Rekrutierende multizentrische chirurgische Studien in Deutschland : Laufende Studien.
Authors: PMID: 32221625 [PubMed - in process] (Source: Der Chirurg)
Source: Der Chirurg - March 31, 2020 Category: Surgery Tags: Chirurg Source Type: research

[Webinar zur S3 Leitlinie Polytrauma/Schwerverletztenversorgung].
PMID: 32221626 [PubMed - in process] (Source: Der Chirurg)
Source: Der Chirurg - March 31, 2020 Category: Surgery Authors: Bouillon B Tags: Chirurg Source Type: research

[Standards in medical treatment of burns].
Abstract Thermal injuries occur in every age group and are caused by flames, fluids, steam and direct contact. They are often trivialized but should actually be treated immediately to reduce secondary complications, such as infections and hypertrophic scars. Besides the pain, large wound areas are given priority. Surgical treatment is necessary if at least second degree (IIb) deep dermal burns are present. In this case the reconstructive surgeon has various techniques in the therapeutic armamentarium. Furthermore, in cases of severe burns a perioperative intensive care monitoring and treatment are obligatory as ma...
Source: Der Chirurg - March 23, 2020 Category: Surgery Authors: Bingoel AS, Krezdorn N, Vogt PM Tags: Chirurg Source Type: research

[Value of laparoscopy in blunt and penetrating abdominal trauma-a  systematic review].
CONCLUSION: By means of systematic laparoscopic exploration, missed injuries in abdominal trauma are extremely rare, so that concerns in this respect no longer seem justified. A large proportion of intra-abdominal injuries can be treated using laparoscopy or laparoscopically assisted procedures. PMID: 32193565 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - March 19, 2020 Category: Surgery Authors: Beltzer C, Bachmann R, Strohäker J, Axt S, Schmidt R, Küper M, Königsrainer A Tags: Chirurg Source Type: research

[Results of multimodal treatment of hepatic echinococcosis].
CONCLUSION: From the perspective of surgeons, hepatic echinococcosis is a challenge, which however can be curatively treated with a low morbidity despite advanced disease in many patients. Due to the low incidence of the disease, the state of knowledge about AE and CE is limited among physicians. PMID: 32189047 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - March 18, 2020 Category: Surgery Authors: Heinrich S, Tripke V, Huber T, Siegel E, Dennebaum M, Staib L, Wörns MA, Oberholzer K, Mittler J, Lang H Tags: Chirurg Source Type: research

[Intraoperative completion diagnostics in open vascular surgery].
e S Abstract Intraoperative imaging diagnostics during open vascular surgical procedures aim to enhance diagnostic certainty during the operation, ensure quality control documentation and reduce avoidable complications; however, the evidence for the various diagnostic imaging procedures with respect to improvement of perioperative outcome is not confirmed for carotid endarterectomy or for infrainguinal bypass surgery. Nevertheless, an intraoperative diagnostic control is principally recommended. The advantage of intraoperative imaging is confirmed and essential for the surgical reconstruction of bypass occlusions ...
Source: Der Chirurg - March 17, 2020 Category: Surgery Authors: Zanow J, Settmacher U, Schüle S Tags: Chirurg Source Type: research

[Total minimally invasive esophagectomy].
DISCUSSION: The side-to-side esophagogastrostomy in linear stapler technique seems to be a quite easily feasible and safe alternative for the reconstruction after minimally invasive esophagectomy. To confirm this, the method is currently investigated in a randomized controlled trial. PMID: 32179952 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - March 16, 2020 Category: Surgery Authors: Müller-Stich B, Schmidt T, Nienhüser H, Nickel F, Billeter A, Diener M, Ulrich A, Büchler MW Tags: Chirurg Source Type: research

[Erratum to: Ablative treatment options for locally advanced unresectable and borderline resectable pancreatic carcinoma].
PMID: 32161988 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - March 11, 2020 Category: Surgery Authors: Moulla Y, Petersen TO, Maiwald B, Bailis N, Kreuser N, Lordick F, Seehofer D, Sucher R, Hecker M, Hoffmeister A, Jansen-Winkeln B, Gockel I Tags: Chirurg Source Type: research

