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  1. Article ; Online: Renal failure as a complication of defunctioning ileostomy: more complexity to a complex decision-making process.

    Lederhuber, Hans

    BJS open

    2023  Volume 7, Issue 3

    MeSH term(s) Humans ; Ileostomy/adverse effects ; Renal Insufficiency
    Language English
    Publishing date 2023-05-10
    Publishing country England
    Document type Journal Article ; Comment
    ISSN 2474-9842
    ISSN (online) 2474-9842
    DOI 10.1093/bjsopen/zrad027
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  2. Book: Basics Kardiologie

    Lederhuber, Hans Christian

    (Basics)

    2005  

    Author's details Hans Christian Lederhuber
    Series title Basics
    Keywords Herzkrankheit
    Subject Herzerkrankung ; Herzkrankheiten
    Language German
    Size IX, 181 S. : Ill., graph. Darst.
    Edition 1. Aufl.
    Publisher Elsevier, Urban & Fischer
    Publishing place München u.a.
    Publishing country Germany
    Document type Book
    HBZ-ID HT014505065
    ISBN 3-437-42186-7 ; 978-3-437-42186-0
    Database Catalogue ZB MED Medicine, Health

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    Shelf markLoan statusLocation
    2005 A 4711 order for loan Magazin

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  3. Book: Basics Kardiologie

    Lederhuber, Hans Christian / Sagmeister, Veronika

    (Basics)

    2010  

    Title variant Kardiologie
    Author's details Hans Christian Lederhuber ; Veronika Lange
    Series title Basics
    Keywords Herzkrankheit ; Lehrbuch
    Subject Kompendium ; Herzerkrankung ; Herzkrankheiten
    Language German
    Size IX, 165 S. : Ill., graph. Darst.
    Edition 2., überarb. Aufl.
    Publisher Elsevier, Urban & Fischer
    Publishing place München
    Publishing country Germany
    Document type Book
    HBZ-ID HT016222620
    ISBN 978-3-437-42187-7 ; 3-437-42187-5
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

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    2010 A 1173 order for loan Magazin

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  4. Article ; Online: Weight-Related Outcomes After Revisional Bariatric Surgery in Patients with Non-response After Sleeve Gastrectomy-a Systematic Review.

    Axer, Stephan / Lederhuber, Hans / Stiede, Franziska / Szabo, Eva / Näslund, Ingmar

    Obesity surgery

    2023  Volume 33, Issue 7, Page(s) 2210–2218

    Abstract: Weight non-response after sleeve gastrectomy is an emerging issue. This systematic review compared revisional procedures for weight-related outcomes. We searched several databases for relevant articles and included adult patients with revisional ... ...

    Abstract Weight non-response after sleeve gastrectomy is an emerging issue. This systematic review compared revisional procedures for weight-related outcomes. We searched several databases for relevant articles and included adult patients with revisional bariatric procedures after primary sleeve gastrectomy. Twelve trials with 1046 patients were included, covering five revisional procedures. There were no randomised controlled trials, and 10 studies had a critical risk of bias. Significant variations in inclusion criteria, therapy benchmarks, follow-up schemes, and outcome measurements were observed, preventing meaningful comparison of results. Evidence-based treatment strategies for weight non-response after sleeve gastrectomy cannot be deduced from the current literature. Prospective studies with well-defined indications, standardised techniques, and strict adherence to outcome measurements are needed.
    MeSH term(s) Adult ; Humans ; Obesity, Morbid/surgery ; Prospective Studies ; Treatment Outcome ; Reoperation/methods ; Gastric Bypass/methods ; Bariatric Surgery/methods ; Bariatrics ; Gastrectomy/methods ; Retrospective Studies ; Laparoscopy/methods
    Language English
    Publishing date 2023-05-20
    Publishing country United States
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-023-06630-2
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    Zs.A 3381: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  5. Article ; Online: Impact of Trainee Participation on Inguinal Hernia Repair Outcome: A Study Based on the Swedish Hernia Register.

