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  1. Book: Esophageal and gastric malignancies

    Öfner, D.

    St. Wolfgang, October 6 - 8, 2005

    (European surgery / Supplement ; 204 ; Annual meeting of the Austrian Society of Surgical Oncology ; 22)

    2005  

    Author's details guest ed.: D. Öfner
    Series title European surgery / Supplement ; 204
    Annual meeting of the Austrian Society of Surgical Oncology ; 22
    European surgery
    Collection European surgery
    Language German
    Size 20 S.
    Publisher Springer
    Publishing place Wien u.a.
    Publishing country Austria
    Document type Book
    HBZ-ID HT014591466
    Database Catalogue ZB MED Medicine, Health

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  2. Article: Leadership and training.

    Öfner, D

    European surgery : ACA : Acta chirurgica Austriaca

    2016  Volume 48, Page(s) 163–165

    Abstract: Against the background of substantial changes in the field of healthcare in Austria, the specialization in surgery must be reconsidered starting from modified points of view. However, in this context, the new training regulations are not the only ... ...

    Abstract Against the background of substantial changes in the field of healthcare in Austria, the specialization in surgery must be reconsidered starting from modified points of view. However, in this context, the new training regulations are not the only standard: the training officers must show leadership skills by paying attention to the modified framework conditions and by promoting a new corporate culture related to training with innovating concepts. The challenge of the threatening quality loss in surgery can only be addressed in this way.
    Language English
    Publishing date 2016-05-12
    Publishing country Austria
    Document type Journal Article
    ZDB-ID 2073941-2
    ISSN 1682-4016 ; 1682-8631 ; 1682-1769
    ISSN (online) 1682-4016
    ISSN 1682-8631 ; 1682-1769
    DOI 10.1007/s10353-016-0421-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Editorial: Surgical training under altered conditions

    Öfner, D.

    European surgery

    2016  Volume 48, Issue 3, Page(s) 139

    Language English ; German
    Document type Article
    ZDB-ID 2073941-2
    ISSN 1682-8631 ; 1682-1769
    Database Current Contents Medicine

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  4. Article: Leadership and training

    Öfner, D.

    European surgery

    2016  Volume 48, Issue 3, Page(s) 163

    Language English ; German
    Document type Article
    ZDB-ID 2073941-2
    ISSN 1682-8631 ; 1682-1769
    Database Current Contents Medicine

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  5. Article: The Preperitoneal Space in Hernia Repair.

    Lorenz, A / Augustin, C / Konschake, M / Gehwolf, P / Henninger, B / Augustin, F / Öfner, D

    Frontiers in surgery

    2022  Volume 9, Page(s) 869731

    Abstract: The preperitoneal spaces relevant for incisional hernia repair and minimally invasive groin hernia repair are described in terms of surgical anatomy. Emphasis is put on the transversalis fascia and the urogenital fascia and its extensions, the ... ...

    Abstract The preperitoneal spaces relevant for incisional hernia repair and minimally invasive groin hernia repair are described in terms of surgical anatomy. Emphasis is put on the transversalis fascia and the urogenital fascia and its extensions, the vesicoumbilical fascia, and the spermatic sheath of Stoppa procedure. Steps in hernia surgery where these structures are relevant are reviewed.
    Language English
    Publishing date 2022-05-30
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2773823-1
    ISSN 2296-875X
    ISSN 2296-875X
    DOI 10.3389/fsurg.2022.869731
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Reconstruction of Large Full-Thickness Abdominal Wall Defects Using a Free Functional Latissimus Dorsi Muscle.

    Ninkovic, Marijana / Ninkovic, Marina / Öfner, Dietmar / Ninkovic, Milomir

    Frontiers in surgery

    2022  Volume 9, Page(s) 853639

    Abstract: Introduction: The large full-thickness abdominal wall defect has to be treated by considering anatomical and functional requirements. The abdominal wall must regain total physiological function, which means that the full thickness abdominal wall defect ... ...

