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  1. Book ; Thesis: Perioperatives Management, Behandlungsstrategien und postoperative Komplikationen bei malignen Erkrankungen des Ösophagus

    Weigang, Ernst Konrad

    Literaturüberblick und retrospektive Studie an Hand des Patientenkollektives der Chirurgischen Universitätsklinik Bonn in der Zeit vom 1.2.1989 - 30.6.1991

    1997  

    Author's details vorgelegt von Ernst Konrad Weigang
    Language German
    Size 106 S. : graph. Darst.
    Document type Book ; Thesis
    Thesis / German Habilitation thesis Bonn, Univ., Diss., 1997
    HBZ-ID HT007630626
    Database Catalogue ZB MED Medicine, Health

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  2. Article ; Online: Soft Tissue Reconstruction of Complex Infrainguinal Wounds Following Revisionary Vascular Surgery.

    Hernekamp, J-Frederick / Lauer, Henrik / Goertz, Ole / Weigang, Ernst / Kneser, Ulrich / Kremer, Thomas

    Annals of vascular surgery

    2022  

    Abstract: Background: Large, full-thickness infrainguinal wounds following revision revascularization procedures of the lower extremity are a challenging complication for reconstructive surgery. Frequently, these patients present with various comorbidities and ... ...

    Abstract Background: Large, full-thickness infrainguinal wounds following revision revascularization procedures of the lower extremity are a challenging complication for reconstructive surgery. Frequently, these patients present with various comorbidities and after several previous reconstructive attempts. Therefore no straightforward soft tissue reconstruction is likely.
    Methods: Patients who presented with large, complex inguinal wounds for soft tissue reconstruction were analyzed retrospectively in terms of flap choice, outcome, and complication rates. A focus was set on the reconstructive technique and a subgroup analysis was assessed.
    Results: Nineteen patients (11 men, 8 women) who received 19 flaps (17 pedicled, 2 free flaps) were included in this retrospective study. Average patient age was 73.3 years (range: 53-88). Ten fasciocutaneous flaps (anterolateral thigh [ALT], 52.6%) and 9 muscle flaps (47.4%) were applied. Among muscle flaps, 3 pedicled gracilis flaps, 4 pedicled rectus abdominis flaps, and 2 free latissimus dorsi flaps were used. No flap losses were observed except 1 case of limited distal flap necrosis (gracilis group). Body mass index ranged from 19 to 37, mean 26.8. Mean surgery time in all patients was 165.9 min (range: 105-373). Revision surgery due to local wound healing problems averaged 1.6 in all patients. In all cases sufficient soft tissue reconstruction was achieved and bypasses were preserved. Lengths of stay averaged 27.2 days (range: 14-59). Mortality was considerably (10.5%) due to systemic complications (one patient died due to a heart attack 4 weeks postoperatively, another patient died due to an extensive pulmonary embolism 2 weeks postoperatively).
    Conclusions: Soft tissue reconstruction of complex inguinal wounds after revision vascular surgery is challenging and wound healing problems are expectable. In addition to the rectus abdominis flap the pedicled ALT flap is feasible in a broad variety of medium to large wounds. Free flap reconstruction is recommended for very large defects. A structured interdisciplinary approach is required for the management of complex wounds after vascular surgery to prevent and to deal with complications and perioperative morbidity.
    Language English
    Publishing date 2022-08-24
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1027366-9
    ISSN 1615-5947 ; 0890-5096
    ISSN (online) 1615-5947
    ISSN 0890-5096
    DOI 10.1016/j.avsg.2022.07.019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Registro Alemán de la Disección Aguda de Aorta Tipo A (GERAADA)

    Ernst Weigang

    Cirugía Cardiovascular, Vol 16, Iss 3, Pp 231-

    2009  Volume 234

    Abstract: La disección aguda de aorta tipo A es una enfermedad grave de obligado tratamiento quirúrgico. El tratamiento quirúrgico tiene morbimortalidad elevada. No hay acuerdo general acerca de la mejor forma de tratamiento. Para obtener información que permita ... ...

