A5070775495- Hernia repair and management
- Appendicitis Diagnosis and Management
- Pelvic and Acetabular Injuries
- Congenital Diaphragmatic Hernia Studies
- Abdominal Surgery and Complications
- Diverticular Disease and Complications
- Colorectal Cancer Surgical Treatments
- Esophageal and GI Pathology
- Gallbladder and Bile Duct Disorders
- Diagnosis and Treatment of Venous Diseases
- Surgical site infection prevention
- Gastroesophageal reflux and treatments
- Biliary and Gastrointestinal Fistulas
- Biomedical and Chemical Research
- Surgical Sutures and Adhesives
- Biblical Studies and Interpretation
- Stoma care and complications
- Venous Thromboembolism Diagnosis and Management
- Gastrointestinal disorders and treatments
- Wound Healing and Treatments
- Colorectal and Anal Carcinomas
- Antibiotic Use and Resistance
- Anorectal Disease Treatments and Outcomes
- Dysphagia Assessment and Management
- Peripheral Artery Disease Management
Marien Hospital Düsseldorf
1998-2025
Ippokrateio General Hospital of Thessaloniki
2024
Aristotle University of Thessaloniki
2022
Heinrich Heine University Düsseldorf
2020-2021
University of Macedonia
2017
Bile duct injury is the most feared complication during laparoscopic cholecystectomy. Real-time intraoperative imaging using indocyanine green (ICG) might reduce risk of bile by improving visualization biliary tree We compared outcomes cholecystectomy in patients with and without real-time ICG. A retrospective analysis data undergoing ICG a referral centre for minimally invasive surgery was performed. hypothesized that enables better identification thus increases surgical safety. The were...
There is considerable controversy regarding optimal management of patients with paraesophageal hiatus hernia (pHH). This survey aims at identifying recommended strategies for work-up, surgical therapy, and postoperative follow-up using Delphi methodology.We conducted a 2-round, 33-question, web-based on perioperative (preoperative procedure follow-up) non-revisional, elective pHH among European surgeons expertise in upper-GI. Responses were graded 5-point Likert scale analyzed descriptive...
Zusammenfassung Hintergrund Der Krankenhausplan NRW soll im größten deutschen Bundesland die medizinische Qualität und Effizienz der Gesundheitsversorgung steigern respektive optimieren könnte als „Blaupause“ für Deutschland dienen. Die Feststellungsbescheide des Landesministeriums Arbeit, Gesundheit Soziales (MAGS) Leistungsgruppen (LG) wurden den Kliniken zugestellt definitive Umsetzung April 2025 vorgesehen. Methodik Insgesamt 254 viszeralchirurgischen ChefärztInnen (CÄ) wurde ein...
Anastomotic leakage (AL) following colorectal resection is a serious issue. AL in oncologic patients might negatively affect the overall survival. Recently, mechanical bowel preparation with additive oral antibiotics (MBP + AB) prior to surgery has been suggested as means of reducing AL. However, it unclear whether this positive effect secondary MBP alone or antibiotic AB). The aim study was investigate and without - on rate for cancer.Patients undergoing surgical management cancer...
Bowel incarceration represents a dreaded complication amongst patients with hernias. The intraoperative evaluation of the bowel perfusion following hernia reduction regard to need for resection ischaemic can be challenging. In this case report we discuss fluorescence angiography indocyanine green (ICG) as an objective means accessing reduction. 92-year-old, caucasian, female patient presenting symptoms small obstruction secondary incarcerated left sided obturator is presented. An segment was...
Abstract Introduction In an Expert Consensus guided by systematic review, the panel agreed that for open elective incisional hernia repair, sublay mesh location is preferred, but intraperitoneal onlay (IPOM) may be useful in certain settings. This analysis of data from Herniamed Registry aimed to compare outcomes IPOM and technique. Methods Propensity score matching 9091 patients with repair defect width ≥ 4 cm was performed. The following variables were selected: age, gender, risk factors,...
