A5089990527- Appendicitis Diagnosis and Management
- Colorectal Cancer Surgical Treatments
- Intraperitoneal and Appendiceal Malignancies
- Diverticular Disease and Complications
- Anorectal Disease Treatments and Outcomes
- Gastric Cancer Management and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Gastrointestinal disorders and treatments
- Colorectal Cancer Screening and Detection
- Colorectal and Anal Carcinomas
- Intestinal and Peritoneal Adhesions
- Intestinal Malrotation and Obstruction Disorders
- Surgical Simulation and Training
- Meta-analysis and systematic reviews
- Hidradenitis Suppurativa and Treatments
- Emergency and Acute Care Studies
- Hernia repair and management
- Pelvic floor disorders treatments
- Amoebic Infections and Treatments
- Digital Imaging in Medicine
- Pregnancy-related medical research
- Abdominal Trauma and Injuries
- Stoma care and complications
- Pancreatic and Hepatic Oncology Research
- Pediatric Pain Management Techniques
Ikazia Ziekenhuis
2011-2024
Amsterdam University Medical Centers
2024
Vrije Universiteit Amsterdam
2024
Catharina Ziekenhuis
2023
Radboud University Nijmegen
2023
Erasmus University Rotterdam
2022
Amsterdam University of Applied Sciences
2015
Leiden University Medical Center
2007-2010
Leiden University
2008-2010
Haga Hospital
2007
Abstract Background Antibiotics are advised in most guidelines on acute diverticulitis, despite a lack of evidence to support their routine use. This trial compared the effectiveness strategy with or without antibiotics for first episode uncomplicated diverticulitis. Methods Patients CT-proven, primary, left-sided, uncomplicated, diverticulitis were included at 22 clinical sites Netherlands, and assigned randomly an observational antibiotic treatment strategy. The primary endpoint was time...
Abstract Background Acute appendicitis continues to be a challenging diagnosis. Preoperative radiological imaging using ultrasound (US) or computed tomography (CT) has gained popularity as it may offer more accurate diagnosis than classic clinical evaluation. The optimal implementation of these diagnostic modalities yet established. aim the present study was investigate pathway that uses routine US, limited CT, and re‐evaluation for patients with acute appendicitis. Methods A prospective...
Abstract Objective To evaluate the diagnostic accuracy of clinical evaluation and cross‐sectional imaging modalities such as ultrasound computed tomography for patients with suspected colonic diverticulitis to determine value these examinations in decision‐making. Method A prospective analysis was conducted 802 consecutive that presented abdominal pain at emergency department. Initial diagnoses management proposals were compared final therapeutic strategies all patients. Results Fifty‐seven...
This study evaluated the additional value of secondary signs in diagnosing appendicitis children with ultrasound. From May 2005 to June 2006, 212 consecutive paediatric patients suspected were examined. Ultrasonographic depiction appendix was classified into four groups: 1, normal appendix; 2, not depicted, no appendicitis; 3, depicted one following signs: hyperechoic mesenteric fat, fluid collection, local dilated small bowel loop; 4, inflamed appendix. We 96 group 41 13 and 62 4....
Abstract Objectives Low levels of white blood cell ( WBC ) count and C‐reactive protein CRP have been suggested to sufficiently rule out acute appendicitis. The diagnostic value these tests is likely depend on the duration complaints. aim this study was evaluate accuracy inflammatory markers in relation symptoms patients suspected Methods Patients having appendicitis were retrospectively selected from five prospective cohorts with abdominal pain presenting at emergency department ED two...
Introduction: Acute mesenteric lymphadenitis in children has a clinical presentation very similar to that of acute appendicitis. The aim this study was evaluate whether it is possible clinically differentiate between appendicitis and children.
Abstract Background The intraoperative classification of appendicitis dictates the patient's postoperative management. Prolonged antibiotic prophylaxis is recommended for complex (gangrenous, perforated, abscess), whereas preoperative suffices simple appendicitis. Distinguishing these two conditions can be challenging. aim this study was to assess interobserver variability in during laparoscopy. Methods Short video recordings taken laparoscopy suspected were shown surgeons and surgical...
Abstract Background The aim of the present study was to investigate efficacy and safety standard outpatient re‐evaluation for patients who are not admitted hospital after emergency department surgical consultation acute abdominal pain. Methods All seen at between June 2005 July 2006 pain were included in a prospective using structured diagnosis management flowchart. Patients given appointments clinic within 24 h. clinical parameters, radiological results, diagnostic considerations, proposals...
Minimally invasive right hemicolectomy (MIRH) is the cornerstone of treatment for patients with right-sided colon cancer. This operation has evolved during recent decades, many innovations and improvements but this also resulted in high variability uptake subsequent substantial variableness. The aim ongoing study to identify current surgical variations, determine most optimal standardised MIRH nationally train implement that technique improve short-term clinical long-term oncological...
Acute appendicitis is one of the most common indications for emergency surgery. In patients with a complex appendicitis, prolonged antibiotic prophylaxis recommended after appendectomy. There no consensus regarding optimum duration antibiotics. Guidelines propose 3 to 7 days treatment, but shorter courses may be as effective in prevention infectious complications. At same time, global issue increasing antimicrobial resistance urges optimization strategies. The aim this study determine...
Purpose Pilonidal sinus disease (PSD) is a subcutaneous infection of the sacrococcygeal region due to entrapment hair and/or debris. International guidelines recommend minimally invasive techniques and flap techniques. A Dutch guideline for treatment PSD not available this may lead practice variation. The aim study was perform national survey on surgical in Netherlands. Method An online sent by e-mail all surgeons residents Association Surgeons. Respondents were asked reflect their...
Abstract Background Substantial variation exists when performing a minimally invasive right hemicolectomy (MIRH) due to disparities in training, expertise and differences implementation of innovations. This study aimed achieve national consensus on an optimal standardized MIRH technique for colon cancer develop validate video-based competency assessment tool (CAT) MIRH. Method Statements covering all elements were formulated. Subsequently, the Delphi was used reach among 76 colorectal...
Abstract Aim Managing pilonidal sinus disease (PSD) remains challenging due to high recurrence rates and morbidity associated with treatment. The aim of this study was evaluate the outcomes one year after surgical treatment for chronic PSD in Netherlands. Method Patients who underwent between March 1, 2020, 2021, at 36 participating hospitals were included a prospective observational cohort study. For present study, only patients analysis. One‐year PSD, all received questionnaires on wound...
Increased Echogenicity of Renal Cortex: A Transient Feature in Acutely Ill ChildrenF. Wiersma1 2, B. R. Toorenvliet3 4, M. Ruige5 and H. C. Holscher2 6Audio Available | Share
Abstract Purpose Current studies have demonstrated conflicting results regarding surgical care for acute appendicitis during the COVID-19 pandemic. This study aimed to assess trends in diagnosis as well treatment of Netherlands first and second infection wave. Methods All consecutive patients that had an appendectomy nine hospitals from January 2019 December 2020 were included. The primary outcome was number appendectomies appendicitis. Secondary outcomes included time between onset symptoms...