8 results on '"Floris B. Poelmann"'
Search Results
2. The immediate impact of the coronavirus disease 2019 (COVID-19) pandemic on burn-out, work-engagement, and surgical training in the Netherlands
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Pieter J. Steinkamp, Schelto Kruijff, Floris B. Poelmann, Bas H. Verhoeven, Menno R. Vriens, T. Koëter, and Guided Treatment in Optimal Selected Cancer Patients (GUTS)
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Adult ,Male ,medicine.medical_specialty ,MEDLINE ,Disease ,030230 surgery ,medicine.disease_cause ,Article ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Operating theater ,All institutes and research themes of the Radboud University Medical Center ,law ,Surveys and Questionnaires ,Pandemic ,Health care ,medicine ,Humans ,Burnout, Professional ,Coronavirus ,Netherlands ,Surgeons ,business.industry ,Work engagement ,virus diseases ,COVID-19 ,Internship and Residency ,Work Engagement ,Intensive care unit ,Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] ,030220 oncology & carcinogenesis ,Family medicine ,Surgery ,Female ,business - Abstract
BACKGROUND: The coronavirus disease 2019 pandemic led to major changes in health care and education options for all health care employees. The aim of this study is to achieve insight into coronavirus disease-care participation of surgical residents in the Netherlands, the impact of coronavirus disease 2019 on the experienced quality of surgical training, and the influence on Burn-out and Work Engagement compared with the non-coronavirus disease 2019 period in January 2020.METHODS: In this study, we have conducted 2 digital surveys immediately before and 2 months after the start of the coronavirus disease 2019 pandemic. We surveyed a validated Dutch questionnaire 'Utrecht Burn-out Scale,' derived from the Maslach Burn-out Inventory, and also collected the 'Utrecht Work Engagement Scale' measuring work engagement. Additionally, we describe the coronavirus disease-care participation of surgical residents, the impact on how they experienced the quality of their surgical training, and the influence on 'Burn-out and Work Engagement' compared with the pre-coronavirus disease 2019 period for surgical residents in the Netherlands.RESULTS: In January 2020, a total of 317 residents completed the online survey, and in April 2020, a total of 313 residents completed the online survey. Of the responders, 48.6%, in April, participated in coronavirus disease-care in both the coronavirus disease ward as well as the coronavirus disease intensive care unit. Residents experienced that the coronavirus disease 2019 influenced their surgical training in 85.2% of responders. In only 5% of the residents did the pandemic not affect the exposure to surgical training in the operating theater. More burn-out symptoms were noted amongst coronavirus disease ward deployed residents versus no coronavirus disease ward deployment, (16.0% vs 7.6%, P = .06). The Work-Engagement questionnaire showed a significantly lower work engagement score of 4.2 for residents who were deployed in a coronavirus disease-care intensive care unit versus a score of 4.6 for residents scheduled in a coronavirus disease ward (P = .02).CONCLUSION: This study shows a significant impact of the first months of the coronavirus disease 2019 pandemic on the Dutch surgical trainee program, with a major redistribution of residents with a decrease of surgical exposure and education. We emphasize the need for adequate guidance of all surgical residents and potentially lengthening the surgical training program.
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- 2021
3. Blunt abdominal injury resulting in a belly full of candy after a motocross accident, a case report
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Floris B. Poelmann, Frank F A IJpma, and Basic and Translational Research and Imaging Methodology Development in Groningen (BRIDGE)
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Male ,medicine.medical_specialty ,Adolescent ,medicine.medical_treatment ,Perforation (oil well) ,lcsh:Surgery ,Case Report ,Abdominal Injuries ,Wounds, Nonpenetrating ,Candy ,03 medical and health sciences ,GASTRIC RUPTURE ,0302 clinical medicine ,Blunt ,Paracolic gutters ,Laparotomy ,medicine ,Humans ,Child ,business.industry ,lcsh:RD1-811 ,Splenic Rupture ,General Medicine ,Pelvic cavity ,medicine.disease ,Gastric perforations in children ,Surgery ,medicine.anatomical_structure ,Abdominal trauma ,Intestinal Perforation ,Acute abdomen ,030220 oncology & carcinogenesis ,Abdomen ,030211 gastroenterology & hepatology ,medicine.symptom ,Tomography, X-Ray Computed ,business ,Abdominal injury - Abstract
Background Blunt traumatic gastric perforations in children are rare. Delayed diagnosis will lead to abdominal contamination and may result in morbidity and even mortality. We present a case of an adolescent who sustained blunt abdominal injury in a motocross accident and presented with remarkable hyperdense spherical shaped structures on the computed tomography (CT). Case presentation A 15-year-old boy arrived at the emergency room with an acute abdomen after a motocross accident. A CT scan of the abdomen demonstrated free air and hyperdense round structures in the stomach, pelvic cavity and right paracolic gutter. During emergency laparotomy a traumatic gastric perforation was sutured, a splenic rupture was treated with a vicryl mesh and multiple spherical food scraps were removed from the abdomen. After surgery, the boy clarified that he had eaten a whole bag of colorful and spherical shaped candy just before the accident. Conclusions Traumatic gastric rupture in children is rare but physicians should be aware of this diagnosis in case of blunt abdominal trauma with free air on the CT scan. Gastric contents, in this case candy, can present as hyperdense shaped structures in the abdominal cavity on the CT scan.