[Hybrid stabilization and geriatric complex treatment of type A spinal fractures].
Abstract Approximately 200,000 spinal fractures occur each year in Germany. The decimated stability of the vertebra often leads to type A fractures with a substantial influence by osteoporosis. A mobility preserving and gentle treatment has clear advantages compared to conservative treatment. The hybrid stabilization as a combination of minimally invasive dorsal stabilization and vertebral augmentation has become an established method. In the period from July 2014 to June 2015 a total of 205 spinal operations were documented. In the group of very old patients more than 80% were treated for a geriatric type A verte...
Source: Der Chirurg - March 10, 2020 Category: Surgery Authors: Homagk L, Hellweger A, Hofmann GO Tags: Chirurg Source Type: research

[Neoadjuvant chemoradiotherapy or chemotherapy for locally advanced esophageal cancer?]
CONCLUSION: A neoadjuvant treatment is clearly recommended for locally advanced esophageal cancer. Currently, chemoradiotherapy according to the CROSS protocol is preferred for squamous cell carcinoma. For adenocarcinoma both chemotherapy according to the FLOT protocol as well as chemoradiotherapy in a neoadjuvant treatment concept lead to an improvement in the prognosis. PMID: 32140748 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - March 5, 2020 Category: Surgery Authors: Babic B, Fuchs HF, Bruns CJ Tags: Chirurg Source Type: research

[Intelligence, intuition and individuality].
PMID: 32144447 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - March 1, 2020 Category: Surgery Authors: Schmitz-Rixen T Tags: Chirurg Source Type: research

[Artificial intelligence in cardiac surgery].
This article discusses the basic principles for understanding AI-based medical devices as well as an overview of current AI-based solutions specific to cardiac surgery. PMID: 32144448 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - March 1, 2020 Category: Surgery Authors: Cypko M, Emmert MY, Falk V, Meyer A Tags: Chirurg Source Type: research

[Transversus abdominis plane block vs. epidural or patient-controlled analgesia for laparoscopic colorectal interventions].
PMID: 32112150 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - February 28, 2020 Category: Surgery Authors: Kriening B, Anthuber M Tags: Chirurg Source Type: research

[Neoadjuvant chemotherapy for gastric cancer. Frequent overtreatment or meaningful concept?]
This article critically deals with the current state of the art concepts as well as with ongoing studies with respect to neoadjuvant and perioperative treatment of gastric cancer. For this purpose, the essential already published and the active studies are presented. PMID: 32112151 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - February 28, 2020 Category: Surgery Authors: Gockel I, Lordick F Tags: Chirurg Source Type: research

[Intestinal stomata].
Abstract An intestinal stoma (greek στὁμα, stoma: mouth, opening) is a surgically created opening of a gut section through the abdominal wall, which serves as an artificial intestinal exit for excretion of feces (synonym preternatural anus). A stoma of the gastrointestinal (GI) tract is often surgically created at the distal small intestine (ileostomy) and the colon (colostomy). Temporary or permanent deviation of fecal excretion may be required to treat various pathological conditions (e.g. congenital anomalies, ileus, inflammatory bowel diseases, posttraumatic, diverticuliti...
Source: Der Chirurg - February 27, 2020 Category: Surgery Authors: Vilz TO, V Websky M, Kalff JC, Stoffels B Tags: Chirurg Source Type: research

[Intraoperative ultrasound in visceral surgery].
CONCLUSION: Intraoperative ultrasound is a highly sensitive and specific diagnostic tool, providing real-time diagnostics with a manageable amount of technical equipment. Thus, preoperative diagnostics can be refined, partly resulting in a modification of intraoperative treatment management. Future developments in the fields of digital image fusion with preoperative sectional imaging, optical guidance of surgical instruments and molecular targeted tumor therapy will increase the importance of intraoperative sonography even more. PMID: 32103292 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - February 26, 2020 Category: Surgery Authors: Hackl C, Bitterer F, Platz Batista da Silva N, Jung EM, Schlitt HJ Tags: Chirurg Source Type: research

[Reconstruction after gastrectomy-pouch or no pouch?]
CJ PMID: 32086530 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - February 21, 2020 Category: Surgery Authors: Schröder W, Bruns CJ Tags: Chirurg Source Type: research

[Extended hepatic metastasectomy for renal cell carcinoma].
PMID: 32086531 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - February 21, 2020 Category: Surgery Authors: Michael C, Ardelt M, Settmacher U Tags: Chirurg Source Type: research

[Use of transanal total mesorectal excision was discontinued in Norway due to unfavorable results].
PMID: 32072221 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - February 18, 2020 Category: Surgery Authors: Germer CT, Reibetanz J Tags: Chirurg Source Type: research

[Management and prognosis of incidental gallbladder cancer after cholecystectomy].
MW PMID: 32072222 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - February 18, 2020 Category: Surgery Authors: Strobel O, Büchler MW Tags: Chirurg Source Type: research

[Hybrid esophagectomy with intraoperative hyperspectral imaging : Video article].
l I Abstract The technique of hybrid esophagectomy with systematic 2‑field lymphadenectomy for esophageal cancer showed a significant reduction in postoperative morbidity in a recently published prospective randomized study. This video publication presents the abdominothoracic hybrid procedure with (i) laparoscopic gastrolysis and ischemic conditioning of the stomach and (ii) 2-stage transthoracic esophagectomy with gastric pull-up, intrathoracic gastric tube formation and anastomosis. Intraoperative hyperspectral imaging (HSI) during the thoracic part of the operation is used for identificat...
Source: Der Chirurg - February 17, 2020 Category: Surgery Authors: Moulla Y, Reifenrath M, Rehmet K, Niebisch S, Jansen-Winkeln B, Sucher R, Hoffmeister A, Kreuser N, Köhler H, Gockel I Tags: Chirurg Source Type: research

[Opinion paper about digitisation, applications (Apps) and artifical intelligence in the health care sector].
Fritz T PMID: 32065242 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - February 17, 2020 Category: Surgery Authors: Bündnis Junge Ärzte, Fritz T Tags: Chirurg Source Type: research

[Artificial intelligence in vascular surgery and vascular medicine].
Abstract New digital technologies will also gain in importance in vascular surgery. There is a wide field of potential applications. Simulation-based training of endovascular procedures can lead to improvement in procedure-specific parameters and reduce fluoroscopy and procedural times. The use of intraoperative image-guided navigation and robotics also enables a reduction of the radiation dose. Artificial intelligence can be used for risk stratification and individualization of treatment approaches. Health apps can be used to improve the follow-up care of patients. PMID: 32060576 [PubMed - as supplied b...
Source: Der Chirurg - February 14, 2020 Category: Surgery Authors: Wolk S, Kleemann M, Reeps C Tags: Chirurg Source Type: research

[Treatment strategies and outcomes for injection-associated inguinal perivascular abscesses in intravenous drug addicts].
CONCLUSION: For vascular involvement an approach appropriate for the situation is meaningful. In addition to the elimination of complicated septic venous thromboses, the correction of arterial hemorrhages using autologous reconstruction measures seems promising. PMID: 32060577 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - February 14, 2020 Category: Surgery Authors: Liebetrau D, Feder E, Zerwes S, Goßlau Y, Hyhlik-Dürr A Tags: Chirurg Source Type: research

[Generation  Y in surgery-the competition battle for talent in times of talent shortage].
CONCLUSION: The high fundamental interest in a surgical residency during the beginning of medical studies is a competitive advantage of surgical disciplines; however, the diverse recruiting efforts are mainly aimed at later stages of studies. Timely hands-on courses in the core working area of surgery, the operating theatre, have proven to be particularly successful for the long-term acquisition and retention of junior doctors. PMID: 32060578 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - February 14, 2020 Category: Surgery Authors: Schneider KN, Masthoff M, Gosheger G, Schopow N, Theil JC, Marschall B, Zehrfeld J Tags: Chirurg Source Type: research

[Artificial intelligence in neurosurgery].
CONCLUSION: The various areas of application of AI in the field of neurosurgery with a refined preoperative diagnostics and outcome predictions will significantly influence the future of neurosurgery. Neurosurgeons will continue to make the decisions on the indications for surgery but an optimized statement on diagnosis, treatment options and on the risk of surgery will be made by neurosurgeons with the help of AI in the future. PMID: 32052108 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - February 12, 2020 Category: Surgery Authors: Bonsanto MM, Tronnier VM Tags: Chirurg Source Type: research

