LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 10 of total 57

Search options

  1. Article: Abrupt onset of suture granuloma 27 years after hemithyroidectomy.

    Alghanemi, Ryan / Steinmüller, Thomas

    Journal of surgical case reports

    2023  Volume 2023, Issue 6, Page(s) rjad284

    Abstract: Suture granuloma is a rare complication after thyroidectomy and usually manifests as a chronic inflammation mimicking cancer or even tuberculous lymphadenitis and can be expected within the first 2 postoperative years. We report the case of a 53-year-old ...

    Abstract Suture granuloma is a rare complication after thyroidectomy and usually manifests as a chronic inflammation mimicking cancer or even tuberculous lymphadenitis and can be expected within the first 2 postoperative years. We report the case of a 53-year-old woman who presented, 27 years after her first hemithyroidectomy, with a sudden onset of a growing lump on the same site. Neck magnetic resonance imaging revealed a fast-growing tumor suggestive of a cancerous lesion. An excisional biopsy revealed only acute inflammation with pus formation. During surgery, we excised 20 thickly ligated sutures from the neck. These sutures were suggested to have caused the suture granulomas.
    Language English
    Publishing date 2023-06-05
    Publishing country England
    Document type Case Reports
    ZDB-ID 2580919-2
    ISSN 2042-8812
    ISSN 2042-8812
    DOI 10.1093/jscr/rjad284
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  2. Book: Therapiestandards der chirurgischen Intensivstation

    Steinmüller, Thomas

    1996  

    Author's details Thomas Steinmüller
    Keywords Surgical Procedures, Operative / standards ; Intensive Care / standards ; Postoperative Care / standards ; Chirurgie ; Intensivtherapie ; Qualitätssicherung ; Standardisierung
    Subject Beschaffenheitssicherung ; Unternehmen ; Intensivbehandlung ; Surgery
    Language German
    Size 133 S.
    Edition 2., überarb. Aufl.
    Publisher VWF, Verl. für Wiss. und Forschung
    Publishing place Berlin
    Document type Book
    HBZ-ID HT008017592
    ISBN 3-930324-70-9 ; 978-3-930324-70-5
    Database Catalogue ZB MED Medicine, Health

    More links

    Kategorien

  3. Book: Therapiestandards der chirurgischen Intensivstation

    Steinmüller, Thomas

    1995  

    Author's details Thomas Steinmüller
    Keywords Intensive Care / standards ; Surgical Procedures, Operative / standards ; Chirurgie ; Intensivtherapie ; Qualitätssicherung ; Standardisierung
    Subject Beschaffenheitssicherung ; Unternehmen ; Intensivbehandlung ; Surgery
    Language German
    Size 126 S.
    Edition 1. Aufl.
    Publisher Verl. für Wiss. und Forschung
    Publishing place Berlin
    Document type Book
    HBZ-ID HT007135704
    ISBN 3-930324-50-4 ; 978-3-930324-50-7
    Database Catalogue ZB MED Medicine, Health

    Kategorien

  4. Article: Giant bilateral adrenal lipoma in a patient with congenital adrenal hyperplasia.

    Kienitz, Tina / Schwander, Jörg / Bogner, Ulrich / Schwabe, Michael / Steinmüller, Thomas / Quinkler, Marcus

    Endocrinology, diabetes & metabolism case reports

    2021  Volume 2021

    Abstract: Summary: Apart from adrenal myelolipomas, adrenal lipomatous tumors are rare and only seldom described in the literature. We present the case of a 50-year-old man, with a classical form of congenital adrenal hyperplasia (CAH), which was well treated ... ...