    Abstract La disección aguda de aorta tipo A es una enfermedad grave de obligado tratamiento quirúrgico. El tratamiento quirúrgico tiene morbimortalidad elevada. No hay acuerdo general acerca de la mejor forma de tratamiento. Para obtener información que permita definir las mejores estrategias operatorias y de manejo global, el Grupo de Trabajo de Cirugía de la Aorta y Cirugía Vascular Intervencionista de la Sociedad Alemana de Cirugía Torácica y Cardiovascular (GSTCVS) creó el Registro Alemán de la Disección Aguda Tipo A (GERAADA). Desde 2006, 44 centros han incluido 1.610 casos, con información completa en 1.558. La mortalidad a 30 días ha sido del 16% y la tasa de accidentes neurológicos del 10%. Tras la experiencia inicial con el registro, se desea desarrollar un Registro Europeo de las Enfermedades de la Aorta (European Registry for aortic Diseases [EuRADa]) bajo los auspicios del vascular domain de la european association for Cardiothoracic Surgery (EACTS).
    Keywords Aorta ; Cirugía ; Disección de aorta ; Registro ; Medicine ; R ; Surgery ; RD1-811
    Language Spanish
    Publishing date 2009-07-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Reply to Morello et al.

    Conzelmann, Lars Oliver / Mehlhorn, Uwe / Czerny, Martin / Weigang, Ernst

    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery

    2016  Volume 50, Issue 3, Page(s) 586–587

    Language English
    Publishing date 2016
    Publishing country Germany
    Document type Letter ; Comment
    ZDB-ID 639293-3
    ISSN 1873-734X ; 1010-7940 ; 1567-4258
    ISSN (online) 1873-734X
    ISSN 1010-7940 ; 1567-4258
    DOI 10.1093/ejcts/ezw098
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Reply to Hajj-Chahine.

    Rylski, Bartosz / Beyersdorf, Friedhelm / Weigang, Ernst

    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery

    2014  Volume 46, Issue 3, Page(s) 509

    MeSH term(s) Aneurysm, Dissecting/surgery ; Aortic Aneurysm/surgery ; Female ; Humans ; Male
    Language English
    Publishing date 2014-09
    Publishing country Germany
    Document type Comment ; Letter
    ZDB-ID 639293-3
    ISSN 1873-734X ; 1010-7940 ; 1567-4258
    ISSN (online) 1873-734X
    ISSN 1010-7940 ; 1567-4258
    DOI 10.1093/ejcts/ezt586
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The heart as access to the aorta.

    Weigang, Ernst / Weiler, Helge / Frieß, Tanja / Vahl, Christian-Friedrich

    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery

    2013  Volume 44, Issue 3, Page(s) 559–61; discussion 561–2

    Abstract: Thoracic endovascular aortic repair (TEVAR) is an accepted treatment option for patients with thoracic aortic pathologies regarded as unfit for open surgery. Nevertheless, a subgroup of these patients is ineligible for classic TEVAR due to the lack of ... ...

    Abstract Thoracic endovascular aortic repair (TEVAR) is an accepted treatment option for patients with thoracic aortic pathologies regarded as unfit for open surgery. Nevertheless, a subgroup of these patients is ineligible for classic TEVAR due to the lack of access vessels. We describe the transapical TEVAR technique enabling surgeons to perform TEVAR even in these patients.
    MeSH term(s) Aneurysm, Dissecting/surgery ; Aorta/surgery ; Aortic Aneurysm/surgery ; Blood Vessel Prosthesis Implantation/methods ; Cardiac Surgical Procedures/methods ; Endovascular Procedures/methods ; Humans ; Stents
    Language English
    Publishing date 2013-09
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 639293-3
    ISSN 1873-734X ; 1010-7940 ; 1567-4258
    ISSN (online) 1873-734X
    ISSN 1010-7940 ; 1567-4258
    DOI 10.1093/ejcts/ezt126
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Conference proceedings: Langzeitergebnisse der Hybridtherapie zur Behandlung von Pathologien des proximalen Aortenbogens (Zone 0/1)

    Dorweiler, Bernhard / Epp, Katharina / Youssef, Marwan / Weigang, Ernst / Abugameh, Ahmad / Vahl, Christian-Friedrich

    2016  , Page(s) 16dgch436

    Event/congress 133. Kongress der Deutschen Gesellschaft für Chirurgie; Berlin; Deutsche Gesellschaft für Chirurgie; 2016
    Keywords Medizin, Gesundheit
    Publishing date 2016-04-21
    Publisher German Medical Science GMS Publishing House; Düsseldorf
    Document type Conference proceedings
    DOI 10.3205/16dgch436
    Database German Medical Science

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  8. Article ; Online: How to do it: direct true lumen cannulation technique of the ascending aorta in acute aortic dissection type A.

