[Polytrauma in old age-Knowledge from the TraumaRegister DGU ®].
[Polytrauma in old age-Knowledge from the TraumaRegister DGU®]. Chirurg. 2019 Aug 21;: Authors: Gather A, Grützner PA, Münzberg M Abstract The geriatric fracture patient is becoming more and more in the forefront due to the demographic development. It is expected that the number of polytraumatized geriatric patients in the coming years will rise in line with demographic trends. The TraumaRegister DGU® of the German Trauma Society (DGU) provides interesting insights into the age structure and patient outcome. In 2017 in total 26.2% of the patients included were over 70 years old....
Source: Der Chirurg - August 21, 2019 Category: Surgery Authors: Gather A, Grützner PA, Münzberg M Tags: Chirurg Source Type: research

[Possibilities and perspectives of hyperspectral imaging in visceral surgery].
r H Abstract HyperSpectral Imaging (HSI) technology enables quantitative tissue analyses beyond the limitations of the human eye. Thus, it serves as a new diagnostic tool for optical properties of diverse tissues. In contrast to other intraoperative imaging methods, HSI is contactless, noninvasive, and the administration of a contrast medium is not necessary. The duration of measurements takes only a few seconds and the surgical procedure is only marginally disturbed. Preliminary HSI applications in visceral surgery are promising with the potential of optimized outcomes. Current concepts, possibilities a...
Source: Der Chirurg - August 21, 2019 Category: Surgery Authors: Gockel I, Jansen-Winkeln B, Holfert N, Rayes N, Thieme R, Maktabi M, Sucher R, Seehofer D, Barberio M, Diana M, Rabe SM, Mehdorn M, Moulla Y, Niebisch S, Branzan D, Rehmet K, Takoh JP, Petersen TO, Neumuth T, Melzer A, Chalopin C, Köhler H Tags: Chirurg Source Type: research

[Preservation vs. resection of the left colic artery in colorectal cancer surgery of the left hemicolon].
PMID: 31428795 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - August 19, 2019 Category: Surgery Authors: Germer CT, Reibetanz J Tags: Chirurg Source Type: research

[Chest wall replacement].
Abstract The optimal surgical reconstruction of chest wall defects especially in the context of posttraumatic, oncological and congenital etiologies has a large impact on the recovery of the patients. Regardless of the etiology, various complications, such as a generally impaired respiratory physiology in an unstable thorax or decreased pulmonary clearance associated with acute and chronic pulmonary infections, may impair the recovery of affected patients. The postoperative occurrence of an intrathoracic dead space may lead to a difficult to treat empyema. Each thoracic wall defect must be accuratel...
Source: Der Chirurg - August 19, 2019 Category: Surgery Authors: Heldwein M, Doerr F, Schlachtenberger G, Hekmat K Tags: Chirurg Source Type: research

[Early or late cholecystectomy for mild biliary acute pancreatitis?]
MW PMID: 31414148 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - August 14, 2019 Category: Surgery Authors: Strobel O, Büchler MW Tags: Chirurg Source Type: research

[Laparoscopic liver resection in older patients].
PMID: 31414149 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - August 14, 2019 Category: Surgery Authors: Keiner R, Ardelt M, Settmacher U Tags: Chirurg Source Type: research

[Surgical treatment of esophagotracheal and esophagobronchial fistulas].
This article describes the clinical course of patients with esophagotracheal and esophagobronchial fistulas treated in this hospital over a period of 10 years. Patients were retrospectively analyzed with respect to the etiology of fistulas, management, in particular to the operative procedures, complications and outcome. RESULTS: Between 2009 and 2019, a total of 15 patients with esophagotracheal and esophagobronchial fistula were treated in this hospital. Of these 12 underwent an endoscopic intervention, of which 5 were successful. In total, eight patients needed surgical intervention, six of the eight...
Source: Der Chirurg - August 5, 2019 Category: Surgery Authors: Mann C, Musholt TJ, Babic B, Hürtgen M, Gockel I, Thieringer F, Lang H, Grimminger PP Tags: Chirurg Source Type: research

