Bacillus Calmette-Guérin treatment and vesicorenal reflux

14 patients with radiologically documented vesicorenal reflux (5 bilateral, 7 unilateral, 2 unilateral double-J stents) received intravesical immunotherapy with bacillus Calmette-Guérin (BCG) after treatment of their superficial urothelial tumors. 1 patient with a double-J stent suffered a highly febrile attack following obstruction of the indwelling ureteral catheter. The other patients tolerated 1 or 2 (6 of 14 patients) courses of BCG without an increase in side effects. Topical intravesical therapy with BCG in patients with vesicorenal reflux seems to be indicated in view of the multicentricity of urothelial carcinoma and can be performed without an increased risk of complications.     

Einsatzmöglichkeiten der Chromosomenfeinanalyse (CFA) in Gynäkologie,Geburtshilfe und Pädiatrie

Ohne Zusammenfassung     

Continued progress in the legal aspects of integrating handicapped patients--recommendations of the Federal Council on Rehabilitation to SGB IX]

In January 1991, the Government coalition parties agreed that the existing rehabilitation and severely disabled persons legislation should be rearranged in a distinct manner and integrated in the German Social Code as Book IX--Integration of disabled persons. This forthcoming codification moreover is intended as an opportunity for introducing appropriate adjustments and amendments, as well as for considering the possibilities for limited material reform. The Federal Rehabilitation Council has submitted a number of proposals to the Federal government aimed at settling various intersectoral aspects of rehabilitation legislation in the forthcoming Book IX.     

The Excimer laser. II. Initial experiences with the Excimer laser in Lucerne]

In the period between September 1990 and July 1991, 35 patients (46 eyes) were treated with the Excimer Laser. In 25 patients (34 eyes), a Myopia-Laser-Shaping was performed, one patient was treated for both myopia and astigmatism. In eight patients (10 eyes) correction of astigmatism was carried out. Two patients with recurrent erosions and one patient with superficial scarring of the cornea were treated. The authors review their initial experience with the Excimer Laser. The decision to initiate treatment must not be undertaken lightly, because the possibility of serious complications may not be neglected. This method shows promise in selected patients with light to medium degrees of myopia. In cases of severe myopia, our experience is encouraging. Subjectively, the patients are satisfied with the results, which do not fall short of their expectations. Further research and clinical experience in this area is urgently required.     

Ambulante und tageschirurgische Eingriffe

Das ambulante Operieren bringt neben finanzieller Entlastung der Kostenträger zweifelsohne eine Reihe von Vorteilen, aber auch Nachteile für die Patienten mit sich. Neben intensiven Anstrengungen zur Qualitätssicherung muss insbesondere die Diskussion über die Auswahl geeigneter Patienten für geeignete Eingriffe intensiv und kontinuierlich geführt werden. Dem Trend, das Spektrum ambulant durchgeführter Eingriffe auf ein immer stärker risikotragendes Patientengut auszudehnen, muss insgesamt zunächst mit Skepsis begegnet werden. Auch wenn mit den Fortschritten der Operationstechniken das operative Zugangstrauma erheblich reduziert werden kann und moderne Anästhesieverfahren eine sehr gute Steuerung der Patienten erlauben, stellt die Beherrschung der Komplikationen und Probleme der postoperativen Phase umso mehr besondere Herausforderungen sowohl an die ambulant operierenden Ärzte, Anästhesisten und Chirurgen als auch an die Patienten und mitbetreuenden Angehörigen.     

Bone Replacement Materials in Hand Surgery

Abstract Background: In recent years, biomaterials are being found and frequently utilized in bone defects. They have also gained significant precedence in hand surgery. Objectives: The respective requirements for such replacement material will be cited and acknowledged in this article. The individual material groups will also be referred to in this review. An introduction to some of the customary bone replacement materials will be cited and concluded with a corresponding recommendation. Conclusion: The implantation of autologous cancellous bone is still regarded today as the “gold standard”. Nevertheless, the usage of bone replacement material can be an enormous advantage in certain indications. The original article can be found online at There was an error in the author’s affiliation and the address for correspondence was incomplete. Please note the correct institution and complete address: Department of Orthopedics and Traumatology, Hand-, Foot- and Reconstructive Surgery, Kreiskrankenhaus Gummersbach GmbH, Germany. Alexander von Friesen, MD Department of Orthopedics and Traumatology, Hand-, Foot- and Reconstructive Surgery Kreiskrankenhaus Gummersbach GmbH Wilhelm-Breckow-Allee 20 51643 Gummersbach Germany Phone (+49/2261) 171-575, Fax -449 e-mail: Friesen@kkh-gummersbach.de