A5024698003- Reconstructive Surgery and Microvascular Techniques
- Transplantation: Methods and Outcomes
- Orthopedic Surgery and Rehabilitation
- Bone fractures and treatments
- Renal Transplantation Outcomes and Treatments
- Surgical site infection prevention
- Reconstructive Facial Surgery Techniques
- Trauma Management and Diagnosis
- Nerve Injury and Rehabilitation
- Burn Injury Management and Outcomes
- Anatomy and Medical Technology
- Wound Healing and Treatments
- Cardiac Structural Anomalies and Repair
- Mechanical Circulatory Support Devices
- Electrospun Nanofibers in Biomedical Applications
- Tissue Engineering and Regenerative Medicine
- Organ Transplantation Techniques and Outcomes
- Surgical Sutures and Adhesives
- Total Knee Arthroplasty Outcomes
- Organ and Tissue Transplantation Research
- Vascular Procedures and Complications
- Breast Implant and Reconstruction
- Cardiac, Anesthesia and Surgical Outcomes
- Orthopaedic implants and arthroplasty
- Body Contouring and Surgery
Ludwigshafen University of Business and Society
2016-2025
Heidelberg University
2016-2025
Berufsgenossenschaftliche Unfallklinik Ludwigshafen
2014-2024
Klinikum Ludwigshafen
2015-2024
Creative Commons
2019-2024
Golestan University of Medical Sciences
2023
North Khorasan University of Medical Sciences
2020-2022
München Klinik
2019-2022
Berufsgenossenschaftliche Unfallklinik Frankfurt am Main
2021
Goethe University Frankfurt
2021
Background: The potential of robot-assisted surgery in plastic and reconstructive remains to be established, especially free tissue transfer. This prospective study aimed present our experience findings from the first 50 consecutive cases microsurgery using Symani surgical system. Methods: A database was maintained, recording patient demographics details for all a large academic institution. All surgeons underwent an intensive training program with Results: total patients who microsurgical...
Peripheral nerve lesions are associated with debilitating long-term consequences. Albeit being essential for evidence-based clinical decision making, epidemiological and etiological data scarce. We therefore aimed to comprehensively analyze factors of peripheral in one the largest cohorts.We screened a total 110,667 patients treated at our level I trauma center between January 2012 July 2020 lesions. Subsequently, demographics, etiologies, concomitant injuries, lesion characteristics were...
Summary: Autologous microsurgical breast reconstruction has become a standard of care. As techniques more individualized and aim for less-invasive approaches, vessels ever smaller in diameter are considered flap anastomosis. Robot-assisted surgery great potential to reduce tremor enhance precise motion. The Symani Surgical System (Medical Microinstruments, Inc., Wilmington, Del.) is robotic platform designed microsurgery. It was used in-flap anastomosis bipedicular deep inferior epigastric...
Zusammenfassung Hintergrund In den letzten Jahren wurden verschiedene Robotersysteme entwickelt und zugelassen, welche spezifisch für die Mikrochirurgie konzipiert wurden. Bisher gibt es zu diesen Systemen nur wenig Evidenz. unserer Studie untersuchen wir Einsatz robotisch assistierter in der mikrochirurgischen Rekonstruktion unteren Extremität. Patienten/Material Methoden Die Daten prospektiv zwischen Februar November 2023 erfasst. Das Symani-Robotersystem wurde bei 42 mikrochirurgische...
Abstract Total hip arthroplasty (THA) is one of the most successful and cost-effective interventions in medicine nowadays, providing reliable pain relief functional improvement to those with osteoarthritis or inflammatory arthritis (P Kinov, B Antonov,’Possibilities for surgical treatment acetabular osteolysis subsequent revision joint‘, Orthop Trauma. 52, 2015). Revision severe reconstructive procedures cases significant anatomical defects require skilled staff accurate preoperative...
Abstract Background Despite the growing prevalence of burn survivors, a gap persists in our understanding correlation between acute trauma and long-term impact on psychosocial health. This study set out to investigate pain symptoms anxiety depression survivors extensive burns, comparing this general population, identify injury demographic-related factors predisposing individuals compromise. Methods RE-ENERGIZE was an international, double-blinded, randomized-controlled trial that enrolled...
