A5074423306- Colorectal Cancer Surgical Treatments
- Colorectal Cancer Screening and Detection
- Colorectal and Anal Carcinomas
- Appendicitis Diagnosis and Management
- Intraperitoneal and Appendiceal Malignancies
- Clinical practice guidelines implementation
- Intestinal and Peritoneal Adhesions
- Hernia repair and management
- Cardiac, Anesthesia and Surgical Outcomes
- Minimally Invasive Surgical Techniques
- Diabetes Management and Education
- Chronic Disease Management Strategies
- Religion, Spirituality, and Psychology
- Surgical Simulation and Training
- Meta-analysis and systematic reviews
- Gastric Cancer Management and Outcomes
- Pelvic and Acetabular Injuries
- Abdominal Surgery and Complications
- Palliative Care and End-of-Life Issues
- Airway Management and Intubation Techniques
- Cardiovascular and Diving-Related Complications
- Anorectal Disease Treatments and Outcomes
- Tracheal and airway disorders
Erasmus University Rotterdam
2012-2022
Erasmus MC
2016-2022
Erasmus MC Cancer Institute
2020-2022
Klinik und Poliklinik für Psychosomatik und Psychotherapie
2021
University Hospital Cologne
2021
Reinier de Graaf Hospital
2019
Surgical site infections (SSI) are seen in up to 5% of patients after appendectomy for acute appendicitis. SSI associated with prolonged hospital stay and increased costs. The aim this multicenter study was identify factors
Abstract Background Following several landmark trials, laparoscopic rectal resection has reached standard clinical practice. Current literature is undecided on the advantages of robotic and little known its learning curve. This study aimed to compare outcomes first 100 resections approach in a teaching hospital experienced colorectal surgery. Methods A retrospective analysis was conducted prospective cohort all consecutive between January 2012 September 2019 at single center. All cases were...
An increasing number of centers have implemented a robotic surgical program for rectal cancer. Several randomized controls trials shown similar oncological and postoperative outcomes compared to standard laparoscopic resections. While introducing robot resection seems safe, there are no data regarding implementation on nationwide scale. Since 2018 resections separately registered in the mandatory Dutch Colorectal Audit. The present study aims evaluate trend (RR) cancer relative (LRR)...
Magnetic resonance imaging of the pelvis has a limited accuracy to detect positive lymph nodes but does dictate neoadjuvant treatment in rectal cancer. This study aimed investigate preoperative node understaging and its effects on postoperative local recurrence rate.Patients were selected from retrospective cross-sectional snapshot study. Patients with emergency surgery, cM1 disease, or unknown cN- (y)pN category excluded. Clinical pathologic N-categories compared impact was determined by...
Numerous quality improvement initiatives for rectal cancer surgery have focused on textbook outcome parameters. In these studies, resection rate and patients who did not undergo are included, but parameters might help to evaluate the surgical care cancer. The aim of this study is assess variation non-metastatic rates among hospitals its effect patient outcomes.All diagnosed with between 2013 2018 were selected from Netherlands Cancer Registry. Hospitals categorized in quartiles according...
Abstract Background The use of synthetic mesh to repair a potentially contaminated incisional hernia may lead higher failure rates. A biological might be considered, but little is known about long-term results. Both and meshes were investigated in an experimental model peritonitis assess their characteristics vivo. Methods Male Wistar rats randomized into five groups was induced. implanted after 24 h. Five investigated: Permacol™ (cross-linked collagen), Strattice™ (non-cross-linked XCM...
In laparoscopic incisional hernia repair, direct contact between the prosthesis and abdominal viscera is inevitable may lead to adhesions. Despite large variety of mesh prosthesis, little known about their in vivo behavior. Biological meshes are considered have many advantages, but due price they rarely used. A rat model was used assess biological conventional synthetic on characteristics.One-hundred twenty male Wistar rats were randomized into five groups 24 rats. implanted...
Organ preserving treatment strategies and the introduction of a colorectal cancer-screening program have likely influenced resection rates rectal cancer. The aim this study is to assess influence these developments on cancer in Netherlands.Patients diagnosed with non-metastatic between 2013 2018, were selected from Netherlands Cancer Registry. distribution surgical neo-adjuvant analyzed compared over time.Between 2018 22640 patients incidence early stage (cT1) disease increased 141 (4%) 448...
Introduction: Postoperative antibiotic treatment is indicated for 3–5 days following appendectomy complex appendicitis. However, meeting discharge criteria may allow safe discontinuation of antibiotics and discharge. This study assessed the association between time to reach duration postoperative use length stay. Methods: a multicenter retrospective cohort including patients who underwent appendicitis received >24 h. Main outcome measures were criteria, use, hospital stay, infectious...
Die Förderung von Selbstmanagement und das Angebot zusätzlichen Unterstützungsangeboten für Patient*innen mit besonderem Bedarf stellen wichtige Aspekte in der Weiterentwicklung Disease Management Programme (DMP) Diabetes Mellitus Typ 2 koronare Herzkrankheit dar. Ziel P-SUP ist es, einem strukturierten Selbstmanagement-Programms gestufter risikostratifizierter Unterstützung die Versorgung zu verbessern Anzahl Krankenhausaufenthalte beider DMPs reduzieren.
Abstract Background: Postoperative antibiotic treatment is indicated for 3 – 5 days following appendectomy complex appendicitis. However, meeting discharge criteria may allow safe discontinuation of antibiotics and discharge. This study assessed the association between time to reach duration postoperative use length hospital stay. Methods: was a multicenter retrospective cohort including patients who underwent appendicitis received >24 hours. Main outcome measures were criteria, use, stay...