[Meta-analysis on the association between primary tumor location and prognosis after resection of colorectal liver metastases].
PMID: 32052109 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - February 12, 2020 Category: Surgery Authors: Schrempf M, Anthuber M Tags: Chirurg Source Type: research

[Liver cirrhosis in laparoscopic partial liver resection].
PMID: 32052110 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - February 12, 2020 Category: Surgery Authors: Ali Deeb A, Ardelt M, Settmacher U Tags: Chirurg Source Type: research

[Intraoperative measurement of parathyroid hormone in hyperparathyroidism].
Abstract Intraoperative parathyroid hormone (IOPTH) determination is based on the short half-life of parathyroid hormone (PTH) and the rapid analytical technology. The IOPTH provides functional information regarding correction of the overproductive state in hyperparathyroidism (HPT) and is superior to macroscopic evaluation of the parathyroid gland (PG) as well as any (intraoperative frozen section) form of histology (so-called biochemical frozen section). In this article the relevance and evaluation of IOPTH is defined for the most important forms of HPT, for primary HPT, renal secondary and tertiary HPT, multipl...
Source: Der Chirurg - February 12, 2020 Category: Surgery Authors: Lorenz K, Schneider R, Elwerr M Tags: Chirurg Source Type: research

[The challenges of soft tissue infections].
PMID: 32030444 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - February 6, 2020 Category: Surgery Authors: Anthuber M Tags: Chirurg Source Type: research

[Diagnostic and prognostic significance of α-fetoprotein in hepatocellular carcinoma].
CONCLUSION: Taking the present results into consideration, the AFP level can have a therapeutic usefulness. Therapeutic consequences could be derived from the height of the measured AFP concentration, with respect to the treatment strategy. Therefore, preoperative and postoperative determination of the AFP serum level is recommended in all HCC patients. PMID: 32025744 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - February 6, 2020 Category: Surgery Authors: Becker-Assmann J, Fard-Aghaie MH, Kantas A, Makridis G, Reese T, Wagner KC, Petersen J, Buggisch P, Stang A, von Hahn T, Oldhafer KJ Tags: Chirurg Source Type: research

[Parathyroidectomy during pregnancy].
PMID: 32020307 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - February 4, 2020 Category: Surgery Authors: Dralle H, Weber T Tags: Chirurg Source Type: research

[Intraoperative rapid frozen section-when meaningful, when necessary?]
l A Abstract Intraoperative frozen sections can significantly improve the results of numerous visceral surgical operations. For this a close cooperation between surgery and pathology is a basic prerequisite. The main indications are the diagnostics of unclear intraoperative findings and the assessment of resection margins. Just as in any other procedure, there are also limiting factors to be considered in frozen section examinations. PMID: 32020308 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - February 4, 2020 Category: Surgery Authors: Jütte H, Tannapfel A Tags: Chirurg Source Type: research

[Colonic ischemia after open and endovascular aortic surgery : Epidemiology, Risk Factors, Diagnosis And Therapy].
r D Abstract Despite the successful establishment of endovascular techniques, colonic ischemia continues to be a serious complication of aortic surgery.The risk factors for colonic ischemia include aortic aneurysm rupture, prolonged aortic clamping, perioperative hypotension, the need for catecholamine therapy, occlusion of the hypogastric arteries and renal insufficiency.The clinical presentation of postoperative colonic ischemia is often unspecific. Classic symptoms include abdominal pain, diarrhea, peranal bleeding and rise of inflammatory parameters. A specific laboratory parameter for colonic ischem...
Source: Der Chirurg - January 30, 2020 Category: Surgery Authors: Dovzhanskiy DI, Hakimi M, Bischoff MS, Wieker CM, Hackert T, Böckler D Tags: Chirurg Source Type: research

[Surgical vs. endoscopic myotomy in patients with idiopathic achalasia].
PMID: 31996942 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - January 29, 2020 Category: Surgery Authors: Wolf S, Anthuber M Tags: Chirurg Source Type: research

