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  1. Article ; Online: Gastrointestinale Anastomoseninsuffizienz: operatives vs. konservatives Vorgehen.

    Woeste, Guido

    Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS

    2018  Volume 53, Issue 3, Page(s) 212–219

    Abstract: Most procedures in gastrointestinal (GI) surgery require reconstruction with an anastomosis. Depending on the location within the GI tract, the perfusion and comorbidities of the patients there is a risk for anastomotic leakage. In case of peritonitis ... ...

    Title translation Anastomotic Leakage in the Gastrointestinal Tract: Surgical Versus Nonoperative Management.
    Abstract Most procedures in gastrointestinal (GI) surgery require reconstruction with an anastomosis. Depending on the location within the GI tract, the perfusion and comorbidities of the patients there is a risk for anastomotic leakage. In case of peritonitis with sepsis usually a surgical treatment is required. A stable patient can be treated nonoperatively. In the following overview different treatment options of anastomotic leakage after surgery of the GI tract are described. In case of a leakage of an esophagojejunal or esophagogastric anastomosis after resection of the esophagus or stomach endoscopic treatment can be successful using either clip or stent or negative pressure therapy (NPT). After surgery of the rectum the use of endoluminal NPT has shown good results in case of anastomotic leakage. Nonoperative management of anastomotic leakage can be successful in a stable patient and requires intensive cooperation in an interdisciplinary team with experts in surgery, endoscopy, radiology and intensive care.
    MeSH term(s) Anastomosis, Surgical/adverse effects ; Anastomotic Leak/therapy ; Conservative Treatment ; Esophagus/surgery ; Gastrointestinal Tract/surgery ; Humans ; Postoperative Complications/prevention & control ; Postoperative Complications/surgery ; Postoperative Complications/therapy
    Language German
    Publishing date 2018-03-19
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 1065682-0
    ISSN 1439-1074 ; 0939-2661
    ISSN (online) 1439-1074
    ISSN 0939-2661
    DOI 10.1055/s-0042-120994
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Book ; Online ; Thesis: Erkennung und Therapie des postoperativen Hypoparathyreoidismus nach Thyreoidektomie

    Nguyen, Trong Anh [Verfasser] / Woeste, Guido [Akademischer Betreuer] / Woeste, Guido [Gutachter] / Rolle, Udo [Gutachter]

    2024  

    Author's details Trong Anh Nguyen ; Gutachter: Guido Woeste, Udo Rolle ; Betreuer: Guido Woeste
    Keywords Medizin, Gesundheit ; Medicine, Health
    Subject code sg610
    Language German
    Publisher Universitätsbibliothek Johann Christian Senckenberg
    Publishing place Frankfurt am Main
    Document type Book ; Online ; Thesis
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  3. Article ; Online: [No title information]

    Woeste, Guido

    Zentralblatt fur Chirurgie

    2017  Volume 142, Issue 4, Page(s) 353–359

    Title translation Stellenwert und Indikation von biologischen und biosynthetischen Netzen bei der Versorgung von Narbenhernien.
    MeSH term(s) Acellular Dermis ; Biocompatible Materials ; Clinical Trials as Topic ; Hernia, Ventral/surgery ; Humans ; Postoperative Complications/surgery ; Reoperation/statistics & numerical data ; Risk Factors ; Surgical Mesh/adverse effects ; Surgical Wound Infection/surgery
    Chemical Substances Biocompatible Materials
    Language German
    Publishing date 2017-08-24
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 200935-3
    ISSN 1438-9592 ; 0044-409X
    ISSN (online) 1438-9592
    ISSN 0044-409X
    DOI 10.1055/s-0043-109574
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Gastrointestinale Anastomoseninsuffizienz: operatives vs. konservatives Vorgehen

    Woeste, Guido

    AINS - Anästhesiologie · Intensivmedizin · Notfallmedizin · Schmerztherapie

    2018  Volume 53, Issue 03, Page(s) 212–219

    Abstract: Eine Anastomoseninsuffizienz ist nach Resektionen und Rekonstruktionen im Gastrointestinaltrakt eine häufige Komplikation – ihre Folgen sind eine Verlängerung des stationären Aufenthaltes, eine schlechtere Prognose und eine erhöhte Letalität der ... ...

