120 results on '"Bettschart, V."'
Search Results
2. A 3-year experience with laparoscopic gastric banding for obesity
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Suter, M., Bettschart, V., Giusti, V., Heraief, E., and Jayet, A.
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- 2000
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3. Laparoscopic management of mechanical small bowel obstruction: Are there predictors of success or failure?
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Suter, M., Zermatten, P., Halkic, N., Martinet, O., and Bettschart, V.
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- 2000
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4. Chirurgische Therapie beim Echinococcus alveolaris der Leber
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Heyd, B., Weise, L., Bettschart, V., and Gillet, M.
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- 2000
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5. Presentation, treatment and outcome in patients with ampullary tumours
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Bettschart, V., Rahman, M. Q., Engelken, F. J. F., Madhavan, K. K., Parks, R. W., and Garden, O. J.
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- 2004
6. Hand-assisted laparoscopic live donor nephrectomy (Br J Surg 2004; 91: 344–348)
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Mosimann, F., Bettschart, V., and Martinet, O.
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- 2004
7. Cholangiocarcinoma arising after biliary-enteric drainage procedures for benign disease
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Bettschart, V, Clayton, R A E, Parks, R W, Garden, O J, and Bellamy, C O C
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- 2002
8. Prognostic factors in the palliation of pancreatic cancer
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Engelken, F.J.F., Bettschart, V., Rahman, M.Q., Parks, R.W., and Garden, O.J.
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- 2003
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9. Laparoscopic procurement of kidney grafts from living donors does not impair initial renal function
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Bettschart, V., Vallet, C., Golshayan, D., Halabi, G., Schneider, R., Bischof-Delaloye, A., Boubaker, A., Wauters, J.-P., and Mosimann, F.
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- 2002
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10. Néphrectomie par laparoscopie chez le donneur vivant : introduction de la méthode et résultats préliminaires
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Bettschart, V, Schneider, R, Halabi, G, Wauters, J.P, Edye, M, and Mosimann, F
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- 2001
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11. Local coordination increases the number of organs available for transplantation
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Eschenmoser, G., Gachet, C., and Bettschart, V.
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- 2002
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12. Preoperative assessment of laparoscopic live kidney donors by gadolinium-enhanced magnetic resonance angiography
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Vallet, C., Bettschart, V., Meuli, R., Wauters, J.-P., and Mosimann, F.
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- 2002
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13. Laparostomy with vacuum dressing after liver transplantation
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Bettschart, V., Vallet, C., Majno, P., Mentha, G., Morel, P., Gillet, M., and Mosimann, F.
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- 2002
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14. Thirteen years of surgical site infection surveillance in Swiss hospitals
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Staszewicz, W., primary, Eisenring, M.-C., additional, Bettschart, V., additional, Harbarth, S., additional, and Troillet, N., additional
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- 2014
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15. [Twelve years of liver transplantation in Lausanne]
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Mosimann F, Bettschart V, Jp, Gardaz, Fontolliet C, Jean-Daniel Tissot, Jy, Meuwly, Chioléro R, and Gillet M
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Tissue and Organ Procurement ,Treatment Outcome ,Liver Function Tests ,Waiting Lists ,Actuarial Analysis ,Patient Selection ,Graft Survival ,Humans ,Registries ,Survival Analysis ,Switzerland ,Liver Transplantation - Abstract
From 1988 to June 2000 138 transplantations were performed in 129 adult patients. Actuarial patient and graft survivals have been 80.7% and 75.4% at one year and 67.8% and 63.5% at 10 years. This compares favourably with the statistics of the European Liver Transplant Registry that collected data from more than 30,000 grafts. Over the twelve years of activity, the indications have become more liberal and the techniques have been simplified. The waiting list has therefore grown and some patients are now unfortunately dying before a graft can be found because the number of brain dead donors remains stable. In order to palliate this shortage, older donors are now being accepted even with co-morbidities and/or moderate alterations of the liver function tests. The use of live donors and the split of the best cadaveric grafts for two recipients will also reduce the gap between the demand and the offer.
