstr
DerChirurg.60671237.eng.abstr
[ { "id": "DerChirurg.60671237.eng.abstr-passage-0", "type": "abstract", "text": [ "Soft-tissue sarcomas ( STS ) of the extremities are characterized by a high rate of local recurrences . Limb salvage approaches using multimodality therapy protocols have replaced amputation . In order to evaluate isolated hyperthermic limb perfusion ( ILP ) in a multimodality therapy concept , we reviewed our patients treated using this method . Between January 1982 and December 1995 , 25 ILPs , using cisplatin , melphalan and adriamycin , were performed in 22 patients with STS . Forty percent were treated for local recurrences ; histology was dominated by malignant fibrous histiocytoma ( MFH ) and synovial sarcoma . In all , 68 % of the STS were classified as UICC stage IIb or IIIa/b . Most of the cases ( 14 ) underwent wide or radical resection , 4 patients received intraoperative radiotherapy , and 5 were treated with external beam radiation . Complications were recorded in 32 % of the cases . With a median follow-up of 45 months ( range 1-143 ) , the 5-year overall survival rate was 81 % . The median recurrence-free time was 19 months and the 5-year disease-free survival rate 34 % . There were 13 local failures , and distant metastases developed in 36 % of the patients . Concerning high-grade sarcomas ( UICC stage IIb , IIIa/b ) , we found local recurrences in 75 % of all cases . Five of 11 patients with local failures underwent perfusion after they refused amputation , and 7 incompletely resected STS received ILP without reoperation . All of these demonstrated local recurrence . This rate of local recurrence proved to be different from patients with tumor-free resection margins ( p = 0.0001 , log-rank test ) . The amputation rate after isolated limb perfusion was 27 % ( mean 11 months after treatment ) . Long-term results of ILP showed a considerable local recurrence rate and a low disease-free survival . Perfusion in patients without tumor-free resection margins does not prevent local recurrence . We conclude that ILP with cisplatin , melphalan and adriamycin should be considered carefully and is not an additional treatment strategy of first choice ." ], "offsets": [ [ 0, 2093 ] ] } ]
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[]
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DerChirurg.60671244.eng.abstr
DerChirurg.60671244.eng.abstr
[ { "id": "DerChirurg.60671244.eng.abstr-passage-0", "type": "abstract", "text": [ "From January 1992 until April 1995 , 31 patients with trans- and suprasphincteric anal fistulae ( transsphincteric n = 21 ; suprasphincteric n = 4 ; transsphincteric in Crohn's disease n = 6 ) underwent a fistulectomy followed by closure of the internal opening by suture and anocutaneous flap . All patients had undergone previous operations , some several times . The recurrence rate of 13 % appeared to be low after a short follow-up . Continence was only negligibly impaired , although the anal resting pressure and contraction pressure were significantly reduced . In five patients a shortened prewarning period was noticed . Also in Crohn's fistulae the results were equivalent when the surgical treatment was performed in a non-inflammatory period ." ], "offsets": [ [ 0, 756 ] ] } ]
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[]
[]
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"id": "DerChirurg.60671244.eng.abstr-s6-r9-t1.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.60671244.eng.abstr-s6-t1", "arg2_id": "DerChirurg.60671244.eng.abstr-s6-t3", "normalized": [] }, { "id": "DerChirurg.60671244.eng.abstr-s6-r10-t1.1-t2.1", "type": "associated_with", "arg1_id": "DerChirurg.60671244.eng.abstr-s6-t1", "arg2_id": "DerChirurg.60671244.eng.abstr-s6-t2", "normalized": [] } ]
DerChirurg.60671261.eng.abstr
DerChirurg.60671261.eng.abstr
[ { "id": "DerChirurg.60671261.eng.abstr-passage-0", "type": "abstract", "text": [ "The indications , operative procedure , postoperative complications and advantages of laparoscopic ileostomy and colostomy as compared with \" open \" enterostomy are described and demonstrated in our own patients with Crohn's disease . Major indications for laparoscopic enterostomy in patients with Crohn's disease are stenosis , fecal incontinence and complex anal fistulas in those with severe Crohn's proctitis . Most Crohn patients tolerate laparoscopic enterostomy and an increasing number demand this minimally invasive technique . The period of convalescence is much shorter and complications in connection with laparotomy are minimized ." ], "offsets": [ [ 0, 645 ] ] } ]
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[]
[]
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"arg1_id": "DerChirurg.60671261.eng.abstr-s4-t3", "arg2_id": "DerChirurg.60671261.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.60671261.eng.abstr-s4-r9-t3.1-t1.1", "type": "result_of", "arg1_id": "DerChirurg.60671261.eng.abstr-s4-t3", "arg2_id": "DerChirurg.60671261.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.60671261.eng.abstr-s4-r10-t3.1-t2.1", "type": "measures", "arg1_id": "DerChirurg.60671261.eng.abstr-s4-t3", "arg2_id": "DerChirurg.60671261.eng.abstr-s4-t2", "normalized": [] } ]
DerChirurg.60671270.eng.abstr
DerChirurg.60671270.eng.abstr
[ { "id": "DerChirurg.60671270.eng.abstr-passage-0", "type": "abstract", "text": [ "Pelvic floor hernias are rare . Three different types can be distinguished ; these are , in order of decreasing frequency : obturator , perineal and sciatic hernias . We report a rare case of a perineal hernia with an intra- and extraperitoneal part. Furthermore a two-stage surgical approach ( first transabdominal , then posterior ) is presented ." ], "offsets": [ [ 0, 349 ] ] } ]
[ { "id": "DerChirurg.60671270.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "floor" ], "offsets": [ [ 7, 12 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016249" } ] }, { "id": "DerChirurg.60671270.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "hernias" ], "offsets": [ [ 13, 20 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.60671270.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "Pelvic floor" ], "offsets": [ [ 0, 12 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0206248" } ] }, { "id": "DerChirurg.60671270.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "frequency" ], "offsets": [ [ 112, 121 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0376249" } ] }, { "id": "DerChirurg.60671270.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "hernias" ], "offsets": [ [ 157, 164 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.60671270.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 203, 209 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.60671270.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 275, 283 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.60671270.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "posterior" ], "offsets": [ [ 323, 332 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032009" } ] } ]
[]
[]
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DerChirurg.60671273.eng.abstr
DerChirurg.60671273.eng.abstr
[ { "id": "DerChirurg.60671273.eng.abstr-passage-0", "type": "abstract", "text": [ "Malignant mixed Muellerian tumours ( MMMT ) are tumours of the female genital tract which rarely occur in extragenital sites . We report a case of a 46-year-old female with MMMT with primary occurrence in the greater omentum . Only 19 cases of primary extragenital manifestation of this tumour are described in the literature . The clinical appearance , diagnosis , therapy , histological evaluation and histogenesis are discussed ." ], "offsets": [ [ 0, 432 ] ] } ]
[ { "id": "DerChirurg.60671273.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Malignant" ], "offsets": [ [ 0, 9 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.60671273.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "tumours" ], "offsets": [ [ 27, 34 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.60671273.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "tumours" ], "offsets": [ [ 48, 55 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.60671273.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "female" ], "offsets": [ [ 63, 69 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086287" }, { "db_name": "UMLS", "db_id": "C0015780" } ] }, { "id": "DerChirurg.60671273.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "female" ], "offsets": [ [ 161, 167 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0086287" }, { "db_name": "UMLS", "db_id": "C0015780" } ] }, { "id": "DerChirurg.60671273.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "occurrence" ], "offsets": [ [ 191, 201 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243132" } ] }, { "id": "DerChirurg.60671273.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "omentum" ], "offsets": [ [ 217, 224 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0028977" } ] }, { "id": "DerChirurg.60671273.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "tumour" ], "offsets": [ [ 287, 293 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.60671273.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "literature" ], "offsets": [ [ 315, 325 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023866" } ] }, { "id": "DerChirurg.60671273.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 354, 363 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.60671273.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "therapy" ], "offsets": [ [ 366, 373 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.60671273.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "evaluation" ], "offsets": [ [ 389, 399 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220825" } ] } ]
[]
[]
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DerChirurg.60671276.eng.abstr
DerChirurg.60671276.eng.abstr
[ { "id": "DerChirurg.60671276.eng.abstr-passage-0", "type": "abstract", "text": [ "Among Saxony's schools of surgery , Albert Fromme's in Dresden attained importance . On the basis of his work as a university professor in Goettingen for 10 years , he was able to train a large circle of surgeons in a major hospital . However , this did not detract from his clinical and scientific work . A. Fromme reached the top of German surgery and his crowning achievement was gaining the full professorship and rectorship of the Medical Academy \" Carl Gustav Carus \" in Dresden ( today the Medical Faculty of the Technical University ." ], "offsets": [ [ 0, 542 ] ] } ]
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[]
[]
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DerChirurg.60671280.eng.abstr
DerChirurg.60671280.eng.abstr
[ { "id": "DerChirurg.60671280.eng.abstr-passage-0", "type": "abstract", "text": [ "Between April 1993 and December 1995 the perioperative courses of 3183 patients were recorded within the frame work of a quality assurance project at the Department of Surgery , University of Mainz . The age of the operated patients and the rate of morbidity increased significantly during the observation period . Morbidity and mortality were not correlated to increasing need for intensive care . Morbidity was dependent on the surgical approach and also on the surgeon . On the other hand , high numbers of operations did not necessarily correlate with low complications rates . The concept described makes it possible to compare quality assurance among different hospitals , helps surgeons to recognize and improve their weak points , and serves as an additional method for monitoring the quality of treatment in the clinic ." ], "offsets": [ [ 0, 829 ] ] } ]
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DerChirurg.70680001.eng.abstr
DerChirurg.70680001.eng.abstr
[ { "id": "DerChirurg.70680001.eng.abstr-passage-0", "type": "abstract", "text": [ "Epidemiological data reveal a decline in the incidence of appendicitis and appendectomy in the industrialized countries . A peak is found in adolescents aged 10-19 years ; however , the highest rates of perforation are reported for the extremely young and old age groups . The elevated rate of appendectomies without histological evidence of acute inflammation , especially in young women , and the high perforation ratio in small children and elderly patients reflect poor diagnostic accuracy . Analysis of the epidemiological data does not allow for an unequivocal conclusion regarding the etiopathogenesis of acute appendicitis ." ], "offsets": [ [ 0, 632 ] ] } ]
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[]
[]
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DerChirurg.70680006.eng.abstr
DerChirurg.70680006.eng.abstr
[ { "id": "DerChirurg.70680006.eng.abstr-passage-0", "type": "abstract", "text": [ "Appendectomy is one of the most frequent surgical procedures . Accuracy in the clinical diagnosis of acute non-specific appendicitis , however , suffers from the fact that the symptoms and clinical findings of acute appendicitis can be mimicked by many other abdominal diseases . The clinical diagnosis of acute appendicitis , therefore , can only be definitely confirmed by pathomorphological analysis , the criteria of which are reviewed in this paper . Special emphasis is given to distinct variants of acute appendicitis and the significance of neuroappendicopathy ." ], "offsets": [ [ 0, 570 ] ] } ]
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[]
[]
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"normalized": [] }, { "id": "DerChirurg.70680006.eng.abstr-s3-r9-t3.1-t1.1", "type": "method_of", "arg1_id": "DerChirurg.70680006.eng.abstr-s3-t3", "arg2_id": "DerChirurg.70680006.eng.abstr-s4-t1", "normalized": [] }, { "id": "DerChirurg.70680006.eng.abstr-s3-r10-t1.1-t1.2", "type": "associated_with", "arg1_id": "DerChirurg.70680006.eng.abstr-s4-t1", "arg2_id": "DerChirurg.70680006.eng.abstr-s3-t1", "normalized": [] } ]
DerChirurg.70680012.eng.abstr
DerChirurg.70680012.eng.abstr
[ { "id": "DerChirurg.70680012.eng.abstr-passage-0", "type": "abstract", "text": [ "Surgeons treating a patient with lower abdominal pain of uncertain etiology are caught between the extrems of conservative and operative treatment . After clinical examination and ultrasonography , explorative laparoscopy has been shown by several studies to solve this therapeutic dilemma . Using laparoscopy prolonged observation , the incidence of perforation and unnecessary laparotomies can be reduced dramatically , in particular , the rate of negative appendectomies is lowered from 30-40 % to about 15 % . This leads to shortened stay in hospital , increased efficiency and decreased financial costs ." ], "offsets": [ [ 0, 609 ] ] } ]
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[]
[]
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DerChirurg.70680040.eng.abstr
DerChirurg.70680040.eng.abstr
[ { "id": "DerChirurg.70680040.eng.abstr-passage-0", "type": "abstract", "text": [ "In recent years there has been an increasing incidence of streptococcal toxic shock-like syndrome ( TSLS ) in otherwise healthy adults . It is characterized by fever , rash , hypotension and early shock with consecutive organ failure and a mortality rate of about 30 % . This paper describes the history of two patients with severe streptococcal TSLS . Various aspects of the pathophysiology , diagnosis and therapy are discussed . Only early , aggressive and repeated surgical debridement can reduce the bacterial load and decrease circulating exotoxins and thereby , in combination with antibiotic therapy , decrease the high mortality of this entity ." ], "offsets": [ [ 0, 654 ] ] } ]
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[]
[]
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DerChirurg.70680045.eng.abstr
DerChirurg.70680045.eng.abstr
[ { "id": "DerChirurg.70680045.eng.abstr-passage-0", "type": "abstract", "text": [ "In cutaneous melanoma , biopsy of the first tumor-draining lymph node ( Sentinel node , SLN ) may replace routine elective lymph-node dissection ( ELND ) . The SLN has been shown to contain the first micrometastasis in early lymphatic tumor dissemination . As micrometastases were identified in 10-30 % of stage I ( AJCC/UICC ) patients , sentinel lymphonodectomy ( SLND ) should enable us to select patients clinically in stages I and II , but histopathologically in stage III . This optimization of patient selection is mandatory , as only this subgroup profits from ELND . Since the beginning of 1995 we was scintillation detector ( gamma probe ) -guided sentinel biopsy in patients with a melanoma > 1.0 mm and clinically negative lymph nodes . After injecting colloidal 99m-Tc-labelled tin ( II ) -sulfide solution around the tumor ( or the biopsy scar ) , the SLN can be localized exactly . The technique is minimally invasive and easy to handle . If the SLN contains tumor , a standard en bloc lymphonodectomy is performed . Long-term follow-up , however , is needed to delineate the role of this procedure in melanoma treatment ." ], "offsets": [ [ 0, 1137 ] ] } ]