    Abstract Introduction: The large full-thickness abdominal wall defect has to be treated by considering anatomical and functional requirements. The abdominal wall must regain total physiological function, which means that the full thickness abdominal wall defect must be reconstructed anatomically, not only according to the anatomical requirements but also maintaining the functional dynamic voluntary movement. Defects in the abdominal wall alter respiratory mechanics and can impair the diaphragm function. Additionally, muscles of the anterolateral abdominal wall increase the stability of the lumbar region of the vertebral column by tensing the thoracolumbar fascia and by increasing intraabdominal pressure.
    Materials and methods: The timing and method of reconstruction must be chosen depending upon the etiology of the defect. Severe traumatic injuries, abdominal wall infections, necrotizing soft tissue loss, or sepsis needs to undergo staged reconstruction following adequate debridement to control the infectious process, establish the zone of injury, and for proper treatment of intraabdominal pathology, thereby achieving temporary primary closure using split-thickness skin grafting to the viscera. At the time of definitive reconstruction, deep skin graft dermabrasion give us a facial-like layer with adequate strength to stabilize the static abdominal wall. This dermal layer is supported by free functional (innervated) latissimus dorsi muscle (fLDM), giving full anatomical coverage and functional stability. After oncologic resections full-thickness abdominal wall reconstruction was performed immediately with a combination of fLDM flaps and meshes.
    Results: A total of 14 patients underwent abdominal wall reconstruction using the fLDM flap. Staged reconstruction was applied in 8 cases. In the remaining six cases, two had no mesh support, three had synthetic mesh, and one had a fascial graft, which were covered with fLDM flap. There were no free flaps failure. One flap revision due to venous anastomosis thrombosis was performed. Donor site seromas occurred in 5 cases and were treated with punction and direct doxycycline injection. Electromyographic testing postoperatively confirmed reinnervation of transplanted LDM.
    Conclusion: Using fLDM as a definitive solution, we are not only able to repair soft tissue defects, but also reconstruct voluntary contractility and dynamic natural functional abdominal wall. Transplanted LDM offers enough contractile capacity and strength to replace the function of the missing abdominal wall muscles.
    Language English
    Publishing date 2022-03-17
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2773823-1
    ISSN 2296-875X
    ISSN 2296-875X
    DOI 10.3389/fsurg.2022.853639
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Die Notwendigkeit für ein „Austrian Peritoneal Cancer Network“-Register

    Öfner, D

    Interdisziplinäre Onkologie

    2012  Volume 4, Issue 2, Page(s) 47–48

    Abstract: Register bilden die Versorgungswirklichkeit ab und stellen einen wichtigen, durch keine andere Form zu ersetzenden Wissensgewinn dar. Diese nicht-interventionellen Studien stehen nicht in Konkurrenz zu kontrolliert- randomisierten Studien, die den ... ...

    Abstract Register bilden die Versorgungswirklichkeit ab und stellen einen wichtigen, durch keine andere Form zu ersetzenden Wissensgewinn dar. Diese nicht-interventionellen Studien stehen nicht in Konkurrenz zu kontrolliert- randomisierten Studien, die den Wirksamkeitsnachweis führen, sondern ergänzen diese, indem sie eine hohe, so genannte externe Validität aufweisen. Register müssen aber denselben Qualitätskriterien unterworfen werden, die in klinischen Studien zur Anwendung kommen. Nur so können valide Aussagen zu einer Zielpopulation gemacht werden, die eine deskriptive und explorative Forschungsdimension beinhalten. Besonders bei seltenen Erkrankungen, bei denen kaum klinische kontrollierte Studien vorliegen können, sind Register ein unverzichtbares Instrument der Erkenntnisgewinnung. Das geplante Register für peritoneale Malignome stellt eine Notwendigkeit dar und wird basierend auf den bisherigen Erfahrungen bereits etablierter Register (HerniaMed, Lebermetastasenregister der AGMT) alle Qualitätskriterien erfüllen.
    MeSH term(s) HIPEC, Onkologie, peritoneales Malignom, Peritonealtumor, Peritonektomie, Register
    Publishing date 20120523
    Document type Article ; Online
    ISSN 2307-0102
    Database Krause and Pachernegg publications database

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  8. Article ; Online: Bewertung der individualisierten Therapie des Rektumkarzinoms.

    Aigner, F / Lorenz, A / Öfner, D / Pratschke, J

    Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen

    2018  Volume 90, Issue 4, Page(s) 279–286

    Abstract: Individualized and tailored treatment plays a crucial role in the rating of special operation techniques or certain treatment strategies following defined quality criteria and indicators. Deviations from clearly defined recommendations in guidelines must ...

