Chirurgie (Heidelberg, Germany)最新文献_第8页

[Long-term results of a pilot study on a two-stage procedure with primary excision and Limberg flap in the interval for treatment of sacrococcygeal pilonidal sinus disease]. [初步切除和Limberg皮瓣两阶段手术治疗骶尾椎毛窦疾病的长期初步研究结果]。

Chirurgie (Heidelberg, Germany) Pub Date : 2025-08-01 Epub Date: 2025-02-18 DOI: 10.1007/s00104-025-02252-9

Michael Ardelt, Falk Rauchfuss, Felix Dondorf, Aladdin Ali Deeb, Astrid Bauschke, Oliver Rohland, Laura Schwenk, Utz Settmacher

{"title":"[Long-term results of a pilot study on a two-stage procedure with primary excision and Limberg flap in the interval for treatment of sacrococcygeal pilonidal sinus disease].","authors":"Michael Ardelt, Falk Rauchfuss, Felix Dondorf, Aladdin Ali Deeb, Astrid Bauschke, Oliver Rohland, Laura Schwenk, Utz Settmacher","doi":"10.1007/s00104-025-02252-9","DOIUrl":"10.1007/s00104-025-02252-9","url":null,"abstract":"Background: The current Association of the Scientific Medical Societies in Germany (AWMF) S3 guidelines recommend among others a Limberg flap for the treatment of pilonidal sinus disease. This article reports the long-term results of the pilot study: \"Results of a two-stage intervention with primary excision and Limberg flap in the interval for treatment of sacrococcygeal pilonidal sinus disease\", published in 2015.Method: From 2010 to 2013 a total of 50 patients with sacrococcygeal pilonidal sinus disease were treated. Following initial excision patients were offered plastic coverage in the presence of clean wound conditions according to the then relevant AWMF guidelines in primary cases and recommended in recurrent cases. Of the patients 22 opted for a Limberg flap. In 2022 recurrences were recorded via telephone interviews with patients. The groups with a Limberg flap were compared with the excision group.Results: There were no recurrences in the Limberg flap group (0%) while there were six recurrences in the excision group (23%) p = 0.028. In the Limberg group one patient and in the excision group two patients were lost to follow-up.Conclusion: With a two-stage technique a Limberg flap is obviously more effective under inflammation-free wound conditions. The Limberg flap is a simple plastic surgery procedure; however, one should remember that it is a transposition flap.","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"667-672"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451130","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

[Urological causes of groin pain]. [腹股沟疼痛的泌尿学原因]。

Chirurgie (Heidelberg, Germany) Pub Date : 2025-08-01 Epub Date: 2025-05-16 DOI: 10.1007/s00104-025-02313-z

Jens Rosellen, Florian Wagenlehner, Matthias Saar, Jennifer Kranz

引用次数: 0

[Liver first resection in patients with colorectal liver metastases is associated with a reduced recurrence-free survival]. [结直肠肝转移患者首次肝切除与减少无复发生存率相关]。

Chirurgie (Heidelberg, Germany) Pub Date : 2025-08-01 Epub Date: 2025-07-09 DOI: 10.1007/s00104-025-02351-7

Johannes Fritsch, Michael Ardelt, Utz Settmacher

引用次数: 0

[Is a prophylactic central neck dissection necessary for clinically lymph node-negative papillary thyroid carcinoma?] 临床淋巴结阴性甲状腺乳头状癌是否需要预防性颈部中央清扫术？]

Chirurgie (Heidelberg, Germany) Pub Date : 2025-08-01 Epub Date: 2025-06-19 DOI: 10.1007/s00104-025-02333-9

Imane Zahidi, Detlef K Bartsch

引用次数: 0

[Osteitis pubis and spinal diseases : Differential diagnosis of groin pain]. [耻骨炎与脊柱疾病：腹股沟疼痛的鉴别诊断]。

Chirurgie (Heidelberg, Germany) Pub Date : 2025-08-01 Epub Date: 2025-04-16 DOI: 10.1007/s00104-025-02284-1

Martin C Jordan, Stefan Zwingenberger, Martin Burchardt, Willi L Wagner, Mark O Wielpütz, Georgi Wassilew

引用次数: 0

[Post-primary Limberg flap-A new approach in pilonidal sinus surgery]. [初级后Limberg皮瓣-一种新的髓窦手术方法]。

Chirurgie (Heidelberg, Germany) Pub Date : 2025-08-01 Epub Date: 2025-06-23 DOI: 10.1007/s00104-025-02328-6

Dietrich Doll, Matthias Maak, Jannik Seifert

引用次数: 0

[Amatoxin poisoning with acute liver failure]. 【毒曲霉毒素中毒并发急性肝功能衰竭】。

Chirurgie (Heidelberg, Germany) Pub Date : 2025-07-21 DOI: 10.1007/s00104-025-02330-y

Maren Schulze, Dieter Hoyer, Simone Kathemann, Elke Lainka, Denisa Pilic, Kristina Kampmann, Matthias Hartmann, Silvio Nadalin, Laura Masilescu, Lars Pape, Ulf Neumann

引用次数: 0

[Different expectations regarding the prehospital care of injured children? : A comparison between pediatric surgeons and trauma surgeons]. 对受伤儿童院前护理的不同期望？[儿科外科与创伤外科的比较]。

Chirurgie (Heidelberg, Germany) Pub Date : 2025-07-11 DOI: 10.1007/s00104-025-02352-6

Ralf Kraus, Melanie Markmann, Jens Günter Riedel, Emmanuel Schneck

{"title":"[Different expectations regarding the prehospital care of injured children? : A comparison between pediatric surgeons and trauma surgeons].","authors":"Ralf Kraus, Melanie Markmann, Jens Günter Riedel, Emmanuel Schneck","doi":"10.1007/s00104-025-02352-6","DOIUrl":"https://doi.org/10.1007/s00104-025-02352-6","url":null,"abstract":"Introduction: The prehospital care of injured children is challenging. Immobilization and pharmacological pain management are in the foreground; however, the expectations of pediatric surgeons and trauma surgeons regarding emergency medical services and emergency physicians can vary. This study aims to identify similarities and differences.Methods: In this study 186 members of the Pediatric Traumatology Section of the German Society for Trauma Surgery were surveyed on the necessity of 9 emergency medical interventions using 10 routine case studies.Results: A total of 26 pediatric surgeons and 31 trauma surgeons provided their assessments. There were significant differences in assessment regarding the use of pharmacological pain management, the need for neurological assessment and reduction maneuvers with analgesia. There was high agreement regarding immobilization of the injured body region, the establishment of an intravenous approach and sterile closure of open fractures.Discussion: Pediatric traumatologists with trauma surgery and pediatric surgery training have different priorities in their requirements for the prehospital care of injured children. Joint interdisciplinary recommendations for action should be formulated to provide widely accepted guidelines for emergency medical personnel, who often do not specialize in pediatric traumatology.","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610456","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

[Validation of artificial intelligence algorithms for the surgical practice]. [人工智能算法在外科实践中的验证]。

Chirurgie (Heidelberg, Germany) Pub Date : 2025-07-11 DOI: 10.1007/s00104-025-02348-2

Annika Reinke

引用次数: 0

[Reconstruction techniques after partial and total gastric resection]. [胃部分切除和全胃切除后的重建技术]。

Chirurgie (Heidelberg, Germany) Pub Date : 2025-07-11 DOI: 10.1007/s00104-025-02347-3

Christian A Gutschow, Florian Gebauer, Marcel A Schneider, Wolfgang Schröder

引用次数: 0