    Abstract Summary: Apart from adrenal myelolipomas, adrenal lipomatous tumors are rare and only seldom described in the literature. We present the case of a 50-year-old man, with a classical form of congenital adrenal hyperplasia (CAH), which was well treated with prednisolone and fludrocortisone. The patient presented with pollakisuria and shortness of breath while bending over. On MRI, fat-equivalent masses were found in the abdomen (14 × 19 × 11 cm on the right side and 10 × 11 × 6 cm on the left side). The right adrenal mass was resected during open laparotomy and the pathohistological examination revealed the diagnosis of an adrenal lipoma. Symptoms were subdued totally postoperatively. This is the first report of a bilateral adrenal lipoma in a patient with CAH that we are aware of.
    Learning points: Macronodular hyperplasia is common in patients with congenital adrenal hyperplasia (CAH). Solitary adrenal tumors appear in approximately 10% of adult CAH patients and are often benign myelolipomas. The Endocrine Society Clinical Practice Guideline does not recommend routine adrenal imaging in adult CAH patients. Adrenal imaging should be performed in CAH patients with clinical signs for an adrenal or abdominal mass. Adrenal lipoma is rare and histopathological examinations should rule out a differentiated liposarcoma.
    Language English
    Publishing date 2021-03-31
    Publishing country England
    Document type Journal Article
    ZDB-ID 2785530-2
    ISSN 2052-0573
    ISSN 2052-0573
    DOI 10.1530/EDM-20-0204
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  5. Article ; Online: [No title information]

    Grünwald, Lukas / Derwahl, Karl-Michael / Steinmüller, Thomas / Kuwert, Torsten

    Nuklearmedizin. Nuclear medicine

    2018  Volume 57, Issue 6, Page(s) N55–N56

    Title translation Frühes MIBI-SPECT/CT zur Detektion eines 6 mm großen Nebenschilddrüsenadenoms im Thymus.
    MeSH term(s) Adenoma/diagnostic imaging ; Humans ; Male ; Parathyroid Neoplasms/diagnostic imaging ; Radiopharmaceuticals ; Single Photon Emission Computed Tomography Computed Tomography ; Technetium Tc 99m Sestamibi ; Thymus Gland/diagnostic imaging ; Young Adult
    Chemical Substances Radiopharmaceuticals ; Technetium Tc 99m Sestamibi (971Z4W1S09)
    Language German
    Publishing date 2018-12-18
    Publishing country Germany
    Document type Case Reports ; Journal Article
    ZDB-ID 2030804-8
    ISSN 2567-6407 ; 0029-5566
    ISSN (online) 2567-6407
    ISSN 0029-5566
    DOI 10.3413/Nukmed-0980-18-06
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  6. Article ; Online: The European Society of Endocrine Surgeons perspective of thyroid cancer surgery: an evidence-based approach.

    Lorenz, Kerstin / Niederle, Bruno / Steinmüller, Thomas / Dralle, Henning

    Langenbeck's archives of surgery

    2014  Volume 399, Issue 2, Page(s) 135–139

    MeSH term(s) Adenocarcinoma, Follicular/diagnosis ; Adenocarcinoma, Follicular/pathology ; Adenocarcinoma, Follicular/surgery ; Carcinoma/diagnosis ; Carcinoma/pathology ; Carcinoma/surgery ; Carcinoma, Neuroendocrine ; Carcinoma, Papillary ; Education, Medical, Continuing ; Endocrine Surgical Procedures/education ; Europe ; Evidence-Based Medicine ; Humans ; Lymphatic Metastasis/pathology ; Minimally Invasive Surgical Procedures/education ; Neoplasm Invasiveness/pathology ; Prognosis ; Societies, Medical ; Thyroid Cancer, Papillary ; Thyroid Neoplasms/diagnosis ; Thyroid Neoplasms/pathology ; Thyroid Neoplasms/surgery ; Thyroidectomy/education
    Language English
    Publishing date 2014-02-07
    Publishing country Germany
    Document type Congress ; Editorial
    ZDB-ID 1423681-3
    ISSN 1435-2451 ; 1435-2443
    ISSN (online) 1435-2451
    ISSN 1435-2443
    DOI 10.1007/s00423-013-1157-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  7. Conference proceedings: Intermittierendes versus kontinuierliches Neuromonitoring in der komplexen Chirurgie benigner Schilddrüsenerkrankungen

    Caffier, Philipp P. / Sedlmaier, Anke / Hermanns, Mechthild / Nawka, Tadeus / Weikert, Sebastian / Steinmüller, Thomas

    2020  , Page(s) 4

    Abstract: Hintergrund: In der komplexen benignen Schilddrüsenchirurgie ist das Risiko der intraoperativen Verletzung des N. recurrens erhöht, weshalb der routinemäßige Einsatz des intraoperativen Neuromonitorings (IONM) empfohlen wird. Das Hauptziel unserer ... ...

