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DIALAPP: a Prospective Validation of a New Diagnostic Algorithm for Acute Appendicitis
Purpose: The management of patients with suspected appendicitis remains a challenge in daily clinical practice, and the optimal management algorithm is still being debated. Negative appendectomy rates (NAR) continue to range between 10 and 15%. This prospective study evaluated the accuracy of a diagnostic pathway in acute appendicitis using clinical risk stratification (Alvarado score), routine ultrasonography, gynecology consult for females, and selected CT after clinical reassessment. Methods: Patients presenting with suspected appendicitis between November 2015 and September 2017 from age 18 years and above were included. Decision-making followed a clear management pathway. Patients were ...
Blumgart's Surgery of the Liver, Biliary Tract and Pancreas, 2-Volume Set - E-Book
Balancing basic science with information on everyday clinical practice, Blumgart's Surgery of the Liver, Biliary Tract and Pancreas, 7th Edition, provides you with expert guidance and advances in the field so you can offer patients the most optimal diagnostic and surgical care. In two convenient volumes, Dr. William Jarnagin and his team of internationally recognized surgeons cover exactly what you need to know, including advances in diagnostic and surgical techniques, minimally invasive surgeries, new interventional diagnostic techniques, and all relevant diseases. This comprehensive, practical reference is designed to help you choose and perform the most appropriate procedures that will mi...
The White-test Helps to Reduce Biliary Leakage in Liver Resection: a Systematic Review and Meta-analysis
Background. Bile leakage testing may help to detect and reduce the incidence of biliary leakage after hepatic resection. This review was performed to investigate the value of the White-test in identifying intraoperative biliary leakage and avoiding postoperative leakage. Material and methods. A systematic review and meta-analysis was performed. Two researchers performed literature research. Primary outcome measure was the incidence of post-hepatectomy biliary leakage; secondary outcome measure was the ability of detecting intraoperative biliary leakage with the help of the White-test. Results. A total of 4 publications (including original data from our center) were included in the analysis. Evidence levels of the included studies had medium quality of 2b (individual cohort studies including low quality randomized controlled trials). Use of the White-test led to a significant reduction of post-operative biliary leakage [OR: 0.3 (95% CI: 0.14, 0.63), p = 0.002] and led to a significant higher intraoperative detection of biliary leakages [OR: 0.03 (95%CI: 0.02, 0.07), p
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Historical Foundations of Liver Surgery
For the surgeon of antiquity the liver has been an organ of mystery – and danger. Attempts to repair its wounds or remove tumors were fraught with hemorrhage and often a fatal outcome. Most forays were those to remove easily accessible tumors on the liver edge, but bleeding was a feared consequence still and surgeons wielded a plucky fortitude to take on even those. Not until the mid-20th Century were surgeons able to safely excise neoplasms that lay deep within the liver substance. Jean-Louis Lortat-Jacob achieved notoriety in his famous Paris hepatectomy of 1951 but he was not the first. That distinction may have belonged to German Professor Walther Wendel in 1910 or to Japanese surgeon ...
Expertise Leber und Gallenwege
Exzellenz in der Leber- und Gallenblasen-Chirurgie. Sie bewältigen Ihre täglichen Aufgaben routiniert und kompetent? Das genügt Ihnen nicht? Sie wollen zu den Besten Ihres Faches gehören? Herausragende Experten bringen ihr Wissen für Sie auf den Punkt, inhaltliche Schwerpunkte bilden: Spezielle chirurgische Anatomie Indikationsstellung spezialisierte Methodenkompetenz mit Meilen- und Stolpersteinen Komplikationsmanagement jeweils im Gesamtkontext der Begleiterkrankungen. Kommen Sie direkt zum Wesentlichen dank prägnanter Texte und erstklassiger Abbildungen - von der anatomischen Darstellung über Algorithmen und Skizzen bis hin zu einzigartiger bildgebender Diagnostik. Jederzeit zugreifen: Der Inhalt des Buches steht Ihnen ohne weitere Kosten digital in der Wissensplattform eRef zur Verfügung (Zugangscode im Buch). Mit der kostenlosen eRef App haben Sie zahlreiche Inhalte auch offline immer griffbereit.
Allgemein- und Viszeralchirurgie II - Spezielle operative Techniken
Aus dem Inhalt von Band II: Endokrine und gastrointestinale Chirurgie inkl. Adipositaschirurgie Kolorektale, hepatobiliäre und Pankreaschirurgie Transplantationschirurgie, Thorax- und Gefäßchirurgie Neu in der 4. Auflage: Weichteilsarkome Robotische Verfahren Fast-Track/ERAS-Konzept bei kolorektaler Chirurgie Chirurgische Palliativmaßnahmen beim Kolonkarzinom AB0-inkompatible Nierenlebendspende Allgemein- und Viszeralchirurgie I und II zusammen geben Ihnen eine komplette Übersicht über Krankheitsbilder, Diagnostik, Operationsindikationen, Techniken von Basisoperationen und Zugängen, möglichen Fehlern, Maßnahmen bei Komplikationen, medikamentöse Therapieschemata uvm. Das Buch eignet sich für: Weiterbildungsassistent*innen und Fachärzt*innen Allgemein- und Viszeralchirurgie