    Abstract Eine Anastomoseninsuffizienz ist nach Resektionen und Rekonstruktionen im Gastrointestinaltrakt eine häufige Komplikation – ihre Folgen sind eine Verlängerung des stationären Aufenthaltes, eine schlechtere Prognose und eine erhöhte Letalität der betroffenen Patienten 1, 2. Der folgende Beitrag beleuchtet konservative und operative Therapieoptionen der Anastomoseninsuffizienz und zeigt Strategien zu ihrer Vermeidung und Früherkennung auf.
    Keywords Anastomoseninsuffizienz ; Clip ; Stent ; endoluminale Vakuumtherapie ; anastomotic leakage ; clip ; stent ; negative pressure therapy
    Language German
    Publishing date 2018-03-01
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 1065682-0
    ISSN 1439-1074 ; 0939-2661
    ISSN (online) 1439-1074
    ISSN 0939-2661
    DOI 10.1055/s-0042-120994
    Database Thieme publisher's database

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    In stock of ZB MED Cologne/Königswinter

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    Zs.MO 96: Show issues
    Zs.A 257/X: Show issues Location:
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  5. Article: Stellenwert und Indikation von biologischen und biosynthetischen Netzen bei der Versorgung von Narbenhernien

    Woeste, Guido

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

    2017  Volume 142, Issue 04, Page(s) 353–359

    Language German
    Publishing date 2017-08-01
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 200935-3
    ISSN 1438-9592 ; 0044-409X
    ISSN (online) 1438-9592
    ISSN 0044-409X
    DOI 10.1055/s-0043-109574
    Database Thieme publisher's database

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.25: Show issues Location:
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  6. Book ; Online ; Thesis: The influence of age on the rate of closure of diverting loop ileostomy following low anterior resection for rectal cancer

    Rhemouga, Amal [Verfasser] / Woeste, Guido [Gutachter] / Trojan, Jörg [Gutachter]

    2022  

    Author's details Amal Rhemouga ; Gutachter: Guido Woeste, Jörg Trojan
    Keywords Medizin, Gesundheit ; Medicine, Health
    Subject code sg610
    Language English
    Publisher Universitätsbibliothek Johann Christian Senckenberg
    Publishing place Frankfurt am Main
    Document type Book ; Online ; Thesis
    Database Digital theses on the web

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  7. Book ; Online ; Thesis: Interrater-Reliabilität der ASA-Klassifikation (In-ASK Studie)

    Wagner, Ananda [Verfasser] / Woeste, Guido [Akademischer Betreuer] / Youzouri, Hanan el [Akademischer Betreuer] / Woeste, Guido [Gutachter] / Steinbicker, Andrea U. [Gutachter]

    2022  

    Author's details Ananda Sophia Wagner ; Gutachter: Guido Woeste, Andrea U. Steinbicker ; Guido Woeste, Hanan el Youzouri
    Keywords Medizin, Gesundheit ; Medicine, Health
    Subject code sg610
    Language German
    Publisher Universitätsbibliothek Johann Christian Senckenberg
    Publishing place Frankfurt am Main
    Document type Book ; Online ; Thesis
    Database Digital theses on the web

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  8. Book ; Online ; Thesis: Inzidenz chirurgisch relevanter gastrointestinaler Komplikationen nach Bauchdeckenverschluss bei Gastroschisis und Omphalozele

    Haghshenas, Miriam [Verfasser] / Woeste, Guido [Akademischer Betreuer] / Piiper, Albrecht Akademischer Betreuer] / [Schnitzbauer, Andreas [Gutachter] / Rolle, Udo [Gutachter]

    2023  

    Author's details Miriam Haghshenas ; Gutachter: Anton Schnitzbauer, Udo Rolle ; Guido Woeste, Albrecht Piiper
    Keywords Medizin, Gesundheit ; Medicine, Health
    Subject code sg610
    Language German
    Publisher Universitätsbibliothek Johann Christian Senckenberg
    Publishing place Frankfurt am Main
    Document type Book ; Online ; Thesis
    Database Digital theses on the web

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  9. Article ; Online: The association of age with decline in renal function after low anterior resection and loop ileostomy for rectal cancer: a retrospective cohort prognostic factor study.