    Conzelmann, Lars O / Weigang, Ernst / Mehlhorn, Uwe / Vahl, Christian F

    Interactive cardiovascular and thoracic surgery

    2012  Volume 14, Issue 6, Page(s) 869–870

    Abstract: In acute aortic dissection type A (AADA), direct true lumen cannulation (DTLC) of the ascending aorta is a fast and safe cannulation site providing antegrade perfusion of the supraaortic and visceral vessels. An Overholt clamp is passed around the ... ...

    Abstract In acute aortic dissection type A (AADA), direct true lumen cannulation (DTLC) of the ascending aorta is a fast and safe cannulation site providing antegrade perfusion of the supraaortic and visceral vessels. An Overholt clamp is passed around the ascending aorta to place a Mersilene tape for later securing of the arterial cannula. After draining venous blood into the cardiopulmonary bypass system (CPB), the ascending aorta is transected and the aortic lumen inspected. The true lumen is identified and an arterial cannula inserted directly. Finally, the cannula is secured with the previously placed tape and CPB is initiated. DTLC can be used as arterial cannulation standard technique in operations for AADA.
    MeSH term(s) Acute Disease ; Aneurysm, Dissecting/surgery ; Aortic Aneurysm/surgery ; Cardiopulmonary Bypass ; Catheterization/instrumentation ; Catheterization/methods ; Constriction ; Equipment Design ; Humans ; Perfusion/instrumentation ; Perfusion/methods ; Surgical Tape ; Treatment Outcome ; Vascular Surgical Procedures
    Language English
    Publishing date 2012-02-28
    Publishing country England
    Document type Journal Article ; Video-Audio Media
    ZDB-ID 2095298-3
    ISSN 1569-9285 ; 1569-9293
    ISSN (online) 1569-9285
    ISSN 1569-9293
    DOI 10.1093/icvts/ivs042
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Symptomatic atherosclerotic occlusive disease of all supra-aortic arch vessels treated with total aortic arch rerouting.

    Weigang, Ernst / Parker, Jack / Gast, Klaus Kurt / Vahl, Christian-Friedrich

    Interactive cardiovascular and thoracic surgery

    2011  Volume 12, Issue 5, Page(s) 857–859

    Abstract: We present an uncommon case of symptomatic atherosclerotic occlusive disease of all supra-aortic arch vessels and its surgical treatment by total aortic arch rerouting after endarteriectomy of all target vessels. ...

    Abstract We present an uncommon case of symptomatic atherosclerotic occlusive disease of all supra-aortic arch vessels and its surgical treatment by total aortic arch rerouting after endarteriectomy of all target vessels.
    MeSH term(s) Aged ; Aorta, Thoracic/diagnostic imaging ; Aorta, Thoracic/pathology ; Aorta, Thoracic/physiopathology ; Aorta, Thoracic/surgery ; Aortic Diseases/diagnosis ; Aortic Diseases/physiopathology ; Aortic Diseases/surgery ; Aortography/methods ; Atherosclerosis/diagnosis ; Atherosclerosis/physiopathology ; Atherosclerosis/surgery ; Blood Vessel Prosthesis Implantation/adverse effects ; Constriction, Pathologic ; Endarterectomy/adverse effects ; Female ; Hemodynamics ; Humans ; Magnetic Resonance Angiography ; Regional Blood Flow ; Severity of Illness Index ; Tomography, X-Ray Computed ; Treatment Outcome
    Language English
    Publishing date 2011-05
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2095298-3
    ISSN 1569-9285 ; 1569-9293
    ISSN (online) 1569-9285
    ISSN 1569-9293
    DOI 10.1510/icvts.2010.252742
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: True-lumen collapse of the ascending aorta in acute type A aortic dissection.

    Conzelmann, Lars Oliver / Weigang, Ernst / Kreitner, Karl F / Vahl, Christian F

    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery

    2010  Volume 37, Issue 4, Page(s) 955

    MeSH term(s) Aneurysm, Dissecting/diagnostic imaging ; Aneurysm, Dissecting/surgery ; Aortic Aneurysm/diagnostic imaging ; Aortic Aneurysm/surgery ; Humans ; Tomography, X-Ray Computed
    Language English
    Publishing date 2010-04
    Publishing country Germany
    Document type Case Reports ; Journal Article
    ZDB-ID 639293-3
    ISSN 1873-734X ; 1010-7940 ; 1567-4258
    ISSN (online) 1873-734X
    ISSN 1010-7940 ; 1567-4258
    DOI 10.1016/j.ejcts.2009.09.046
    Database MEDical Literature Analysis and Retrieval System OnLINE

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