    Event/congress Phoniatrisch-pädaudiologische Aspekte 2020; sine loco [digital]; Deutsche Gesellschaft für Phoniatrie und Pädaudiologie; 2020
    Abstract Hintergrund: In der komplexen benignen Schilddrüsenchirurgie ist das Risiko der intraoperativen Verletzung des N. recurrens erhöht, weshalb der routinemäßige Einsatz des intraoperativen Neuromonitorings (IONM) empfohlen wird. Das Hauptziel unserer Arbeit bestand in einem retrospektiven Vergleich von kontinuierlichem (C-IONM) versus intermittierendem (I-IONM) Neuromonitoring einschließlich phoniatrisch-prospektivem Follow-up von Patienten mit intraoperativem Signalverlust oder einseitiger Stimmlippenlähmung (UVFP).
    Material und Methoden: Insgesamt 357 Patienten, bei denen Rezidivstrumata, Morbus Basedow, komplexer Hyperparathyreoidismus, zervikale Voroperationen (anteriorer Zugang) und ein Signalverlust bei der Primäroperation (2-zeitige Thyreoidektomie) vorlagen, waren C-IONM- und I-IONM-assistierten Schilddrüsenoperationen zugeführt worden. Unsere Haupthypothese war: Es kommt zur Risikominimierung einer Recurrens-Verletzung bei C-IONM-Nutzung. Beide Monitoringverfahren sollten hinsichtlich Operationsdauer, Einlage von Redondrainagen, stationärer Verweildauer und Auftreten von Komplikationen miteinander verglichen werden. Videolaryngostroboskopische Kontrollen fanden präoperativ, zwischen dem ersten und dritten postoperativen Tag, sowie in größeren Follow-up-Zeitintervallen statt.
    Ergebnisse: Von 346 eingeschlossenen Patienten, bei denen 613 gefährdete Nerven überwacht wurden, traten frühpostoperative UVFP bei 10,5% der I-IONM-Gruppe gegenüber 4,9% der C-IONM-Gruppe auf, während permanente UVFP bei 1,5% der I-IONM-Gruppe vs. 1,0% der C-IONM-Gruppe beobachtet wurden. Für das C-IONM konnte ein signifikanter Mehraufwand hinsichtlich Operationsdauer, Nachblutungsrisiko oder stationärer Verweildauer ausgeschlossen werden. Drei Patienten mit permanenter UVFP und persistierender Dysphonie erhielten eine phonochirurgische Therapie mit stabiler Verbesserung aller akustisch-aerodynamischen Parameter.
    Diskussion und Fazit: Die C-IONM-Applikation weist im Vergleich zum I-IONM in der komplexen benignen Schilddrüsenchirurgie eine signifikante Reduktion transienter und einen nicht signifikanten Trend zur Prävention permanenter UVFP auf. Bei Betroffenen mit persistierender Dysphonie stellen sowohl die endolaryngeale Phonomikrochirurgie als auch transzervikale Kehlkopfoperationen langfristig wirksame Behandlungsansätze zur Stimmverbesserung dar.
    Keywords Medizin, Gesundheit
    Publishing date 2020-11-02
    Publisher German Medical Science GMS Publishing House; Düsseldorf
    Document type Conference proceedings
    DOI 10.3205/20dgpp04
    Database German Medical Science

    More links

    Kategorien

  8. Article ; Online: Continuous versus intermittent intraoperative neuromonitoring in complex benign thyroid surgery: A retrospective analysis and prospective follow-up.

