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  1. Article ; Online: Behandlung von Pankreasverletzungen nach stumpfem Bauchtrauma.

    Nieß, H / Werner, J

    Chirurgie (Heidelberg, Germany)

    2023  Volume 94, Issue 8, Page(s) 675–681

    Abstract: Pancreatic injuries resulting from blunt abdominal trauma are uncommon but carry a high risk of morbidity and mortality for patients. Prompt diagnosis and management are critical to optimize patient outcomes. This review article provides an overview of ... ...

    Title translation Treatment of pancreatic injuries after blunt abdominal trauma.
    Abstract Pancreatic injuries resulting from blunt abdominal trauma are uncommon but carry a high risk of morbidity and mortality for patients. Prompt diagnosis and management are critical to optimize patient outcomes. This review article provides an overview of the different types of pancreatic injuries and the various management strategies available, based on the severity of the injury. In unstable patients with a positive focused assessment with sonography for trauma (FAST), immediate trauma laparotomy is required. Stable patients should be assessed with contrast-enhanced computed tomography (CT) imaging. Low-grade injuries can be managed with irrigation and drainage. In cases of left-sided ductal injury below the level of the portal vein, left-sided pancreatic resection is often necessary. Higher grade injuries to the pancreatic head need to be evaluated in the context of other accompanying injuries, where damage control may be required. Pancreaticoduodenectomy is a rare intervention and is usually only required in the later course in these cases.
    MeSH term(s) Humans ; Pancreas/diagnostic imaging ; Pancreas/surgery ; Pancreatectomy ; Pancreaticoduodenectomy ; Tomography, X-Ray Computed ; Abdominal Injuries/diagnostic imaging ; Abdominal Injuries/surgery ; Wounds, Nonpenetrating/diagnostic imaging ; Wounds, Nonpenetrating/surgery ; Thoracic Injuries/complications ; Thoracic Injuries/surgery
    Language German
    Publishing date 2023-06-27
    Publishing country Germany
    Document type English Abstract ; Journal Article ; Review
    ISSN 2731-698X
    ISSN (online) 2731-698X
    DOI 10.1007/s00104-023-01898-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Book ; Thesis: Mesenchymale Stammzelllinien in der Lymphangiogenese und ihre Anwendung in einer stammzellbasierten Suizidgentherapie des Pankreaskarzinoms

    Nieß, Hanno

    2009  

    Author's details vorgelegt von Hanno Nieß
    Subject code 616.994
    Language German
    Size III, 131, XI S., Ill., graph. Darst.
    Publishing country Germany
    Document type Book ; Thesis
    Thesis / German Habilitation thesis München, Univ., Diss., 2009
    HBZ-ID HT016290617
    Database Catalogue ZB MED Medicine, Health

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  3. Article: Schwerpunkt: Personalisierte Tumortherapie. "Personalisierte Medizin" - die Aspekte der "personalisierten Chirurgie"

    Nieß, H. / Werner, J.

    Onkologie heute

    2021  Volume 20, Issue 9, Page(s) 32

    Language German
    Document type Article
    ZDB-ID 2147741-3
    ISSN 1612-006X
    Database Current Contents Medicine

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  4. Article: "Personalisierte Medizin" - die Aspekte der "personalisierten Chirugie". Personalized Medicine - the Aspects of Personalized Surgery

    Nieß, H. / Werner, J.

    Chirurgische Praxis

    2021  Volume 88, Issue 1, Page(s) 24

    Language German
    Document type Article
    ZDB-ID 500633-8
    ISSN 0009-4846
    Database Current Contents Medicine

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  5. Article: Abdominaltrauma in der Intensivmedizin

    Meyer-Wilmes, Johanna / Nieß, Hanno

    Intensivmedizin up2date

    2023  Volume 19, Issue 01, Page(s) 53–71

    Keywords FAST-Sonografie ; Damage Control Surgery ; Milzruptur ; Leberruptur ; Schockraum ; Bauchtrauma ; Polytrauma
    Language German
    Publishing date 2023-02-01
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2180698-6
    ISSN 1614-6697 ; 1614-4856
    ISSN (online) 1614-6697
    ISSN 1614-4856
    DOI 10.1055/a-1882-1408
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  6. Article: »Personalisierte Medizin« - die Aspekte der »personalisierten Chirurgie«. Personalized Medicine - the Aspects of Personalized Surgery

    Nieß, H. / Werner, J.

    Pädiatrische Praxis

    2020  Volume 94, Issue 3, Page(s) 442

    Language German
    Document type Article
    ZDB-ID 123435-3
    ISSN 0030-9346
    Database Current Contents Medicine

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  7. Article ; Online: Preservation of the round ligament to accommodate transient portal hypertension after major hepatectomy.