[Severe bacterial soft tissue infections in the head and neck region : Overview of the causes, pathogenesis, diagnostics, treatment and possible sequelae].
CONCLUSION: Severe bacterial soft tissue infections can be still life-threatening despite guideline-conform treatment and are associated with a high mortality especially in high-risk patients even with intensive medical care. They can lead to disfiguration and loss of function resulting in a greatly reduced quality of life. Rapid diagnostics and therapy are essential for successful treatment. PMID: 31996943 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - January 29, 2020 Category: Surgery Authors: Kakoschke TK, Ehrenfeld M, Mast G Tags: Chirurg Source Type: research

[Artery first versus standard pancreatoduodenectomy].
MW PMID: 31993691 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - January 28, 2020 Category: Surgery Authors: Strobel O, Büchler MW Tags: Chirurg Source Type: research

[In-hospital mortality after surgery for colorectal cancer depending on the hospital case volume].
PMID: 31993692 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - January 28, 2020 Category: Surgery Authors: Germer CT, Reibetanz J Tags: Chirurg Source Type: research

[Long-term survival after perioperative chemotherapy of cancer of the gastroesophageal junction and the stomach-ECF vs. FLOT].
CJ PMID: 31993693 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - January 28, 2020 Category: Surgery Authors: Schröder W, Bruns CJ Tags: Chirurg Source Type: research

[Digitalization and use of artificial intelligence in microvascular reconstructive facial surgery].
CONCLUSION: The use of digitalized methods and AI are adjuncts to microvascular reconstruction. Automatization approaches and simplification of technologies will provide such applications to a broader clientele in the future; however, in CMFS, robotic-assisted resections and automated flap monitoring are not yet the standard of care. PMID: 31965197 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - January 21, 2020 Category: Surgery Authors: Goetze E, Thiem DGE, Gielisch M, Al-Nawas B, Kämmerer PW Tags: Chirurg Source Type: research

[Neoadjuvant treatment of primarily resectable and borderline resectable pancreatic cancer].
Abstract Due to the increasing prevalence pancreatic cancer represents a severe tumor burden to the population and will be ranked second for cancer-related mortality by the year 2030. If a curative approach is pursued a radical R0 resection of the tumor with sufficient cancer-free resection margins (≥1 mm) should be performed. This has been shown to be associated with a clear benefit for survival. For treatment planning of pancreatic cancer the tumor stage plays a pivotal role. In cases of distant metastases a palliative concept is normally initiated. If no distant metastases are...
Source: Der Chirurg - January 21, 2020 Category: Surgery Authors: Scheufele F, Friess H Tags: Chirurg Source Type: research

[Artificial intelligence in general and visceral surgery].
eußner H Abstract Artificial intelligence procedures will find special fields of application also in general and visceral surgery. These will not only be limited to intraoperative surgical applications but also extend to perioperative processes, education and training as well as to future scientific developments. Major impulses are to be expected in decision support systems, cognitive collaborative interventional environments and in evidence-based knowledge acquisition models; however, the implementation into the daily practice not only requires profound insights into the field of informatics and computer sc...
Source: Der Chirurg - January 21, 2020 Category: Surgery Authors: Wilhelm D, Ostler D, Müller-Stich B, Lamadé W, Stier A, Feußner H Tags: Chirurg Source Type: research

[Fournier's gangrene as special form of necrotizing fasciitis].
Abstract Fournier's gangrene is a special form of necrotizing soft tissue infection (NSTI) and can affect the genital, perineal and perianal regions. Although the disease is named after Fournier, it was first documented by Baurienne in 1764. He described it as idiopathic rapidly progressive gangrene in young otherwise healthy men. Nowadays, the disease is more likely to affect older patients, especially those with pre-existing diseases (e.g. diabetes mellitus and peripheral arterial occlusive disease). Although men are still predominantly affected by Fournier's gangrene, by definition it can also affect women...
Source: Der Chirurg - January 21, 2020 Category: Surgery Authors: Maier S, Eckmann C Tags: Chirurg Source Type: research

[S3 guidelines on gastric cancer-diagnosis and treatment of adenocarcinoma of the stomach and esophagogastric junction : Version 2.0-August 2019. AWMF register number: 032/009OL].
HJ PMID: 31950198 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - January 16, 2020 Category: Surgery Authors: Mönig S, Ott K, Gockel I, Lorenz D, Ludwig K, Messmann H, Moehler M, Piso P, Weimann A, Meyer HJ Tags: Chirurg Source Type: research