    Title translation Assessment of individualized treatment of rectal carcinoma.
    Abstract Individualized and tailored treatment plays a crucial role in the rating of special operation techniques or certain treatment strategies following defined quality criteria and indicators. Deviations from clearly defined recommendations in guidelines must therefore be justified, documented and evaluated as precisely as possible. The aim of this leading article is to examine the individualized treatment of rectal cancer based on existing evidence and to discuss its role in the light of routinely used treatment algorithms. In addition to a web-based literature search the current German national S3 guidelines on colorectal cancer were also included. In the treatment of cancer in the middle and lower third of the rectum, individual, patient and tumor-related parameters are of decisive importance from the pretreatment stage to the actual surgery up to aftercare and adjuvant therapy to enable interdisciplinary decision making for optimal treatment.
    MeSH term(s) Algorithms ; Combined Modality Therapy ; Decision Making ; Humans ; Rectal Neoplasms/drug therapy ; Rectal Neoplasms/surgery ; Rectum
    Language German
    Publishing date 2018-12-14
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 1521-0
    ISSN 1433-0385 ; 0009-4722
    ISSN (online) 1433-0385
    ISSN 0009-4722
    DOI 10.1007/s00104-019-0807-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: 48 h Normothermic Machine Perfusion With Urine Recirculation for Discarded Human Kidney Grafts.

    Messner, Franka / Soleiman, Afschin / Öfner, Dietmar / Neuwirt, Hannes / Schneeberger, Stefan / Weissenbacher, Annemarie

    Transplant international : official journal of the European Society for Organ Transplantation

    2023  Volume 36, Page(s) 11804

    Abstract: Normothermic machine perfusion (NMP) has reshaped organ preservation in recent years. In this preclinical study, prolonged normothermic perfusions of discarded human kidney grafts were performed in order to investigate perfusion dynamics and identify ... ...

    Abstract Normothermic machine perfusion (NMP) has reshaped organ preservation in recent years. In this preclinical study, prolonged normothermic perfusions of discarded human kidney grafts were performed in order to investigate perfusion dynamics and identify potential quality and assessment indicators. Five human discarded kidney grafts were perfused normothermically (37°C) for 48 h using the Kidney Assist device with a red-blood-cell based perfusate with urine recirculation. Perfusion dynamics, perfusate and urine composition as well as injury markers were measured and analyzed. Donor age ranged from 41 to 68 years. All but one kidney were from brain dead donors. Perfusions were performed successfully for 48 h with all discarded kidneys. Median arterial flow ranged from 405 to 841 mL/min. All kidneys excreted urine until the end of perfusion (median 0.43 mL/min at the end of perfusion). While sodium levels were consistently lower in urine compared to perfusate samples, this was only seen for chloride and potassium in kidney KTX 2. Lactate, AST, LDH as well as pro-inflammatory cytokines increased over time, especially in kidneys KTX 3 and 4.
    MeSH term(s) Humans ; Adult ; Middle Aged ; Aged ; Kidney ; Kidney Transplantation ; Perfusion ; Organ Preservation ; Extracorporeal Circulation
    Language English
    Publishing date 2023-10-13
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 639435-8
    ISSN 1432-2277 ; 0934-0874
    ISSN (online) 1432-2277
    ISSN 0934-0874
    DOI 10.3389/ti.2023.11804
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Conference proceedings: Evaluation of Surgical and Oncologic Outcome after VATS Segmentectomy in Comparison to VATS Lobectomy

    Ponholzer, F / Weingartner, M / Ng, C / Maier, H / Lucciarini, P / Oefner, D / Schneeberger, S / Augustin, F

    Zentralblatt für Chirurgie - Zeitschrift für Allgemeine, Viszeral-, Thorax- und Gefäßchirurgie

    2023  Volume 148, Issue S 01

    Event/congress 32. Jahrestagung der Deutschen Gesellschaft für Thoraxchirurgie, Regensburg, 2023-09-20
    Language German
    Publishing date 2023-08-01
    Publisher Georg Thieme Verlag
    Publishing place Stuttgart ; New York
    Document type Article ; Conference proceedings
    ZDB-ID 200935-3
    ISSN 1438-9592 ; 0044-409X
    ISSN (online) 1438-9592
    ISSN 0044-409X
    DOI 10.1055/s-0043-1771121
    Database Thieme publisher's database

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