    Sedlmaier, Anke / Steinmüller, Thomas / Hermanns, Mechthild / Nawka, Tadeus / Weikert, Sebastian / Sedlmaier, Benedikt / Caffier, Philipp P

    Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery

    2019  Volume 44, Issue 6, Page(s) 1071–1079

    Abstract: Objectives: To compare continuous (C-IONM) vs intermittent intraoperative neuromonitoring (I-IONM) in complex benign thyroid surgery, and to follow up patients with loss of signal (LOS) or unilateral vocal fold paralysis (UVFP).: Design: ... ...

    Abstract Objectives: To compare continuous (C-IONM) vs intermittent intraoperative neuromonitoring (I-IONM) in complex benign thyroid surgery, and to follow up patients with loss of signal (LOS) or unilateral vocal fold paralysis (UVFP).
    Design: Retrospective clinical study, prospective case series.
    Setting: University hospital and academic teaching hospital of Charité-University Medicine Berlin, Germany.
    Participants: C-IONM- and I-IONM-assisted thyroid surgery was conducted in 357 patients diagnosed with recurrent goitre, Graves' disease, complex hyperparathyroidism, cervical preoperation (anterior access) and LOS in primary operation (2-stage thyroidectomy).
    Main outcome measures: To evaluate the incidence of early postoperative and permanent UVFP, and to report the results of phonosurgical therapy in patients suffering from persisting dysphonia.
    Results: In 346 patients enrolled (81.8% female, 18.2% male) with 613 nerves at risk (NAR) being monitored (409 I-IONM vs 204 C-IONM), early postoperative UVFP was observed in 10.5% of I-IONM vs 4.9% of C-IONM group (P < .05), permanent paralysis in 1.5% of I-IONM vs 1.0% of C-IONM group (P = .619). In total, 72 patients (21%) experienced pathological events (19 LOS < 100 μV, 53 transient or permanent UVFP). Three patients with permanent UVFP and persisting dysphonia received phonosurgery with stable improvements of all acoustic-aerodynamic parameters.
    Conclusion: Compared to I-IONM, C-IONM-application in complex benign thyroid surgery shows a significant reduction of transient UVFP and a non-significant trend in preventing permanent UVFP. In persistent UVFP with dysphonia, endolaryngeal phonomicrosurgery and transcervical laryngeal framework surgery are long-term effective treatment approaches to improve vocal function.
    MeSH term(s) Female ; Follow-Up Studies ; Germany ; Humans ; Male ; Middle Aged ; Monitoring, Intraoperative/methods ; Prospective Studies ; Retrospective Studies ; Thyroid Diseases/surgery ; Thyroidectomy ; Vocal Cord Paralysis/etiology ; Vocal Cord Paralysis/prevention & control
    Language English
    Publishing date 2019-10-08
    Publishing country England
    Document type Clinical Study ; Journal Article
    ZDB-ID 2205891-6
    ISSN 1749-4486 ; 1749-4478 ; 0307-7772 ; 1365-2273
    ISSN (online) 1749-4486
    ISSN 1749-4478 ; 0307-7772 ; 1365-2273
    DOI 10.1111/coa.13446
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  9. Article: Frühes MIBI-SPECT/CT zur Detektion eines 6 mm großen Nebenschilddrüsenadenoms im Thymus

    Grünwald, Lukas / Derwahl, Karl-Michael / Steinmüller, Thomas / Kuwert, Torsten

    Nuklearmedizin

    2018  Volume 57, Issue 06, Page(s) N55–N56

    Language German
    Publishing date 2018-12-01
    Publisher Georg Thieme Verlag KG Stuttgart · New York
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2030804-8
    ISSN 2567-6407 ; 0029-5566
    ISSN (online) 2567-6407
    ISSN 0029-5566
    DOI 10.3413/Nukmed-0980-18-06
    Database Thieme publisher's database

    More links

    Kategorien

  10. Article: Finanzierung von Logistikimmobilien

    Steinmüller, Thomas

    Finanzierung - eine neue Dimension der Logistik : [Ergebnisse des Arbeitskreises Logistik und Finanzen]

    2003  

    Author's details Thomas Steinmüller
    Language German
    Publisher Schmidt
    Publishing place Berlin
    Document type Article
    Database ECONomics Information System

    More links

    Kategorien

To top