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- 2001
16. Benefits of specialisation in the management of pancreatic cancer: results of a Scottish population-based study
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Parks, R W, primary, Bettschart, V, additional, Frame, S, additional, Stockton, D L, additional, Brewster, D H, additional, and Garden, O J, additional
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- 2004
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17. Hepatocellular carcinoma secondary to cholecystectomy: a one in a million chance
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Clayton, R.A.E., primary, Bettschart, V., additional, Parks, R.W., additional, and Garden, O.J., additional
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- 2002
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18. Upper GI 03
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Bettschart, V., primary, Rahman, M.Q., additional, Wigham, J., additional, Parks, R.W., additional, and Garden, O.J., additional
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- 2002
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19. LETTERS TO THE EDITOR
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Mosimann, F., primary, Bettschart, V., additional, Wauters, J.P., additional, and Schneider, R., additional
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- 2001
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20. Adrenal Mass in Carney Triad
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Wintermark, P., primary, Boubaker, A., additional, Gebhard, S., additional, Meuli, R., additional, Bettschart, V., additional, Mosimann, F., additional, Pralong, F.P., additional, Schorderet, D.F., additional, Gaillard, R.C., additional, and Gomez, F., additional
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- 2001
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21. LAPAROSCOPIC LIVE DONOR NEPHRECTOMY: A ???23-HOUR STAY??? PROCEDURE?
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Mosimann, F., primary, Bettschart, V., additional, and Schneider, R., additional
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- 2000
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22. A step-by-step approach to laparoscopic live donor nephrectomy
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Bettschart, V, primary, Schneider, R, additional, Berutto, C, additional, Groos, R, additional, Wauters, J.-P, additional, Edye, M, additional, and Mosimann, F, additional
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- 2000
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23. Thoracoscopic pleurodesis for prolonged (or intractable) air leak after lung resection
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SUTER, M, primary, BETTSCHART, V, additional, VANDONI, R, additional, and CUTTAT, J, additional
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- 1997
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24. Nephrectomy by laparoscopy in the live donor: an introduction of the method and preliminary results
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Bettschart, V., Schneider, R., Halabi, G., Wauters, J.P., Edye, M., and Mosimann, F.
- Abstract
Introduction : le recours a` des donneurs vivants est une des solutions a` la pe´nurie d'organes en transplantation re´nale. Re´cemment des techniques de pre´le`vement laparoscopique ont e´te´ de´crites, permettant de re´duire la morbidite´, la dure´e de l'hospitalisation et l'arre^t de travail du donneur. Elles sont cependant difficiles, et peuvent exposer le greffon a` des risques. Me´thode : nous avons introduit le pre´le`vement de rein par laparoscopie par e´tapes, notamment en utilisant la vide´oconfe´rence a` partir d'un centre d'excellence. Nous rapportons l'analyse prospective de nos re´sultats initiaux. Re´sultats : nous avons effectue´ dix pre´le`vements, trois a` gauche et sept a` droite ; il n'y a pas eu de conversion en laparotomie. Le temps d'ische´mie chaude a e´te´ de cinq minutes en moyenne, n'exce´dant pas trois minutes lors de nos six derniers pre´le`vements. Les patients ont quitte´ l'ho^pital 4,8 jours apre`s l'ope´ration en moyenne. Les greffons ont tous pre´sente´ une excellente fonction. Conclusion : la qualite´ de ces re´sultats initiaux, lie´s a` une introduction prudente de la me´thode, devrait permettre a` terme de renforcer la motivation des donneurs potentiels et de leur entourage, augmentant ainsi le nombre d'organes a` greffer.
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- 2001
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25. Delayed posttraumatic pseudoaneurysm of the anterior tibial artery mimicking a malignant tumor.
