Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress

Switzerland has 6.7 million inhabitants and 700 practising surgeons, half of whom work in private hospitals. A description is given of the situation in private practices and hospitals including structural and financing problems. The author outlines his range of professional activities and give two examples of frequently performed operations. The relationship of personal trust between patient and doctor is an integral part of this system and is fundamental to the fulfillment of our Hippocratic oath. Belegarzt is defined as specialist/practitioner with hospital affiliation.

Bosch-Gwalter Hr

Kongress - Deutsche Gesellschaft für Chirurgie

Private practice in Switzerland

瑞士的私人执业

In 1983 we decided to use Swanson's great toe implants in selected cases after previous clinical examinations and X-ray tests, especially the stemmed or the stemmed hinge great toe implant based on Swanson/Weil and the Swanson silastic HP double stemmed flexible hinge toe implant. Thus 97 patients were operated between 1983 and 1989. Of these patients 82 were recently examined once again. In 80.5% of all cases good to very good results were achieved concerning functional or cosmetic aspects, X-ray tests and the patient's well-being.

Hein Dw

Possibilities of therapy of hallux valgus et rigidus in a private hospital (Swanson great toe implant)

私人医院中拇外翻及僵硬症治疗的可能性（Swanson大脚趾植入术）

Principles of medical action in cases of polytrauma: Immediate concentrated introduction of all measures; simultaneous diagnosis and therapy; ideal management; inspection and palpitation initially adequate; systematic examination from head to foot; choice of a suitable hospital; appropriate scoring. Priority of action (in the hospital): disturbances in vital functions first; puncture/drain valvular pneumothorax and cardiac tamponade; laparatomize intraabdominal bleeding; emergency thoracotomy if severe bleeding persists; laboratory and X-rays; relieve intracranial bleeding; surgery to save vital organs; intensive-care ward.

Engelhardt Gh

Priorities in polytrauma

多发伤的优先处理

In 90 patients, stabilization of injuries of the thoracic spine and the thoracolumbar junction was performed using minimally invasive thoracoscopy. The method includes partial corporectomy with spinal decompression, interposition of a tricortical bone graft, and anterior spondylodesis by planting. Complications were rare and not severe, with only two conversions to open technique. Compared to the open, standard method benefits included reduced postoperative pain, shorter hospital stay and reduced morbidity.

Publication Information	Publisher: Springer Verlag，Publishing cycle: ，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 1996，Proportion of original research papers: ，Self Citation Rate:， Gold OA Rate:

Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress

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Private practice in Switzerland

Possibilities of therapy of hallux valgus et rigidus in a private hospital (Swanson great toe implant)

Priorities in polytrauma

Thoracoscopic management of fractures of the thoracic and lumbar spine

Thoracoscopic management of fractures of the thoracic and lumbar spine

Private practice in Switzerland

Possibilities of therapy of hallux valgus et rigidus in a private hospital (Swanson great toe implant)

Priorities in polytrauma