Abstract Purpose Every year around 70,000 people in Germany suffer from an abdominal incisional hernia that requires surgical treatment. Five years after reconstruction about 25% reoccur. Incisional hernias are usually closed with mesh using various techniques, summarized here as standard (SR). To improve repair, we established a concept for biomechanically calculated reconstructions (BCR). In the BCR, two formulas enable customized patient care through standardized biomechanical measures....
<b>Purpose:</b> Official guideline published and coordinated by the German Society of Gynecology Obstetrics (DGGG). Positioning injuries after lengthy gynecological procedures are rare, but associated complications can be potentially serious for patients. Moreover, such often lead to claims malpractice negligence requiring detailed medical investigation. To date, there no binding evidence-based recommendations prevention injuries. <b>Methods:</b> This S1-guideline is work an...
Abstract The spread of multi-drug resistant (MDR) Gram-negative bacteria, including Klebsiella pneumoniae, constitutes a global threat. most frequent mechanism acquired carbapenem resistance is the production carbapenemases, especially KPC, NDM, VIM, IMP and OXA-48. We analyzed epidemiological trend genes carbapenem-resistant K. pneumoniae (CRKP) strains isolated from critically ill patients in Greek tertiary hospital. study included 150 CRKP isolates collected 116 (77.4%) hospitalized adult...
Comparison of elective laparoscopic repair axial vs paraesophageal hiatal hernias reveals relevant differences in both the patient collectives and complexity procedures. The present uni- multivariable analysis data from Herniamed Registry compares outcome for 2047 (67.3%) (type I) with 996 (32.7%) (types II–IV) primary following repair. Compared patients hernias, hernia were nine years older, had a higher ASA score (ASA III/IV: 34.8 13.7%; p < 0.001), more often at least one risk factor...
Abstract Introduction Although the evidence is minimal, an abdominal binder commonly prescribed after open incisional hernia repair (IHR) to reduce pain. This study aimed investigate this common postoperative treatment. Methods The ABIHR-II trial was a national prospective, randomized, multicenter non-AMG/MPG pilot with two groups of patients (wearing (AB) for 2 weeks during daytime vs. not wearing AB following IHR sublay technique). Patient enrollment took place from July 2020 February...
Abstract Background Surgery for colorectal cancer (CRC) is increasingly being performed via the minimally invasive route. However, reports of postoperative wound and port site seeding as well peritoneal spillage have been worrisome. We investigated risk in patients undergoing laparoscopic surgery CRC. Methods Cytology specimens were gained from retrieval bag following intracorporeal resection specimen using an endoscopic bag. Histopathologic examination cytology was presence malignant cells....
Introduction To date, the guidelines for surgical repair of hiatal hernias do not contain any clear recommendations on hiatoplasty technique with regard to use a mesh or type fundoplication (Nissen vs. Toupet). This present 10-year analysis data from Herniamed Registry aims investigate these questions. Methods Data 17,328 elective hernia repairs were entered into between 01.01.2010 and 31.12.2019. 96.4% all completed by laparoscopic technique. One-year follow-up was available 11,280 13,859...
Abstract Background Secondary peritonitis is associated with high rates of morbidity and mortality. Data on the effect staged re‐laparotomy or re‐laparoscopy as a surgical option in management abdominal sepsis due to secondary are limited conflicting. Herein, we report outcomes patients undergoing peritoneal lavage (SPL) for our department. Methods This single‐center retrospective analysis data SPL peritonitis. was performed via either re‐laparoscopy. The simplified acute physiology score...
Abstract Purpose Positioning injuries are relatively common, forensically highly relevant complications of gynecologic surgery. The aim this official AWMF S2k-guideline is to provide statements and recommendations on how prevent positioning using the currently available literature. literature was evaluated by an interdisciplinary group experts from professional medical societies. consensus achieved in a structured process. Method current guideline based expired S1-guideline, which updated...