4区医学

Chirurg Pub Date : 2022-02-01 Epub Date: 2022-01-18 DOI: 10.1007/s00104-022-01578-y

C T Germer

引用次数: 0

[What (general/abdominal) surgeons should know about occupational medicine? : General vaccine recommendations and postexposure prophylaxis of hepatitis B, C and HIV]. 关于职业医学，(普通外科医生/腹部外科医生)应该知道些什么?:乙肝、丙肝和艾滋病毒的一般疫苗建议和接触后预防]。

4区医学

Chirurg Pub Date : 2022-02-01 Epub Date: 2021-09-15 DOI: 10.1007/s00104-021-01502-w

Beatrice Thielmann, Frank Meyer, Irina Böckelmann

{"title":"[What (general/abdominal) surgeons should know about occupational medicine? : General vaccine recommendations and postexposure prophylaxis of hepatitis B, C and HIV].","authors":"Beatrice Thielmann, Frank Meyer, Irina Böckelmann","doi":"10.1007/s00104-021-01502-w","DOIUrl":"https://doi.org/10.1007/s00104-021-01502-w","url":null,"abstract":"This article deals with the general recommendations on vaccination and postexposure prophylaxis, which can be utilized for cuts and needlestick injuries. Cuts and needlestick injuries among surgeons are common occupational accidents. These should be interpreted as acute or emergency situations, especially if there was contact with infectious index patients or the danger of infection cannot be excluded. This results in high economic costs but also in the individual confrontation with an infectious disease that is definitely incurable. The aim of this review is to highlight the general and occupational vaccine recommendations for surgeons. In addition, background information and legal principles are presented. There is a duty to provide and to obtain information about effective protective measures against infectious diseases from cuts and needlestick injuries even for surgeons. In addition, primary prophylaxis, vaccination recommendations, and postexposure prophylaxis after cuts and needlestick injuries as well as the TOP principle are presented. The TOP principle comprises technical, organizational and person-related protective measures.","PeriodicalId":50700,"journal":{"name":"Chirurg","volume":"93 2","pages":"158-164"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8442515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39418978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Association between time to surgery and colon cancer survival in the United States]. [在美国，手术时间与结肠癌存活率之间的关系]。

4区医学

Chirurg Pub Date : 2022-02-01 Epub Date: 2022-01-13 DOI: 10.1007/s00104-021-01565-9

S Axt, M Anthuber

引用次数: 0

[ASCO guidelines for the management of stage III NSCLC part 1: staging]. [ASCO III期NSCLC管理指南第1部分:分期]。

4区医学

Chirurg Pub Date : 2022-02-01 Epub Date: 2022-01-24 DOI: 10.1007/s00104-022-01581-3

Khosro Hekmat, Christiane J Bruns

引用次数: 0

[Complication rate after femoral shaft fractures in childhood and adolescence depending on patient factors and treatment measures]. [儿童和青少年股骨干骨折并发症发生率取决于患者因素和治疗措施]。

4区医学

Chirurg Pub Date : 2022-02-01 Epub Date: 2021-06-16 DOI: 10.1007/s00104-021-01437-2

S Oberthür, S Piatek, H Krause, H Rüther, P J Roch, A Zoch, W Lehmann, S Sehmisch, M R Klauser

{"title":"[Complication rate after femoral shaft fractures in childhood and adolescence depending on patient factors and treatment measures].","authors":"S Oberthür, S Piatek, H Krause, H Rüther, P J Roch, A Zoch, W Lehmann, S Sehmisch, M R Klauser","doi":"10.1007/s00104-021-01437-2","DOIUrl":"https://doi.org/10.1007/s00104-021-01437-2","url":null,"abstract":"Background: The treatment of pediatric femoral shaft fractures has undergone an increasing change in recent years. The previously predominant treatment procedures were extensively replaced by minimally invasive techniques (e.g. elastic stable intramedullary nailing, ESIN). The aim of this study was the comparison of complication rates depending on patient factors as well as various treatment procedures.Material and methods: This study involved a retrospective X‑ray morphometric evaluation of data. The patient files and X‑rays of 101 children who were treated at 2 level I trauma centers were analyzed.Results: Conservative treatment was carried out in 19% of the cases. Among the surgical procedures the ESIN technique was predominant (n = 60). Complications that needed revision occurred in 10% of the children after conservative treatment. Revision surgery had to be carried out in more than 6% of the cases in children who were surgically treated. Among the surgical procedures ESIN stabilization demonstrated the lowest revision rate with only 3%. Children under three years and adolescents had a higher risk for developing complications. If the ESIN wires used were too thin in relation to the diameter of the medullary cavity there was an increased probability of complications of around 30%.Conclusion: This study revealed a moderate risk of complications in the treatment of femoral shaft fractures in children. The risk of complications after external fixation and conservative treatment was the highest in this study. Overall, the ESIN technique showed the lowest risk of complications. The results of this study could confirm the known limitations of the ESIN technique depending on age and body weight.","PeriodicalId":50700,"journal":{"name":"Chirurg","volume":"93 2","pages":"165-172"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00104-021-01437-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39237241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

[Complete response after neoadjuvant therapy : How certain is the pathology?] 新辅助治疗后完全缓解:病理有多确定?］