[Implementation of a fast track program : Challenges and solution approaches].
CONCLUSION: Successful implementation and long-term perpetuation can be achieved only by an interdisciplinary team with a low level hierarchy, continuous training and a positive feedback culture. An early inclusion and clarification of personnel and patients should be firmly integrated into the fast track concept. This results in a higher satisfaction of patients and personnel and subsequently stronger adherence to the fast track concept. PMID: 31372676 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - August 1, 2019 Category: Surgery Authors: van Beekum C, Stoffels B, von Websky M, Ritz JP, Stinner B, Post S, Schwenk W, Kalff JC, Vilz TO Tags: Chirurg Source Type: research

[Pretherapeutic misclassification of esophageal cancer and adenocarcinoma of the esophagogastric junction : Possibilities and clinical consequences].
d C Abstract During the course of a malignant disease, the tumor needs to be classified repeatedly in order to facilitate decision-making in treatment and to estimate patients prognosis; however, a wrong classification of tumors can occur in different stages of the disease course with tremendous consequences for the affected patients. This review discusses the possible misclassifications which can occur in patients with esophageal cancer or adenocarcinoma of the esophagogastric junction (EGJ), along with the consequences. PMID: 31372677 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - August 1, 2019 Category: Surgery Authors: Gockel I, Lordick F, Lyros O, Kreuser N, Hölscher AH, Wittekind C Tags: Chirurg Source Type: research

[Elective treatment of inguinal hernia in university surgery-an economic challenge].
CONCLUSION: Elective inguinal hernia surgery in the environment of a university hospital has a high financial deficit; however, since a complete discontinuation of this treatment is not an alternative multifactorial approaches are required to improve the economic outcome. PMID: 31359111 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - July 29, 2019 Category: Surgery Authors: Raakow J, Aydin M, Kilian M, Köhler A, Werner S, Pratschke J, Fikatas P Tags: Chirurg Source Type: research

[Recommendations for the perioperative use of dipyrone : Expert recommendation of the working group on acute pain of the German Pain Society, the scientific working group on pain medicine of the German Society for Anesthesiology and Intensive Care Medicine and the surgical working group on acute pain of the German Society for Surgery with participation of representatives of the Drug Commission of the German Medical Association].
CONCLUSION: The group's recommendations shall be communicated in order to raise medical staff's and patients' awareness of the appropriate use of dipyrone in the perioperative period. PMID: 31359112 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - July 29, 2019 Category: Surgery Authors: Stamer UM, Stammschulte T, Erlenwein J, Koppert W, Freys S, Meißner W, Ahrens P, Brede EM, Lindig M, Dusch M, Heitfeld S, Hoffmann E, Lux EA, Müller E, Pauli-Magnus D, Pogatzki-Zahn E, Quaisser-Kimpfbeck C, Ringeler U, Rittner H, Ulma J, Wirz S Tags: Chirurg Source Type: research

[Surgical treatment of parathyroid carcinoma : Does the initial en bloc resection improve the prognosis?]
This study analyzed the survival of patients with PC after PTX+HTX compared to patients with PTX. METHODS: Patients with PC were identified from a prospective database and retrospectively analyzed regarding clinicopathological features, surgical treatment, disease-free interval and overall survival. RESULTS: Out of 1705 patients who were operated on because of primary hyperparathyroidism (pHPT), 18 (1.1%) had histologically confirmed PC. In nine patients PTX+HTX was initially performed and the other nine patients received only PTX. After PTX, all of the nine patients developed a recurrence after a median of ...
Source: Der Chirurg - July 29, 2019 Category: Surgery Authors: Wächter S, Holzer K, Manoharan J, Brehm C, Mintziras I, Bartsch DK, Maurer E Tags: Chirurg Source Type: research

[Quality of operative treatment of pelvic fractures is not influenced by an additional abdominal injury : A  monocentric registry study].
This study retrospectively analyzed the prospective consecutive data of patients with pelvic injuries treated at the BG Trauma Center in Tübingen in the years 2003-2017. Demographic, clinical and operative parameters were recorded and compared between two groups (isolated pelvic fracture vs. combined abdominal/pelvic trauma). RESULTS: A total of 1848 patients with pelvic injuries were treated during this period and 18.6% had a concomitant abdominal trauma. The mean age was 62.3 ± 23.1 years. Comparing the two groups, patients with a combination of pelvic and abdominal trauma were si...
Source: Der Chirurg - July 25, 2019 Category: Surgery Authors: Bachmann R, Poppele M, Ziegler P, Trulson A, Trulson IM, Minarski C, Ladurner R, Stöckle U, Stuby FM, Küper MA Tags: Chirurg Source Type: research