[Perioperative management of polymedication in geriatric patients: risk reduction and coordination with the family practitioner].
Abstract The increasing proportion of older and polymorbid people in the population also means an increase in polymedication and its risks. This places new and complex demands on the interdisciplinary and transsectoral collaboration. The preoperative, perioperative and postoperative management of polymedication is described in the article with respect to frequent risks and the chances of a systematic exchange of information. The establishment of an interdisciplinary admission routine in departments of surgery and communication with the family practitioner is crucial for patient safety. PMID: 31940066 [Pu...
Source: Der Chirurg - January 15, 2020 Category: Surgery Authors: Abendroth J, Klement A Tags: Chirurg Source Type: research

[Achilles tendon rupture-Part 2: treatment and rehabilitation].
Abstract Achilles tendon ruptures can be treated conservatively with a therapeutic shoe or an orthosis. Prospective randomized trials show comparable results to surgical treatment, with the right indications, correct performance and reasonable patient compliance. The target groups for conservative treatment are inactive patients and patients with substantial general risk factors. Surgical treatment of the Achilles tendon has changed over the decades. The direct open suture technique was replaced by minimally invasive procedures with percutaneous sutures. Chronic ruptures and/or defect situations that if untre...
Source: Der Chirurg - January 15, 2020 Category: Surgery Authors: Thermann H Tags: Chirurg Source Type: research

[Defect coverage after severe soft tissue infections: when and how?]
RE Abstract Severe infections frequently cause large soft tissue defects which require early defect coverage by plastic surgeons. A number of reconstructive treatment options are available, ranging from local flaps to microvascular free flap reconstructions. In this respect it is important that the selection of the optimal reconstructive technique is made based on individual patient characteristics and in a timely manner. Weeks of inpatient treatment with vacuum dressings often delay defect coverage and should be avoided as they burden both the patient and the healthcare system. Therefore, it is in the best ...
Source: Der Chirurg - January 15, 2020 Category: Surgery Authors: Möllhoff N, Ehrl D, Giunta RE Tags: Chirurg Source Type: research

[Introduction of an interdisciplinary tumor board leads to improvement of treatment outcome of cholangiocarcinoma (bile duct cancer)].
This study addressed the question whether the introduction of TuB leads to a better life expectancy and quality of life for patients with CCA. MATERIAL AND METHODS: In this retrospective study 161 patients treated for CCA were investigated. The patient collective was divided in two groups (TuB+ vs. TuB-) and a propensity score matching was carried out. RESULTS: The patient group TuB+ included 109 patients (67.7%) and the control group (TuB-) included 52 patients (32.3%). Using propensity score matching 84 patients in the TuB+ and 50 in the TuB group were identified and matched. The survival ra...
Source: Der Chirurg - January 13, 2020 Category: Surgery Authors: Juratli MA, Hofmann K, Balaban Ü, El Youzouri H, Pession U, Heise M, Mekicar J, Schreckenbach T, Trojan J, Waidmann O, Walter D, Vogl T, Eichler K, Wild P, Schulze F, Brandts C, Bechstein WO, Schnitzbauer AA, Mönch C Tags: Chirurg Source Type: research

[Artificial intelligence in orthopedics and trauma surgery].
This article focuses on the field of AI in the context of orthopedics and trauma surgery. The main focus is on the potentials of AI in the analysis of symptoms, radiological images, clinical data sets, use in hospitals and operating theaters as well as for training and education. For the orthopedics and trauma surgery of the future AI is much more than pure fiction; however, there is still a long way to go before the potential of an optimized and individualized patient care can be utilized. Interdisciplinary and international approaches, including personnel, economic, legal and ethical aspects will play a decisive rol...
Source: Der Chirurg - January 9, 2020 Category: Surgery Authors: Tjardes T, Heller RA, Pförringer D, Lohmann R, Back DA, AG Digitalisierung der DGOU Tags: Chirurg Source Type: research

[Application of artificial intelligence in thoracic surgery].
CONCLUSION: At the present time promising study results are available but the implementation into the surgical routine has so far been very difficult. PMID: 31919545 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - January 9, 2020 Category: Surgery Authors: Herrmann D, Oggiano M, Hecker E Tags: Chirurg Source Type: research