Chirurgie (Heidelberg, Germany)最新文献_第5页

[Local ablative procedures for treatment of thyroid nodules]. [治疗甲状腺结节的局部消融程序]。

Chirurgie (Heidelberg, Germany) Pub Date : 2024-10-01 Epub Date: 2024-05-21 DOI: 10.1007/s00104-024-02101-1

Christian Vorländer

引用次数: 0

[Robotic adrenalectomy-current evidence]. [机器人肾上腺切除术--当前证据]。

Chirurgie (Heidelberg, Germany) Pub Date : 2024-10-01 Epub Date: 2024-07-22 DOI: 10.1007/s00104-024-02137-3

S Flemming, A Wiegering, C-T Germer, J Reibetanz

引用次数: 0

[Initial hemithyroidectomy in comparison to total thyroidectomy for low risk differentiated thyroid cancer : Results of a national observational study]. [低风险分化型甲状腺癌初始半甲状腺切除术与全甲状腺切除术的比较：一项全国性观察研究的结果]。

Chirurgie (Heidelberg, Germany) Pub Date : 2024-10-01 Epub Date: 2024-09-16 DOI: 10.1007/s00104-024-02162-2

Elisabeth Maurer, Detlef K Bartsch

引用次数: 0

[Peripheral extracorporeal membrane oxygenation in perioperative medicine : Principles, indications and challenges]. [围手术期医学中的外周体外膜氧合：原理、适应症和挑战]。

Chirurgie (Heidelberg, Germany) Pub Date : 2024-10-01 Epub Date: 2024-08-15 DOI: 10.1007/s00104-024-02135-5

Stany Sandrio, Grietje Beck, Joerg Krebs, Matthias Otto

引用次数: 0

[Does prehabilitation before esophagectomy improve the postoperative outcome?] [食管切除术前的康复训练能改善术后效果吗？］

Chirurgie (Heidelberg, Germany) Pub Date : 2024-10-01 Epub Date: 2024-08-19 DOI: 10.1007/s00104-024-02161-3

W Schröder, C J Bruns

引用次数: 0

[New techniques in endocrine surgery]. [内分泌外科新技术]。

Chirurgie (Heidelberg, Germany) Pub Date : 2024-10-01 Epub Date: 2024-09-19 DOI: 10.1007/s00104-024-02125-7

Detlef K Bartsch

引用次数: 0

[Risk factors for major morbidity and permanent stoma after elective sigmoid resection for diverticulitis : Results of a national cohort analysis]. [憩室炎选择性乙状结肠切除术后主要发病率和永久性造口的风险因素：全国队列分析结果]。

Chirurgie (Heidelberg, Germany) Pub Date : 2024-10-01 Epub Date: 2024-09-06 DOI: 10.1007/s00104-024-02172-0

C T Germer, J Reibetanz

引用次数: 0

[Management of bite injuries]. [咬伤处理］

Chirurgie (Heidelberg, Germany) Pub Date : 2024-09-24 DOI: 10.1007/s00104-024-02173-z

Daniel Vergote, Martin Mentzel, Myriam Andreas, Richard-Tobias Moeller, Simon Bauknecht

{"title":"[Management of bite injuries].","authors":"Daniel Vergote, Martin Mentzel, Myriam Andreas, Richard-Tobias Moeller, Simon Bauknecht","doi":"10.1007/s00104-024-02173-z","DOIUrl":"https://doi.org/10.1007/s00104-024-02173-z","url":null,"abstract":"Bite injuries cause contaminated wounds with a high risk of infection. It is a progressive process. The prognosis depends less on the extent of the surface area but more on the depth of penetration. Due to the close spatial relationships the structures in the hand are particularly at risk from bite injuries. This study evaluated the dynamics of the disease progression based on the extent of injury and the timing of treatment initiation. A total of 332 bite injuries were treated and retrospectively analyzed. The severity of injuries was classified into five grades based on the affected compartments. The evaluation of the treatment was conducted according to the timing in four groups. The infection rates increased with the severity of the injury and the elapsed time. On the day of the accident 11% of patients showed signs of infection, rising to 72% the following day under conservative treatment, and 93% if no treatment was initiated by then. Patients treated conservatively elsewhere also showed similar levels. The average number of interventions also increased with the interval between the bite and the start of treatment. Not all bites are equal. The extent matters. Cutaneous injuries show signs of infection in 23% of cases but can mostly be treated conservatively. All deeper injuries require surgical treatment with debridement, immobilization and antibiotics. After immediate surgical treatment revision was necessary in 4% of cases.","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Surgeon well-being and mindfulness-A narrative review on how come, for what reason, why in times of surgeon shortage]. [外科医生的幸福感与心态--关于外科医生短缺时期的 "来龙去脉 "的叙述性回顾]。

Chirurgie (Heidelberg, Germany) Pub Date : 2024-09-20 DOI: 10.1007/s00104-024-02177-9

Benedikt J Braun, Steven C Herath, Maximilian M Menger, Mika F R Rollmann, Tina Histing, Eva Marie Braun

引用次数: 0

[Effects of working time recording from the perspective of surgeons]. [从外科医生的角度看工作时间记录的影响]。

Chirurgie (Heidelberg, Germany) Pub Date : 2024-09-11 DOI: 10.1007/s00104-024-02154-2

Ralf Kramer, Swen Günther, Ilker Yasin Eyüpoglu, Tareq Juratli, Witold Polanski

{"title":"[Effects of working time recording from the perspective of surgeons].","authors":"Ralf Kramer, Swen Günther, Ilker Yasin Eyüpoglu, Tareq Juratli, Witold Polanski","doi":"10.1007/s00104-024-02154-2","DOIUrl":"https://doi.org/10.1007/s00104-024-02154-2","url":null,"abstract":"Background: Since 2023 the law in Germany has required that working times are recorded in the field of surgery.Objectives: The consequences of recording of the working hours in surgery are the main topic of this study. The search for ways of harmonization in the team to counteract a limited availability of personnel requires knowledge of the position of surgeons on the issue in question.Material and methods: The study design is based on the situational approach of organizational research and encompasses 20 qualitative interviews and 186 datasets of an online questionnaire with 24 questions. For the evaluation group comparisons were carried out using the ANOVA analysis. The target groups were surgeons working in German hospitals. The study has an explorative character due to the targeted selection of samples.Results: The results of the online survey showed a strong support for working time recording among surgeons with a general agreement of 82% and a consensus at all levels from residents to medical directors. Less than 50% of the assistants and medical specialists saw an improvement via an in-house dialogue, in comparison to senior physicians and medical directors. The right to compensatory time off by other employees represents a greater burden for senior physicians and chief physicians.Discussion: The decisive result shows that there is a preference for transponder-based systems, especially among surgeons with long working hours. The problems of transparency and the right to compensatory time off, often associated with a lack of personnel, demonstrate the necessity for an improved communication and strategic personnel planning in hospitals. Surgeons have differentiated views on the transparent exchange on the topic of the working hours performed.","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0