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Lädermann A, Stern R, Bettschart V, Riand N, Lädermann, Alexandre, Stern, Richard, Bettschart, Vincent, and Riand, Nicolas
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The anterior tibial artery arises at the lower border of the popliteus muscle, and passes anteriorly to lie on the interosseous membrane medial to the fibular neck. Injury to the artery results in extravasation of blood, and the tamponade effect of the surrounding tissue may contain acute hemorrhage. The blood clot gradually liquefies resulting in the formation of a fibrous capsule. Consequently, a pseudoaneurysm contains no normal elements of arterial wall, as opposed to a true arterial aneurysm. Pseudoaneurysm of the anterior tibial artery has been reported as a complication of fracture surgery and is usually felt to be iatrogenic. It has occurred following a fracture treated without surgery and may be related to the vessel being tethered by the fascia and interosseous membrane. It has also been reported in cases of blunt trauma to the leg without fracture, and as well following elective orthopedic procedures. We report the case of a patient 7 months following open reduction and plate fixation of a fracture of the distal third of the tibial shaft, who presented with a large painful proximal leg mass thought to be a malignant tumor. Three previous such presentations have been found in the literature and illustrates the importance of suspecting a delayed vascular injury following lower leg trauma. Duplex ultrasound examination should be performed initially to avoid an inadvertent incision and catastrophic bleeding as might occur with an inappropriate biopsy. Preoperative and intraoperative angiograms are essential to confirm the diagnosis, delineate the site and type of injury, and help to plan the treatment. [ABSTRACT FROM AUTHOR]
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- 2008
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26. Hand-assisted laparoscopic live donor nephrectomy (Br F Surg 2004; 91: 344–348).
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Mosimann, F., Bettschart, V., and Martinet, O.
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LETTERS to the editor , *NEPHROLOGY - Abstract
Presents a letter to the editor about the hand-assisted laparoscopic live donor nephrectomy.
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- 2004
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27. Missed traumatic hernia of the abdominal wall after contralateral pelvic and acetabular fracture.
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Borens O, Bettschart V, Fischer J, and Moushine E
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- 2003
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28. Ampullary neoplasms: presentation, outcome and prognostic factors.
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Bettschart, V, Rahman, M.Q, Wigham, J, Parks, R.W, and Garden, O.J
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AMPULLA of Vater , *TUMORS - Abstract
Aims: The purpose of this study was to analyse the outcome and determine the predictors of survival for ampullary neoplasms. Methods: Over an 11-year period, 583 patients were treated for peri-ampullary tumours, 88 of whom had a histologically proven ampullary neoplasm. Prospectively gathered data were analysed to assess predictors of survival, using Kaplan–Meier, t -test and Cox regression. Results: At presentation, five patients (6 per cent) were unresectable. Of those patients operated (n = 83; 94 per cent), 81 were resected (resection rate 92 per cent), with no operative mortality. Pathological examination of the specimen showed benign tumor (n = 10; 12 per cent), carcinoma in situ (n = 1; 1 per cent) and invasive cancer (n = 70; 86 per cent). Median survival was 45.8 months for resectable patients versus 8.0 months for unresectable patients (P < 0.0001). On univariate analysis, age <70 (P = 0.02) and bilirubin <75 mmol/L (P = 0.04) favoured long-term survival. Of the 70 resected cancers, factors associated with a significantly (P < 0.05) worse long-term survival on univariate analysis included poorly differentiated histology, invasion of the pancreas (T3), positive nodes, and perineural invasion. Age, sex, presence of jaundice and type of procedure had no influence on survival. On multivariate analysis, tumour differentiation, perineural invasion and bilirubin level were independently related to survival. Conclusion: An aggressive surgical approach for ampullary tumours is justified by the low proportion of benign lesions, the absence of operative mortality and the improved long-term survival. Resectability, tumour differentiation, absence of perineural invasion and bilirubin level appear to best predict long-term survival. [ABSTRACT FROM AUTHOR]
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- 2002
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29. Volume of procedures at transplantation centers and mortality after liver transplantation.
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Bettschart, V, Burnand, B, and Mosimann, F
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HEALTH facilities , *LIVER transplantation , *MULTIVARIATE analysis , *DEPARTMENTS , *SPECIALTY hospitals - Published
- 2000
30. Prevention of delayed gastric emptying after pylorus-preserving pancreatoduodenectomy (PPPD) with intra-pyloric injection of botulinum toxin
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Wiesel, P.H., Bettschart, V., Suter, M., Dorta, G., Michetti, P., and Gillet, M.