[Investigations on fatalities due to liver resection in Germany : Evaluation of the German Society for General and Visceral Surgery certification regulations for liver centers based on routine diagnosis-related groups data].
CONCLUSION: The findings indicate that the existing certification criteria for the minimum number of cases and the TV30 criterion should be readjusted. PMID: 31346642 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - July 25, 2019 Category: Surgery Authors: Hunger R, Mantke A, Herrmann C, Mantke R Tags: Chirurg Source Type: research

[Treatment of abdominal tuberculosis : Background, diagnostics and treatment of a global problem].
CONCLUSION: Although the prevalence of TB is decreasing, the infection causes more than 1 million deaths per year. The correct diagnosis can be impeded by a misleading clinical presentation. A multidisciplinary approach enables rapid and efficient diagnostics and treatment. PMID: 31321450 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - July 18, 2019 Category: Surgery Authors: Fahlbusch T, Braumann C, Uhl W Tags: Chirurg Source Type: research

[Surgical vs. conservative treatment in patients with recurrent diverticulitis (DIRECT trial)].
PMID: 31312860 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - July 16, 2019 Category: Surgery Authors: Kriening B, Anthuber M Tags: Chirurg Source Type: research

[Diagnostics and management of intra-abdominal Echinococcus manifestation].
CONCLUSION: Echinococcosis is still a neglected disease due to the rarity and thus should be referred to experts in a tertiary hospital to avoid mistreatment or overtreatment. Due to a timely surgical, infectiological and interventional treatment in an interdisciplinary work-up, the prognosis of echinococcosis has significantly improved in recent years. PMID: 31312861 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - July 16, 2019 Category: Surgery Authors: Strohäker J, Nadalin S Tags: Chirurg Source Type: research

[Surgical confirmation of incomplete treatment for primary papillary thyroid carcinoma].
PMID: 31309247 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - July 15, 2019 Category: Surgery Authors: Dralle H Tags: Chirurg Source Type: research

[The Polish surgeon Antoni Jurasz : Frankfurt, Poznan, Edinburgh, New York].
r R Abstract Professor Antoni Jurasz was one of the most eminent Polish surgeons in the period between the two World Wars. He founded the Polish School of Medicine at the University of Edinburgh and the Polish Paderewski Hospital in Edinburgh in 1941. Having served in the Prussian Army he was also a co-founder of the military health service of the Polish Armed Forces. He was an educator of great format and a fierce patriot. This is an opportunity to remember a man and surgeon who devoted the last years of his life to the cause of closer rapprochement between nations in the name of well-conceived service to Poland ...
Source: Der Chirurg - July 15, 2019 Category: Surgery Authors: Zajaczkowski T, Döhler R Tags: Chirurg Source Type: research

[Visceral leishmaniasis].
Abstract Visceral leishmaniasis is a worldwide distributed infectious zoonotic disease caused by protozoan pathogens of the genus Leishmania which are transmitted by sandflies. The main hosts are dogs. The prevalence in Germany is low. Predominantly affected are migrants and travelers returning from Mediterranean countries. The main clinical symptoms are fever, hepatosplenomegaly and pancytopenia. The diagnosis is made by polymerase chain reaction of peripheral blood or direct detection of Leishmania in bone marrow aspirates. Lesions of the liver and spleen can easily be misinterpreted as numerous benign or m...
Source: Der Chirurg - July 11, 2019 Category: Surgery Authors: Wilhelm TJ Tags: Chirurg Source Type: research

[Suspected appendicitis during pregnancy: laparoscopic or open approach?]
PMID: 31286167 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - July 8, 2019 Category: Surgery Authors: Germer CT, Reibetanz J Tags: Chirurg Source Type: research