Abstract Robot-assisted surgery represents a significant innovation in reconstructive microsurgery, providing enhanced precision and reduced surgeon fatigue. This study examines the integration of robotic assistance series 85 consecutive robot-assisted microsurgical (RAMS) operations. It aims to evaluate changes RAMS during implementation phase single institution. The utilized prospective database encompassing all cases using Symani surgical system from February until December 2023. A total...
Objective: To investigate the association between glycemic control, measured by glycated hemoglobin (HbA 1c ) levels, and post-operative complications across various procedures, identify prevalence of patients with undiagnosed prediabetes or diabetes undergoing surgery, explore whether better management is associated reduced short-term postoperative complications. Background: The presence level long-term as using HbA , can influence perioperative morbidity mortality. Current evidence largely...
ABSTRACT Background Vascularization of the distal latissimus dorsi (LD) muscle flap determines success procedure, particularly in large defects. Failure due to necrosis can necessitate reoperation and increase mortality. Indocyanine green fluorescence angiography (ICGFA), as a modality that allows for intraoperative imaging fasciocutaneous perfusion, has revolutionized free surgery. Evidence use perfusion assessment is lacking. We investigate efficacy ICGFA predicting LD flaps. Methods...
Background: End-to-end anastomosis to the internal mammary artery (IMA) is current standard technique for women undergoing autologous breast reconstruction with deep inferior epigastric perforator (DIEP) flap. This approach fails preserve length of IMA, compromising its availability cardiac surgery use in who develop coronary heart disease. A viable alternative may be end-to-side anastomosis, but data on feasibility currently lacking. Methods: pilot study will involve 60 patients at a...
Zusammenfassung Der regelrechte Blutfluss durch mikrochirurgisch anastomosierte Gefäße ist für den Therapieerfolg der rekonstruktiven Mikrochirurgie post operationem entscheidend. Im Gegensatz zu inzwischen in weiten Teilen ausgereiften und standardisierten Anastomosentechniken steht die erfolgsentscheidende Partnerdisziplin evidenzbasierten mikrochirurgischen Hämostaseologie Hämorheologie allerdings noch am Anfang. Prospektive klinische Studien daraus ableitbare evidenzbasierte Empfehlungen...
Near-infrared indocyanine green video angiography (ICG-NIR-VA) has been introduced for free-flap surgery and may provide intraoperative flap designing as well postoperative monitoring. Nevertheless, the technique not established in clinical routine because of controversy over benefits. Improved technical features novel Visionsense ICG-NIR-VA system are promising to revisit field application. It a unique real-time fusion image simultaneous NIR white light visualization, with highlighted...
Background Vascular occlusion after free flap surgery has become a rare complication but still poses major challenge. It necessitates urgent re-exploration, the logistic challenge to provide sufficient resources for emergency intervention remains. The aim of this study was analyze long-term outcome successful lower extremity salvage. Methods A single-center retrospective including follow-up approved by local ethics committee. From January 1999 December 2010, total 581 flaps were performed...
Abstract Background Reliable perfusion of the distal portions free flaps is decisive for reconstructive success. Indocyanine green near-infrared video angiography (ICG-NIR-VA) has been adopted objective assessment flap tissue but thus far not used on a routine basis. Therefore, we investigated its intraoperative impact decision-making and postoperative outcome. Methods From January 2017 to June 2019, 88 consecutive adipo- or fasciocutaneus were performed in conjunction with ICG-NIR-VA. Free...
Abstract Introduction The anterior lateral thigh (ALT) flap's vascular variability can lead to complications. Thus, the accuracy of numerous planning modalities has been studied. clinical relevance competing mapping methods, however, remains unknown. Therefore, we compared impact color‐coded Duplex ultrasonography and handheld audible Dopplers on surgical efficacy flap safety. Patients methods Forty‐four ALT flaps were included in this comparative retrospective monocentric study. Twelve...
This prospective study investigates the impact of proton pump inhibitors (PPI) on mycophenolic acid (MPA) pharmacokinetics in heart transplant recipients receiving mycophenolate mofetil (MMF) and tacrolimus. MPA plasma concentrations at baseline (C(0 h)), 30 min (C(0.5 1(C(1 h)) 2 h (C(2 were obtained by high-performance liquid chromatography (HPLC) 22 patients treated with pantoprazole 40 mg MMF 2000 mg. Measurements repeated 1 month after withdrawal. A four-point limited-sampling strategy...