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- 1997
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31. Elective Surgery for Diverticulitis in Swiss Hospitals
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Seraina Faes, Martin Hübner, Nicolas Demartines, Dieter Hahnloser, David Martin, The Swiss Snapshot Diverticulitis Group, Paolo Abitabile, Dritan Abrazhda, Michele Arigoni, Vahid Bakhshi-Tahami, Jean-Pierre Barras, Thomas Beck, Vincent Bettschart, Paul Biegger, Karin Bläuer, Stefan Breitenstein, Franziska Brinkmann, Lukas Brügger, Hans Brunner, Walter Brunner, Claude Bussard, Jean-Marie Calmes, Jean-Pierre Chevalley, Michael Chilcott, Denis Christinaz, Dimitri Christoforidis, Carlo Coduri, Nadine Crivelli, Aris D'Ambrogio, Branimir Damjanovic, Wiebke Decking, Diego De Lorenzi, Charles de Montmollin, Sona Deretti, Alexandre Descloux, Urs Diener, Marco Di Lazzaro, Luca Di Mare, Rok Dolanc, Andrea Donadini, Georg Donner, Bernhard Egger, Michel Erne, Fabrizio Fasolini, Charlotte-Ulrike Finkenzeller, Ivo Ralf Fischer, Daniel Frey, Raffaele Galli, Walter Gantert, Alain Garcia, Jörg Genstorfer, Pascal Gervaz, Bijan Ghavami, Nicola Ghisletta, Duri Gianom-Campell, Mauro Giuliani, Christine Glaser, Emanuel Gmür, Federico Goti, Jürg Gresser, Felix Grieder, Gerald Gubler, Adriano Guerra, Silvio Gujer, Jürg Gurzeler, Susanne Habelt, Peter Häfliger, Andres Heigl, Dominik Heim, Juliette Henri, Mark Henschel, Rudolf Herzig, Franc Hetzer, Henry Hoffmann, Markus Huber, Regula Humm, Adrienne Imhof, Daniel Inderbitzin, Manuel Jakob, Renata Jori, Philomena Kastner, Andreas Keerl, Ulf Kessler, Philipp Kirchhoff, Jennifer Klasen, Katrin Kleinschmidt, Jürg Knaus, Markus Koch, Michael Kodsi, Erwin Kohlberger, Stefan Kull, Beat Künzli, Sebastian Lamm, Stéphanie Laperrousaz, André Leuenberger, Patrick Mäder, Styliani Mantziari, Florian Martens, Lukas Marti, Olivier Martinet, Jean Mégevand, Gian Melcher, Antoine Meyer, Pierre Meyer, Philippe Morel, Murielle Mormont, Beat Muggli, Markus Müller, Stephan Müller, Andrew Munday, Surennaidoo Naiken, Antonio Nocito, Peter Nussbaumer, Daniel Oertli, Alexandre Paroz, Angelo Pelloni, Jörg Peltzer, Matthias Peter, Sebastian Pohle, Philippe Posso, Hervé Probst, Alexander Radke, Martin Reber, Luca Regusci, Verena Reichl, Andreas Remiger, Jean-Claude Renggli, Monika Richter, Paavo Rillmann, Frédéric Ris, Nadja Ristagno, Luca Rondi, Robert Rosenberg, Raffaele Rosso, Alend Saadi, Bernd Schenkluhn, Martin Schilling, Rolf Schlumpf, Bruno Schmied, Michael Schmitz, Rémi Schneider, Othmar Schöb, Claudio Soravia, René Spalinger, Rudolf Steffen, Daniel Steinemann, Reto Stocker, Ulrich Stricker, Alexander Stupnicki, Michel Suter, Daniel Tassile, Adrien Tempia, Derya Topal, Rebekka Troller, Daniel Trötschler, Cédric Vallet, Denise Vettorel, Carsten Viehl, Peter Villiger, Peter Vogelbach, Marco von Strauss und Torney, Stephan Vorburger, Matthias Walting, Markus Weber, Heinz Wehrli, Bernhard Widmann, Stefan Wildi, Alessandro Wildisen, Bernd Wilhelm, Mariano Winckler, Marc Worreth, Jörg Wydler, Sidika Yakarisik, Urs Zingg, Christof Zöllner, Markus Zuber, Michael Zünd, Swiss Snapshot Diverticulitis Group, Abitabile, P., Abrazhda, D., Arigoni, M., Bakhshi-Tahami, V., Barras, J.P., Beck, T., Bettschart, V., Biegger, P., Bläuer, K., Breitenstein, S., Brinkmann, F., Brügger, L., Brunner, H., Brunner, W., Bussard, C., Calmes, J.M., Chevalley, J.P., Chilcott, M., Christinaz, D., Christoforidis, D., Coduri, C., Crivelli, N., D'Ambrogio, A., Damjanovic, B., Decking, W., De