[Progress in neoadjuvant therapy for locally advanced pancreatic cancer].
MW PMID: 31286168 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - July 8, 2019 Category: Surgery Authors: Strobel O, Büchler MW Tags: Chirurg Source Type: research

[Preoperative conditioning].
PMID: 31273427 [PubMed - in process] (Source: Der Chirurg)
Source: Der Chirurg - July 1, 2019 Category: Surgery Authors: Settmacher U, Tautenhahn HM Tags: Chirurg Source Type: research

[Complicated course after cecal injury during laparoscopic salpingectomy].
PMID: 31263911 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - July 1, 2019 Category: Surgery Authors: Dralle H, Kluge R, Kaiser GM, Schlitt HJ Tags: Chirurg Source Type: research

[Oncological outcome after emergency resection vs. stenting for left-sided colonic obstruction].
PMID: 31240351 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - June 25, 2019 Category: Surgery Authors: Schrempf M, Anthuber M Tags: Chirurg Source Type: research

[Interventional treatment of tracheoesophageal/bronchoesophageal fistulas].
Abstract A tracheoesophageal fistula is the formation of an abnormal communication between the airway and the esophagus. Acquired tracheoesophageal fistulas can be benign or malignant. The management is either surgical or endoscopic depending on the etiology, size and anatomy of the fistula as well as on the patient's performance status. The interventional treatment of choice is endoscopic stent implantation. In general, tracheoesophageal fistulas in patients with benign conditions are managed surgically. If the patient is unfit for surgery silicone stents should be used because they can be more easily removed aft...
Source: Der Chirurg - June 25, 2019 Category: Surgery Authors: Schweigert M Tags: Chirurg Source Type: research

[Hyperthermic intrathoracic chemotherapy in thoracic surgery].
Abstract In regional chemotherapy of the pleural space a differentiation is made between intrapleural hyperthermic perfusion (IHP) and hyperthermic intrathoracic chemotherapy (HITOC). The HITOC in particular is carried out as an additive procedure after surgical cytoreduction of the pleural tumor manifestation. The main indications are for malignant pleural mesothelioma and thymoma with pleural spread (stage IVa), whereas treatment of secondary pleural carcinomatosis is indicated only in selected patients suitable for resection followed by HITOC. Cisplatin is the standard chemotherapeutic agent and a concentr...
Source: Der Chirurg - June 19, 2019 Category: Surgery Authors: Hofmann HS, Ried M Tags: Chirurg Source Type: research

[Donor liver histology : Joint recommendations of the DGP, DTG and DSO].
CONCLUSION: Against the background of an organ shortage and a growing number of older donors, pretransplantation liver histology is of significant relevance to guide clinical decision making. With the joint recommendations of the German Transplantation Society (DTG), the German Society of Pathology (DGP) and the German Organ Transplantation Foundation (DSO) standardized procedures are defined for the first time. PMID: 31214724 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - June 18, 2019 Category: Surgery Authors: Schleicher C, Kreipe HH, Schemmer P, Strassburg CP, Fischer-Fröhlich CL, Rahmel A, Flechtenmacher C Tags: Chirurg Source Type: research

[Surgical treatment of tracheopleural and bronchopleural fistulas after bronchoplastic resection (sleeve or bifurcation resection)].
Abstract The treatment of tracheopleural and bronchopleural fistulas at an anastomosis after sleeve resection is complex and fraught with complications. Morbidity and mortality are very high. Therefore, great care must be taken to avoid such complications. The clinical signs and the early diagnosis of a potentially critical anastomosis or anastomotic leakage as well as the treatment, including secondary pneumonectomy are presented. PMID: 31209516 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - June 17, 2019 Category: Surgery Authors: Ludwig C Tags: Chirurg Source Type: research

[Laparoscopic enucleation of insulinomas].
PMID: 31190080 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - June 12, 2019 Category: Surgery Authors: Dralle H Tags: Chirurg Source Type: research

[Hyperthermic intraperitoneal chemotherapy].
Abstract Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) are recognized as the standard of care for selected patients with peritoneal malignancies. A complete macroscopic cytoreduction is the basis for a successful multimodal treatment. The significance of intraperitoneal chemotherapy is still under discussion. This review explains the principles and the value of HIPEC within the multimodal treatment context. PMID: 31190081 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - June 12, 2019 Category: Surgery Authors: Leebmann H, Piso P Tags: Chirurg Source Type: research

