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Steuerung der NOAK-Gabe bei invasiven oder operativen Interventionen



Bei vielen Patienten, die unter einer Therapie mit oralen Antikoagulazien stehen, sind perkutane oder chirurgische Eingriffe notwendig. Bei den Vitamin-K-Antagonisten (VKA) gibt es Empfehlungen, wie prä- bzw. postinterventionell vorgegangen werden soll.

Das Management der neuen oralen Antikoagulanzien (NOAK) sollte eigentlich einfacher sein – dennoch müssen einige Zusammenhänge beachtet werden. [...]

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Effects of preoperative carbohydrate drinks on postoperative outcome after colorectal surgery

09/2017 | 10 Kommentare
Summary Background Overnight fasting before surgery used to be the routine. Overnight fasting changes patients’ metabolic state and influences their perioperative stress response.The aim of the study was to investigate the effects of preoperative carbohydrate drinks on return of bowel sounds and movement, postoperative complications, and length of stay. [...]

Laparoendoscopic stapled rives stoppa sublay technique for extraperitoneal ventral hernia repair

09/2017 Background

Laparoscopic and robotic extraperitoneal ventral hernia repair techniques have developed with the goal of combining the benefits of traditional open sublay repair with those of minimally invasive surgery. [...]

Behind and beyond surgery


Dear reader,

Welcome to this issue of _European Surgery_, which includes a fascinating spectrum of papers. Outstanding groups of authors report on the surgery of inflammatory bowel disease of the colon, perioperative nutritional management before bariatric surgery, oxidative stress and angiogenesis during primary hyperparathyroidism, the impact of combined carcinoembryonic antigen (CEA) and fecal occult blood test for early cancer detection, the outcome after caudate resection for liver tumors and the role of ultrasound examination after kidney transplantation. [...]

Impact of ultrasound examination shortly after kidney transplantation

06/2017 Background

Ultrasound is routinely performed at our transplant unit within the first 48 h of kidney transplantation (KTX). The objective of this study was to evaluate the association of ultrasound results and, in particular, elevated resistance indices (RIs) with the occurrence of surgical complications and allograft outcomes. [...]

Caudate resection for primary and metastatic liver tumors

06/2017 Background

Surgical procedures involving the caudate lobe of the liver are characterized as the most demanding operations in liver surgery.


Liver resections including the caudate lobe performed at our institution by one senior hepatobiliary surgeon in a 2-year period were reviewed for the purposes of this study. [...]

Laparoscopic appendectomy using only two 5 mm trocars

06/2017 Background

Laparoscopic appendectomy is now the standard and most surgeons use two 5 mm and one 10–12 mm port; the latter placed into the umbilicus. Various attempts have been made to reduce the number and sizes of ports for this procedure. [...]

Medizin heute

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