Lorenzi, D., de Montmollin, C., Deretti, S., Descloux, A., Diener, U., Di Lazzaro, M., Di Mare, L., Dolanc, R., Donadini, A., Donner, G., Egger, B., Erne, M., Fasolini, F., Finkenzeller, C.U., Fischer, I.R., Frey, D., Galli, R., Gantert, W., Garcia, A., Genstorfer, J., Gervaz, P., Ghavami, B., Ghisletta, N., Gianom-Campell, D., Giuliani, M., Glaser, C., Gmür, E., Goti, F., Gresser, J., Grieder, F., Gubler, G., Guerra, A., Gujer, S., Gurzeler, J., Habelt, S., Häfliger, P., Heigl, A., Heim, D., Henri, J., Henschel, M., Herzig, R., Hetzer, F., Hoffmann, H., Huber, M., Humm, R., Imhof, A., Inderbitzin, D., Jakob, M., Jori, R., Kastner, P., Keerl, A., Kessler, U., Kirchhoff, P., Klasen, J., Kleinschmidt, K., Knaus, J., Koch, M., Kodsi, M., Kohlberger, E., Kull, S., Künzli, B., Lamm, S., Laperrousaz, S., Leuenberger, A., Mäder, P., Mantziari, S., Martens, F., Marti, L., Martinet, O., Mégevand, J., Melcher, G., Meyer, A., Meyer, P., Morel, P., Mormont, M., Muggli, B., Müller, M., Müller, S., Munday, A., Naiken, S., Nocito, A., Nussbaumer, P., Oertli, D., Paroz, A., Pelloni, A., Peltzer, J., Peter, M., Pohle, S., Posso, P., Probst, H., Radke, A., Reber, M., Regusci, L., Reichl, V., Remiger, A., Renggli, J.C., Richter, M., Rillmann, P., Ris, F., Ristagno, N., Rondi, L., Rosenberg, R., Rosso, R., Saadi, A., Schenkluhn, B., Schilling, M., Schlumpf, R., Schmied, B., Schmitz, M., Schneider, R., Schöb, O., Soravia, C., Spalinger, R., Steffen, R., Steinemann, D., Stocker, R., Stricker, U., Stupnicki, A., Suter, M., Tassile, D., Tempia, A., Topal, D., Troller, R., Trötschler, D., Vallet, C., Vettorel, D., Viehl, C., Villiger, P., Vogelbach, P., Torney, MVSU, Vorburger, S., Walting, M., Weber, M., Wehrli, H., Widmann, B., Wildi, S., Wildisen, A., Wilhelm, B., Winckler, M., Worreth, M., Wydler, J., Yakarisik, S., Zingg, U., Zöllner, C., Zuber, M., Zünd, M., and Ris, Frédéric
- Subjects
medicine.medical_specialty ,Recurrent diverticulitis ,RD1-811 ,genetic structures ,laparoscopy ,medicine ,Elective surgery ,Laparoscopy ,Diverticulitis ,ddc:617 ,medicine.diagnostic_test ,business.industry ,General surgery ,Postoperative complication ,Elective resection ,Brief Research Report ,medicine.disease ,Management ,Stenosis ,diverticulitis ,elective surgery ,Observational study ,Surgery ,Switzerland ,management ,business - Abstract
Objective: To assess current management of diverticulitis in Switzerland.Methods: Prospective observational study of diverticulitis management and outcomes in surgical departments over a 3-month time period. Hospital category was graded according to the Swiss Medical Association (FMH) as: U: University; A: Cantonal; B: Regional; P: Private.Results: 75 participating hospitals treated 1,015 patients, among whom 214 patients (21%) had elective sigmoid resections in 49 hospitals. Indication for elective resection were recurrent diverticulitis, previous complicated diverticulitis, fistulas, and stenosis. Surgeries were performed completely laparoscopically in 185 cases (86%) and required conversion to open in 19 cases (9%). Overall postoperative complication rate was 18% (n = 39) and no mortality was observed. Operation time, surgeons experience and hospital stay differed considerably between hospital categories.Conclusions: Elective sigmoid resection for diverticulitis in Switzerland was mainly performed laparoscopically with low postoperative morbidity. Different practices and outcomes between institutions were observed.