[Guideline-conform treatment of non-small cell lung cancer].
PMID: 31175369 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - June 7, 2019 Category: Surgery Authors: Hekmat K, Bruns CJ Tags: Chirurg Source Type: research

[Interventional treatment of tracheopleural and bronchopleural fistulas].
This article is based on a search in the PubMed database for relevant publications and own experiences as surgeons and pneumologists. RESULTS: Various interventional techniques can be used for the treatment of bronchopleural and tracheopleural fistulas. Currently, the insertion of stents or endobronchial valves is the most frequently used treatment. Ideally, the attending anesthesiologist will have experience with high frequency jet ventilation and the attending surgeon will have experience with rigid bronchoscopy, flexible bronchoscopy, and interventional bronchoscopy. DISCUSSION: Due to a lack of standardi...
Source: Der Chirurg - June 3, 2019 Category: Surgery Authors: Klotz LV, Eberhardt R, Herth FJF, Winter H Tags: Chirurg Source Type: research

[Rare intra-abdominal tumor].
PMID: 31161249 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - June 3, 2019 Category: Surgery Authors: Torje IE, Zeiger E, Al-Muddaeai H, Kamm MF Tags: Chirurg Source Type: research

[Risk factor and associated complications of atrial fibrillation after esophagectomy].
CJ PMID: 31139856 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - May 28, 2019 Category: Surgery Authors: Schröder W, Bruns CJ Tags: Chirurg Source Type: research

[Surgical treatment of tracheoarterial fistulas].
CONCLUSION: Despite all treatment options the mortality rate of TAF remains high. The critical steps are a quick diagnosis of TAF, securing the airway and immediate bleeding control. PMID: 31127333 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - May 24, 2019 Category: Surgery Authors: Ried M, Reger B, Hofmann HS Tags: Chirurg Source Type: research

[TaTME is an experimental procedure].
PMID: 31127334 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - May 24, 2019 Category: Surgery Authors: Holmer C, Benz S, Fichtner-Feigl S, Jehle EC, Kienle P, Post S, Schiedeck T, Weitz J, Kreis ME Tags: Chirurg Source Type: research

[Hybrid minimally invasive esophagectomy for esophageal cancer-MIRO trial].
PMID: 31127335 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - May 24, 2019 Category: Surgery Authors: Inderhees S, Dubecz A Tags: Chirurg Source Type: research

[Lymphadenectomy in oncological visceral surgery-Part  2 : Cancer of the upper and lower intestinal tract].
[Lymphadenectomy in oncological visceral surgery-Part 2 : Cancer of the upper and lower intestinal tract]. Chirurg. 2019 May 22;: Authors: Kauff DW, Babic B, Grimminger PP, Kneist W, Lang H Abstract In cancers of the upper and lower intestinal tract the risk of lymphatic metastases depends on the histological results, tumor grading, and depth of tumor infiltration (T-stage). Pretherapeutic staging is of particular importance for determining the surgical strategy (local excision vs. en bloc resection with regional lymphadenectomy) as well as for evaluating the necessity of neoadjuvant therapy. Whi...
Source: Der Chirurg - May 22, 2019 Category: Surgery Authors: Kauff DW, Babic B, Grimminger PP, Kneist W, Lang H Tags: Chirurg Source Type: research

[Acute cholecystitis in high-risk patients : Laparoscopic cholecystectomy or interventional drainage?]
MW PMID: 31098653 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - May 16, 2019 Category: Surgery Authors: Strobel O, Büchler MW Tags: Chirurg Source Type: research

[Centralization of complex gastric surgery in Germany].
CJ PMID: 31089748 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - May 14, 2019 Category: Surgery Authors: Schröder W, Bruns CJ Tags: Chirurg Source Type: research

