Chirurgie (Heidelberg, Germany)最新文献_第6页

[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 : 2025-02-01 Epub 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":"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":"150-157"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","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

[Postoperatively developing ulcerous skin lesions with associated ulcerative colitis in a patient with status after femorocrural (P3) bypass insertion for peripheral arterial occlusion disease]. [一名因外周动脉闭塞症而植入股动脉（P3）旁路术后出现溃疡性皮肤病变并伴有溃疡性结肠炎的患者]。

Chirurgie (Heidelberg, Germany) Pub Date : 2025-02-01 Epub Date: 2024-11-08 DOI: 10.1007/s00104-024-02190-y

U Barth, M Eltokhy, F Meyer, D Langer, Z Halloul

引用次数: 0

[Multimorbid patients in visceral surgery-Upper gastrointestinal tract]. [内脏手术中的多病患者-上胃肠道]。

Chirurgie (Heidelberg, Germany) Pub Date : 2025-02-01 Epub Date: 2025-01-08 DOI: 10.1007/s00104-024-02221-8

Jin-On Jung, Christiane Bruns

引用次数: 0

[Effect of adapting the biliopancreatic loop to the total length of the small intestine compared to the standardized loop in one anastomotic gastric bypass-One Year results of the TAILOR RCT]. [一次胃吻合术中胆胰袢与标准化袢相比适应小肠总长度的影响- TAILOR随机对照试验一年的结果]。

Chirurgie (Heidelberg, Germany) Pub Date : 2025-02-01 Epub Date: 2024-12-10 DOI: 10.1007/s00104-024-02210-x

Alida Finze, Mirko Otto, Christoph Reissfelder

引用次数: 0

[Drain or no drain after gastrectomy-Results of the abdominal drain after gastrectomy (ADIGE) study]. [胃切除术后引流或不引流-胃切除术后腹腔引流（ADIGE）研究结果]。

Chirurgie (Heidelberg, Germany) Pub Date : 2025-02-01 Epub Date: 2024-12-28 DOI: 10.1007/s00104-024-02227-2

L M Schiffmann, C J Bruns

引用次数: 0

[A new approach for perioperative measurement of parathyroid hormone to establish a cure in patients with primary hyperparathyroidism]. [一种新的围手术期测量甲状旁腺激素的方法来确定原发性甲状旁腺功能亢进患者的治疗方法]。

Chirurgie (Heidelberg, Germany) Pub Date : 2025-02-01 Epub Date: 2024-12-23 DOI: 10.1007/s00104-024-02225-4

Sabine Wächter, Detlef K Bartsch

引用次数: 0

[Video-assisted thoracic surgery-Indications, importance and technique]. 视频辅助胸外科手术——适应症、重要性和技术。

Chirurgie (Heidelberg, Germany) Pub Date : 2025-02-01 Epub Date: 2025-01-20 DOI: 10.1007/s00104-024-02209-4

Moritz Schirren, Benedict Jefferies, Seyer Safi

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 : 2025-02-01 Epub 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

[Fostering young talents for surgery : Laparoscopy in preclinical education-Too early or exactly right?] [培养外科青年人才：临床前教育中的腹腔镜手术--太早还是恰到好处？］

Chirurgie (Heidelberg, Germany) Pub Date : 2025-02-01 Epub Date: 2024-08-12 DOI: 10.1007/s00104-024-02145-3

Marvin Heimke, Tillmann Heinze, Jorun Baumann, Bodo Kurz, Ibrahim Alkatout, Thilo Wedel

{"title":"[Fostering young talents for surgery : Laparoscopy in preclinical education-Too early or exactly right?]","authors":"Marvin Heimke, Tillmann Heinze, Jorun Baumann, Bodo Kurz, Ibrahim Alkatout, Thilo Wedel","doi":"10.1007/s00104-024-02145-3","DOIUrl":"10.1007/s00104-024-02145-3","url":null,"abstract":"Background: Due to the declining interest among medical students in pursuing a surgical career, the impact of demographic changes and the technical challenges, there is an increasing need to attract medical students to the surgical profession. Against this backdrop, a teaching project was developed to familiarize medical students with minimally invasive surgical techniques early in the preclinical education, thereby increasing the interest in surgery.Material and methods: Within the framework of the regular anatomical dissection course the following modules on laparoscopic surgery were integrated: (1) clinical lecture on the technique and application of laparoscopy, (2) exploratory live laparoscopy on a body donor and (3) practical exercises on laparoscopic trainers. The impact of this teaching project on the interest in a surgical career and on the clinical anatomical understanding was evaluated among 295 participating medical students.Results: The evaluation revealed a pronounced gender-independent interest in learning surgical skills early in the preclinical study phase. The teaching project led to a significantly increased interest in pursuing a surgical career. Moreover, the incorporation of laparoscopic teaching modules into the preclinical anatomy course enhanced the learning motivation and understanding of clinically relevant topographic anatomy.Conclusion: The integration of practical surgical content into preclinical anatomical education can increase the attractiveness of surgical disciplines and simultaneously optimize teaching of anatomy. Longitudinal studies are required to examine the sustainability of these clinical teaching modules in career decisions of medical students.","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"136-144"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11785606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Neoadjuvant FOLFIRINOX chemotherapy followed by preoperative chemoradiotherapy in patients with locally advanced rectal cancer].

Chirurgie (Heidelberg, Germany) Pub Date : 2025-02-01 Epub Date: 2025-01-06 DOI: 10.1007/s00104-024-02228-1

C T Germer, J Reibetanz

引用次数: 0