    Koliogiannis, D / Nieß, H / Koliogiannis, V / Ilmer, M / Angele, M / Werner, J / Guba, M

    Langenbeck's archives of surgery

    2022  Volume 407, Issue 6, Page(s) 2393–2397

    Abstract: Purpose: Posthepatectomy liver failure (PHLF) remains a leading cause of death after extensive liver resection. Apart from the size and function of the remaining liver remnant, the development of postresection portal hypertension (pHT) plays a crucial ... ...

    Abstract Purpose: Posthepatectomy liver failure (PHLF) remains a leading cause of death after extensive liver resection. Apart from the size and function of the remaining liver remnant, the development of postresection portal hypertension (pHT) plays a crucial role in the development of PHLF. We hypothesize that the umbilical vein in the preserved round ligament (RL) may recanalize in response to new-onset pHT after extended hepatectomy, thus providing a natural portosystemic shunt.
    Methods: In this exploratory study, RL was preserved in 10 consecutive patients undergoing major liver resection. Postoperative imaging was pursued to obtain evidence of reopened umbilical vein in the RL. The postoperative course, including the occurrence of PHLF, as well as the rate of procedure-specific complications were recorded.
    Results: None of the 10 cases presented with an adverse event due to preservation of the RL. In 6 cases, postoperative imaging demonstrated reopening of the umbilical vein with hepatofugal flow in the RL. The rates of procedure-related surgical complications were lower than would be expected in this population; in particular, the rate of occurrence of PHLF as defined by the International Study Group of Liver Surgery (ISGLS) was low.
    Conclusion: Our results support the theoretical concept of portosystemic pressure relief via a preserved umbilical vein after major liver surgery. As preservation of the RL is easily done, we suggest keeping it intact in extended hepatectomy cases and in patients with preexistent pHT.
    MeSH term(s) Female ; Hepatectomy/adverse effects ; Hepatectomy/methods ; Humans ; Hypertension, Portal/etiology ; Hypertension, Portal/surgery ; Liver Failure/etiology ; Liver Neoplasms/surgery ; Postoperative Complications/etiology ; Postoperative Complications/prevention & control ; Postoperative Complications/surgery ; Round Ligaments
    Language English
    Publishing date 2022-06-08
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1423681-3
    ISSN 1435-2451 ; 1435-2443
    ISSN (online) 1435-2451
    ISSN 1435-2443
    DOI 10.1007/s00423-022-02581-x
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  8. Article: Genderspezifische Unterschiede in der Viszeralonkologie am Beispiel des kolorektalen Karzinoms

    Pretzsch, E. / Nieß, H. / Jacob, S. / Werner, J. / Angele, M.

    Journal Onkologie

    2022  Volume 22, Issue 10, Page(s) 11

    Language German
    Document type Article
    ZDB-ID 2108287-X
    ISSN 1618-7687
    Database Current Contents Medicine

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  9. Article ; Conference proceedings: Tumorbiological behaviour and metastatic spread in lower gastrointestinal (GI) tract malignancies – correlation with gene expression patterns

    Pretzsch, E. / Neumann, J. / Nieß, H. / Werner, J. / Kumbrink, J. / Angele, M.

    Zeitschrift für Gastroenterologie

    2023  Volume 61, Issue 08

    Event/congress Viszeralmedizin 2023 77. Jahrestagung der DGVS mit Sektion Endoskopie Herbsttagung der Deutschen Gesellschaft für Allgemein- und Viszeralchirurgie mit den Arbeitsgemeinschaften der DGAV und Jahrestagung der CACP, Erst online. Dann Hamburg., 2023-09-11
    Language German
    Publishing date 2023-08-01
    Publisher Georg Thieme Verlag
    Publishing place Stuttgart ; New York
    Document type Article ; Conference proceedings
    ZDB-ID 201387-3
    ISSN 1439-7803 ; 0044-2771 ; 0172-8504
    ISSN (online) 1439-7803
    ISSN 0044-2771 ; 0172-8504
    DOI 10.1055/s-0043-1771930
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  10. Article ; Conference proceedings: Liver Resection for Perihilar Cholangiocarcinoma: Finding a Balance between Perioperative mortality and Oncologic benefit

    Payani, E. / Koliogiannis, D. / Schirren, M. / Niess, H. / Angele, M. / Werner, J. / Guba, M.

    Zeitschrift für Gastroenterologie

    2023  Volume 61, Issue 08

    Event/congress Viszeralmedizin 2023 77. Jahrestagung der DGVS mit Sektion Endoskopie Herbsttagung der Deutschen Gesellschaft für Allgemein- und Viszeralchirurgie mit den Arbeitsgemeinschaften der DGAV und Jahrestagung der CACP, Erst online. Dann Hamburg., 2023-09-11
    Language German
    Publishing date 2023-08-01
    Publisher Georg Thieme Verlag
    Publishing place Stuttgart ; New York
    Document type Article ; Conference proceedings
    ZDB-ID 201387-3
    ISSN 1439-7803 ; 0044-2771 ; 0172-8504
    ISSN (online) 1439-7803
    ISSN 0044-2771 ; 0172-8504
    DOI 10.1055/s-0043-1772091
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