    Rhemouga, Amal / Buettner, Stefan / Bechstein, Wolf O / Woeste, Guido / Schreckenbach, Teresa

    BMC geriatrics

    2021  Volume 21, Issue 1, Page(s) 65

    Abstract: Background: Low anterior resection (LAR) is often performed with diverting loop ileostomy (DLI) for anastomotic protection in patients with rectal cancer. We aim to analyze, if older patients are more prone to a decline in kidney function following ... ...

    Abstract Background: Low anterior resection (LAR) is often performed with diverting loop ileostomy (DLI) for anastomotic protection in patients with rectal cancer. We aim to analyze, if older patients are more prone to a decline in kidney function following creation and closure of DLI after LAR for rectal carcinoma versus younger patients.
    Methods: A retrospective cohort study from a database including 151 patients undergoing LAR for rectal carcinoma with DLI was used. Patients were divided in two age groups (Group A: <65 years, n = 79; Group B: ≥65 years, n = 72). For 123 patients undergoing DLI reversal prognostic factors for an impairment of serum creatinine (SCr) and estimated glomerular filtration rate (eGFR) 3 months after DLI reversal was analyzed using a multivariate linear regression analysis.
    Results: SCr before LAR(T
    Conclusion: DLI creation may result in a reduction of eGFR in older patients 3 months after DLI closure. Apart from this, patients do not have a higher morbidity after creation and closure of DLI resulting from LAR regardless of their age.
    MeSH term(s) Aged ; Anastomosis, Surgical ; Humans ; Ileostomy/adverse effects ; Prognosis ; Rectal Neoplasms/surgery ; Retrospective Studies
    Language English
    Publishing date 2021-01-19
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2059865-8
    ISSN 1471-2318 ; 1471-2318
    ISSN (online) 1471-2318
    ISSN 1471-2318
    DOI 10.1186/s12877-020-02001-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Non-cross-linked biological mesh in complex abdominal wall hernia: a cohort study.

    Kaufmann, Ruth / Isemer, Friedrich-Eckart / Strey, Christoph W / Jeekel, Johannes / Lange, Johan F / Woeste, Guido

    Langenbeck's archives of surgery

    2020  Volume 405, Issue 3, Page(s) 345–352

    Abstract: Purpose: Complex abdominal wall hernia repair (CAWHR) is a challenging procedure. Mesh prosthesis is indicated, but the use of synthetic mesh in a contaminated area may add to overall morbidity. Biological meshes may provide a solution, but little is ... ...

    Abstract Purpose: Complex abdominal wall hernia repair (CAWHR) is a challenging procedure. Mesh prosthesis is indicated, but the use of synthetic mesh in a contaminated area may add to overall morbidity. Biological meshes may provide a solution, but little is known about long-term results. The aim of our study was to evaluate clinical efficacy and patient satisfaction following Strattice™ (PADM) placement.
    Methods: In this cohort study, all patients operated for CAWHR with PADM in three large community hospitals in Germany were included. Patients underwent abdominal examination, an ultrasound was performed, and patients completed quality-of-life questionnaires. The study was registered in ClinicalTrials.gov under Identifier NCT02168231.
    Results: Twenty-seven patients were assessed (14 male, age 67.5 years, follow-up 42.4 months). The most frequent postoperative complication was wound infection (39.1%). In no case, the PADM had to be removed. Four patients had passed away. During outpatient clinic visit, six out of 23 patients (26.1%) had a recurrence of hernia, one patient had undergone reoperation. Five patients (21.7%) had bulging of the abdominal wall. Quality-of-life questionnaires revealed that patients judged their scar with a median 3.5 out of 10 points (0 = best) and judged their restrictions during daily activities with a median of 0 out of 10.0 (0 = no restriction).
    Conclusions: Despite a high rate of wound infection, no biological mesh had to be removed. In some cases, therefore, the biological meshes provided a safe way out of desperate clinical situations. Both the recurrence rate and the amount of bulging are high (failure rate 47.8%). The reported quality of life is good after repair of these complex hernias.
    MeSH term(s) Abdominal Wall ; Aged ; Aged, 80 and over ; Cohort Studies ; Female ; Hernia, Ventral/surgery ; Herniorrhaphy/instrumentation ; Humans ; Male ; Middle Aged ; Patient Satisfaction ; Quality of Life ; Surgical Mesh ; Treatment Outcome
    Language English
    Publishing date 2020-04-22
    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/s00423-020-01881-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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