    Lederhuber, Hans / Hanßke, Bengt / Dahlstrand, Ursula

    Annals of surgery

    2019  Volume 274, Issue 1, Page(s) e62–e69

    Abstract: Objective: The aim of this study was to investigate whether differences in postoperative outcome exist between open inguinal hernia repairs performed by surgical trainees and those performed by specialist surgeons.: Summary of background data: ... ...

    Abstract Objective: The aim of this study was to investigate whether differences in postoperative outcome exist between open inguinal hernia repairs performed by surgical trainees and those performed by specialist surgeons.
    Summary of background data: Inguinal hernia repair is the prototype educational surgical procedure. The impact of trainee participation on postoperative outcome is still controversial and despite earlier studies no reliable hernia-specific data exist.
    Methods: The study cohort was based on the Swedish Hernia Register and consisted of 61,161 cases of male patients aged 18 years and older with open anterior mesh repair of a primary inguinal hernia between January 1, 2002, and December 31, 2014. The study cohort was selected to represent the typical trainee procedure in Sweden. Primary outcome measures were reoperation due to hernia recurrence and postoperative 30-day complications.
    Results: Procedures with longer operating times were at a higher risk for reoperation when performed by supervised trainees [57 to 72 minutes: hazard ratio (HR) 1.55, 99% confidence interval (99% CI) 1.05-2.27] or unsupervised trainees (57 to 72 minutes: HR 1.60, 99% CI 1.18-2.17; >72 minutes: HR 1.72, 99% CI 1.25-2.37). The same was true for specialist and trainee-assisted specialists with operating times <43 minutes (HR 1.63, 99% CI 1.25-2.13; HR 1.58, 99% CI 1.09-2.28). Postoperative 30-day complications were generally associated with longer operating times and occurred at all levels of experience.
    Conclusion: Trainee participation in open inguinal repair in combination with longer operating time is a risk factor associated with higher reoperation rates. This calls for a more structured supervision of trainees in an assumedly basic procedure.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Cohort Studies ; Education, Medical, Graduate/methods ; Hernia, Inguinal/surgery ; Herniorrhaphy/education ; Herniorrhaphy/instrumentation ; Herniorrhaphy/methods ; Humans ; Logistic Models ; Male ; Middle Aged ; Operative Time ; Outcome Assessment, Health Care ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Proportional Hazards Models ; Registries ; Reoperation/statistics & numerical data ; Risk Factors ; Surgical Mesh ; Sweden ; Young Adult
    Language English
    Publishing date 2019-08-07
    Publishing country United States
    Document type Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 340-2
    ISSN 1528-1140 ; 0003-4932
    ISSN (online) 1528-1140
    ISSN 0003-4932
    DOI 10.1097/SLA.0000000000003497
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    Uk I Zs.35/1: Show issues Location:
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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  6. Article ; Online: Preoperative intravenous iron and the risk of blood transfusion in colorectal cancer surgery: meta-analysis of randomized clinical trials.

    Lederhuber, Hans / Massey, Lisa H / Abeysiri, Sandaruwani / Roman, Marius A / Rajaretnam, Niroshini / McDermott, Frank D / Miles, Lachlan F / Smart, Neil J / Richards, Toby

    The British journal of surgery

    2023  Volume 111, Issue 1

    MeSH term(s) Humans ; Iron/therapeutic use ; Randomized Controlled Trials as Topic ; Blood Transfusion ; Digestive System Surgical Procedures ; Colorectal Neoplasms/surgery ; Colorectal Neoplasms/drug therapy ; Preoperative Care ; Hemoglobins ; Anemia, Iron-Deficiency/drug therapy
    Chemical Substances Iron (E1UOL152H7) ; Hemoglobins
    Language English
    Publishing date 2023-11-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 2985-3
    ISSN 1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
    ISSN (online) 1365-2168
    ISSN 0263-1202 ; 0007-1323 ; 1355-7688
    DOI 10.1093/bjs/znad320
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    Uk I Zs.66: Show issues Location:
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  7. Article ; Online: Mesh fixation in endoscopic inguinal hernia repair: evaluation of methodology based on a systematic review of randomised clinical trials.