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- 2020
4. Intestinal obstruction caused by pericecal internal herniation
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Ewoud H Jutte, Floris B. Poelmann, and Jean-Pierre E. N. Pierie
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Internal hernia ,medicine.medical_specialty ,Abdominal pain ,pericecal internal herniation ,medicine.diagnostic_test ,Nausea ,business.industry ,Case Report ,intestinal obstruction ,Surgery ,03 medical and health sciences ,Peritoneal cavity ,0302 clinical medicine ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Invasive surgery ,Ascites ,medicine ,Vomiting ,030211 gastroenterology & hepatology ,medicine.symptom ,Laparoscopy ,business - Abstract
Intestinal obstruction caused by pericecal internal herniation are rare and only described in a few cases. This case describes an 80-year-old man presented with acute abdominal pain, nausea and vomiting, with no prior surgical history. Computed tomography was performed and showed a closed loop short bowel obstruction in the right lower quadrant and ascites. Laparoscopy revealed pericecal internal hernia. This is a viscous protrusion through a defect in the peritoneal cavity. Current operative treatment modalities include minimally invasive surgery. Laparoscopic repair of internal herniation is possible and feasible in experienced hands. It must be included in the differential diagnoses of every patient who presents with abdominal pain. When diagnosed act quick and thorough and expeditiously. Treatment preference should be a laparoscopic procedure.
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- 2020
5. Two versus five days of antibiotics after appendectomy for complex acute appendicitis (APPIC): study protocol for a randomized controlled trial
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W. H. Schreurs, Anne Loes van den Boom, Joost Verhelst, Rene M. H. Wijnen, Bas P. L. Wijnhoven, Thijs A. Burghgraef, Charles C. van Rossem, Hendt P. Versteegh, Joske de Jonge, Hester R. Langeveld, Joost van Rosmalen, Joel Shapiro, Elisabeth M. L. de Wijkerslooth, Augustinus P. T. van der Ploeg, Frederique H. Beverdam, Sander A. Huisman, Joanna W. A. M. Bosmans, Floris B. Poelmann, Marc A. Koopmanschap, Jeroen E. H. Ponten, Pascal Steenvoorde, Peter M. N. Y. H. Go, Boudewijn R. Toorenvliet, Johan W. Mouton, Misha Luyer, Jurian H. Kloeze, Jan Willem T. Dekker, Luc A. Heijnen, Marja A. Boermeester, Esther C. J. Consten, Marloes Emous, Evert-Jan G. Boerma, Damian C. Melles, Anna A. W. van Geloven, Imro Dawson, Dayanara Jean Pierre, APH - Methodology, AII - Infectious diseases, Surgery, AGEM - Digestive immunity, Epidemiology, Pediatric Surgery, and Medical Microbiology & Infectious Diseases
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Male ,Percutaneous ,Time Factors ,Cost-Benefit Analysis ,Antibiotics ,Medicine (miscellaneous) ,Clinical Trials, Phase IV as Topic ,030230 surgery ,law.invention ,Study Protocol ,0302 clinical medicine ,Randomized controlled trial ,law ,Risk Factors ,Clinical endpoint ,Multicenter Studies as Topic ,Pharmacology (medical) ,Prospective Studies ,Antibiotic prophylaxis ,Hospital Costs ,Abscess ,Netherlands ,lcsh:R5-920 ,Anti-Bacterial Agents ,Treatment Outcome ,030220 oncology & carcinogenesis ,Administration, Intravenous ,Female ,lcsh:Medicine (General) ,medicine.medical_specialty ,Abdominal Abscess ,medicine.drug_class ,Equivalence Trials as Topic ,Drug Administration Schedule ,Drug Costs ,03 medical and health sciences ,medicine ,Appendectomy ,Humans ,Surgical Wound Infection ,Complex appendicitis ,Contraindication ,Acute appendicitis ,business.industry ,Length of Stay ,medicine.disease ,Appendicitis ,Surgery ,business - Abstract
Background Acute appendicitis is one of the most common indications for emergency surgery. In patients with a complex appendicitis, prolonged antibiotic prophylaxis is recommended after appendectomy. There is no consensus regarding the optimum duration of antibiotics. Guidelines propose 3 to 7 days of treatment, but shorter courses may be as effective in the prevention of infectious complications. At the same time, the global issue of increasing antimicrobial resistance urges for optimization of antibiotic strategies. The aim of this study is to determine whether a short course (48 h) of postoperative antibiotics is non-inferior to current standard practice of 5 days. Methods Patients of 8 years and older undergoing appendectomy for acute complex appendicitis – defined as a gangrenous and/or perforated appendicitis or appendicitis in presence of an abscess – are eligible for inclusion. Immunocompromised or pregnant patients are excluded, as well as patients with a contraindication to the study antibiotics. In total, 1066 patients will be randomly allocated in a 1:1 ratio to the experimental treatment arm (48 h of postoperative intravenously administered (IV) antibiotics) or the control arm (5 days of postoperative IV antibiotics). After discharge from the hospital, patients participate in a productivity-cost-questionnaire at 4 weeks and a standardized telephone follow-up at 90 days after appendectomy. The primary outcome is a composite endpoint of infectious complications, including intra-abdominal abscess (IAA) and surgical site infection (SSI), and mortality within 90 days after appendectomy. Secondary outcomes include IAA, SSI, restart of antibiotics, length of hospital stay (LOS), reoperation, percutaneous drainage, readmission rate, and cost-effectiveness. The non-inferiority margin for the difference in the primary endpoint rate is set at 7.5% (one-sided test at ɑ 0.025). Both per-protocol and intention-to-treat analyses will be performed. Discussion This trial will provide evidence on whether 48 h of postoperative antibiotics is non-inferior to a standard course of 5 days of antibiotics. If non-inferiority is established, longer intravenous administration following appendectomy for complex appendicitis can be abandoned, and guidelines need to be adjusted accordingly. Trial registration Dutch Trial Register, NTR6128. Registered on 20 December 2016. Electronic supplementary material The online version of this article (10.1186/s13063-018-2629-0) contains supplementary material, which is available to authorized users.
