Verlockungen der Ästhetik

Background

Since the late 1960s aesthetic surgery has also been a topic in the humanities and social sciences.

Objective

How is aesthetic surgery viewed from a cultural scientific perspective?

Material and methods

This article describes the evaluation of the surgical literature, literature on the humanities and social sciences, a discussion on narrative terminology and an analytical discourse on pictorial science and feminist history.

Results

The term “aesthetics” is a diffuse term, which is used in the cultural construction of policies also for human beauty, not for specific policies. In the surgical literature it is used with very different objectives, which leads to the fact that it does not describe any clearly differentiated category. References to artistic policies only provide surgery with rough guides and often serve the authorization of surgeons. In feminist criticism, aesthetic surgery is interpreted as (self)submission and in the more recent literature as a possibility for self-optimization. The recognition of aesthetics as cultural construction and the disclosure of one’s own working principles enables patients to have a greater self-determination.

     

Ätiopathogenese der Prostatitis

The first step in adopting a practical approach to the management of patients with prostatitis lies in the realization that the etiology of the symptoms often remains unclear and the traditional etiologically based classification system is part of the problem and not the solution. This problem was recognized in 1995 by the National Institutes of Health Consensus Conference on prostatitis. It was suggested that the classification of this disease be changed. The traditional categories "chronic nonbacterial prostatitis" and "prostatodynia" were replaced by the new category "chronic pelvic pain syndrome." The introduction of the term "syndrome" reflects two issues: despite lack of evidence for bacterial involvement based on conventional methods, nonbacterial prostatitis may indeed still be an infectious disease, and the etiology of the symptoms may be caused by a disorder not related to the prostate gland alone.     

Einladung zur 23. Jahrestagung der GÄCD 2010

Mitteilungen der G?CD

Einladung zur 23. Jahrestagung der G?CD 2010     

Ästhetische Gesichtspunkte der Chirurgie der Fingerendglieder

Ohne Zusammenfassung     

Die Ätiologie der Hodenretention

Ohne Zusammenfassung (Mit 4 Abbildungen.)     

Mitteilungen der GÄCD

Mitteilungen der G?CD

Mitteilungen der G?CD     

Mitteilungen der GÄCD

Mitteilungen der G?CD

Mitteilungen der G?CD     

Mitteilungen der GÄCD

Journal für Ästhetische Chirurgie -     

Mitteilungen der GÄCD

Mitteilungen der G?CD

Mitteilungen der G?CD     

Jahrestagung der GÄCD

Editorial

Jahrestagung der G?CD     

Übergewicht in der Ätiologie der Gonarthrose

Problem

Osteoarthritis of the knee joint is one of the important and highly functionally impairing diseases of the musculoskeletal system in adults. The spectrum of causes of knee arthritis is broad. Obesity is one of the main causes in the etiology of osteoarthritis of the knee. In particular, knowledge of the cause and effect relationship between obesity and knee osteoarthritis are important in the assessment of claims of occupational disease BK 2112 (knee osteoarthritis due to long-term kneeing).

Objective and methods

This article is based on a literature review of cohort studies with regard to the question whether obesity is a risk factor in the etiology of osteoarthritis of the knee.

Results

A total of 26 cohort studies were identified. Based on the proven cohort studies it can be shown that a significant association exists between obesity and physical occurrence of osteoarthritis of the knee joint. Compared with normal weight subjects the risk of occurrence of the disease is doubled in obese subjects per category of overweight (overweight 25-30 kg/m², obese over 30 kg/m²). A dose-response relationship with respect to the degree of obesity is clearly demonstrated.

Conclusion

Obesity plays a significant role in the etiology of primary osteoarthritis of the knee joint.

     

Beitrag zur Ätiologie der Coxa vara bei der sog. kongenitalen Hüftluxation

Ohne ZusammenfassungMit 11 Textabbildungen     

Die Ätiologie der Plexuslähmung der Neugeborenen

Ohne Zusammenfassung     

Beitrag zur Ätiologie der Nierenkelchhalsverengerung

Zusammenfassung Bericht über einen seltenen Fall von Nierenkelchhalseinengung im Bereich der oberen Kelchgruppe beider Nieren durch abnormen Verlauf intrarenaler Gefäße. Aortographischer Nachweis. Klinisch bestand Pyelonephritis und flüchtige Harnblutung, röntgenologisch Harnstauung in beiden oberen Kelchgruppen. Konservative antibiotische Behandlung. Gegenüberstellung mit anderen ätiologischen Faktoren der Kelchhalsverengerungen.Mit 3 TextabbildungenHerrn Prof. Dr.O. W. Diebold zum 60. Geburtstag gewidmet.     

Ästhetisch-plastische Chirurgie der weiblichen Genitalregion

Background

The demand for aesthetic plastic surgery of the female genital area has increased in recent years also in Germany.

Objectives

The aim of this article is to give a current overview of the indications, surgical techniques, risk profiles and outcome of aesthetic surgery of the vulva and vagina.

Materials and methods

A review is presented based on the current literature and evaluation of own experiences regarding the most common procedures, such as labiaplasty, vaginoplasty and perineoplasty, clitoral hood reduction and hymenoplasty. In addition to the principles of plastic surgery, the specific medicolegal, ethical and sociocultural aspects of these interventions are discussed.

Results

The majority of published studies indicate an overall postoperative patient satisfaction of 90–95?% and a positive effect on sexual satisfaction was reported in 80–85?%. Temporary complications, such as wound healing problems, appear to be acceptable to the patients. Chronic complaints were only very rarely reported and serious postoperative complications, such as those affecting the vaginal birth process were not reported.

Discussion

While the medical indications for genital surgery are controversially discussed in the media and also among physicians, according to the data from the literature the vast majority of patients rate the postoperative results as very positive and feel a subjective improvement in their body image and sexuality. Due to the special medicolegal, psychosocial and ethical aspects, a particularly differentiated counseling, prudent indications as well as technical knowledge of details are required preoperatively. Aesthetic plastic genital surgery is a new field which is in a continuous process of development. The benefits and risks for the patients should be investigated in future by high quality scientific studies regarding long-term results in terms of functional aspects, body image and subjective sexual perception.     

Jahrestagung der GÄCD 22. bis 24 . 2009 Oktober in Köln

Mitteilungen der G?CD

Jahrestagung der G?CD 22. bis 24 . 2009 Oktober in K?ln     

Änderungen der stationären Versorgung

Trauma und Berufskrankheit - Vor dem Hintergrund veränderter Rahmenbedingungen und neuer Herausforderungen im Gesundheitswesen hat die DGUV (Deutsche Gesetzliche Unfallversicherung) eine...     

Ätiologie und Konsequenz der postoperativen Wundinfektion

Zusammenfassung Die Inzidenz postoperativer Wundinfektionen liegt zwischen 4,6% and über 36% nach Eingriffen am Gastrointestinaltrakt. In einer prospektiv angelegten Studie zwischen 1/89 und 1/90 versuchten wir mögliche ursächliche Faktoren für die postoperative Wundinfektion zu erfassen. In die Studie wurden 444 Patienten von 3 allgemeinchirurgischen Stationen unserer Klinik eingebracht. Die gesamte Wundinfektionsrate betrug 6,3%. Die Patienten wurden nach 3 operativen Gruppen klassifiziert: Gruppe I: subkutane Operationen; Gruppe II: intraabdominelle Operationen ohne Eröffnung des GI-Trakts; Gruppe III: gastrointestinale Operationen. Die Wundinfektionsrate in Gruppe I betrug 1,8%, in Gruppe II 7,3% and in Gruppe III 13,7%. Die erhobenen Werte waren statistisch significant. Die statistische Analyse wurde mittels univariater Berechnung (²-Test) and logistischer Diskriminanzanalyse (Cox-Modell) durchgeführt. Es zeigte sich, daß die Klassifizierung in 3 Gruppen (p = 0,000), Operationszeit (p = 0,009), Operationssaal (p = 0,000), Intensivstation (p =0,026), Langzeitantibiotikaprophylaxe (p = 0,001), subkutanes Hämatom (p = 0,000) and Drainagedauer. (p = 0,001) von signifikanter Bedeutung sind. In der multivariaten Analyse stellte sich die Klassifizierung in 3 Operationsgruppen als der gewichtigste Faktor dar. Der postoperative Krankenhausaufenthalt verlängerte sich significant bei Patienten mit Wundinfektionen (p = 0,0024).

---

Etiology and consequences of postoperative wound infection

Summary The incidence of postoperative wound infection ranges between 4.6% and 36% after gastrointestinal operations respectively. To evaluate the factors which influence the postoperative wound infection we prospectively analyzed our patients between 1/1989 and 1/1990. 444 patients from three general surgical units of our clinic entered this study. The overall wound infection rate was 6.3%. We classified the patients into 3 operative groups: Group I: subcutaneous operations; Group 11: intraabdominal operations without opening the GI-tract; Group III: gastrointestinal operations. Wound infection rate in group I was 1.8%, in group 11 7.3% and in group III 13.7%. The differences were highly significant. Both univariate (²-test) as well as a multivariate (Cox-Model) analysis were done. We figured out that classification of patients (p = 0.000), operation time (p = 0.009), operating room (p = 0.000), intensive care unit (p = 0.026), longterm antibiotic prophylaxis (p = 0.001), subcutaneous haematoma (p = 0.000) and length of closed drainage time (p = 0.001) are of significant value. In the Cox model the classification of patients into 3 groups surpassed all the other factors. Postoperative hospital stay was lengthened in patients with wound infection significantly (p = 0.0025).