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[ "stage" ], "offsets": [ [ 306, 311 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027646" } ] }, { "id": "DerChirurg.70680045.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 328, 336 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680045.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "sentinel" ], "offsets": [ [ 339, 347 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0056838" } ] }, { "id": "DerChirurg.70680045.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 400, 408 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680045.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "stages" ], "offsets": [ [ 423, 429 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027646" } ] }, { "id": "DerChirurg.70680045.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "stage" ], "offsets": [ [ 468, 473 ] ], "normalized": [ { "db_name": "UMLS", 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"type": "umlsterm", "text": [ "biopsy" ], "offsets": [ [ 667, 673 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220797" }, { "db_name": "UMLS", "db_id": "C0005558" } ] }, { "id": "DerChirurg.70680045.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 677, 685 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680045.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "melanoma" ], "offsets": [ [ 693, 701 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025202" } ] }, { "id": "DerChirurg.70680045.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "lymph" ], "offsets": [ [ 735, 740 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024202" } ] }, { "id": "DerChirurg.70680045.eng.abstr-s5-t7", "type": "umlsterm", "text": [ "lymph nodes" ], "offsets": [ [ 735, 746 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024204" } ] }, { "id": "DerChirurg.70680045.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "tin" ], 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[]
[]
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DerChirurg.70680057.eng.abstr
DerChirurg.70680057.eng.abstr
[ { "id": "DerChirurg.70680057.eng.abstr-passage-0", "type": "abstract", "text": [ "Endorectal ultrasound ( EUS ) is important for the indication of preoperative radio ( chemo ) therapy of locally advanced rectal carcinomas . Preoperative radio ( chemo ) therapy causes an increased echogenity of the ultrasound , which histologically corresponds with increased fibrosis . After preoperative radio ( chemo ) therapy , the accuracy rate for EUS of tumor infiltration depth ( T ) and lymph-node status ( N ) is 75 % compared with postoperative histology . With the help of EUS before and after radio ( chemo ) therapy ( n = 28 patients ) \" downstaging \" was noticed endosonographically in 10 patients ( 3 times in T and 7 times in N staging ) and \" upstaging \" in 3 patients ( 3 times in T and 1 times in N staging ) . There was no \" understaging \" of local tumor infiltration depth after preoperative radio ( chemo ) therapy ." ], "offsets": [ [ 0, 841 ] ] } ]
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[]
[]
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"DerChirurg.70680057.eng.abstr-s5-r2-t3.1-t1.1", "type": "associated_with", "arg1_id": "DerChirurg.70680057.eng.abstr-s5-t3", "arg2_id": "DerChirurg.70680057.eng.abstr-s5-t1", "normalized": [] } ]
DerChirurg.70680063.eng.abstr
DerChirurg.70680063.eng.abstr
[ { "id": "DerChirurg.70680063.eng.abstr-passage-0", "type": "abstract", "text": [ "Following Shouldice repair of a primary inguinal hernia 50 patients were given subcutaneous Redon drains , while another 50 patients underwent operations without drains in a prospective randomized trial . The amount of postoperative wound secretion in the drainage bottle was added to fluid retention established by sonographic volumetric analysis . The degree of personal impairment was estimated by a visual analogue score . Inflammation parameters were recorded as well as the rate of complications . The drain group showed significantly increased fluid production in comparison to the group without drains on the 1st postoperative day ( 36.0 vs. 2.5 ml ) . Wound sepsis was found in two patients in the drain group . Seven patients with drains and eight patients without underwent percutaneous seroma puncture . The drain only slightly affected personal impairment ( 25.6 % vs 21.4 % , visual analogue score ) . Body temperature was elevated in the drain group on the 3rd day after operation ( 37.2 vs 36.7 °C). We believe there is no indication for the routine use of a Redon drain in the repair of a primary inguinal hernia . Instead , percutaneous puncture of subcutaneous fluid retentions should be performed ." ], "offsets": [ [ 0, 1218 ] ] } ]
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} ] }, { "id": "DerChirurg.70680063.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "retention" ], "offsets": [ [ 291, 300 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0080274" }, { "db_name": "UMLS", "db_id": "C0035280" } ] }, { "id": "DerChirurg.70680063.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "analysis" ], "offsets": [ [ 339, 347 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002778" } ] }, { "id": "DerChirurg.70680063.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "Inflammation" ], "offsets": [ [ 427, 439 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021368" } ] }, { "id": "DerChirurg.70680063.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 488, 501 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70680063.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "production" ], "offsets": [ [ 557, 567 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033268" } ] }, { "id": "DerChirurg.70680063.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 621, 634 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.70680063.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "Wound" ], "offsets": [ [ 661, 666 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043250" } ] }, { "id": "DerChirurg.70680063.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "sepsis" ], "offsets": [ [ 667, 673 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243026" } ] }, { "id": "DerChirurg.70680063.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 691, 699 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680063.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 727, 735 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": 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[]
[]
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"DerChirurg.70680063.eng.abstr-s9-t5", "normalized": [] }, { "id": "DerChirurg.70680063.eng.abstr-s9-r25-t5.1-t2.2", "type": "result_of", "arg1_id": "DerChirurg.70680063.eng.abstr-s9-t5", "arg2_id": "DerChirurg.70680063.eng.abstr-s10-t2", "normalized": [] }, { "id": "DerChirurg.70680063.eng.abstr-s9-r26-t1.2-t2.2", "type": "measurement_of", "arg1_id": "DerChirurg.70680063.eng.abstr-s9-t1", "arg2_id": "DerChirurg.70680063.eng.abstr-s10-t2", "normalized": [] }, { "id": "DerChirurg.70680063.eng.abstr-s9-r27-t5.1-t7.1", "type": "result_of", "arg1_id": "DerChirurg.70680063.eng.abstr-s9-t5", "arg2_id": "DerChirurg.70680063.eng.abstr-s9-t7", "normalized": [] }, { "id": "DerChirurg.70680063.eng.abstr-s9-r28-t7.1-t6.1", "type": "associated_with", "arg1_id": "DerChirurg.70680063.eng.abstr-s9-t7", "arg2_id": "DerChirurg.70680063.eng.abstr-s9-t6", "normalized": [] }, { "id": "DerChirurg.70680063.eng.abstr-s10-r2-t1.1-t2.2", "type": "measures", "arg1_id": "DerChirurg.70680063.eng.abstr-s10-t1", "arg2_id": "DerChirurg.70680063.eng.abstr-s10-t2", "normalized": [] }, { "id": "DerChirurg.70680063.eng.abstr-s10-r3-t2.1-t1.1", "type": "associated_with", "arg1_id": "DerChirurg.70680063.eng.abstr-s10-t2", "arg2_id": "DerChirurg.70680063.eng.abstr-s10-t1", "normalized": [] }, { "id": "DerChirurg.70680063.eng.abstr-s10-r6-t1.1-t2.2", "type": "affects", "arg1_id": "DerChirurg.70680063.eng.abstr-s10-t1", "arg2_id": "DerChirurg.70680063.eng.abstr-s10-t2", "normalized": [] }, { "id": "DerChirurg.70680063.eng.abstr-s10-r7-t1.1-t2.1", "type": "treats", "arg1_id": "DerChirurg.70680063.eng.abstr-s10-t1", "arg2_id": "DerChirurg.70680063.eng.abstr-s10-t2", "normalized": [] }, { "id": "DerChirurg.70680063.eng.abstr-s10-r8-t1.1-t2.1", "type": "associated_with", "arg1_id": "DerChirurg.70680063.eng.abstr-s10-t1", "arg2_id": "DerChirurg.70680063.eng.abstr-s10-t2", "normalized": [] } ]
DerChirurg.70680068.eng.abstr
DerChirurg.70680068.eng.abstr
[ { "id": "DerChirurg.70680068.eng.abstr-passage-0", "type": "abstract", "text": [ "A postoperative bile fistula is a rare but severe complication after biliary surgery . Clinical signs , laboratory findings , ultrasound and ERC lead to diagnosis . We report on 40 cases with postoperative bile leakage after cholecystectomy treated by a nasobiliary tube . In all patients the fistula healed within 7 days after placement of the tube . Two patients needed operative treatment of a subhepatic abscess , and in 2 patients drainage of a bilioma was performed . In 2 cases with biliary peritonitis , a step-by-step lavage was necessary . The nasobiliary tube for postoperative bile fistula offers regular radiological control and reduces the necessity of operative reintervention in the biliary tract ." ], "offsets": [ [ 0, 714 ] ] } ]
[ { "id": "DerChirurg.70680068.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 2, 15 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "bile" ], "offsets": [ [ 16, 20 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005388" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "fistula" ], "offsets": [ [ 21, 28 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016169" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "complication" ], "offsets": [ [ 50, 62 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 77, 84 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "signs" ], "offsets": [ [ 96, 101 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220912" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "laboratory" ], "offsets": [ [ 104, 114 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022877" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "findings" ], "offsets": [ [ 115, 123 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243095" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "ultrasound" ], "offsets": [ [ 126, 136 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220934" }, { "db_name": "UMLS", "db_id": "C0041618" }, { "db_name": "UMLS", "db_id": "C0041621" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "lead" ], "offsets": [ [ 145, 149 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023175" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 153, 162 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 192, 205 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "bile" ], "offsets": [ [ 206, 210 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005388" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "cholecystectomy" ], "offsets": [ [ 225, 240 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008320" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 280, 288 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "fistula" ], "offsets": [ [ 293, 300 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016169" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 356, 364 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "treatment" ], "offsets": [ [ 382, 391 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0087111" }, { "db_name": "UMLS", "db_id": "C0039798" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "abscess" ], "offsets": [ [ 408, 415 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000833" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 427, 435 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "drainage" ], "offsets": [ [ 436, 444 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013103" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "peritonitis" ], "offsets": [ [ 498, 509 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031154" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "lavage" ], "offsets": [ [ 527, 533 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022100" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 575, 588 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "bile" ], "offsets": [ [ 589, 593 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005388" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "fistula" ], "offsets": [ [ 594, 601 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0016169" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s7-t4", "type": "umlsterm", "text": [ "control" ], "offsets": [ [ 630, 637 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243148" } ] }, { "id": "DerChirurg.70680068.eng.abstr-s7-t5", "type": "umlsterm", "text": [ "biliary tract" ], "offsets": [ [ 699, 712 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005423" }, { "db_name": "UMLS", "db_id": "C0750952" } ] } ]
[]
[]
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"DerChirurg.70680068.eng.abstr-s7-r10-t2.1-t3.1", "type": "causes", "arg1_id": "DerChirurg.70680068.eng.abstr-s7-t2", "arg2_id": "DerChirurg.70680068.eng.abstr-s7-t3", "normalized": [] }, { "id": "DerChirurg.70680068.eng.abstr-s7-r11-t3.1-t2.1", "type": "produces", "arg1_id": "DerChirurg.70680068.eng.abstr-s7-t3", "arg2_id": "DerChirurg.70680068.eng.abstr-s7-t2", "normalized": [] }, { "id": "DerChirurg.70680068.eng.abstr-s7-r12-t3.1-t5.2", "type": "degree_of", "arg1_id": "DerChirurg.70680068.eng.abstr-s7-t3", "arg2_id": "DerChirurg.70680068.eng.abstr-s7-t5", "normalized": [] } ]
DerChirurg.70680072.eng.abstr
DerChirurg.70680072.eng.abstr
[ { "id": "DerChirurg.70680072.eng.abstr-passage-0", "type": "abstract", "text": [ "Twenty-nine unicondylar fractures of the distal femur were treated at the Trauma Center \" Bergmannsheil \" , University of Bochum , Germany , between 1981 and 1994. All patients sustained their injuries from severe direct trauma . There were 16 lateral condylar fractures , 7 medial condylar fractures and 6 tangential posterior ( \" Hoffa-type \" ) fractures . Twenty-eight closed injuries and 1 grade IIIB open fracture were included . Eleven patients sustained concomitant injuries to the skeleton . All fractures were treated with open reduction and internal fixation with screws within 8 h of admission . Postoperative management consisted of early continuous passive motion and minimal weight-bearing for 6-8 weeks , progressing to full weight-bearing . The mean follow-up was 68 months ( 18-120 ) . The therapeutic outcome ( clinical result , radiographs ) was rated by the Neer score . Twenty-seven patients were available for follow-up examination . Of these , 23 were rated as excellent . 3 achieved satisfactory results , and 1 had an unsatisfactory result . All patients who did not achieve an excellent outcome had had accompanying injuries . Open reduction and internal screw fixation of unicondylar femur fractures provided overall excellent long-term results . The therapeutic outcome was significantly affected by associated injuries of the skeleton ." ], "offsets": [ [ 0, 1365 ] ] } ]
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[]
[]
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DerChirurg.70680077.eng.abstr
DerChirurg.70680077.eng.abstr
[ { "id": "DerChirurg.70680077.eng.abstr-passage-0", "type": "abstract", "text": [ "The aim of our study was to observe the incorporation and induced immune response of sterilized bone allografts . We performed an orthotopical tibial segment transplantation using two different inbred rat strains . We compared irradiated ( 25 kGy ) , autoclaved ( 134 °C) and cryopreserved ( -80 °C) bone grafts . The observation took place 6 and 12 weeks post-operativelely . Results : The incorporation of irradiated grafts took longer than cryopreserved transplants . Autoclaved grafts were not incorporated and only bridged by new callus formation . A cell-mediated immune response against the cryopreserved grafts could be demonstrated . Irradiated grafts induced a minor immune response ; autoclaved grafts did not . Conclusion : There seems to be a correlation between loss of antigenicity and failure of graft incorporation . Therefore , it seems probable , that some bone antigenicity is necessary for the induction of cellular mechanisms during graft incorporation ." ], "offsets": [ [ 0, 976 ] ] } ]
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} ] }, { "id": "DerChirurg.70680077.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "rat" ], "offsets": [ [ 201, 204 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034693" } ] }, { "id": "DerChirurg.70680077.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "strains" ], "offsets": [ [ 205, 212 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0080194" } ] }, { "id": "DerChirurg.70680077.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "inbred rat strains" ], "offsets": [ [ 194, 212 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034706" } ] }, { "id": "DerChirurg.70680077.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "bone" ], "offsets": [ [ 300, 304 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0262950" } ] }, { "id": "DerChirurg.70680077.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "grafts" ], "offsets": [ [ 305, 311 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0332835" }, { "db_name": "UMLS", "db_id": "C0040733" } ] }, { "id": "DerChirurg.70680077.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "bone grafts" ], "offsets": [ [ 300, 311 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005976" } ] }, { "id": "DerChirurg.70680077.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "observation" ], "offsets": [ [ 318, 329 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0302523" } ] }, { "id": "DerChirurg.70680077.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "incorporation" ], "offsets": [ [ 391, 404 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243126" } ] }, { "id": "DerChirurg.70680077.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "grafts" ], "offsets": [ [ 419, 425 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0332835" }, { "db_name": "UMLS", "db_id": "C0040733" } ] }, { "id": "DerChirurg.70680077.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "transplants" ], "offsets": [ [ 457, 468 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0332835" }, { "db_name": "UMLS", "db_id": 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[]
[]
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"DerChirurg.70680077.eng.abstr-s10-t1", "arg2_id": "DerChirurg.70680077.eng.abstr-s9-t1", "normalized": [] }, { "id": "DerChirurg.70680077.eng.abstr-s6-r4-t1.1-t2.2", "type": "surrounds", "arg1_id": "DerChirurg.70680077.eng.abstr-s10-t1", "arg2_id": "DerChirurg.70680077.eng.abstr-s10-t2", "normalized": [] }, { "id": "DerChirurg.70680077.eng.abstr-s6-r5-t1.2-t2.2", "type": "produces", "arg1_id": "DerChirurg.70680077.eng.abstr-s9-t1", "arg2_id": "DerChirurg.70680077.eng.abstr-s10-t2", "normalized": [] }, { "id": "DerChirurg.70680077.eng.abstr-s6-r6-t2.2-t1.1", "type": "developmental_form_of", "arg1_id": "DerChirurg.70680077.eng.abstr-s10-t2", "arg2_id": "DerChirurg.70680077.eng.abstr-s10-t1", "normalized": [] }, { "id": "DerChirurg.70680077.eng.abstr-s8-r1-t1.2-t1.1", "type": "surrounds", "arg1_id": "DerChirurg.70680077.eng.abstr-s9-t1", "arg2_id": "DerChirurg.70680077.eng.abstr-s10-t1", "normalized": [] }, { "id": "DerChirurg.70680077.eng.abstr-s8-r2-t1.1-t1.2", "type": "surrounds", 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DerChirurg.70680084.eng.abstr
DerChirurg.70680084.eng.abstr
[ { "id": "DerChirurg.70680084.eng.abstr-passage-0", "type": "abstract", "text": [ "We report the case of a 55-year-old male patient who underwent transanal endoscopic microsurgery for recurrent benign rectal adenoma . He developed severe postoperative retroperitoneal phlegmon and sepsis and died 28 days after the operation due to untreatable diffuse intraabdominal bleeding caused by persistent thrombocytopenia ." ], "offsets": [ [ 0, 332 ] ] } ]
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[]
[]
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DerChirurg.70680099.eng.abstr
DerChirurg.70680099.eng.abstr
[ { "id": "DerChirurg.70680099.eng.abstr-passage-0", "type": "abstract", "text": [ "Minimally invasive adrenalectomy is now an accepted alternative to conventional adrenalectomy . As in open surgery , several different endoscopic approaches to the adrenal glands have been described . In principle , one must distinguish between the laparoscopic and the retroperitoneoscopic access . All adrenal tumors - pheochromocytomas included - except adrenal carcinomas can be removed endoscopically . However , the use of these techniques is limited in patients with particularly large tumors . The results reported to date are convincing . Only limited data are available as yet to compare conventional and endoscopic adrenalectomy . Because adrenal diseases requiring surgery are rare , endoscopic adrenalectomy is an operation that , for the present , will be limited to centers with a particular interest in laparoscopic and endocrine surgery ." ], "offsets": [ [ 0, 855 ] ] } ]
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[]
[]
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DerChirurg.70680107.eng.abstr
DerChirurg.70680107.eng.abstr
[ { "id": "DerChirurg.70680107.eng.abstr-passage-0", "type": "abstract", "text": [ "In this review therapeutic strategies for neuroendocrine tumors of the gastrointestinal tract and the pancreas are proposed , based on the recent classification . Generally , for all neuroendocrine tumors even with obvious metastases , surgery is recommended . Particularly for neuroendocrine tumors of the upper intestinal tract and the pancreas an extensive preoperative clinical and histopathological diagnosis is required . We tried to simplify the therapeutic strategies according to the classification ; in several cases , however , very close cooperation between gastroenterologists , surgeons and pathologists is necessary to decide on the appropriate therapeutic strategy ." ], "offsets": [ [ 0, 682 ] ] } ]
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[]
[]
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DerChirurg.70680116.eng.abstr
DerChirurg.70680116.eng.abstr
[ { "id": "DerChirurg.70680116.eng.abstr-passage-0", "type": "abstract", "text": [ "Insulinomas are rare tumors and account for 90 % of all endocrine pancreatic tumors . They typically present as a solitary tumor , but may occur in multiple sites ( e.g. multiple endocrine neoplasia type I ) or as a malignant disease in 10 % of cases and rarely as nesidioblastosis or islet cell adenomatosis . Neuroglucopenic symptoms lead to the diagnosis ; inadequate high insulin and C-peptide secretion with hypoglycemia in the fasting test confirm the diagnosis . Preoperative localization is not necessary prior to the first operation . The standard operation is enucleation or , depending on size and location , resection . The treatment of multiple tumors and islet cell hyperplasia with a high risk of recurrence is problematic . Subtotal resection plus enucleation seems to be better than selective tumor resection . In malignant insulinomas , mostly presenting with liver metastases , aggressive surgical therapy with hepatectomy and debulking , chemoembolization and systemic chemotherapy are the modalities of choice ." ], "offsets": [ [ 0, 1032 ] ] } ]
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"db_id": "C0022131" } ] }, { "id": "DerChirurg.70680116.eng.abstr-s2-t8", "type": "umlsterm", "text": [ "multiple endocrine neoplasia" ], "offsets": [ [ 170, 198 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027662" } ] }, { "id": "DerChirurg.70680116.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "symptoms" ], "offsets": [ [ 327, 335 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683368" } ] }, { "id": "DerChirurg.70680116.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 348, 357 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70680116.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "insulin" ], "offsets": [ [ 376, 383 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021641" } ] }, { "id": "DerChirurg.70680116.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "C-peptide" ], "offsets": [ [ 388, 397 ] ], "normalized": [ { "db_name": "UMLS", "db_id": 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[]
[]
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"associated_with", "arg1_id": "DerChirurg.70680116.eng.abstr-s8-t8", "arg2_id": "DerChirurg.70680116.eng.abstr-s8-t1", "normalized": [] } ]
DerChirurg.70680136.eng.abstr
DerChirurg.70680136.eng.abstr
[ { "id": "DerChirurg.70680136.eng.abstr-passage-0", "type": "abstract", "text": [ "Neuroendocrine tumors of the thymus , also known as thymic carcinoids , are rare tumors of the anterior mediastinum . They occur sporadically or in association with the MEN I syndrome . We present five patients ( four male , one female ; age of first manifestation 19-53 years ) who were operated on at our hospital between 1984 and 1995 for neuroendocrine thymic tumors . A hormone-producing tumor presented with Cushing's syndrome in two patients . Two patients had MEN I syndrome . Only in the female patient the primary tumor was confined to the thymus . We found lymph node metastases in three patients and a distant metastasis in one . The neuroendocrine tumors have a high rate of local recurrences and thus we performed 11 operations using a transthoracic or transsternal approach . Since there was no operative mortality and adjuvant therapies are of limited value , we recommend surgery even in case of recurrence ." ], "offsets": [ [ 0, 925 ] ] } ]
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"arg2_id": "DerChirurg.70680136.eng.abstr-s9-t2", "normalized": [] }, { "id": "DerChirurg.70680136.eng.abstr-s9-r6-t4.1-t3.1", "type": "issue_in", "arg1_id": "DerChirurg.70680136.eng.abstr-s9-t4", "arg2_id": "DerChirurg.70680136.eng.abstr-s9-t3", "normalized": [] }, { "id": "DerChirurg.70680136.eng.abstr-s9-r7-t5.2-t3.1", "type": "issue_in", "arg1_id": "DerChirurg.70680136.eng.abstr-s9-t5", "arg2_id": "DerChirurg.70680136.eng.abstr-s9-t3", "normalized": [] } ]
DerChirurg.70680141.eng.abstr
DerChirurg.70680141.eng.abstr
[ { "id": "DerChirurg.70680141.eng.abstr-passage-0", "type": "abstract", "text": [ "Surgery for symptomatic hyperparathyroidism remains the standard therapy . Asymptomatic primary hyperparathyroidsm ( pHPT ) is being diagnosed with increasing frequency owing to broad serum testing . Indications for surgery in this setting are controversial . For evaluation of surgical safety we performed a retrospective analysis of our patients who were being operated on for asymptomatic pHPT . From January 1988 until August 1995 , 243 patients were treated for pHPT and registered prospectively at our unit . Seventy-six patients were classified as asymptomatic . In all , 75 % of the patients were female ; the mean age was 62 years . In this group , 87 % of the patients had cervical sonography in order to localize the adenoma . Highly selective venous catheterization was required in cervical reexplorations . Statistical analysis for potential prognostic factors for the clinical outcome was performed . Successful cervical exploration was possible in 71 patients ( 94.7 % ) . With 4 patients remaining hypercalcemic , the rate of persistency was 5.2 % . Localization procedures were correct in 58 % for cervical ultrasound and 77 % for selective venous catheterization . Postoperative morbidity included one permanent recurrent laryngeal nerve palsy and 2 patients with hemorrhage who were treated by reoperation . While one case of permanent hypoparathyroidism was well controlled by oral supplementation , 18 patients recovered from temporary hypoparathyroidism . No postoperative mortality occurred . Risk factor analysis revealed only cervical reexplorations for HPT to be associated with a higher morbidity ( P = 0.02 ) . Surgery for asymptomatic pHPT can be performed with reasonable safety . Cervical reexplorations in asymptomatic patients should be reserved for special indications . Apart from this small group , all patients should be evaluated for surgery ." ], "offsets": [ [ 0, 1881 ] ] } ]
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[]
[]
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DerChirurg.70680147.eng.abstr
DerChirurg.70680147.eng.abstr
[ { "id": "DerChirurg.70680147.eng.abstr-passage-0", "type": "abstract", "text": [ "A prospective long-term follow-up study in patients who had had surgical therapy for renal hyperparathyroidism was launched to investigate the results of surgical treatment and to evaluate possible correlations between preoperative laboratory values and the course of the symptoms . From August 1987 to December 1995 , 79 patients underwent surgery for renal hyperparathyroidism . It was the first neck exploration for 72 patients . Total parathyroidectomy with autotransplantation to a forearm was our preferred procedure ( n = 67 ) . The postoperative course of all patients is known . We carried out one to nine reexaminations ( median 4 ) in 74 of 79 patients . The follow-up period ranged from 1 month to 5 years with a median of 18 months . After the operation transient hypocalcaemia occurred in 84.8 % of patients . Postoperative hypocalcaemia correlated negatively with the preoperative levels of alkaline phosphatase and intact parathyroid hormone . Within the first month after surgery 60 % of the preoperatively affected patients completely recovered from pruritus , whereas the skeletal syndrome took longer to disappear . One year after surgery 75 % of the patients with pruritus and 79 % of those with skeletal syndrome had became asymptomatic . After total parathyroidectomy with autotransplantation , patients with preoperatively elevated concentrations of alkaline phosphatase ( > 200 U/l ) experienced faster relief from joint pain than patients with preoperatively normal concentrations ( P = 0.0297 ) . To date 4.5 % of the patients developed recurrent hyperparathyroidism after total parathyroidectomy with autotransplantation . Morbidity of surgery for renal hyperparathyroidism is influenced by patients ' risk factors . Postoperative hypocalcaemia correlates negatively with the grade of renal osteopathy at the time of operation . Preoperative concentrations of alkaline phosphatase influence the rapidity of the relief from joint pain ." ], "offsets": [ [ 0, 1963 ] ] } ]
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[]
[]
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"DerChirurg.70680147.eng.abstr-s16-r6-t4.1-t1.1", "type": "evaluation_of", "arg1_id": "DerChirurg.70680147.eng.abstr-s16-t4", "arg2_id": "DerChirurg.70680147.eng.abstr-s16-t1", "normalized": [] }, { "id": "DerChirurg.70680147.eng.abstr-s16-r7-t3.1-t1.1", "type": "result_of", "arg1_id": "DerChirurg.70680147.eng.abstr-s16-t3", "arg2_id": "DerChirurg.70680147.eng.abstr-s16-t1", "normalized": [] } ]
DerChirurg.70680154.eng.abstr
DerChirurg.70680154.eng.abstr
[ { "id": "DerChirurg.70680154.eng.abstr-passage-0", "type": "abstract", "text": [ "In 20 patients the hemodynamic and ventilatory data during endoscopic retroperitoneal adrenalectomy were checked retrospectively to analyze the hemodynamic and ventilatory effects of a pneumoretroperitoneum . After insufflation of CO2 into the retroperitoneal space we observed an increase in systolic blood pressure [ median 180 mm Hg ( [ 130-200 ) ] . Analyzing the ventilatory parameters we noted that the minute ventilation had to be invreased by a median value of 4.25 l ( 0,4-13) to reduce the increased carbon dioxide levels during CO2 insufflation . After insufflation of CO2 into the retroperitoneal space we observed no major complications . We therefore believe that retroperitoneal endoscopic adrenalectomy is also indicated in patients with cardiac or pulmonary diseases ." ], "offsets": [ [ 0, 785 ] ] } ]
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"umlsterm", "text": [ "insufflation" ], "offsets": [ [ 215, 227 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021634" } ] }, { "id": "DerChirurg.70680154.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "CO2" ], "offsets": [ [ 231, 234 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007012" } ] }, { "id": "DerChirurg.70680154.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "systolic" ], "offsets": [ [ 293, 301 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039155" } ] }, { "id": "DerChirurg.70680154.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "blood" ], "offsets": [ [ 302, 307 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005767" }, { "db_name": "UMLS", "db_id": "C0005768" }, { "db_name": "UMLS", "db_id": "C0005835" } ] }, { "id": "DerChirurg.70680154.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "pressure" ], "offsets": [ [ 308, 316 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033095" } ] }, { "id": "DerChirurg.70680154.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "retroperitoneal space" ], "offsets": [ [ 244, 265 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035359" } ] }, { "id": "DerChirurg.70680154.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "blood pressure" ], "offsets": [ [ 302, 316 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005823" }, { "db_name": "UMLS", "db_id": "C0005824" } ] }, { "id": "DerChirurg.70680154.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "ventilation" ], "offsets": [ [ 416, 427 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042491" }, { "db_name": "UMLS", "db_id": "C0035203" } ] }, { "id": "DerChirurg.70680154.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "value" ], "offsets": [ [ 460, 465 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0042295" } ] }, { "id": "DerChirurg.70680154.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "carbon" ], "offsets": [ [ 510, 516 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0007009" } ] }, { "id": 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"complications" ], "offsets": [ [ 636, 649 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70680154.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "retroperitoneal space" ], "offsets": [ [ 593, 614 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0035359" } ] }, { "id": "DerChirurg.70680154.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "adrenalectomy" ], "offsets": [ [ 705, 718 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001632" } ] }, { "id": "DerChirurg.70680154.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 740, 748 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680154.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "diseases" ], "offsets": [ [ 775, 783 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.70680154.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "pulmonary diseases" ], "offsets": [ [ 765, 783 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024115" } ] } ]
[]
[]
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DerChirurg.70680159.eng.abstr
DerChirurg.70680159.eng.abstr
[ { "id": "DerChirurg.70680159.eng.abstr-passage-0", "type": "abstract", "text": [ "We report three patients who were operated on because of an intraabdominal schwannoma between February 1991 and October 1994 in our department . In the first case , a benign gastric schwannoma was treated by a distal gastric resection ( Billroth II ) ; the main symptom was gastric bleeding . In the second case , a malignant duodenal schwannoma with liver metastasis was treated by wide en-bloc resection of the tumor including retroperitoneal lymphadenectomy and an anatomical resection of the right lobe of the liver . A metachronous metastasis of the liver , appearing 7 months postoperatively , was treated by intraparenchymatous laser coagulation ; a local recurrence , appearing 19 months postoperatively , led to another tumor resection . The main symptom was a palpable intraabdominal mass in this case . In the third case , a malignant schwannoma of the abdominal wall was resected in fragments in another clinic . Six months later a local recurrence with infiltration of the liver appeared in spite of postoperative radiation and was resected en bloc . Early peritoneal sarcomatosis was apparent at that time . Postoperative chemotherapy did not prevent quick progression of the tumor . The patient died 18 months after the first operation . The clinical presentation , differential diagnosis and operative strategy for benign and malignant intraabdominal schwannomas are discussed ." ], "offsets": [ [ 0, 1394 ] ] } ]
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[]
[]
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DerChirurg.70680174.eng.abstr
DerChirurg.70680174.eng.abstr
[ { "id": "DerChirurg.70680174.eng.abstr-passage-0", "type": "abstract", "text": [ "A total of 113 patients with acute and chronic instability of the ulnar collateral ligament metacarpal phalangeal ( MP ) joint of the thumb were treated surgically between 1980 and 1985 ; 82 patients were followed up after a mean period of 10 years . Of 59 patients with acute injuries , 52 were painfree with full stability of the MP joint ; 23 patients with chronic instability and tendon grafting also showed restoration of stability . Nevertheless , the range of motion was reduced severely and opposition of the thumb was impaired . The results of follow-up reveal that acute reattachment of the injured ulnar collateral ligament is more effective ." ], "offsets": [ [ 0, 654 ] ] } ]
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[]
[]
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DerChirurg.70680180.eng.abstr
DerChirurg.70680180.eng.abstr
[ { "id": "DerChirurg.70680180.eng.abstr-passage-0", "type": "abstract", "text": [ "In 1-6 % of the patients who are investigated by endoscopic retrograde cholangio-pancreatography a pancreas divisum can be found . In some patients pancreas divisum can lead to an acute relapsing and finally chronic pancreatitis ( CP ) . Surgical intervention in these cases seems to offer a good chance of recovery . We report our experience with the duodenum-preserving resection of the head of the pancreas in 12 patients with pancreas divisum and CP . In all patients the preoperative evaluation showed clinical , functional or radiological signs of CP . The duodenum-preserving resection of the head of the pancreas was carried out in all patients without perioperative mortality . Ten postoperative versus eight preoperative patients showed a pathological exocrine function of the pancreas . Endocrine function , measured by the oral glucose tolerance test ( OGTT ) , improved postoperatively in two patients . Eleven patients who were investigated after a mean follow-up time of 31 months ( 3-75 months ) were completely pain free . No late mortality occurred . OGTT revealed a diabetic endocrine function in two patients . Disturbed exocrine pancreatic function had to be substituted in nine patients . One patient had to be reoperated by duct incision and renewal of the pancreatico-jejunostomy 10 months after the first operation . In conclusion , the duodenum-preserving resection of the head of the pancreas reduced pain in all patients with pancreas divisum and CP and may lead to an improvement of endocrine pancreatic function . Other , nonresecting procedures or endoscopic interventional therapy should be avoided in these patients ." ], "offsets": [ [ 0, 1650 ] ] } ]
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"DerChirurg.70680180.eng.abstr-s15-t2", "normalized": [] }, { "id": "DerChirurg.70680180.eng.abstr-s15-r4-t2.1-t1.1", "type": "affects", "arg1_id": "DerChirurg.70680180.eng.abstr-s15-t2", "arg2_id": "DerChirurg.70680180.eng.abstr-s15-t1", "normalized": [] } ]
DerChirurg.70680187.eng.abstr
DerChirurg.70680187.eng.abstr
[ { "id": "DerChirurg.70680187.eng.abstr-passage-0", "type": "abstract", "text": [ "We present a case report concerning spontaneous recanalization of the internal carotid artery occlusion after an accident with contusion of the cerebrum and hyperextension trauma of the cervical spine ." ], "offsets": [ [ 0, 202 ] ] } ]
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[]
[]
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DerChirurg.70680190.eng.abstr
DerChirurg.70680190.eng.abstr
[ { "id": "DerChirurg.70680190.eng.abstr-passage-0", "type": "abstract", "text": [ "Hemangiomas of the gastrointestinal tract are very rare in both children and adults . The following case history describes a child with uncharacteristic abdominal pain and stenosis of the terminal ileum . Intraoperatively we found an enlarged hamartomatous alteration of the ileocecal region . The histological analysis showed a hamartomatous venous hemangioma . Problems concerning classification and diagnosis are discussed ." ], "offsets": [ [ 0, 427 ] ] } ]
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[]
[]
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DerChirurg.70680196.eng.abstr
DerChirurg.70680196.eng.abstr
[ { "id": "DerChirurg.70680196.eng.abstr-passage-0", "type": "abstract", "text": [ "Hans von Haberer ( 1875-1958 ) gained wide experience in the reconstructive surgery of vascular aneurysms at the universities of Innsbruck , Graz , Duesseldorf and Cologne . In this period he operated on 421 vascular aneurysms - including 30 carotid aneurysms - mainly by means of direct circular vascular suture . In 1914 von Haberer described the first repair of a carotid aneurysm . Therefore he is the pioneer of reconstructive carotid surgery . Based on detailed clinical and operation reports on approximately 16 000 cases , written by Hans von Haberer between 1904 and 1949 , and on the contemporary literature , we describe his experience in vascular surgery ." ], "offsets": [ [ 0, 668 ] ] } ]
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[]
[]
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"DerChirurg.70680196.eng.abstr-s2-r4-t1.1-t3.1", "type": "result_of", "arg1_id": "DerChirurg.70680196.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70680196.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70680196.eng.abstr-s2-r5-t2.1-t3.1", "type": "result_of", "arg1_id": "DerChirurg.70680196.eng.abstr-s5-t2", "arg2_id": "DerChirurg.70680196.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70680196.eng.abstr-s2-r6-t4.1-t2.1", "type": "treats", "arg1_id": "DerChirurg.70680196.eng.abstr-s5-t4", "arg2_id": "DerChirurg.70680196.eng.abstr-s5-t2", "normalized": [] }, { "id": "DerChirurg.70680196.eng.abstr-s2-r7-t1.1-t2.1", "type": "result_of", "arg1_id": "DerChirurg.70680196.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70680196.eng.abstr-s5-t2", "normalized": [] }, { "id": "DerChirurg.70680196.eng.abstr-s2-r8-t4.1-t3.1", "type": "causes", "arg1_id": "DerChirurg.70680196.eng.abstr-s5-t4", "arg2_id": "DerChirurg.70680196.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70680196.eng.abstr-s2-r9-t4.1-t3.1", "type": "affects", "arg1_id": "DerChirurg.70680196.eng.abstr-s5-t4", "arg2_id": "DerChirurg.70680196.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70680196.eng.abstr-s2-r10-t3.1-t2.1", "type": "result_of", "arg1_id": "DerChirurg.70680196.eng.abstr-s5-t3", "arg2_id": "DerChirurg.70680196.eng.abstr-s5-t2", "normalized": [] }, { "id": "DerChirurg.70680196.eng.abstr-s2-r11-t4.1-t3.1", "type": "diagnoses", "arg1_id": "DerChirurg.70680196.eng.abstr-s5-t4", "arg2_id": "DerChirurg.70680196.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70680196.eng.abstr-s2-r12-t2.1-t1.1", "type": "result_of", "arg1_id": "DerChirurg.70680196.eng.abstr-s5-t2", "arg2_id": "DerChirurg.70680196.eng.abstr-s5-t1", "normalized": [] }, { "id": "DerChirurg.70680196.eng.abstr-s2-r13-t4.1-t2.1", "type": "affects", "arg1_id": "DerChirurg.70680196.eng.abstr-s5-t4", "arg2_id": "DerChirurg.70680196.eng.abstr-s5-t2", "normalized": [] }, { "id": "DerChirurg.70680196.eng.abstr-s2-r14-t4.1-t2.1", "type": "causes", "arg1_id": "DerChirurg.70680196.eng.abstr-s5-t4", "arg2_id": "DerChirurg.70680196.eng.abstr-s5-t2", "normalized": [] }, { "id": "DerChirurg.70680196.eng.abstr-s2-r15-t3.1-t1.1", "type": "result_of", "arg1_id": "DerChirurg.70680196.eng.abstr-s5-t3", "arg2_id": "DerChirurg.70680196.eng.abstr-s5-t1", "normalized": [] }, { "id": "DerChirurg.70680196.eng.abstr-s3-r1-t1.1-t2.1", "type": "result_of", "arg1_id": "DerChirurg.70680196.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70680196.eng.abstr-s5-t2", "normalized": [] }, { "id": "DerChirurg.70680196.eng.abstr-s3-r2-t2.1-t1.1", "type": "result_of", "arg1_id": "DerChirurg.70680196.eng.abstr-s5-t2", "arg2_id": "DerChirurg.70680196.eng.abstr-s5-t1", "normalized": [] }, { "id": "DerChirurg.70680196.eng.abstr-s5-r1-t1.1-t3.1", "type": "method_of", "arg1_id": "DerChirurg.70680196.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70680196.eng.abstr-s5-t3", "normalized": [] }, { "id": "DerChirurg.70680196.eng.abstr-s5-r2-t1.2-t3.1", "type": "issue_in", "arg1_id": "DerChirurg.70680196.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70680196.eng.abstr-s5-t3", "normalized": [] } ]
DerChirurg.70680201.eng.abstr
DerChirurg.70680201.eng.abstr
[ { "id": "DerChirurg.70680201.eng.abstr-passage-0", "type": "abstract", "text": [ "The so-called extended diagnostic laparoscopy ( EDL ) facilitates the comprehensive exploration of the abdominal cavity , thus improving the precision of the pretherapeutic tumor staging in gastrointestinal malignancies . EDL comprises visual inspection with a specific preparation of all relevant sites , laparoscopic sonography and retrieval of samples for biopsy and cytology . Additional relevant therapeutic information was obtained through EDL in 40.5 % of gastric cancer patients . EDL could be of similar importance for diagnosing esophageal , hepatobiliary and pancreatic malignancies ." ], "offsets": [ [ 0, 595 ] ] } ]
[ { "id": "DerChirurg.70680201.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "diagnostic" ], "offsets": [ [ 23, 33 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70680201.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "laparoscopy" ], "offsets": [ [ 34, 45 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031150" } ] }, { "id": "DerChirurg.70680201.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 173, 178 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70680201.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "malignancies" ], "offsets": [ [ 207, 219 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.70680201.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "diagnostic laparoscopy" ], "offsets": [ [ 23, 45 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031150" } ] }, { "id": "DerChirurg.70680201.eng.abstr-s1-t6", "type": "umlsterm", "text": [ "tumor staging" ], "offsets": [ [ 173, 186 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027646" } ] }, { "id": "DerChirurg.70680201.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "sonography" ], "offsets": [ [ 319, 329 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0041618" } ] }, { "id": "DerChirurg.70680201.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "biopsy" ], "offsets": [ [ 359, 365 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220797" }, { "db_name": "UMLS", "db_id": "C0005558" } ] }, { "id": "DerChirurg.70680201.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "cytology" ], "offsets": [ [ 370, 378 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010820" }, { "db_name": "UMLS", "db_id": "C0010819" } ] }, { "id": "DerChirurg.70680201.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "therapeutic" ], "offsets": [ [ 401, 412 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0039796" } ] }, { "id": "DerChirurg.70680201.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "cancer" ], "offsets": [ [ 471, 477 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.70680201.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 478, 486 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680201.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "gastric cancer" ], "offsets": [ [ 463, 477 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024623" } ] }, { "id": "DerChirurg.70680201.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "esophageal" ], "offsets": [ [ 539, 549 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0014852" } ] }, { "id": "DerChirurg.70680201.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "pancreatic" ], "offsets": [ [ 570, 580 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0070016" } ] }, { "id": "DerChirurg.70680201.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "malignancies" ], "offsets": [ [ 581, 593 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] } ]
[]
[]
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"arg2_id": "DerChirurg.70680201.eng.abstr-s4-t3", "normalized": [] }, { "id": "DerChirurg.70680201.eng.abstr-s4-r3-t1.1-t3.1", "type": "degree_of", "arg1_id": "DerChirurg.70680201.eng.abstr-s4-t1", "arg2_id": "DerChirurg.70680201.eng.abstr-s4-t3", "normalized": [] }, { "id": "DerChirurg.70680201.eng.abstr-s4-r4-t2.1-t1.1", "type": "affects", "arg1_id": "DerChirurg.70680201.eng.abstr-s4-t2", "arg2_id": "DerChirurg.70680201.eng.abstr-s4-t1", "normalized": [] } ]
DerChirurg.70680210.eng.abstr
DerChirurg.70680210.eng.abstr
[ { "id": "DerChirurg.70680210.eng.abstr-passage-0", "type": "abstract", "text": [ "As the importance of laparoscopic surgery for benign diseases of the gastrointestinal tract continues to grow , the application of this approach in cases of malignancy remains controversial . Although the concept of cancer recurrence in the area of surgical wounds is not new , the incidence of port site recurrence is the most obvious concern . Indications and contraindications for surgery as well as a standardized nomenclature describing the type of laparoscopic procedures being performed are some other issues that need to be clarified . Complete laparoscopic procedures or the combination of laparoscopy with open techniques can offer advantages and disadvantages that surgeons will have to take into consideration when making decisions . The skill of the operating team and the extent of disease define the boundaries of laparoscopic surgery possible . The continued research as well as development of intelligent instruments and standardized techniques might give laparoscopy a clear role in the treatment of abdominal malignancies ." ], "offsets": [ [ 0, 1042 ] ] } ]
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[]
[]
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DerChirurg.70680215.eng.abstr
DerChirurg.70680215.eng.abstr
[ { "id": "DerChirurg.70680215.eng.abstr-passage-0", "type": "abstract", "text": [ "Oncological problems associated with laparoscopic colorectal surgery with curative intent include port site metastases , inadequate radicality , seeding of tumour cells through unprotected recovery of the surgical specimen , faulty surgical technique , and failure to observe the technical and/or oncological limitations applicable to certain tumour sites . Investigations so far reported reveal a preponderance of mechanical pathogenesis of port site metastases caused by the contamination of trocar entry ports by tumour cells borne on instruments , trocars and resected material . This suggests that appropriate precautionary measures could resolve the problem . It appears that the CO2 pneumoperitoneum plays only a minor role in the development of port site metastases . Owing to a lack of long-term data , the oncological radicality of laparosopic resections for colorectal carcinoma cannot be assessed ; merely a few reports on the number of lymph nodes removed during such operations have been published . Nevertheless , it would appear that fewer lymph nodes were removed than with comparable conventional surgery . However , a more accurate analysis needs to take account of the fact that the indication for laparoscopic surgery is determined by the size and location of the tumour . The many potential pitfalls and hazards of oncological laparoscopic surgery make it mandatory that such interventions should be done only within the framework of prospective clinical studies covering limited indications . Randomized prospective studies to cover all tumour stages and sites cannot be recommended ." ], "offsets": [ [ 0, 1607 ] ] } ]
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[]
[]
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DerChirurg.70680231.eng.abstr
DerChirurg.70680231.eng.abstr
[ { "id": "DerChirurg.70680231.eng.abstr-passage-0", "type": "abstract", "text": [ "Patients who had undergone elective resection for primary colorectal cancer were included in a prospective study . The purpose of the study was to specify the current role of laparoscopic surgery in the treatment of colorectal cancer . Therefore , the reasons for performing the resection conventionally were documented under the general guideline that all colorectal cancer should be resected laparoscopically . Of 111 patients treated in 1995 , only 22 underwent a laparoscopic resection and 4 patients a laparoscopic-assisted resection . Age , sex and tumor stage were comparable between groups . Operative time was longer in the laparoscopy group ; duration of postoperative ileus and postoperative hospital stay were shorter . The most frequent indications for using a conventional approach were rectal cancer ( n = 29 ) , adhesions ( n = 15 ) , randomly selected patients ( n = 14 ) and advanced cancer ( n = 12 ) . Cardiovascular risk factors were not so important . Laparoscopic techniques were only applied in a minority of patients with colorectal cancer ( 24-37 % ) . Laparoscopic sphincter-preserving surgery is currently not recommended for rectal cancer in the middle and lower rectum . General risk factors are rarely a contraindication for a laparoscopic approach ." ], "offsets": [ [ 0, 1281 ] ] } ]
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[]
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DerChirurg.70680237.eng.abstr
DerChirurg.70680237.eng.abstr
[ { "id": "DerChirurg.70680237.eng.abstr-passage-0", "type": "abstract", "text": [ "From January 1991 to May 1996 a total of 3,010 cholecystectomies was performed for cholelithiasis . Pathohistologically an acute cholecystitis was found in 483 patients ( 16 % ) . The overall proportion of laparoscopic operations has increased from 12.5 % in 1991 to 96.6 % at present . In patients with acute cholecystitis the proportion of laparoscopic operations has increased from initially only 1.87 % up to 83.3 % . The duration of surgery ( 81 min versus 54 min ) , rate of conversion ( 12 % versus 1.07 % ) and rate of complications ( 7.76 % versus 2.2 % ) were all significantly higher in cases of acute cholecystitis than in those without inflammation . There was no mortality in either group . Furthermore no significant difference was found between patients with histopathologically proven acute inflammation and patients with an acute episode of chronic cholecystitis . The duration of complaints , however , had a significant influence on surgical results . In patients that were either operated on within 48 h after the onset of disease or more than 10 days later , the length of the operation was shorter and the rates of conversion and complications were lower . Our results prove that laparoscopic cholecystectomy is also very successful in cases of acute cholecystitis , though a long learning curve has to be expected . Taking efficiency and economy into consideration , surgery within a few days of the onset of disease must be recommended ." ], "offsets": [ [ 0, 1462 ] ] } ]
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"type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 438, 445 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680237.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 527, 540 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70680237.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "cholecystitis" ], "offsets": [ [ 613, 626 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008325" } ] }, { "id": "DerChirurg.70680237.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "inflammation" ], "offsets": [ [ 649, 661 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021368" } ] }, { "id": "DerChirurg.70680237.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "mortality" ], "offsets": [ [ 677, 686 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026566" }, { "db_name": "UMLS", "db_id": "C0026565" } ] }, { "id": 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"surgical" ], "offsets": [ [ 953, 961 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680237.eng.abstr-s9-t1", "type": "umlsterm", "text": [ "patients" ], "offsets": [ [ 975, 983 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680237.eng.abstr-s9-t2", "type": "umlsterm", "text": [ "disease" ], "offsets": [ [ 1044, 1051 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0012634" } ] }, { "id": "DerChirurg.70680237.eng.abstr-s9-t3", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 1099, 1108 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680237.eng.abstr-s9-t4", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 1153, 1166 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70680237.eng.abstr-s10-t1", "type": "umlsterm", "text": [ "cholecystectomy" ], 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[]
[]
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"associated_with", "arg1_id": "DerChirurg.70680237.eng.abstr-s11-t2", "arg2_id": "DerChirurg.70680237.eng.abstr-s11-t1", "normalized": [] }, { "id": "DerChirurg.70680237.eng.abstr-s10-r5-t1.1-t2.1", "type": "associated_with", "arg1_id": "DerChirurg.70680237.eng.abstr-s11-t1", "arg2_id": "DerChirurg.70680237.eng.abstr-s11-t2", "normalized": [] }, { "id": "DerChirurg.70680237.eng.abstr-s11-r1-t1.1-t2.1", "type": "issue_in", "arg1_id": "DerChirurg.70680237.eng.abstr-s11-t1", "arg2_id": "DerChirurg.70680237.eng.abstr-s11-t2", "normalized": [] }, { "id": "DerChirurg.70680237.eng.abstr-s11-r3-t1.1-t3.1", "type": "issue_in", "arg1_id": "DerChirurg.70680237.eng.abstr-s11-t1", "arg2_id": "DerChirurg.70680237.eng.abstr-s11-t3", "normalized": [] }, { "id": "DerChirurg.70680237.eng.abstr-s11-r4-t3.1-t2.1", "type": "issue_in", "arg1_id": "DerChirurg.70680237.eng.abstr-s11-t3", "arg2_id": "DerChirurg.70680237.eng.abstr-s11-t2", "normalized": [] }, { "id": "DerChirurg.70680237.eng.abstr-s11-r5-t3.2-t2.1", "type": "issue_in", "arg1_id": "DerChirurg.70680237.eng.abstr-s11-t3", "arg2_id": "DerChirurg.70680237.eng.abstr-s11-t2", "normalized": [] }, { "id": "DerChirurg.70680237.eng.abstr-s11-r6-t2.1-t3.1", "type": "issue_in", "arg1_id": "DerChirurg.70680237.eng.abstr-s11-t2", "arg2_id": "DerChirurg.70680237.eng.abstr-s11-t3", "normalized": [] } ]
DerChirurg.70680244.eng.abstr
DerChirurg.70680244.eng.abstr
[ { "id": "DerChirurg.70680244.eng.abstr-passage-0", "type": "abstract", "text": [ "Kryopreserved specimens of cystic ducts were used for displacement tests to investigate the security of different laparoscopic clips . The cystic duct was fixed , and the transverse placed clips were distracted in axial direction and the forces registered . The median values of the six investigated clips ranged between 4.1 N and 11.2 N with a highly significant difference ( P 0.001 , Kruskal-Wallis ANOVA ) . In detail , both resorbable clips ( polydioxanone , polyglyconate/polyglycol acetate ) were superior to the four titanium clips ( P 0.005 , Wilcoxon test ) . In addition to the advantage of complete biodegradibility , these data favour the use of absorbable clips because holding force is better than that of titanium clips ." ], "offsets": [ [ 0, 737 ] ] } ]
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[]
[]
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DerChirurg.70680247.eng.abstr
DerChirurg.70680247.eng.abstr
[ { "id": "DerChirurg.70680247.eng.abstr-passage-0", "type": "abstract", "text": [ "Between 1985 and 1994 , 262 patients with metastases underwent resectional treatment in the Department for General and Abdominal Surgery of the University of Mainz . Twenty-seven patients with recurrent metastases were treated with repeat resections . The records of these 27 patients were reviewed and analyzed . After 42 repeat resections , 4 of 27 patients ( 14.8 % ) developed complications . Three of 27 patients died in the postoperative period ( 11.1 % ) . For patients with R0 resection of metastases from colorectal primaries the median survival time was 69 months after resection of the primary tumor ( n = 16 ) , 38 months after the first resection of metastases ( n = 15 ) , and 25 months after the second resection of metastases ( n = 15 ) . After the last repeat resection of metastases in each patient , median survival was 25 months in patients with R0 resection ( n = 11 ) , compared to 7 months following R1/2 resection ( n = 5 ) ( P = 0.007 ) . Disease-free survival following first R0 resection of colorectal metastases ( n = 15 ) , was not significantly different from disease-free survival following repeated R0 resection of colorectal metastases ( n = 21 ) . Patients with repeat resection of colorectal liver metastases ( n = 9 ) had longer disease-free survival ( median 18 months ) than patients with repeat resection of colorectal metastases in organs other than liver or lungs ( median 4 months ; n = 4 ) ( P = 0.005 ) . Repeat resections for metastases are characterized by low operative risk and a prognostic benefit for highly selected patients ." ], "offsets": [ [ 0, 1577 ] ] } ]
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[]
[]
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DerChirurg.70680255.eng.abstr
DerChirurg.70680255.eng.abstr
[ { "id": "DerChirurg.70680255.eng.abstr-passage-0", "type": "abstract", "text": [ "Between 1984 and 1994 , 27 men and 4 women with primary spontaneous pneumothorax were treated surgically by excision of the bullae , without pleurectomy . The purpose of the present study was to establish by computed tomography ( CT ) of the lung whether the excision permanently eliminated the cause of pneumothorax . The median follow-up was 72 ( 21-127 ) months . There were two patients with recurrences ( 6.4 % ) who were operated on again . Sixteen of 31 patients had new blebs in the apex of the lung as documented by postoperative CT . The study indicates that simple excision of the bullous area cannot prevent the recurrence of blebs ." ], "offsets": [ [ 0, 645 ] ] } ]
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[]
[]
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"result_of", "arg1_id": "DerChirurg.70680255.eng.abstr-s6-t1", "arg2_id": "DerChirurg.70680255.eng.abstr-s6-t2", "normalized": [] }, { "id": "DerChirurg.70680255.eng.abstr-s6-r2-t2.1-t1.1", "type": "result_of", "arg1_id": "DerChirurg.70680255.eng.abstr-s6-t2", "arg2_id": "DerChirurg.70680255.eng.abstr-s6-t1", "normalized": [] } ]
DerChirurg.70680264.eng.abstr
DerChirurg.70680264.eng.abstr
[ { "id": "DerChirurg.70680264.eng.abstr-passage-0", "type": "abstract", "text": [ "In order to determine the efficacy of hand disinfectants based on alcohol against three MRSA strains and 3 methicillin-susceptible S. aureus strains ( MSSA ) , 1-propanol ( 60 % ) as well as Sterillium and Spitaderm were investigated in the quantitative suspension test at various dilutions and reactions times ( 15 , 30 and 60 s ) . All undiluted disinfectants revealed reduction factors > 6 against MRSA and MSSA after 30 s. Diluted disinfectants ( 50 % ) were significantly less effective against MRSA at short reaction times ( 15 s ) ( p 0.05 ) . Sterillium in a dilution of 50 % did not reach 5 reduction factors against either MRSA or MSSA after 30 s. The impact of an appropriate use of hand disinfectants in order to break chains of infections with MRSA is obvious ." ], "offsets": [ [ 0, 774 ] ] } ]
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[]
[]
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"arg2_id": "DerChirurg.70680264.eng.abstr-s3-t4", "normalized": [] }, { "id": "DerChirurg.70680264.eng.abstr-s1-r36-t4.1-t8.1", "type": "interacts_with", "arg1_id": "DerChirurg.70680264.eng.abstr-s3-t4", "arg2_id": "DerChirurg.70680264.eng.abstr-s1-t8", "normalized": [] }, { "id": "DerChirurg.70680264.eng.abstr-s3-r1-t3.1-t4.1", "type": "affects", "arg1_id": "DerChirurg.70680264.eng.abstr-s3-t3", "arg2_id": "DerChirurg.70680264.eng.abstr-s3-t4", "normalized": [] }, { "id": "DerChirurg.70680264.eng.abstr-s3-r2-t1.1-t4.1", "type": "location_of", "arg1_id": "DerChirurg.70680264.eng.abstr-s3-t1", "arg2_id": "DerChirurg.70680264.eng.abstr-s3-t4", "normalized": [] } ]
DerChirurg.70680271.eng.abstr
DerChirurg.70680271.eng.abstr
[ { "id": "DerChirurg.70680271.eng.abstr-passage-0", "type": "abstract", "text": [ "We report on a 28-year-old patient , who acquired a left diaphragmatic hernia after suffering a motorcycle accident seven years ago . The diaphragmatic hernia was not diagnosed at that time . After a laparoscopic cholecystectomy performed for acute cholcystitis , there was herniation and secondary incarceration of a bowel segment into the preexistent diaphragmatic hernia . We describe laparoscopic surgical repositioning of the bowel segment and closure of the diaphragmatic defect ." ], "offsets": [ [ 0, 486 ] ] } ]
[ { "id": "DerChirurg.70680271.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 27, 34 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680271.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 71, 77 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70680271.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "motorcycle" ], "offsets": [ [ 96, 106 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026616" } ] }, { "id": "DerChirurg.70680271.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "accident" ], "offsets": [ [ 107, 115 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0000924" } ] }, { "id": "DerChirurg.70680271.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "diaphragmatic hernia" ], "offsets": [ [ 57, 77 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019284" } ] }, { "id": "DerChirurg.70680271.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 152, 158 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70680271.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "time" ], "offsets": [ [ 185, 189 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040223" } ] }, { "id": "DerChirurg.70680271.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "diaphragmatic hernia" ], "offsets": [ [ 138, 158 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019284" } ] }, { "id": "DerChirurg.70680271.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "cholecystectomy" ], "offsets": [ [ 213, 228 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008320" } ] }, { "id": "DerChirurg.70680271.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "cholcystitis" ], "offsets": [ [ 249, 261 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0010692" } ] }, { "id": "DerChirurg.70680271.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "herniation" ], "offsets": [ [ 274, 284 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70680271.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "herniation" ], "offsets": [ [ 274, 284 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022023" } ] }, { "id": "DerChirurg.70680271.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "secondary" ], "offsets": [ [ 289, 298 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027627" }, { "db_name": "UMLS", "db_id": "C0036525" } ] }, { "id": "DerChirurg.70680271.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "bowel" ], "offsets": [ [ 318, 323 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021853" } ] }, { "id": "DerChirurg.70680271.eng.abstr-s3-t7", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 367, 373 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70680271.eng.abstr-s3-t8", "type": "umlsterm", "text": [ "diaphragmatic hernia" ], "offsets": [ [ 353, 373 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019284" } ] }, { "id": "DerChirurg.70680271.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 401, 409 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680271.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "bowel" ], "offsets": [ [ 431, 436 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021853" } ] }, { "id": "DerChirurg.70680271.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "defect" ], "offsets": [ [ 478, 484 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0243067" } ] } ]
[]
[]
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[] }, { "id": "DerChirurg.70680271.eng.abstr-s3-r58-t3.1-t2.1", "type": "degree_of", "arg1_id": "DerChirurg.70680271.eng.abstr-s4-t3", "arg2_id": "DerChirurg.70680271.eng.abstr-s4-t2", "normalized": [] } ]
DerChirurg.70680274.eng.abstr
DerChirurg.70680274.eng.abstr
[ { "id": "DerChirurg.70680274.eng.abstr-passage-0", "type": "abstract", "text": [ "The PEG-ileus is a complication of the intestinal migration of the \" bumper \" . The resulting obstruction or perforation is usually located in the ileum . Patients with hernias , who have a possible or known intrinsic or extrinsic stenosis or who have been X-rayed in the area of the small pelvis , are not suitable for the application of Korula's \" migration \" -technique with the scheduled intestinal elimination of the \" bumper \" . \" Bumpers \" that are allowed to remain in the stomach for a long time lose their elasticity and frequently cause a PEG-ileus . When choosing the type of gastrostomy , we should consider which technique could be used in the case of a change or a removal of the material ." ], "offsets": [ [ 0, 705 ] ] } ]
[ { "id": "DerChirurg.70680274.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "complication" ], "offsets": [ [ 19, 31 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70680274.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "migration" ], "offsets": [ [ 50, 59 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0600210" } ] }, { "id": "DerChirurg.70680274.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "ileum" ], "offsets": [ [ 147, 152 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0020885" } ] }, { "id": "DerChirurg.70680274.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "Patients" ], "offsets": [ [ 155, 163 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680274.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "hernias" ], "offsets": [ [ 169, 176 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70680274.eng.abstr-s3-t3", "type": "umlsterm", "text": [ "stenosis" ], "offsets": [ [ 231, 239 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009814" } ] }, { "id": "DerChirurg.70680274.eng.abstr-s3-t4", "type": "umlsterm", "text": [ "pelvis" ], "offsets": [ [ 290, 296 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030797" } ] }, { "id": "DerChirurg.70680274.eng.abstr-s3-t5", "type": "umlsterm", "text": [ "migration" ], "offsets": [ [ 350, 359 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0600210" } ] }, { "id": "DerChirurg.70680274.eng.abstr-s3-t6", "type": "umlsterm", "text": [ "-technique" ], "offsets": [ [ 362, 372 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680274.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "stomach" ], "offsets": [ [ 481, 488 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038351" }, { "db_name": "UMLS", "db_id": "C0024623" } ] }, { "id": "DerChirurg.70680274.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "time" ], "offsets": [ [ 500, 504 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040223" } ] }, { "id": "DerChirurg.70680274.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "elasticity" ], "offsets": [ [ 516, 526 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0013764" } ] }, { "id": "DerChirurg.70680274.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "gastrostomy" ], "offsets": [ [ 588, 599 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017196" } ] }, { "id": "DerChirurg.70680274.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "technique" ], "offsets": [ [ 627, 636 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] } ]
[]
[]
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DerChirurg.70680279.eng.abstr
DerChirurg.70680279.eng.abstr
[ { "id": "DerChirurg.70680279.eng.abstr-passage-0", "type": "abstract", "text": [ "Intramuscular lipomas are rare , benign unencapsulated tumors . They are also called infiltrating lipomas because of their infiltrative growth pattern which , deeply localized , seizes the skeleton muscle . The only obvious symptom is a palpable mass . Microscopically , monovacular fat tissue shows up between the muscle fiber . In extreme cases the preexisting muscle can be totally replaced by fat tissue . A precise pathohistological examination is needed to avoid the mistaken diagnosis of a well-differentiated liposarcoma . Late diagnosis , the extent and the localization of the tumor often do not allow for an R0 resection and influence the postoperative recurrence rates , which lie between 3 and 62 % . R0 resections are not desirable when postoperative severe loss of function can be expected . Malfunctions will slowly take place and can greatly be compensated , in contrast to a radical procedure with immediate loss of function ." ], "offsets": [ [ 0, 944 ] ] } ]
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"DerChirurg.70680279.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "muscle" ], "offsets": [ [ 198, 204 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026845" } ] }, { "id": "DerChirurg.70680279.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "symptom" ], "offsets": [ [ 224, 231 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0683368" } ] }, { "id": "DerChirurg.70680279.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "fat" ], "offsets": [ [ 283, 286 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015677" } ] }, { "id": "DerChirurg.70680279.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "tissue" ], "offsets": [ [ 287, 293 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerChirurg.70680279.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "muscle" ], "offsets": [ [ 315, 321 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026845" } ] }, { "id": "DerChirurg.70680279.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "fat tissue" ], "offsets": [ [ 283, 293 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001527" } ] }, { "id": "DerChirurg.70680279.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "muscle fiber" ], "offsets": [ [ 315, 327 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0242697" } ] }, { "id": "DerChirurg.70680279.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "muscle" ], "offsets": [ [ 363, 369 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0026845" } ] }, { "id": "DerChirurg.70680279.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "fat" ], "offsets": [ [ 397, 400 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015677" } ] }, { "id": "DerChirurg.70680279.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "tissue" ], "offsets": [ [ 401, 407 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerChirurg.70680279.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "fat tissue" ], "offsets": [ [ 397, 407 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0001527" } ] }, { "id": "DerChirurg.70680279.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 482, 491 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70680279.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "liposarcoma" ], "offsets": [ [ 517, 528 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023827" } ] }, { "id": "DerChirurg.70680279.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "diagnosis" ], "offsets": [ [ 536, 545 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011900" }, { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70680279.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 587, 592 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70680279.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 650, 663 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.70680279.eng.abstr-s7-t4", "type": "umlsterm", "text": [ "recurrence" ], "offsets": [ [ 664, 674 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0034897" } ] }, { "id": "DerChirurg.70680279.eng.abstr-s8-t1", "type": "umlsterm", "text": [ "postoperative" ], "offsets": [ [ 751, 764 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032790" } ] }, { "id": "DerChirurg.70680279.eng.abstr-s8-t2", "type": "umlsterm", "text": [ "function" ], "offsets": [ [ 780, 788 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031843" } ] }, { "id": "DerChirurg.70680279.eng.abstr-s9-t1", "type": "umlsterm", "text": [ "contrast" ], "offsets": [ [ 879, 887 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0110625" } ] }, { "id": "DerChirurg.70680279.eng.abstr-s9-t2", "type": "umlsterm", "text": [ "procedure" ], "offsets": [ [ 901, 910 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680279.eng.abstr-s9-t3", "type": "umlsterm", "text": [ "function" ], "offsets": [ [ 934, 942 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0031843" } ] } ]
[]
[]
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DerChirurg.70680293.eng.abstr
DerChirurg.70680293.eng.abstr
[ { "id": "DerChirurg.70680293.eng.abstr-passage-0", "type": "abstract", "text": [ "Repair of abdominal wall hernias is the most frequently performed operation in surgery . Primary hernias arise at anatomical weak points ; incisional hernias result from laparotomies . As the fascia heals slowly , the suture should be strong enough to withstand the intraabdominal pressure . Complications in wound healing may lead to a hernia , especially when absorbable sutures have been used . The rate of incisional hernias is technically influenced by the type of incision , the suture technique , and the suture material . To achieve adequate repair it is often necessary to change the principles of abdominal wall closure , for example by using alloplastic material . The meshes reinforce the architecture of the abdominal wall both by pure mechanical means and by induction of a stable scar formation ( polypropylene , polyester ) ." ], "offsets": [ [ 0, 841 ] ] } ]
[ { "id": "DerChirurg.70680293.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "Repair" ], "offsets": [ [ 0, 6 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043240" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "hernias" ], "offsets": [ [ 25, 32 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 66, 75 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "surgery" ], "offsets": [ [ 79, 86 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038894" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "abdominal wall" ], "offsets": [ [ 10, 24 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0836916" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "hernias" ], "offsets": [ [ 97, 104 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "anatomical" ], "offsets": [ [ 114, 124 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220784" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "hernias" ], "offsets": [ [ 150, 157 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "laparotomies" ], "offsets": [ [ 170, 182 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0023038" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "fascia" ], "offsets": [ [ 192, 198 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015641" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s3-t2", "type": "umlsterm", "text": [ "pressure" ], "offsets": [ [ 281, 289 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0033095" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "Complications" ], "offsets": [ [ 292, 305 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "wound" ], "offsets": [ [ 309, 314 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021501" }, { "db_name": "UMLS", "db_id": "C0043250" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "hernia" ], "offsets": [ [ 337, 343 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "sutures" ], "offsets": [ [ 373, 380 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038969" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "wound healing" ], "offsets": [ [ 309, 322 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043240" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "hernias" ], "offsets": [ [ 421, 428 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0019270" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "technique" ], "offsets": [ [ 492, 501 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "suture technique" ], "offsets": [ [ 485, 501 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038968" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "repair" ], "offsets": [ [ 550, 556 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043240" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "abdominal wall" ], "offsets": [ [ 607, 621 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0836916" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "architecture" ], "offsets": [ [ 701, 713 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003737" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "scar" ], "offsets": [ [ 795, 799 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008767" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "polypropylene" ], "offsets": [ [ 812, 825 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032582" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s7-t4", "type": "umlsterm", "text": [ "polyester" ], "offsets": [ [ 828, 837 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0032474" } ] }, { "id": "DerChirurg.70680293.eng.abstr-s7-t5", "type": "umlsterm", "text": [ "abdominal wall" ], "offsets": [ [ 721, 735 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0836916" } ] } ]
[]
[]
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DerChirurg.70680304.eng.abstr
DerChirurg.70680304.eng.abstr
[ { "id": "DerChirurg.70680304.eng.abstr-passage-0", "type": "abstract", "text": [ "Incisional hernias are a common complication following abdominal surgery . Surgical treatment as a whole has the disadvantage of having a high recurrence rate . Far better results are obtained by tension-free closure , if necessary backed up by a synthetic prosthesis ( PTFE , polypropylene ) . However , even then , a recurrence rate of about 10 % can be expected ." ], "offsets": [ [ 0, 366 ] ] } ]
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[]
[]
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DerChirurg.70680310.eng.abstr
DerChirurg.70680310.eng.abstr
[ { "id": "DerChirurg.70680310.eng.abstr-passage-0", "type": "abstract", "text": [ "Incisional hernias are a common complication following abdominal surgery . However , when performed correctly , the techniques utilized for direct hernia repair , Mayo's closure and plastic covering of the defect appear to be effective in the management of primary hernia closure . The recurrence rates of 30-50 % continue to represent a significant challenge in the initial management of incisional hernia repair . Fortunately , there is evidence that , with correct preparation of the patient and with correct anatomical reconstruction , better results can be achieved . Also , the use of strictly applied technical skills in combination with standardized operative techniques may help to eliminate further complications and recurrences . In addition , the application of mesh or cutis transplantation to reinforce the attenuated tissue has also been shown to reduce the recurrence rate . With the diligent application of the above measures , as well as of new concepts , which at present include a promising technique called tension-adapted closure , there may be positive developments in the treatment and management of incisional hernias ." ], "offsets": [ [ 0, 1144 ] ] } ]
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[]
[]
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DerChirurg.70680317.eng.abstr
DerChirurg.70680317.eng.abstr
[ { "id": "DerChirurg.70680317.eng.abstr-passage-0", "type": "abstract", "text": [ "The increasing spectrum of therapeutic options for tumors of the gastrointestinal tract has resulted in a refinement of the pretherapeutic diagnostic strategies . The diagnostic approach in surgical institutions that are focused on primary surgical resection will therefore be much less sophisticated than in institutions who propose a selective therapeutic approach based on the pretherapeutic tumor stage and prognostic parameters . Pretherapeutic assessment of the depth of tumor infiltration , i . e . the T-category , is essential because most further diagnostic and therapeutic decisions are based on this information . This can today be achieved with a high degree of accuracy by endoscopy and endoscopic ultrasonography . Early T-stages ( T1-2) are usually an indication for primary surgical resection and , after exclusion of distant metastases , no further diagnostic studies are required . In patients with locally advanced esophageal , gastric or rectum tumors ( T3-4) multimodal therapeutic concepts should be considered . This usually requires additional diagnostic studies . None of the available diagnostic imaging modalities today allows satisfactory pretherapeutic assessment of lymph node metastases . The assumed nodular status should therefore currently not influence therapeutic decisions . Essential is , however , the assessment of distant metastases , since the documentation of distant tumor spread will change the therapeutic approach to a palliative situation . Detailed histologic and molecular-biologic assessment of tumor characteristics is growing in importance . This not only provides therapeutically relevant information regarding tumor grading , but opens the door towards a modern molecular diagnostic approach . It can be expected that in the near future a vast amount of relevant prognostic information can be obtained from endoscopic tumor biopsies , which may soon alter our therapeutic concepts ." ], "offsets": [ [ 0, 1938 ] ] } ]
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[]
[]
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"associated_with", "arg1_id": "DerChirurg.70680317.eng.abstr-s15-t1", "arg2_id": "DerChirurg.70680317.eng.abstr-s15-t3", "normalized": [] } ]
DerChirurg.70680325.eng.abstr
DerChirurg.70680325.eng.abstr
[ { "id": "DerChirurg.70680325.eng.abstr-passage-0", "type": "abstract", "text": [ "Imaging of tumors of the pancreas may have a series of significant implications for surgical decision making . First of all verification and localization of a suspected tumor is crucial . Later on , accurate staging of local tumor extent and of distant metastases is necessary for evaluating the indications for surgical intervention . If histologic proof of malignancy of a pancreatic lesion is needed , different imaging techniques can be used for percutaneous biopsy of the tumor . Finally imaging is required in patients with a pancreatic tumor if an obstruction of the common bile duct is treated with palliative intent by endoscopy or transhepatic intervention . A rational and efficient selection from all the imaging techniques currently available requires a clear-cut definition of what is needed for surgical decision making in each individual case . Thereby one has to take into account whether the tumor arises from the exocrine or from the endocrine tissue of the pancreas ." ], "offsets": [ [ 0, 987 ] ] } ]