4区医学

Chirurg Pub Date : 2022-02-01 Epub Date: 2021-10-06 DOI: 10.1007/s00104-021-01510-w

Iris Tischoff, Andrea Tannapfel

引用次数: 0

[Thoracic and abdominal pain after esophageal resection]. [食管切除术后胸腹疼痛]。

4区医学

Chirurg Pub Date : 2022-02-01 Epub Date: 2021-08-10 DOI: 10.1007/s00104-021-01481-y

S Blaj, M Mayr, P Piso

引用次数: 0

[What (abdominal) surgeons must know about aspects of autonomic decisions with respect to self-determination, advance healthcare directives and suicide]. [腹部外科医生在自主决定、预先医疗指示和自杀方面必须了解哪些方面]。

4区医学

Chirurg Pub Date : 2022-02-01 Epub Date: 2021-07-23 DOI: 10.1007/s00104-021-01469-8

Alfred Simon, Frank Meyer

引用次数: 0

[Complete response after neoadjuvant therapy: how certain is radiology?] 新辅助治疗后完全缓解:放射学有多确定?]

4区医学

Chirurg Pub Date : 2022-02-01 Epub Date: 2021-12-22 DOI: 10.1007/s00104-021-01548-w

Hanna Kuzior, Michel Eisenblätter

{"title":"[Complete response after neoadjuvant therapy: how certain is radiology?]","authors":"Hanna Kuzior, Michel Eisenblätter","doi":"10.1007/s00104-021-01548-w","DOIUrl":"https://doi.org/10.1007/s00104-021-01548-w","url":null,"abstract":"The concept of total neoadjuvant therapy (TNT) means a paradigm shift in the treatment of patients with rectal cancer. In cases in which the TNT induced a complete clinical response (cCR), an organ preserving watch and wait therapy concept can now be provided more often; however, this increases the demand for imaging for the determination of cCR and in the subsequent follow-up. In this article, the performance of radiology in these scenarios will be evaluated and discussed. Magnetic resonance imaging (MRI) is the current standard for local assessment of the rectum with a high sensitivity for diagnosis and staging of rectal cancer, residual tumor and tumor recurrence. However, the certain exclusion of residual malignant tissue is still difficult, in particular the differentiation of residual scar tissue from vital residual tumor is only possible with low specificity and a moderate negative predictive value (NPV). The currently discussed criteria for the assessment of imaging have not yet been validated in large cohorts and are frequently subjective. An improvement of the diagnostic accuracy for identification of cCR in patients after TNT and for monitoring patients in watch and wait treatment concepts can certainly be achieved by the integration of MRI, endoscopy and endosonography as well as clinical parameters. This should enable for identification of patients with an incomplete response or local recurrence, in time for extended treatment to be initiated without relevant impact on the patient outcome.","PeriodicalId":50700,"journal":{"name":"Chirurg","volume":"93 2","pages":"123-131"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39748013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Results of the Limberg flap procedure in acute and chronic pilonidal abscesses]. [Limberg皮瓣治疗急慢性毛毛脓肿的结果]。

4区医学

Chirurg Pub Date : 2022-02-01 Epub Date: 2021-06-16 DOI: 10.1007/s00104-021-01439-0

Jamal Driouch, C Braumann, J Dehnst, M Ikram, G Alnammous, D Bausch, T Glatz

{"title":"[Results of the Limberg flap procedure in acute and chronic pilonidal abscesses].","authors":"Jamal Driouch, C Braumann, J Dehnst, M Ikram, G Alnammous, D Bausch, T Glatz","doi":"10.1007/s00104-021-01439-0","DOIUrl":"https://doi.org/10.1007/s00104-021-01439-0","url":null,"abstract":"Background: A number of different treatment algorithms are recommended for the treatment of an acute pilonidal abscess and a chronic pilonidal sinus. While a 1-stage surgical procedure using excision or plastic reconstruction according to Limberg or Karydakis is suggested for chronic pilonidal sinus, a 2‑stage procedure is recommended for an acute pilonidal abscess. The aim of this study was to compare the results of the 1‑stage surgery with plastic reconstruction according to Limberg for acute pilonidal abscess and chronic pilonidal sinus in terms of recurrence, disorders of wound healing, inpatient length of stay and patient satisfaction.Methods: From 2009 to 2014 a total of 39 patients were included in this prospective observational study: 21 patients with acute pilonidal abscess and 18 patients with chronic pilonidal sinus. All patients were surgically treated with a 1‑stage procedure using the Limberg flap method. The groups were compared in terms of postoperative complication rates and frequency of recurrence.Results: Both groups were basically comparable with respect to demographic characteristics and risk factor profiles. Analysis of the postoperative results showed a comparable rate of postoperative wound healing disorders (10% vs. 17%, p = 0.647). In the group with acute pilonidal abscesses there was no recurrence during the observational period, while in the chronic pilonidal sinus group there were 2 (11%) recurrences (p = 0.206).Conclusion: The results of the Limberg flap procedure regarding acute pilonidal abscesses were comparable to those of chronic pilonidal sinus. The results of this study show a trend to a lower risk of recurrence. The use of the Limberg flaps therefore also seems to be an adequate treatment option in an acute infection situation.","PeriodicalId":50700,"journal":{"name":"Chirurg","volume":"93 2","pages":"182-189"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00104-021-01439-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39237240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

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