A5078548197- Hernia repair and management
- Pelvic and Acetabular Injuries
- Colorectal Cancer Surgical Treatments
- Appendicitis Diagnosis and Management
- Anesthesia and Pain Management
- Cardiac, Anesthesia and Surgical Outcomes
- Diverticular Disease and Complications
- Surgical site infection prevention
- Gastrointestinal disorders and treatments
- Stoma care and complications
- Hip and Femur Fractures
- Esophageal and GI Pathology
- Anorectal Disease Treatments and Outcomes
- Minimally Invasive Surgical Techniques
- Intestinal and Peritoneal Adhesions
- Shoulder Injury and Treatment
- Neurofibromatosis and Schwannoma Cases
- Sarcoma Diagnosis and Treatment
- Sports injuries and prevention
- Adrenal and Paraganglionic Tumors
- Hip disorders and treatments
- Gastric Cancer Management and Outcomes
- Intraperitoneal and Appendiceal Malignancies
- Pelvic floor disorders treatments
- Soft tissue tumor case studies
Klinikum Brandenburg
2021-2025
Thornhill Medical (Canada)
2024
Medizinische Hochschule Brandenburg Theodor Fontane
2024
Hamad General Hospital
2024
Klinikum Magdeburg
2021-2023
Jena University Hospital
2023
Universitätsklinikum Würzburg
2023
University Hospital Magdeburg
2012-2022
Otto-von-Guericke University Magdeburg
2022
Helios Hospital Berlin-Buch
2016-2022
Abstract Background Hernias are among the most common surgical conditions worldwide, with significant prevalence in Africa. However, according to recent WHO statistics, Africa faces a critical shortage of trained surgeons. Structured training programs also scarce. Since 2016, Surgeons for collaboration Operation Hernia have developed structured course on hernia surgery specifically surgeons Rwanda. Due severe surgeons, new initiative was launched 2023 train general practitioners (GPs)...
Abstract Purpose The aim of the study was to evaluate operative time and postoperative complications 4 post-training specialized surgeons. Methods This a pilot retrospective chart review determine learning curve Shouldice primary inguinal hernia repair (Shouldice Repair) surgeons, at Hospital. first 300 Repairs (early block) were compared their 900-1,000 repairs as operating surgeon (late block). Data collected from hospital’s database. examined using cumulative sum analysis (CUSUM). Results...
To reduce opioid consumption and improve early mobility, the administration of a transversus abdominis plane block (TAP) was introduced in abdominal surgery decades ago. But usefulness this nerve prior to laparoscopic Roux-Y gastric bypass (LRYGB) patients with obesity is still under debate. Hence, study at hand conducted. In 2023 retrospective single-centre analysis among who did or not receive (L) TAP LRYGB performed. The primary objective postoperative pain level (1 h) using visual analog...
ABSTRACT Introduction: Pre-operative stoma site marking is a strongly recommended practice for preventing complications and improving the health-related quality of life intestinal patients. Despite its benefits, this not routinely implemented in clinical practice. Objectives: This study aimed to increase rate pre-operative marking. Methods: evidence implementation project was conducted three hospitals at Brandenburg Medical School, Germany. The followed seven-stage JBI audit feedback process...
Abstract Introduction With an incidence of 0–5.2%, trocar site hernias frequently occur following laparoscopy. It is unclear to what extent the angle insertion affects size fascial defect caused. Hence, we performed a porcine model. Methods In October 2022, total five female pigs were euthanized. alternating order, three bladeless and two bladed conical 12-mm trocars inserted at 45° on each side for 60 min twice pig. For this purpose, epoxy resin handmade cuboid with central channel that...
Clostridium (C) perfringens and Klebsiella (K) oxytoca are pathogenous human bacteria. Due to the production of several toxins C. is virulent by causing i.a. necrotizing fasciitis, gas gangrene hepatic abscess. K. mostly causes infections respiratory gastrointestinal tract.We presenting case a male patient at age 64, who suffered from nausea progressive pain in right upper abdomen. A computer tomography abdomen revealed 7×5,6cm sized entrapped air liver segment VII. Later developed...
Ganglioneuroma (GN) of the adult is a rare benign tumour originating from neural crest-derived cells. In most cases, GN found in mediastinum or retroperitoneum incidentally and may present with unspecific symptoms caused by space-occupying effects. The correct diagnosis retroperitoneal mass still challenge. Nevertheless, preoperatively confirmed support concept less radical approach help to prevent unnecessary morbidity loss function. We report case symptomatic paravertebral 33-year-old...
Abstract Purpose The integration of artificial intelligence (AI) into surgical laparoscopy has shown promising results in recent years. This survey aims to investigate the inconveniences current conventional and evaluate attitudes desires surgeons Germany towards new AI-based laparoscopic systems. Methods A 12-item web-based questionnaire was distributed 38 German university hospitals as well a Germany-wide voluntary hospital association (CLINOTEL) consisting 66 between July November 2022....
Incisional hernias with apertures measuring less than 7 cm can generally be treated adequately the laparoscopic intraperitoneal onlay-mesh (IPOM) technique. The wearing of an abdominal binder after surgery is often recommended in order to promote wound healing and prevent recurrent herniation. We carried out a multicenter, randomized pilot trial evaluate utility binders.The was conducted from May 2019 December 2020. Persons IPOM procedure for treatment incisional hernia were included...
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 Purpose The European Hernia Society guidelines of parastomal hernias, published in 2017, strongly recommend prophylactic synthetic non-absorbable mesh upon the construction a permanent end colostomy to reduce incidence hernias. This study aims evaluate implementation Germany. Methods is retrospective multicentric analysis conducted December 2022 at University Hospital Brandenburg an der Havel. Anonymous data on rectal resection without sphincter preservation period 2010–2020 were...
Background: Studies have shown that surgical treatment of colorectal carcinomas in certified centers leads to improved outcomes. However, there were considerable fluctuations outcome parameters. It has not yet been examined whether this variability is due continuous differences between hospitals or within a hospital over time. Materials and Methods: In retrospective observational cohort study, administrative quality assurance data 153 German-certified cancer 2010 2019 analyzed. Six...
Abstract Background Implement patient reported outcome assessments for Shouldice Hospital patients and evaluate these assessments. Method A 30–40-day postoperative follow-up of at was conducted. Data collection involved chart review online surveys. The survey included questions like those used in HerniaMed, with additional on reasons surgery, decision making knowledge, experience. After preliminary review, it became apparent that some the were not clear possibly misunderstood by...
Abstract Background Determine if polypropylene is noninferior to stainless-steel wire (SSW) after Shouldice Primary Inguinal Hernia Repair (SPIHR) regarding recurrence rate at ≥ 1-year surgery. Method A prospective follow-up of SPIHR patients Hospital (SH) from 6/12/2021-1/09/2022, was conducted. Data collection included calls and chart review. Patients were asked about recurrence(s)/recurrent surgery any observed groin swelling/protrusion. Recurrences differentiated by confirmed (ultrasound...
Abstract Introduction Spigelian hernias are among the rare primary ventral hernias. Diagnosis is often difficult, as many cases asymptomatic. and inguinal usually considered separately in current scientific literature. With this case series, we want to illustrate a possible relationship between neighboring hernia types. Methods In article, report on series of that were operated five centers period from January 1st, 2021 October 31st, 2023. We have summarized all patient characteristics with...
Polypropylene material is commonly used for posterior wall reconstruction in hernia repair, contrast with the classically described stainless-steel wire at Shouldice Hospital. This study was conducted to evaluate possible differences Repair outcomes using polypropylene or sutures.
Incisional hernias of the abdominal wall are frequent complications after laparotomy (9-20%) and often need incisional hernia repair (IHR). In order to ensure wound healing therefore prevent postoperative short long term morbidity carrying an binder (AB) physical rest is frequently advised. However, there a lack evidence concerning clinical effects regarding these recommendations. Hence, we conducted survey analyze patient reported outcome following IHR.From December 2017 May 2018, among 270...
Chronic postoperative inguinal pain (CPIP) is defined as impacting daily activities lasting at least 3 months. With an incidence of 0.5-6.0%, chronic affects many patients who underwent hernia repair (IHR). Early severe has been described a risk factor for CPIP. Thus, we aim to investigate the impact transversus abdominis plane (TAP) block on
Abstract Introduction Trocar insertion during laparoscopy may lead to complications such as bleeding, bowel puncture and fascial defects with subsequent trocar site hernias. It is under discussion whether there a difference in the extent of trauma thus size fascia defect between blunt sharp trocars. But level evidence low. Hence, we performed Porcine Model. Methods A total five euthanized female pigs were operated on. The average weight animals was 37.85 (Standard deviation SD 1.68) kg. All...