Els Van Dessel
A5032165704- Appendicitis Diagnosis and Management
- Intraperitoneal and Appendiceal Malignancies
- Bariatric Surgery and Outcomes
- Pelvic floor disorders treatments
- Diverticular Disease and Complications
- Body Contouring and Surgery
- Anorectal Disease Treatments and Outcomes
- Urinary Bladder and Prostate Research
- Parathyroid Disorders and Treatments
- Hepatocellular Carcinoma Treatment and Prognosis
- Diet and metabolism studies
- Urinary Tract Infections Management
- Nonmelanoma Skin Cancer Studies
- Meta-analysis and systematic reviews
- Medical Imaging and Pathology Studies
- Reconstructive Facial Surgery Techniques
- Lung Cancer Treatments and Mutations
- Reconstructive Surgery and Microvascular Techniques
- Colorectal Cancer Surgical Treatments
- Hormonal and reproductive studies
- Intestinal Malrotation and Obstruction Disorders
- Sexual function and dysfunction studies
- Obesity and Health Practices
- Clinical practice guidelines implementation
- Breast Implant and Reconstruction
Province of Antwerp
2024
University of Antwerp
2024
GZA Ziekenhuizen Campus Sint-Augustinus
2020-2023
Amsterdam UMC Location University of Amsterdam
2015-2022
Maasstad Ziekenhuis
2021-2022
Amsterdam University Medical Centers
2021
University Medical Center
2019
University of Amsterdam
2019
AZ Sint-Jan
2009-2010
Ghent University
2009
Abstract Background Studies comparing laparoscopic and open appendicectomy are difficult to interpret owing several types of bias, the results often seem limited clinical importance. National audits can be valuable provide insight into outcomes following at a population level. Methods A prospective, observational, resident-led, nationwide audit was carried out over period 2 months, including all consecutive adult patients who had surgery for suspected acute appendicitis. Complications after...
Various techniques of laparoscopic Roux-en-Y gastric bypass have been described. We completely standardized this procedure to minimize its sometimes substantial morbidity and mortality. This study describes our experience with the fully stapled (FS-LRYGB) influence on 30-day mortality.We retrospectively analyzed 2,645 patients who underwent FS-LRYGB from May 2004 August 2008. Operative time, hospital stay readmission, re-operation, morbidity/mortality rates were then calculated. The...
We assessed prospectively the efficacy of holding exercises and/or antimuscarinics (oxybutynin chloride and placebo) for increasing maximum voided volume in prepubertal children with monosymptomatic nocturnal enuresis.We randomly allocated 149 to 5 groups, namely placebo (group A), oxybutynin B), alone C), D) alarm treatment (controls, group E). Maximum was greatest from a 48-hour bladder diary, exercise produced postponement voiding after fluid load, once daily 4 days. Study medication,...
Currently, there is no consensus opinion regarding the optimal procedure of choice in super-super-morbid obesity (Body mass index, BMI > 60 kg/m²). Roux-en-Y gastric bypass (RYGB) associated with failure to achieve or maintain 50% excess weight loss (EWL) < 35 approximately 15% patients. Also, percent EWL significantly less after 1-year super-super-obese group as compared obese and many patients are still technically considered be (lowest post-surgical 35) following RYGB surgery this group....
Mediastinal parathyroid glands are often located in a position which is inaccessible through cervical approach. Because of the significant morbidity open surgery, need for minimal invasive approaches high. More recently, robotic systems have been introduced to refine dissection and optimize view mediastinal region. We present two cases. The first case 34-year-old woman who was diagnosed with primary hyperparathyroidism. bilateral neck disclosed no adenoma, we performed sestamibi scan...
Abstract Introduction In patients treated with an appendectomy for acute appendicitis, the specimen is generally sent histological evaluation. era of increasing non-operative treatment it important to know incidence, diagnostic accuracy, and consequences appendicular neoplasms that are found in appendicitis. We hypothesize pre- intra-operative parameters might predict neoplasm. Methods Data was used from our previous prospective observational cohort study. All undergoing surgery suspected...
Abstract Purpose For the diagnosis of acute appendicitis, combination clinical and laboratory variables achieves high diagnostic accuracy. Nevertheless, appendicitis can present with normal tests inflammation. The aim this study was to investigate incidence inflammatory markers in patients operated for appendicitis. Methods This is an analysis data from a prospective, multicentre SNAPSHOT cohort suspected Only histopathologically proven were included. Adult preoperative explored further...
Abstract Background Radiologic imaging can accurately diagnose acute appendicitis, but little is known about its discriminatory capacity between complicated and uncomplicated appendicitis. Objective This study aims to investigate the accuracy of in discriminating from Methods Data was used prospective, nationwide, observational SNAPSHOT appendicitis database, including patients with suspected who were planned for an appendectomy. Usage ultrasound (US), CT, MRI or a combination recorded....
Anal fistula is one of the most common anal diseases, affecting between 1 and 3 per 10 000 people year. Symptoms have a potentially severe effect on patient's quality life. Surgery mainstay treatment, aiming to cure preserve sphincter function. Rectal advancement flap (RAF) currently gold standard treatment but has recurrence rates varying 20% 50% might lead disturbance continence. The aim trial described in this work discover if minimally invasive tract laser closure (FiLaC™) technique...
Abstract Background Comparison of quality indicators can improve care. However, case-mix adjustment is deemed essential. The aim this study was to develop and validate models evaluate the effect for related complications after breast cancer surgery. Methods Multivariable logistic regression with backward selection (P &lt; 0.1) used in patients undergoing surgery (all types, breast-conserving surgery, mastectomy or without immediate reconstruction) Netherlands (NABON Breast Cancer Audit)....
The keystone perforator-based fasciocutaneous island flap is a method of locoregional skin defect reconstruction, consisting two conjoined V to Y advancement flaps. In this article, we report series 30 consecutive cases in various body parts with the aim demonstrate versatility reconstruction defects after removal suspected malignant lesion and evaluate our clinical experience while maintaining oncological safety good aesthetic results.Patients who underwent between January 2016 2021 were...
Superior mesenteric artery syndrome is a rare vascular compression in which the duodenum compressed between aorta and overlying superior artery. This condition often chronic secondary to cachexia. It can trigger further weight loss due subsequent proximal intestinal obstruction, causing positive feedback loop. We report case of acute presentation syndrome, complicated by gastric necrosis treated surgically using principles novel bariatric procedure.
Background: The effect of diagnosing appendicitis at re-assessment on post-operative outcomes is not clear. This study aims to compare patients diagnosed with initial presentation versus who were re-assessment. Patients and Methods: Data from the Dutch SNAPSHOT collaborative was used. underwent appendectomy included. Effects diagnosis compared presentation. Primary proportion complicated complication rate. Results: Of 1,832 patients, 245 (13.4%) Re-assessed had a rate comparable those (15.1%...