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], "offsets": [ [ 359, 369 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0006826" } ] }, { "id": "DerChirurg.70680325.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "pancreatic" ], "offsets": [ [ 375, 385 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0070016" } ] }, { "id": "DerChirurg.70680325.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "imaging" ], "offsets": [ [ 415, 422 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0011923" } ] }, { "id": "DerChirurg.70680325.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "techniques" ], "offsets": [ [ 423, 433 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680325.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "biopsy" ], "offsets": [ [ 463, 469 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220797" }, { "db_name": "UMLS", "db_id": "C0005558" } ] }, { "id": "DerChirurg.70680325.eng.abstr-s4-t7", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 477, 482 ] ], 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"DerChirurg.70680325.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "bile" ], "offsets": [ [ 581, 585 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005388" } ] }, { "id": "DerChirurg.70680325.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "endoscopy" ], "offsets": [ [ 628, 637 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0014245" } ] }, { "id": "DerChirurg.70680325.eng.abstr-s5-t7", "type": "umlsterm", "text": [ "bile duct" ], "offsets": [ [ 581, 590 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005400" } ] }, { "id": "DerChirurg.70680325.eng.abstr-s5-t8", "type": "umlsterm", "text": [ "common bile duct" ], "offsets": [ [ 574, 590 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009437" } ] }, { "id": "DerChirurg.70680325.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "selection" ], "offsets": [ [ 694, 703 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0036576" } ] }, { "id": "DerChirurg.70680325.eng.abstr-s6-t2", "type": "umlsterm", "text": [ 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"db_name": "UMLS", "db_id": "C0011109" } ] }, { "id": "DerChirurg.70680325.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "tumor" ], "offsets": [ [ 910, 915 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027651" } ] }, { "id": "DerChirurg.70680325.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "tissue" ], "offsets": [ [ 963, 969 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040300" } ] }, { "id": "DerChirurg.70680325.eng.abstr-s7-t3", "type": "umlsterm", "text": [ "pancreas" ], "offsets": [ [ 977, 985 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0346647" }, { "db_name": "UMLS", "db_id": "C0030274" } ] } ]
[]
[]
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"id": "DerChirurg.70680325.eng.abstr-s6-r20-t1.1-t4.1", "type": "result_of", "arg1_id": "DerChirurg.70680325.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70680325.eng.abstr-s6-t4", "normalized": [] }, { "id": "DerChirurg.70680325.eng.abstr-s7-r1-t3.1-t2.1", "type": "surrounds", "arg1_id": "DerChirurg.70680325.eng.abstr-s7-t3", "arg2_id": "DerChirurg.70680325.eng.abstr-s7-t2", "normalized": [] }, { "id": "DerChirurg.70680325.eng.abstr-s7-r2-t1.1-t2.1", "type": "produces", "arg1_id": "DerChirurg.70680325.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70680325.eng.abstr-s7-t2", "normalized": [] }, { "id": "DerChirurg.70680325.eng.abstr-s7-r3-t2.1-t3.1", "type": "developmental_form_of", "arg1_id": "DerChirurg.70680325.eng.abstr-s7-t2", "arg2_id": "DerChirurg.70680325.eng.abstr-s7-t3", "normalized": [] }, { "id": "DerChirurg.70680325.eng.abstr-s7-r4-t2.1-t1.1", "type": "location_of", "arg1_id": "DerChirurg.70680325.eng.abstr-s7-t2", "arg2_id": "DerChirurg.70680325.eng.abstr-s7-t1", "normalized": [] }, { "id": "DerChirurg.70680325.eng.abstr-s7-r5-t3.1-t1.1", "type": "location_of", "arg1_id": "DerChirurg.70680325.eng.abstr-s7-t3", "arg2_id": "DerChirurg.70680325.eng.abstr-s7-t1", "normalized": [] }, { "id": "DerChirurg.70680325.eng.abstr-s7-r6-t3.1-t2.1", "type": "produces", "arg1_id": "DerChirurg.70680325.eng.abstr-s7-t3", "arg2_id": "DerChirurg.70680325.eng.abstr-s7-t2", "normalized": [] }, { "id": "DerChirurg.70680325.eng.abstr-s7-r7-t2.1-t3.1", "type": "location_of", "arg1_id": "DerChirurg.70680325.eng.abstr-s7-t2", "arg2_id": "DerChirurg.70680325.eng.abstr-s7-t3", "normalized": [] } ]
DerChirurg.70680346.eng.abstr
DerChirurg.70680346.eng.abstr
[ { "id": "DerChirurg.70680346.eng.abstr-passage-0", "type": "abstract", "text": [ "The indication for surgical treatment of tumors of the retroperitoneum should not depend on findings of radiological examinations , because all radiographic procedures lack tissue specificity . Instead , it can only be determined histologically after an open biopsy or resection of the tumor , which should always be attempted . With the help of appropriate radiological examinations , a retroperitoneal mass will not only be detected , but the relationship to the adjacent anatomical structures will also be delineated . Therefore , valid information for planning the operation and estimating the morbidity and mortality can be provided for the surgeon ." ], "offsets": [ [ 0, 655 ] ] } ]
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[]
[]
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DerChirurg.70680364.eng.abstr
DerChirurg.70680364.eng.abstr
[ { "id": "DerChirurg.70680364.eng.abstr-passage-0", "type": "abstract", "text": [ "Duodenum-preserving resection of the head of the pancreas was developed 25 years ago by Beger . This procedure is indicated in patients suffering from chronic pain in combination with inflammation of the head of the pancreas , common bile duct obstruction , pancreatic duct obstruction and/or obstruction of the retropancreatic vessels . At the Inselspital in Berne , 74 patients underwent this operation between 1993 and 1996. The median length of the operation was 380 min , with the need for transfusion in a median of 0 units ( 0-6 ) . There was no postoperative mortality . Total postoperative morbidity was 13 % . One patient needed relaparotomy on day 17 for small bowel obstruction . Median length of hospital stay was 11 days . Postoperatively , two patients developed diabetes . Duodenum-preserving resection of the head of the pancreas represents an organ-preserving principle of surgery . This procedure treats the complications of chronic pancreatitis and provides long-term pain relief in more than 80 % of patients ." ], "offsets": [ [ 0, 1031 ] ] } ]
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"id": "DerChirurg.70680364.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "inflammation" ], "offsets": [ [ 184, 196 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0021368" } ] }, { "id": "DerChirurg.70680364.eng.abstr-s2-t5", "type": "umlsterm", "text": [ "head" ], "offsets": [ [ 204, 208 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0018670" } ] }, { "id": "DerChirurg.70680364.eng.abstr-s2-t6", "type": "umlsterm", "text": [ "pancreas" ], "offsets": [ [ 216, 224 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0346647" }, { "db_name": "UMLS", "db_id": "C0030274" } ] }, { "id": "DerChirurg.70680364.eng.abstr-s2-t7", "type": "umlsterm", "text": [ "bile" ], "offsets": [ [ 234, 238 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005388" } ] }, { "id": "DerChirurg.70680364.eng.abstr-s2-t8", "type": "umlsterm", "text": [ "pancreatic" ], "offsets": [ [ 258, 268 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0070016" } ] }, { "id": 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[]
[]
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DerChirurg.70680378.eng.abstr
DerChirurg.70680378.eng.abstr
[ { "id": "DerChirurg.70680378.eng.abstr-passage-0", "type": "abstract", "text": [ "Between 1 January 1986 and 31 December 1994 , 45 patients with carcinoma of the hepatic bifurcation underwent operations in the department of surgery . According to Bismuth's classification ( 1992 ) , there were 7 type I , 4 type II , 22 type III and 12 type IV tumors . 31 of the 45 patients ( 68.9 % ) underwent surgical resections with curative intentions : resection of the hepatic bifurcation ( n = 9 , 29 % ) , resection of the hepatic bifurcation with hilar liver resection ( n = 7 , 22.6 % ) , resection of the hepatic bifurcation with left hemihepatectomy ( n = 10 , 32.3 % ) , orthotopic liver transplantation ( n = 5 , 16.1 % ) . The remaining 14 patients underwent palliative ( n = 6 ) or diagnostic ( n = 8 ) operations . Two of the 45 patients ( 4.2 % ) died in hospital . Histological examination demonstrated R0 resection in 17 of 31 ( 54.8 % ) of the patients , while in the remaining 14 cases , only a R1/RX resection had been achieved . One- , 2- and 5-year survival rates were 75.4 % , 53.9 % and 24.5 % ( median survival : 729 days ) in the 31 resected patients , and 30.8 % , 10.3 % and 0 % ( median survival : 153 days ) in the palliative treatment group . A statistically significant influence on survival could be demonstrated for nodal status ( N0/N1) and residual tumor status ( R0/R1, R2)." ], "offsets": [ [ 0, 1317 ] ] } ]
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"DerChirurg.70680378.eng.abstr-s7-r11-t7.1-t4.1", "type": "isa", "arg1_id": "DerChirurg.70680378.eng.abstr-s7-t7", "arg2_id": "DerChirurg.70680378.eng.abstr-s7-t4", "normalized": [] }, { "id": "DerChirurg.70680378.eng.abstr-s7-r12-t3.1-t2.1", "type": "performs", "arg1_id": "DerChirurg.70680378.eng.abstr-s8-t3", "arg2_id": "DerChirurg.70680378.eng.abstr-s8-t2", "normalized": [] }, { "id": "DerChirurg.70680378.eng.abstr-s7-r13-t5.1-t4.1", "type": "isa", "arg1_id": "DerChirurg.70680378.eng.abstr-s7-t5", "arg2_id": "DerChirurg.70680378.eng.abstr-s7-t4", "normalized": [] } ]
DerChirurg.70680385.eng.abstr
DerChirurg.70680385.eng.abstr
[ { "id": "DerChirurg.70680385.eng.abstr-passage-0", "type": "abstract", "text": [ "A 41-year-old patient with liver cirrhosis due to autoimmune hepatitis received an emergency transjugular portosystemic stent shunt for uncontrolled acute variceal hemorrhage . Because of markedly impaired liver function , liver transplantation was considered to be indicated and was performed on the following day . Intraoperatively , one of the intrahepatic metal stents migrated unnoticed into the pulmonary artery . The postoperative course was uncomplicated and the displaced stent was left in situ . Eighteen months after the transplantation the patient is well with normal liver function and no pulmonary problems ." ], "offsets": [ [ 0, 622 ] ] } ]
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[]
[]
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DerChirurg.70680389.eng.abstr
DerChirurg.70680389.eng.abstr
[ { "id": "DerChirurg.70680389.eng.abstr-passage-0", "type": "abstract", "text": [ "We present four cases of esophageal rupture ( three iatrogenic , one Boerhaave syndrome ) to demonstrate the difficulty in diagnosis and therapy . The current literature is discussed and conclusions are drawn as regards the modus operandi . All our patients were operated on . The site of esophageal rupture was always closed with a primary suture and substantial irrigation and drainage were performed . In two cases the suture line was in addition covered with fibrin glue or by an omentum flap , respectively . All patients survived and recovered was unremarkable . Our own results and a subsequent analysis of literature allow the following conclusions . At an early stage of esophageal rupture surgical intervention is indicated . The method of choice is primary closure of the rupture site by suture , possibly combined with a muscle or omentum flap . In cases of delayed diagnosis with advanced mediastinitis , suture of the rupture site should also be striven for . Additional coverage is advisable in these cases . Resection procedures with or without reconstruction should be done only in exceptional cases before of the high surgical risk ." ], "offsets": [ [ 0, 1151 ] ] } ]
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"DerChirurg.70680389.eng.abstr-s9-r2-t3.1-t6.1", "type": "disrupts", "arg1_id": "DerChirurg.70680389.eng.abstr-s12-t3", "arg2_id": "DerChirurg.70680389.eng.abstr-s9-t6", "normalized": [] }, { "id": "DerChirurg.70680389.eng.abstr-s9-r3-t5.1-t6.1", "type": "surrounds", "arg1_id": "DerChirurg.70680389.eng.abstr-s9-t5", "arg2_id": "DerChirurg.70680389.eng.abstr-s9-t6", "normalized": [] }, { "id": "DerChirurg.70680389.eng.abstr-s9-r4-t3.1-t5.1", "type": "disrupts", "arg1_id": "DerChirurg.70680389.eng.abstr-s12-t3", "arg2_id": "DerChirurg.70680389.eng.abstr-s9-t5", "normalized": [] }, { "id": "DerChirurg.70680389.eng.abstr-s9-r5-t4.1-t5.1", "type": "developmental_form_of", "arg1_id": "DerChirurg.70680389.eng.abstr-s9-t4", "arg2_id": "DerChirurg.70680389.eng.abstr-s9-t5", "normalized": [] }, { "id": "DerChirurg.70680389.eng.abstr-s9-r6-t3.1-t1.1", "type": "associated_with", "arg1_id": "DerChirurg.70680389.eng.abstr-s12-t3", "arg2_id": "DerChirurg.70680389.eng.abstr-s12-t1", "normalized": [] }, { "id": "DerChirurg.70680389.eng.abstr-s9-r7-t3.1-t4.1", "type": "disrupts", "arg1_id": "DerChirurg.70680389.eng.abstr-s12-t3", "arg2_id": "DerChirurg.70680389.eng.abstr-s9-t4", "normalized": [] }, { "id": "DerChirurg.70680389.eng.abstr-s9-r8-t5.1-t4.1", "type": "surrounds", "arg1_id": "DerChirurg.70680389.eng.abstr-s9-t5", "arg2_id": "DerChirurg.70680389.eng.abstr-s9-t4", "normalized": [] }, { "id": "DerChirurg.70680389.eng.abstr-s9-r10-t1.2-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.70680389.eng.abstr-s12-t1", "arg2_id": "DerChirurg.70680389.eng.abstr-s12-t3", "normalized": [] }, { "id": "DerChirurg.70680389.eng.abstr-s9-r11-t4.1-t3.1", "type": "location_of", "arg1_id": "DerChirurg.70680389.eng.abstr-s9-t4", "arg2_id": "DerChirurg.70680389.eng.abstr-s12-t3", "normalized": [] }, { "id": "DerChirurg.70680389.eng.abstr-s9-r13-t5.1-t3.1", "type": "location_of", "arg1_id": "DerChirurg.70680389.eng.abstr-s9-t5", "arg2_id": "DerChirurg.70680389.eng.abstr-s12-t3", "normalized": [] }, { "id": "DerChirurg.70680389.eng.abstr-s9-r14-t6.1-t5.1", "type": "developmental_form_of", "arg1_id": "DerChirurg.70680389.eng.abstr-s9-t6", "arg2_id": "DerChirurg.70680389.eng.abstr-s9-t5", "normalized": [] }, { "id": "DerChirurg.70680389.eng.abstr-s9-r15-t3.1-t1.2", "type": "associated_with", "arg1_id": "DerChirurg.70680389.eng.abstr-s12-t3", "arg2_id": "DerChirurg.70680389.eng.abstr-s12-t1", "normalized": [] }, { "id": "DerChirurg.70680389.eng.abstr-s9-r16-t4.1-t6.1", "type": "developmental_form_of", "arg1_id": "DerChirurg.70680389.eng.abstr-s9-t4", "arg2_id": "DerChirurg.70680389.eng.abstr-s9-t6", "normalized": [] }, { "id": "DerChirurg.70680389.eng.abstr-s9-r17-t6.1-t3.1", "type": "location_of", "arg1_id": "DerChirurg.70680389.eng.abstr-s9-t6", "arg2_id": "DerChirurg.70680389.eng.abstr-s12-t3", "normalized": [] }, { "id": "DerChirurg.70680389.eng.abstr-s9-r18-t1.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.70680389.eng.abstr-s12-t1", "arg2_id": "DerChirurg.70680389.eng.abstr-s12-t3", "normalized": [] }, { "id": "DerChirurg.70680389.eng.abstr-s10-r1-t1.2-t3.1", "type": "result_of", "arg1_id": "DerChirurg.70680389.eng.abstr-s12-t1", "arg2_id": "DerChirurg.70680389.eng.abstr-s12-t3", "normalized": [] }, { "id": "DerChirurg.70680389.eng.abstr-s10-r2-t3.1-t1.2", "type": "result_of", "arg1_id": "DerChirurg.70680389.eng.abstr-s12-t3", "arg2_id": "DerChirurg.70680389.eng.abstr-s12-t1", "normalized": [] }, { "id": "DerChirurg.70680389.eng.abstr-s10-r3-t3.1-t1.1", "type": "associated_with", "arg1_id": "DerChirurg.70680389.eng.abstr-s12-t3", "arg2_id": "DerChirurg.70680389.eng.abstr-s12-t1", "normalized": [] }, { "id": "DerChirurg.70680389.eng.abstr-s10-r6-t1.1-t3.1", "type": "associated_with", "arg1_id": "DerChirurg.70680389.eng.abstr-s12-t1", "arg2_id": "DerChirurg.70680389.eng.abstr-s12-t3", "normalized": [] } ]
DerChirurg.70680395.eng.abstr
DerChirurg.70680395.eng.abstr
[ { "id": "DerChirurg.70680395.eng.abstr-passage-0", "type": "abstract", "text": [ "As laparoscopic cholecystectomy becomes more established , interest in legal aspects increases . The legal cases dealt with in Germany since the introduction of this laparoscopic method in 1989 were studied to determine the legal consequences of complications . Of 40 cases , 16 were judged to be cases of malpractice , whereas 24 were not . The most common cause was injury of the common bile duct ( 26 cases ) . Seven of these 26 cases were judged to be cases of malpractice , 2 of these as grave errors . The main reasons for the acceptance of a case as malpractice were delay in changing to conventional cholecystectomy , delayed revision , laparoscopic revisions and not reverting to conventional cholecystectomy in unclear situations ." ], "offsets": [ [ 0, 741 ] ] } ]
[ { "id": "DerChirurg.70680395.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "cholecystectomy" ], "offsets": [ [ 16, 31 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008320" } ] }, { "id": "DerChirurg.70680395.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "legal aspects" ], "offsets": [ [ 71, 84 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022433" }, { "db_name": "UMLS", "db_id": "C0220868" } ] }, { "id": "DerChirurg.70680395.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "Germany" ], "offsets": [ [ 127, 134 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0017480" } ] }, { "id": "DerChirurg.70680395.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "method" ], "offsets": [ [ 179, 185 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025663" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": "DerChirurg.70680395.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "complications" ], "offsets": [ [ 246, 259 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009566" } ] }, { "id": "DerChirurg.70680395.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "malpractice" ], "offsets": [ [ 306, 317 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024650" } ] }, { "id": "DerChirurg.70680395.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "cause" ], "offsets": [ [ 358, 363 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0015127" } ] }, { "id": "DerChirurg.70680395.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "injury" ], "offsets": [ [ 368, 374 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0175677" }, { "db_name": "UMLS", "db_id": "C0021501" } ] }, { "id": "DerChirurg.70680395.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "bile" ], "offsets": [ [ 389, 393 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005388" } ] }, { "id": "DerChirurg.70680395.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "bile duct" ], "offsets": [ [ 389, 398 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0005400" } ] }, { "id": "DerChirurg.70680395.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "common bile duct" ], "offsets": [ [ 382, 398 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0009437" } ] }, { "id": "DerChirurg.70680395.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "malpractice" ], "offsets": [ [ 465, 476 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024650" } ] }, { "id": "DerChirurg.70680395.eng.abstr-s6-t1", "type": "umlsterm", "text": [ "malpractice" ], "offsets": [ [ 557, 568 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0024650" } ] }, { "id": "DerChirurg.70680395.eng.abstr-s6-t2", "type": "umlsterm", "text": [ "cholecystectomy" ], "offsets": [ [ 608, 623 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008320" } ] }, { "id": "DerChirurg.70680395.eng.abstr-s6-t3", "type": "umlsterm", "text": [ "cholecystectomy" ], "offsets": [ [ 702, 717 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0008320" } ] } ]