- Published
- 2021
32. Diagnosis and treatment in chronic pancreatitis: an international survey and case vignette study
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Yama Issa, Hjalmar C. van Santvoort, Paul Fockens, Marc G. Besselink, Thomas L. Bollen, Marco J. Bruno, Marja A. Boermeester, Frank G. Moody, Claude Bertrand, Colin Johnson, Aude van Lander, Ross Carter, John B. Conneely, Frederik Berrevoet, Donzília Sousa Silva, Zong-Fang Li, Philippe Lévy, Kofi Oppong, Timothy B. Gardner, C. Mel Wilcox, Jeremy French, Michael Steer, Edward L. Bradley, Peter Layer, Bertrand Napoleon, Jorge Antonio Mosquera, D.J. Gouma, Roland Andersson, Antonio Manzelli, J.M. Klaase, Massimo Falconi, Enrique de-Madaria, Riccardo Casadei, Giuseppe Malleo, Raffaele Pezzilli, Ewa Malecka-Panas, Matthias Lohr, Julia Mayerle, Erik A.J. Rauws, Martin L. Freeman, Affirul Chairil Ariffin, Bhavin Vasavada, Paul Bo-San Lai, Jose Luis Beristain-Hernandez, Álvarez Juan, Haralds Plaudis, Dionisios Vrochides, Vincenzo Neri, Vimalraj Velayutham, Aleksey Andrianov, Joan Figueras, Kjetil Soreide, Aliaksei Shcherba, Mahir Gachabayov, Roger G. Keith, Georgios Tsoulfas, Michael Anthony Fink, Stefano Crippa, Mehrdad Nikfarjam, Dibyajyoti Bora, Rajendra Desai, Marcello Donati, Jan Jin Bong, Emma Martínez Moneo, Gareth Morris-Stiff, Ahmet Coker, Alexandre Prado de Resende, Suryabhan Sakhahari Bhalerao, Sadiq S. Sikora, Dezső Kelemen, László Czakó, Hariharan Ramesh, Oleg Rummo, Aliaksei Fedaruk, Alexey Hlinnik, Madhusudhan Chinthakindi, Traian Dumitrascu, Vyacheslav Egorov, Vincent Bettschart, Michele Molinari, E. Aldana D. Guillermo, Susan L. Orloff, Daniel Vasilev Kostov, Laurent Sulpice, Brett Knowles, Yasutoshi Kimura, Gabriele Marangoni, Rajeev Joshi, Tibor Gyökeres, null Bedin, V. Vladimir, Arpad Ivanecz, Adelmo Antonucci, Jones A.O. Omoshoro-Jones, Richard Nakache, Marco Del Chiaro, Marianne Johnstone, Tomoaki Saito, Gianpaolo Balzano, Serge Chooklin, Piero Boraschi, Walter Park, Pedro Nuno Valente Reis Pereira, Nico Pagano, Pavlos Lykoudis, Lars Ivo Partecke, Aliaksandr Siatkouski, Rosa Jorba Martín, Yasunari Kawabata, Luís Carvalho Lourenço, Carlos Marra-Lopez, Jun Kyu Lee, Nils Habbe, Robert C. Verdonk, Yliya Rabotyagova, Rupjyoti Talukdar, Luca Frulloni, Shamil Galeev, Zoltán Berger, Takeo Yasuda, