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  1. Book: Penetrating Trauma

    Degiannis, Elias / Velmahos, George C. / Doll, Dietrich

    A Practical Guide on Operative Technique and Peri-Operative Management

    2024  

    Author's details Elias Degiannis, MD, PhD, FRCS (Glasg.), FCS (SA), FACS, Sub-specialty Trauma Surgery (SA)§ Elias Degiannis is Professor Emeritus at the Department of Surgery of the University of the Witwatersrand, Johannesburg, South Africa. He was the Head of the Trauma Directorate at the Chris Hani Baragwanath Academic Hospital and Academic Head of the Division of Trauma of the University of the Witwatersrand. He developed several international "Hands-on" Fellowships for overseas surgeons who wanted to expand their experience in Trauma. He has Honorary Memberships / Fellowships of the Hellenic Trauma Society, the Brazilian College of Surgeons, the Association of Surgeons of Spain, the German Society for Surgery, the Finnish Trauma Society, the Austrian Society for Surgery, the German Trauma Society. He has been awarded the Silver and the Golden Cross of Honour of the German Armed Forces. Dietrich Doll, MD, PhD (med.), PhD (theol.), Surgeon, Visceral Surgeon, FACS§Dietrich Doll is a Professor of
    Keywords Injury ; Military Surgery ; Perioperative management ; Prehospital care ; Military surgery ; Operative technique ; Penetrating Trauma
    Language English
    Size 816 p.
    Edition 3
    Publisher Springer International Publishing
    Document type Book
    Note PDA Manuell_25
    Format 215 x 285 x 46
    ISBN 9783031470059 ; 3031470052
    Database PDA

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  2. Book ; Online ; E-Book: Penetrating trauma

    Velmahos, George C. / Degiannis, Elias / Doll, Dietrich

    a practical guide on operative technique and peri-operative management

    2017  

    Author's details George C. Velmahos, Elias Degiannis, Dietrich Doll editors
    Keywords Wounds, Penetrating / surgery ; Wound Closure Techniques ; Perioperative Care ; Injury ; Military surgery ; Operative technique ; Penetrating Trauma ; Perioperative management ; Prehospital care
    Language English
    Size 1 Online-Ressource (xi, 644 Seiten), Illustrationen
    Edition Second edition
    Publisher Springer
    Publishing place Berlin ; Heidelberg
    Publishing country Germany
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    HBZ-ID HT019217436
    ISBN 978-3-662-49859-0 ; 9783662498576 ; 3-662-49859-6 ; 366249857X
    DOI 10.1007/978-3-662-49859-0
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  3. Book: Penetrating trauma

    Velmahos, George C. / Degiannis, Elias / Doll, Dietrich

    a practical guide on operative technique and peri-operative management

    2012  

    Author's details George C. Velmahos ; Elias Degiannis ; Dietrich Doll, ed
    Keywords Unfallchirurgie ; Operationstechnik
    Subject Operative Technik ; Chirurgisches Verfahren ; Operationsverfahren
    Language English
    Size XVII, 598 S. : Ill., 26 cm
    Publisher Springer
    Publishing place Berlin u.a.
    Publishing country Germany
    Document type Book
    HBZ-ID HT017020606
    ISBN 978-3-642-20452-4 ; 3-642-20452-X ; 9783642204531 ; 3642204538
    Database Catalogue ZB MED Medicine, Health

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  4. Article ; Online: Technique of Cross-Clamping of Descending Thoracic Aorta During Emergency Department Thoracotomy.

    Degiannis, Elias / Degiannis, Konstantinos / Doll, Dietrich

    The American surgeon

    2021  Volume 89, Issue 11, Page(s) 4929

    Abstract: Cross-clamping of the descending thoracic aorta is one of the operative maneuvers, that can be necessitated in an Emergency Department Thoracotomy and it is important for the Emergency Department medical staff to theoretically familiarize itself with its ...

    Abstract Cross-clamping of the descending thoracic aorta is one of the operative maneuvers, that can be necessitated in an Emergency Department Thoracotomy and it is important for the Emergency Department medical staff to theoretically familiarize itself with its technique before need arises.
    MeSH term(s) Humans ; Thoracotomy/methods ; Aorta, Thoracic/surgery ; Emergency Service, Hospital ; Constriction ; Male ; Female ; Middle Aged
    Language English
    Publishing date 2021-09-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    DOI 10.1177/00031348211023441
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Book: Penetrating trauma

    Velmahos, George C / Degiannis, Elias / Doll, Dietrich

    a practical guide on operative technique and peri-operative management

    2017  

    Author's details George C. Velmahos, Elias Degiannis, Dietrich Doll, editors
    MeSH term(s) Wounds, Penetrating/surgery ; Wound Closure Techniques ; Perioperative Care
    Language English
    Size xi, 644 pages :, many illustrations (chiefly color) ;, 29 cm
    Edition Second edition.
    Document type Book
    ISBN 9783662498576 ; 366249857X ; 9783662498590 ; 3662498596
    Database Catalogue of the US National Library of Medicine (NLM)

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  6. Article: "Mending A Broken Heart!" (a few technical tips on repairing penetrating trauma to the heart).

    Tun, Myint / Massalis, John / Diaconescu, Bogdan / Degiannis, Elias

    Chirurgia (Bucharest, Romania : 1990)

    2017  Volume 112, Issue 5, Page(s) 619–623

    Abstract: During the history operative repair of cardiac injuries was considered to be unmanageable and the first successful cardiomiorraphy was performed just around a century ago. Tamponade, more frequently than exsanguination are cause of death in penetrating ... ...

    Abstract During the history operative repair of cardiac injuries was considered to be unmanageable and the first successful cardiomiorraphy was performed just around a century ago. Tamponade, more frequently than exsanguination are cause of death in penetrating cardiac trauma. This is a usualy lethal injury and those surviving to hospital have an overall mortality approaching 80%. The penetrating injury require some basic steps, not special operative dexterity. We present the technical management of this injury, certain danger points and pitfalls. Options for surgical exposure, technical details of suturing cardiac injuries, and exceptional conditions such as injury near the coronary artery are discussed in detail. Outcome data and future directions in managing this injury are also examined.
    Language English
    Publishing date 2017-09
    Publishing country Romania
    Document type Journal Article
    ZDB-ID 419244-8
    ISSN 1842-368X ; 1221-9118 ; 0009-4730 ; 0377-5003
    ISSN (online) 1842-368X
    ISSN 1221-9118 ; 0009-4730 ; 0377-5003
    DOI 10.21614/chirurgia.112.5.619
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Book: Penetrating trauma

    Velmahos, George C / Degiannis, Elias / Doll, Dietrich

    a practical guide on operative technique and peri-operative management

    2012  

    Author's details George C. Velmahos, Elias Degiannis, Dietrich Doll, editors
    MeSH term(s) Wounds, Penetrating/surgery ; Wound Closure Techniques ; Perioperative Care
    Language English
    Size xvii, 598 p. :, ill.
    Publisher Springer
    Publishing place Heidelberg
    Document type Book
    ISBN 9783642204524 ; 9783642204531 ; 364220452X ; 3642204538
    Database Catalogue of the US National Library of Medicine (NLM)

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  8. Article ; Online: On the ideal emergency thoracotomy incision.

    Vassiliu, Pantelis / Yilmaz, Tugba / Degiannis, Elias

    World journal of surgery

    2013  Volume 38, Issue 4, Page(s) 1001–1002

    MeSH term(s) Female ; Humans ; Male ; Thoracotomy/methods
    Language English
    Publishing date 2013-11-12
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 224043-9
    ISSN 1432-2323 ; 0364-2313
    ISSN (online) 1432-2323
    ISSN 0364-2313
    DOI 10.1007/s00268-013-2253-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Accuracy of diagnostic tests in cardiac injury after blunt chest trauma: a systematic review and meta-analysis.

    Kyriazidis, Ioannis Panagiotis / Jakob, Dominik A / Vargas, Juliana Alexandra Hernández / Franco, Oscar H / Degiannis, Elias / Dorn, Patrick / Pouwels, Sjaak / Patel, Bijendra / Johnson, Ian / Houdlen, Christopher John / Whiteley, Graham S / Head, Marion / Lala, Anil / Mumtaz, Haroon / Soler, J Agustin / Mellor, Katie / Rawaf, David / Ahmed, Ahmed R / Ahmad, Suhaib J S /
    Exadaktylos, Aristomenis

    World journal of emergency surgery : WJES

    2023  Volume 18, Issue 1, Page(s) 36

    Abstract: Introduction: The diagnosis of cardiac contusion, caused by blunt chest trauma, remains a challenge due to the non-specific symptoms it causes and the lack of ideal tests to diagnose myocardial damage. A cardiac contusion can be life-threatening if not ... ...

    Abstract Introduction: The diagnosis of cardiac contusion, caused by blunt chest trauma, remains a challenge due to the non-specific symptoms it causes and the lack of ideal tests to diagnose myocardial damage. A cardiac contusion can be life-threatening if not diagnosed and treated promptly. Several diagnostic tests have been used to evaluate the risk of cardiac complications, but the challenge of identifying patients with contusions nevertheless remains.
    Aim of the study: To evaluate the accuracy of diagnostic tests for detecting blunt cardiac injury (BCI) and its complications, in patients with severe chest injuries, who are assessed in an emergency department or by any front-line emergency physician.
    Methods: A targeted search strategy was performed using Ovid MEDLINE and Embase databases from 1993 up to October 2022. Data on at least one of the following diagnostic tests: electrocardiogram (ECG), serum creatinine phosphokinase-MB level (CPK-MB), echocardiography (Echo), Cardiac troponin I (cTnI) or Cardiac troponin T (cTnT). Diagnostic tests for cardiac contusion were evaluated for their accuracy in meta-analysis. Heterogeneity was assessed using the I
    Results: This systematic review yielded 51 studies (n = 5,359). The weighted mean incidence of myocardial injuries after sustaining a blunt force trauma stood at 18.3% of cases. Overall weighted mean mortality among patients with blunt cardiac injury was 7.6% (1.4-36.4%). Initial ECG, cTnI, cTnT and transthoracic echocardiography TTE all showed high specificity (> 80%), but lower sensitivity (< 70%). TEE had a specificity of 72.1% (range 35.8-98.2%) and sensitivity of 86.7% (range 40-99.2%) in diagnosing cardiac contusion. CK-MB had the lowest diagnostic odds ratio of 3.598 (95% CI: 1.832-7.068). Normal ECG accompanied by normal cTnI showed a high sensitivity of 85% in ruling out cardiac injuries.
    Conclusion: Emergency physicians face great challenges in diagnosing cardiac injuries in patients following blunt trauma. In the majority of cases, joint use of ECG and cTnI was a pragmatic and cost-effective approach to rule out cardiac injuries. In addition, TEE may be highly accurate in identifying cardiac injuries in suspected cases.
    MeSH term(s) Humans ; Thoracic Injuries/complications ; Thoracic Injuries/diagnosis ; Wounds, Nonpenetrating/complications ; Wounds, Nonpenetrating/diagnosis ; Heart Injuries/diagnosis ; Heart Injuries/complications ; Myocardial Contusions/diagnosis ; Myocardial Contusions/complications ; Troponin I ; Troponin T ; Diagnostic Tests, Routine
    Chemical Substances Troponin I ; Troponin T
    Language English
    Publishing date 2023-05-27
    Publishing country England
    Document type Meta-Analysis ; Systematic Review ; Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 2233734-9
    ISSN 1749-7922 ; 1749-7922
    ISSN (online) 1749-7922
    ISSN 1749-7922
    DOI 10.1186/s13017-023-00504-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Book ; Online: Penetrating Trauma

    Velmahos, George C / Degiannis, Elias / Doll, Dietrich

    A Practical Guide on Operative Technique and Peri-Operative Management

    2012  

    Abstract: Surgery needs skill. Skill needs knowledge. Knowledge of tricks, moves, and tools. This book is about such knowledge. Expert authors have contributed technical pearls, gained by years of experience. The short 'how-I-do-it' chapters offer the reader a ... ...

    Author's details edited by George C. Velmahos, Elias Degiannis, Dietrich Doll
    Abstract Surgery needs skill. Skill needs knowledge. Knowledge of tricks, moves, and tools. This book is about such knowledge. Expert authors have contributed technical pearls, gained by years of experience. The short 'how-I-do-it' chapters offer the reader a quick and effective guide that will be invaluable when addressing any penetrating injury. This book is not intended to serve as a comprehensive volume of pathophysiology and management in trauma; rather the goal is to provide practical solutions on how to treat injuries surgically. It describes the steps that you must take when, in the middle of t
    Keywords Emergency medicine ; Medicine ; Orthopedic surgery ; Surgery ; Trauma
    Language English
    Size Online-Ressource, v.: digital
    Publisher Springer-Verlag Berlin Heidelberg
    Publishing place Berlin, Heidelberg
    Document type Book ; Online
    Note Includes bibliographical references and index
    ISBN 9783642204524 ; 9783642204531 ; 364220452X ; 3642204538
    DOI 10.1007/978-3-642-20453-1
    Database Former special subject collection: coastal and deep sea fishing

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