[]
[]
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DerChirurg.70680403.eng.abstr
DerChirurg.70680403.eng.abstr
[ { "id": "DerChirurg.70680403.eng.abstr-passage-0", "type": "abstract", "text": [ "The co-existence of horseshoe kidney ( HSK ) and abdominal aortic aneurysm ( AAA ) is rare and demands a special diagnostic workup and a meticulous surgical procedure . Ten patients with HSK associated with AAA are reported . All underwent aortic replacement with successful preservation of multiple renal arteries . One patient died at the 7th postoperative day from myocardial infarction . HSK does not represent a contraindication for aortic repair . Angiography for identification of aberrant renal arteries and classification into three types for surgical management is mandatory . In type I and II we recommend a standard midline transperitoneal approach . Only in type III does a thoraco-abdominal approach seem favourable . The aortic reconstruction should be performed with tube grafts , if possible . Aberrant renal arteries are reattached directly to the prosthesis . Dissection of renal isthmus should be avoided . Temporary cold renal perfusion is indicated to extend the ischemic tolerance time . As repair of a ruptured AAA in patients with HSK may be quite difficult and time consuming , we recommend more liberal indications for aneurysm surgery in patients with HSK ." ], "offsets": [ [ 0, 1185 ] ] } ]
[ { "id": "DerChirurg.70680403.eng.abstr-s1-t1", "type": "umlsterm", "text": [ "kidney" ], "offsets": [ [ 30, 36 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0022646" } ] }, { "id": "DerChirurg.70680403.eng.abstr-s1-t2", "type": "umlsterm", "text": [ "aneurysm" ], "offsets": [ [ 66, 74 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002940" } ] }, { "id": "DerChirurg.70680403.eng.abstr-s1-t3", "type": "umlsterm", "text": [ "diagnostic" ], "offsets": [ [ 113, 123 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0348026" } ] }, { "id": "DerChirurg.70680403.eng.abstr-s1-t4", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 148, 156 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680403.eng.abstr-s1-t5", "type": "umlsterm", "text": [ "procedure" ], "offsets": [ [ 157, 166 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0184661" }, { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": 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[]
[]
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DerChirurg.70680410.eng.abstr
DerChirurg.70680410.eng.abstr
[ { "id": "DerChirurg.70680410.eng.abstr-passage-0", "type": "abstract", "text": [ "Owing to increasing limitations on resources in health care , there is an urgent need to investigate effectiveness and efficiency of medical procedures . Therefore , we retrospectively studied the courses of 62 surgical patients who required at least 30 days of intensive care regarding mortality , long-term prognosis and quality of life . Additionally , a cost analysis was made using quality-adjusted life years ( QALYs ) . The hospital mortality was 40.3 % . The overall median survival time of discharged patients ( n = 37 ) was 3.7 years and the calculated 3-year survival was 56.4 % . The most frequent causes of death were septic complications or multiple organ failure in hospitalized patients and tumor relapses in discharged patients . In most of the surviving patients quality of life ( median Gastrointestinal Quality of Life Index : 104 points ) was good . About 20 % of the discharged patients were able to return to work . Although extended intensive care therapy is extremely expensive ( DM 68,250 per QALY ) , these costs are comparable with other accepted procedures in medicine ( i . e . hemodialysis ) . Therefore , economical aspects should not be a generalized reason for withdrawing or withholding intensive care therapy ." ], "offsets": [ [ 0, 1246 ] ] } ]
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DerChirurg.70680416.eng.abstr
DerChirurg.70680416.eng.abstr
[ { "id": "DerChirurg.70680416.eng.abstr-passage-0", "type": "abstract", "text": [ "The aim of this study was to examine the effect of decontamination as compared to placebo medication on post-gastrectomy treatment costs . The results of a prospective double-blind placebo-controlled multicenter trial indicate that perioperative i . v. prophylaxis with cefotaxim and topical decontamination with polymyxin B , tobramycin , vancomycin and amphotericin B from the day before surgery until the 7th postoperative day is most effective in the prevention of esophagojejunal anastomotic leakage following total gastrectomy . For the cost analysis , only patients who had been decontaminated according to the study protocol ( n = 90 ) were compared to the non-decontaminated patients ( n = 103 ) . The esophagojejunal leakage rate was 10.6 % in placebo patients ( n = 103 ) and could be reduced significantly to 1.1 % in decontaminated patients ( n = 90 , P = 0.0061 ; two-tailed Fisher's exact test ) . There was only one asymptomatic leakage detected on Gastrografin swallow . The pulmonary infection ( P = 0.0173 ) and overall complication rates ( p = 0.0238 ) were significantly reduced in the decontamination group as well . During the observation period , 9 ( 8.7 % ) patients in the placebo group and 3 ( 3.3 % ) in the decontaminated group died ( P = n . s. ) . Patients were followed up for the initial 42 postoperative days and treatment costs were calculated for this time period only . The parameters compiled in the study pertaining to use of medical resources formed the basis for the determination of the postoperative treatment costs . These were the costs for decontaminating drugs , intravenous antibiotics , reoperations and non-surgical reinterventions as well as daily treatment costs of the general ward , the intensive care unit ( ICU ) and rehabilitation . The average costs per patient in the placebo group amounted to DM 20 000 while the costs for decontaminated patients were only DM 16 200 , which was due to a significantly lower number of patients requiring treatment in the ICU ( P = 0.0082 ) , significantly fewer patients requiring i . v. antibiotics ( P = 0.0232 ) and fewer patients with reoperations ( P = 0.0909 ) . The prophylaxis employing decontaminating drugs in the amount of DM 400 lowered post-gastrectomy treatment costs by DM 3800 or 19 % . The prophylaxis can be recommended , because it lowers morbidity , mortality and the costs of total gastrectomy ." ], "offsets": [ [ 0, 2409 ] ] } ]
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DerChirurg.70680429.eng.abstr
DerChirurg.70680429.eng.abstr
[ { "id": "DerChirurg.70680429.eng.abstr-passage-0", "type": "abstract", "text": [ "The combination of abdominal aortic aneurysm ( AAA ) and necrosis of the lumbar vertebral bodies is often the consequence of ischemia of the lumbar arteries and local compression from the aneurysm . A patient with necrosis of lumbar vertebral bodies 2 to 4 was admitted for abdominal aneurysm repair . CT scanning revealed almost complete destruction of the second and fourth lumbar vertebral bodies . In a combined operation an orthopedic and a vascular surgical team implanted two carbonic cages with autogenous splinter of the pelvic bone and an aortic vascular graft , using a retroperitoneal approach . Three months after the operation the 61-year-old man is entirely well and without any signs of back pain . He could be fully mobilized within 3 weeks postoperatively . This case study depicts the surgical techniques and discusses the advantages of the simultaneous operation and retroperitoneal exposure ." ], "offsets": [ [ 0, 913 ] ] } ]
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"aortic aneurysm" ], "offsets": [ [ 29, 44 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0003486" } ] }, { "id": "DerChirurg.70680429.eng.abstr-s1-t7", "type": "umlsterm", "text": [ "abdominal aortic aneurysm" ], "offsets": [ [ 19, 44 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0162871" } ] }, { "id": "DerChirurg.70680429.eng.abstr-s2-t1", "type": "umlsterm", "text": [ "patient" ], "offsets": [ [ 201, 208 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030705" } ] }, { "id": "DerChirurg.70680429.eng.abstr-s2-t2", "type": "umlsterm", "text": [ "necrosis" ], "offsets": [ [ 214, 222 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0027540" } ] }, { "id": "DerChirurg.70680429.eng.abstr-s2-t3", "type": "umlsterm", "text": [ "aneurysm" ], "offsets": [ [ 284, 292 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0002940" } ] }, { "id": "DerChirurg.70680429.eng.abstr-s2-t4", "type": "umlsterm", "text": [ "repair" ], "offsets": [ [ 293, 299 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0043240" } ] }, { "id": "DerChirurg.70680429.eng.abstr-s3-t1", "type": "umlsterm", "text": [ "CT scanning" ], "offsets": [ [ 302, 313 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0040405" } ] }, { "id": "DerChirurg.70680429.eng.abstr-s4-t1", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 416, 425 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680429.eng.abstr-s4-t2", "type": "umlsterm", "text": [ "orthopedic" ], "offsets": [ [ 429, 439 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0029355" } ] }, { "id": "DerChirurg.70680429.eng.abstr-s4-t3", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 455, 463 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680429.eng.abstr-s4-t4", "type": "umlsterm", "text": [ "bone" ], "offsets": [ [ 537, 541 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0262950" } ] }, { "id": "DerChirurg.70680429.eng.abstr-s4-t5", "type": "umlsterm", "text": [ "graft" ], "offsets": [ [ 565, 570 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0332835" }, { "db_name": "UMLS", "db_id": "C0040733" } ] }, { "id": "DerChirurg.70680429.eng.abstr-s4-t6", "type": "umlsterm", "text": [ "pelvic bone" ], "offsets": [ [ 530, 541 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030786" } ] }, { "id": "DerChirurg.70680429.eng.abstr-s5-t1", "type": "umlsterm", "text": [ "operation" ], "offsets": [ [ 631, 640 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0543467" }, { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680429.eng.abstr-s5-t2", "type": "umlsterm", "text": [ "man" ], "offsets": [ [ 657, 660 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025266" }, { "db_name": "UMLS", "db_id": "C0024554" } ] }, { "id": "DerChirurg.70680429.eng.abstr-s5-t3", "type": "umlsterm", "text": [ "signs" ], "offsets": [ [ 694, 699 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0220912" } ] }, { "id": "DerChirurg.70680429.eng.abstr-s5-t4", "type": "umlsterm", "text": [ "back" ], "offsets": [ [ 703, 707 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004600" } ] }, { "id": "DerChirurg.70680429.eng.abstr-s5-t5", "type": "umlsterm", "text": [ "pain" ], "offsets": [ [ 708, 712 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0030193" } ] }, { "id": "DerChirurg.70680429.eng.abstr-s5-t6", "type": "umlsterm", "text": [ "back pain" ], "offsets": [ [ 703, 712 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0004604" } ] }, { "id": "DerChirurg.70680429.eng.abstr-s7-t1", "type": "umlsterm", "text": [ "surgical" ], "offsets": [ [ 804, 812 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0038895" } ] }, { "id": "DerChirurg.70680429.eng.abstr-s7-t2", "type": "umlsterm", "text": [ "techniques" ], "offsets": [ [ 813, 823 ] ], "normalized": [ { "db_name": "UMLS", "db_id": "C0025664" } ] }, { "id": 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[]
[]
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"DerChirurg.70680429.eng.abstr-s5-r5-t1.1-t3.1", "type": "treats", "arg1_id": "DerChirurg.70680429.eng.abstr-s7-t1", "arg2_id": "DerChirurg.70680429.eng.abstr-s7-t3", "normalized": [] }, { "id": "DerChirurg.70680429.eng.abstr-s5-r6-t1.2-t1.1", "type": "performs", "arg1_id": "DerChirurg.70680429.eng.abstr-s5-t1", "arg2_id": "DerChirurg.70680429.eng.abstr-s7-t1", "normalized": [] } ]
DerChirurg.70680439.eng.abstr
DerChirurg.70680439.eng.abstr
[ { "id": "DerChirurg.70680439.eng.abstr-passage-0", "type": "abstract", "text": [ "All 1994 publications of four leading journals in surgery , orthopedics and internal medicine in Germany ( Der Chirurg , Der Unfallchirurg , Langenbecks Archiv fuer Chirurgie , Medizinische Klinik ) were reviewed by means of a structured analysis . The type of article , authorship , number of references , geographical location , quality , and main conclusion ( positive ; neutral ; negative ) of each article were documented . The journals focused on clinical studies ( 32.2-59.6 % ) , case reports ( 11.0-26.1 % ) and reviews ( 6.4-40.9 % ) . Articles about surgical techniques were mainly found in Der Chirurg ( 16.9 % ) , experimental studies in Der Unfallchirurg ( 14.7 % ) and Langenbecks Archiv fuer Chirurgie ( 25.7 % ) . Most articles were written by university clinic personnel ( 62.6-81.4 % ) . In 11.0-22.6 % of all articles , the head of a clinic was the first author and the co-author in 36.5-58.7 % . Women were found to be first author in 4 % in surgery , and in 10.4 % in internal medicine . Of a total of 495 publications , 53.9 % were written in Northrhine-Westphalia , Bavaria or Baden-Wuerttemberg and only 1.6 % in the five new federal states . Of all articles 16.4 % were by foreign authors , with 10.5 % originating from German-speaking countries . The portion of controlled randomized trials ranged between 4.9 % ( Der Unfallchirurg ) and 11.3 % ( Der Chirurg ) of all published studies . Studies and case reports with negative results were found to be more evident in Der Chirurg and Langenbecks Archiv fuer Chirurgie ( ca. 20 % ) as compared to Der Unfallchirurg and Medizinische Klinik ( ca. 6 % ) . All journals provided good general information about the actual developments in a variety of topics to the reader . However , some improvement concerning international contributions , participation of the new federal states , and the quality of studies is recommended ." ], "offsets": [ [ 0, 1898 ] ] } ]
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[]
[]
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DerChirurg.70680454.eng.abstr
DerChirurg.70680454.eng.abstr
[ { "id": "DerChirurg.70680454.eng.abstr-passage-0", "type": "abstract", "text": [ "Soft tissue defects of the extremities are infrequent within the spectrum of general surgery and are predominantly found with perfusion disorders of macro- and microcirculation in the lower extremities . In the upper extremity , they are more frequently seen after i . v. cytostatic drug administration and tumor resections . This article describes the most frequent causes of complex defects of the extremities . Common flaps for the reconstruction of these defects and the pathway to decision making are elucidated ." ], "offsets": [ [ 0, 518 ] ] } ]
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[]
[]
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DerChirurg.70680461.eng.abstr
DerChirurg.70680461.eng.abstr
[ { "id": "DerChirurg.70680461.eng.abstr-passage-0", "type": "abstract", "text": [ "Full-thickness defects of the thoracic wall following tumor resection , irradiation damage or secondary wound healing in thoracic surgery require early interdisciplinary cooperation to achieve patient-specific treatment modalities . Plastic surgical differential therapy allowing for sufficient soft tissue coverage , stabilisation of the thoracic wall and space filling in intrathoracic cavities , is presented and critically discussed ." ], "offsets": [ [ 0, 438 ] ] } ]
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[]
[]
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"DerChirurg.70680461.eng.abstr-s2-r3-t2.1-t1.1", "type": "uses", "arg1_id": "DerChirurg.70680461.eng.abstr-s2-t2", "arg2_id": "DerChirurg.70680461.eng.abstr-s2-t1", "normalized": [] } ]
DerChirurg.70680469.eng.abstr
DerChirurg.70680469.eng.abstr
[ { "id": "DerChirurg.70680469.eng.abstr-passage-0", "type": "abstract", "text": [ "Complex defects of the trunk and pelvic region are rare , but are mostly the sequelae of serious conditions . Stable soft tisue coverage after radical debridement of all avital tissue may be of vital importance for the patient . The article will demonstrate the options of plastic surgery procedures that should be known by the general surgeon to be eventually integrated into a interdisciplinary therapeutic concept ." ], "offsets": [ [ 0, 418 ] ] } ]
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[]
[]
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