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- 2018
6. Computation of blood flow through collateral circulation of the superficial femoral artery
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Floris B. Poelmann, Elisabeth J Vinke, Suzanne Holewijn, C.H. Slump, D. Rohof, Michel M.P.J. Reijnen, and Rombout R. Kruse
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medicine.medical_specialty ,Superficial femoral artery ,Collateral Circulation ,Constriction, Pathologic ,030204 cardiovascular system & hematology ,Severity of Illness Index ,Covered stent ,03 medical and health sciences ,Peripheral Arterial Disease ,0302 clinical medicine ,Peripheral arterial occlusive disease ,Internal medicine ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Computer Simulation ,Retrospective Studies ,business.industry ,Flow ,Computational model ,Endovascular Procedures ,Models, Cardiovascular ,Angiography, Digital Subtraction ,Collaterals ,General Medicine ,Blood flow ,Collateral circulation ,Femoral Artery ,Regional Blood Flow ,030220 oncology & carcinogenesis ,Cardiology ,Surgery ,Stents ,Radiology ,Cardiology and Cardiovascular Medicine ,business ,Blood Flow Velocity - Abstract
Objective Obliteration of collaterals during (endo)vascular treatment of peripheral arterial occlusive disease is considered detrimental. We use a model to calculate maximum collateral bed flow of the superficial femoral artery in order to provide insight in their hemodynamic relevance. Method A computational model was developed using digital subtraction angiographies in combination with Poiseuille's equation and Ohm's law. Lesions were divided into short and long (Results Stenotic lesions are longer than occlusive lesions ( P Conclusion The maximum collateral system flow of the superficial femoral artery is only a fraction, with a maximum of one fifth, of healthy superficial femoral artery flow. Effects of collateral vessel occlusion during (endo)vascular treatment may therefore be without detrimental consequences.
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- 2015
7. A traumatic superficial temporal artery aneurysm after a bicycle accident
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Frank F A IJpma, Floris B. Poelmann, and Egbert J.D. Veen
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Duplex ultrasonography ,medicine.medical_specialty ,business.industry ,Poison control ,Case Reports ,medicine.disease ,Superficial temporal artery ,digestive system ,Head trauma ,Surgery ,Traumatic Aneurysm ,Aneurysm ,medicine.anatomical_structure ,medicine.artery ,medicine ,Forehead ,business ,human activities ,Exploratory surgery - Abstract
A male cyclist presented with a swelling on the forehead. Six weeks before, he fell of his bike and smashed his head on the ground while wearing a helmet. A smooth lump of 1 cm had evolved on the temporal side of his forehead in a few weeks. Duplex ultrasonography demonstrated a dilated vessel with a minor defect in the luminal wall. Surgical exploration revealed an aneurysm of the superficial temporal artery (STA). The aneurysm was surgically removed and the patient recovered uneventfully. Owing to its superficial course, the STA is vulnerable to blunt head trauma. Traumatic aneurysms of the STA should be a differential diagnostic consideration in patients with a history of trauma and a swelling on their head.
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- 2014
8. Two-year Follow-up In Diabetic Patients With Occlusive Disease of the SFA Treated With e-PTFE Endografts Compared to Non-diabetics
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Wilbert M. Fritschy, Floris B. Poelmann, Michel M.P.J. Reijnen, Robert C. Lind, Rombout R. Kruse, and Frans L. Moll
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medicine.medical_specialty ,business.industry ,medicine ,Occlusive disease ,Surgery ,Cardiology and Cardiovascular Medicine ,business - Published
- 2013
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