    Lederhuber, Hans / Stiede, Franziska / Axer, Stephan / Dahlstrand, Ursula

    Surgical endoscopy

    2017  Volume 31, Issue 11, Page(s) 4370–4381

    Abstract: Background: The issue of mesh fixation in endoscopic inguinal hernia repair is frequently debated and still no conclusive data exist on differences between methods regarding long-term outcome and postoperative complications. The quantity of trials and ... ...

    Abstract Background: The issue of mesh fixation in endoscopic inguinal hernia repair is frequently debated and still no conclusive data exist on differences between methods regarding long-term outcome and postoperative complications. The quantity of trials and the simultaneous lack of high-quality evidence raise the question how future trials should be planned.
    Methods: PubMed, EMBASE and the Cochrane Library were searched, using the filters "randomised clinical trials" and "humans". Trials that compared one method of mesh fixation with another fixation method or with non-fixation in endoscopic inguinal hernia repair were eligible. To be included, the trial was required to have assessed at least one of the following primary outcome parameters: recurrence; surgical site infection; chronic pain; or quality-of-life.
    Results: Fourteen trials assessing 2161 patients and 2562 hernia repairs were included. Only two trials were rated as low risk for bias. Eight trials evaluated recurrence or surgical site infection; none of these could show significant differences between methods of fixation. Two of 11 trials assessing chronic pain described significant differences between methods of fixation. One of two trials evaluating quality-of-life showed significant differences between fixation methods in certain functions.
    Conclusion: High-quality evidence for differences between the assessed mesh fixation techniques is still lacking. From a socioeconomic and ethical point of view, it is necessary that future trials will be properly designed. As small- and medium-sized single-centre trials have proven unable to find answers, register studies or multi-centre studies with an evident focus on methodology and study design are needed in order to answer questions about mesh fixation in inguinal hernia repair.
    MeSH term(s) Endoscopy/adverse effects ; Endoscopy/methods ; Female ; Hernia, Inguinal/surgery ; Herniorrhaphy/adverse effects ; Herniorrhaphy/methods ; Humans ; Male ; Postoperative Complications/epidemiology ; Quality of Life ; Randomized Controlled Trials as Topic ; Recurrence ; Surgical Mesh/adverse effects ; Treatment Outcome
    Language English
    Publishing date 2017-04-14
    Publishing country Germany
    Document type Journal Article ; Review ; Systematic Review
    ZDB-ID 639039-0
    ISSN 1432-2218 ; 0930-2794
    ISSN (online) 1432-2218
    ISSN 0930-2794
    DOI 10.1007/s00464-017-5509-x
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    Zs.A 2214: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
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  8. Article ; Online: A survey among physicians in surgery and anesthesiology departments after the first surge of SARS-CoV-2 infections in Germany : Preparing for further challenges ahead.

    Grishina, Anna / Link, Fabian / Arend, Arne / Kleemann, Florentine / Tober-Lau, Pinkus / Andree, Dominik / Münn, Friederike / Gruendl, Magdalena / Quante, Markus / Lederhuber, Hans / Albertsmeier, Markus / Struller, Florian / Grützmann, Robert / Königsrainer, Alfred / Löffler, Markus W

    Wiener klinische Wochenschrift

    2022  Volume 134, Issue 9-10, Page(s) 361–370

    Abstract: Background: The SARS-CoV‑2 pandemic has extensively challenged healthcare systems all over the world. Many elective operations were postponed or cancelled, changing priorities and workflows in surgery departments.: Aims: The primary aim of this cross- ...

    Abstract Background: The SARS-CoV‑2 pandemic has extensively challenged healthcare systems all over the world. Many elective operations were postponed or cancelled, changing priorities and workflows in surgery departments.
    Aims: The primary aim of this cross-sectional study was to assess the workload and psychosocial burden of surgeons and anesthesiologists, working in German hospitals during the first wave of SARS-CoV‑2 infections in 2020.
    Methods: Quantitative online survey on the workplace situation including psychosocial and work-related stress factors among resident and board-certified surgeons and anesthesiologists. Physicians in German hospitals across all levels of healthcare were contacted via departments, professional associations and social media posts.
    Results: Among 154 total study participants, 54% of respondents stated a lack of personal protective equipment in their own wards and 56% reported increased staff shortages since the onset of the pandemic. While routine practice was reported as fully resumed in 71% of surgery departments at the time of the survey, work-related dissatisfaction among responding surgeons and anesthesiologists increased from 24% before the pandemic to 36% after the first wave of infections. As a countermeasure, 94% of participants deemed the establishment of action plans to increase pandemic preparedness and strengthening German public health systems a useful measure to respond to current challenges.
    Conclusion: The aftermath of the first wave of SARS-CoV‑2 infections in Germany has left the surgical staff strained, despite temporarily decreased workloads. Overall, a critical review of the altered conditions is indispensable to identify and promote effective solutions and prudent action plans required to address imminent challenges.
    MeSH term(s) Anesthesiology ; COVID-19/epidemiology ; Cross-Sectional Studies ; Germany/epidemiology ; Humans ; Physicians ; SARS-CoV-2 ; Surveys and Questionnaires
    Language English
    Publishing date 2022-01-21
    Publishing country Austria
    Document type Journal Article ; Review
    ZDB-ID 200462-8
    ISSN 1613-7671 ; 0043-5325 ; 0300-5178
    ISSN (online) 1613-7671
    ISSN 0043-5325 ; 0300-5178
    DOI 10.1007/s00508-021-02000-z
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    Zs.A 902: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
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  9. Article ; Online: Case report: rare case of mechanical bowel obstruction due to strangulation by gastric stimulator electrodes.

    Lederhuber, Hans / Axer, Stephan / Ihle, Christof

    BMC surgery

    2015  Volume 15, Page(s) 35

    Abstract: Background: Implantation of a gastric stimulator is a feasible surgical therapy for patients with therapy refractory gastroparesis. In addition it seems to be a promising alternative for treating morbid obesity. We present for the first time the ... ...

    Abstract Background: Implantation of a gastric stimulator is a feasible surgical therapy for patients with therapy refractory gastroparesis. In addition it seems to be a promising alternative for treating morbid obesity. We present for the first time the surgical emergency of small bowel obstruction due to strangulation by gastric stimulator electrodes.
    Case presentation: A 59-year-old Caucasian female had undergone implantation of a gastric stimulator to cope with the symptoms of a partial gastroparesis. Eight years after the operation, the patient began to present repeatedly to different hospitals because of abdominal pain and nausea. Symptoms and imaging indicated ileus, which could always be treated conservatively. The underlying pathology could not ultimately be determined and the symptoms were eventually considered gastroparesis-related. After two years the patient was finally referred in circulatory shock due to peritonitis with underlying small bowel obstruction. Emergency laparotomy revealed small bowel strangulation by the gastric stimulator electrodes.
    Conclusion: Repeated presentation of a patient with an unfamiliar treatment modality must raise suspicion of unusual complications. Specialist surgeons treating with innovative methods should provide proper information that is accessible to everyone who might have to treat possible complications.
    MeSH term(s) Electric Stimulation Therapy/adverse effects ; Electric Stimulation Therapy/instrumentation ; Electrodes/adverse effects ; Female ; Humans ; Intestinal Obstruction/diagnosis ; Intestinal Obstruction/etiology ; Intestinal Obstruction/surgery ; Intestine, Small/surgery ; Middle Aged
    Language English
    Publishing date 2015-03-30
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2050442-1
    ISSN 1471-2482 ; 1471-2482
    ISSN (online) 1471-2482
    ISSN 1471-2482
    DOI 10.1186/s12893-015-0022-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Book: BASICS Kardiologie

    Lederhuber, Hans Christian

    (Basics)

    2005  

    Title variant Kardiologie
    Author's details Hans Christian Lederhuber
    Series title Basics
    Keywords Herzkrankheit
    Language German
    Size IX, 181 S., Ill., graph. Darst., 297 mm x 210 mm
    Edition 1. Aufl.
    Publisher Elsevier, Urban & Fischer
    Publishing place München u.a.
    Document type Book
    ISBN 3437421867 ; 9783437421860
    Database Former special subject collection: coastal and deep sea fishing

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