[Standardized access options for colorectal surgery with the da Vinci Xi system].
CONCLUSION: The da Vinci Xi system enables a standardized access for colorectal surgery through a universal straight-line port placement. Learning this standard principle once enables the surgeon to apply it to all colorectal surgeries and shorten the learning curve as well as minimizing stress for both novices and experienced robotic surgeons learning a new surgical robotic platform. PMID: 31089749 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - May 14, 2019 Category: Surgery Authors: Perez D, Woestemeier A, Ghadban T, Stein H, Gomez-Ruiz M, Izbicki JR, Soh Min B Tags: Chirurg Source Type: research

[Colonic J ‑pouch or side-to-end anastomosis after low anterior rectal resection].
[Colonic J‑pouch or side-to-end anastomosis after low anterior rectal resection]. Chirurg. 2019 May 10;: Authors: Reibetanz J, Germer CT PMID: 31076809 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - May 10, 2019 Category: Surgery Authors: Reibetanz J, Germer CT Tags: Chirurg Source Type: research

[A rare differential diagnosis of perianal abscess].
;ffer M PMID: 31073656 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - May 9, 2019 Category: Surgery Authors: Scholtes B, Zähringer M, Schäffer M Tags: Chirurg Source Type: research

[On the judgment by the Federal Court of Justice on living organ donors].
This article outlines the main findings of the BGH because every transplantation surgeon has to be aware of them. In addition, this article focuses on the possibilities for hospitals to fulfill the legal requirement of the presence of an impartial doctor during the informed consent for a living organ donor. PMID: 31069415 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - May 8, 2019 Category: Surgery Authors: Krüger M Tags: Chirurg Source Type: research

[Laparoscopic pancreatoduodenectomy: risk without benefits?]
MW PMID: 31065768 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - May 7, 2019 Category: Surgery Authors: Strobel O, Büchler MW Tags: Chirurg Source Type: research

[Procedure-specific postoperative gastrointestinal hemorrhage].
Abstract Gastrointestinal bleeding (GIB) can occur as a complicating issue in the postoperative course after visceral surgery. It can be of varying clinical extent ranging from mild anemia to fatal hemorrhagic shock. Symptomatic manifestations of a GIB are hematemesis, melena and hematochezia. The GIB are fundamentally differentiated into upper and lower GIB. While upper GIB is defined as the occurrence of endoluminal hemorrhage above the ligament of Treitz, correspondingly the definition of lower GIB is intraluminal bleeding distal to the duodenojejunal flexure. Knowledge of their procedure-related incidence...
Source: Der Chirurg - May 7, 2019 Category: Surgery Authors: Stier C, May J Tags: Chirurg Source Type: research

[Transanal total mesorectal excision : A  useful complementary method for minimally invasive surgery of rectal cancer].
[Transanal total mesorectal excision : A useful complementary method for minimally invasive surgery of rectal cancer]. Chirurg. 2019 May 07;: Authors: Rink AD, Aigner F, Biebl M, Fürst A, Kneist W PMID: 31065770 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - May 7, 2019 Category: Surgery Authors: Rink AD, Aigner F, Biebl M, Fürst A, Kneist W Tags: Chirurg Source Type: research

[Multimodal treatment of sarcomas: standards and new aspects in pharmacological and radio-oncological treatment].
CONCLUSION: For high-risk soft tissue sarcomas, multimodal treatment strategies involving perioperative chemotherapy, radiotherapy and, if possible, hyperthermia should be considered in addition to tumor resection. Preoperative chemotherapy should be given preference over postoperative chemotherapy based on available data. PMID: 31053897 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - May 3, 2019 Category: Surgery Authors: Lindner LH Tags: Chirurg Source Type: research

[The DIGG risk score : A  risk predictive model of perioperative mortality after elective treatment of intact abdominal aortic aneurysms in the DIGG register].
CONCLUSION: The DIGG risk score can predict risk-adjusted hospital mortality after EVAR and OR of iAAA in the DIGG register. Improvements with respect to the prediction are desirable for OR and should be strived for by extending the model in the future. PMID: 31053898 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - May 3, 2019 Category: Surgery Authors: Steffen M, Schmitz-Rixen T, Jung G, Böckler D, Grundmann RT, das Deutsche Institut für Gefäßmedizinische Gesundheitsforschung gGmbH (DIGG) Tags: Chirurg Source Type: research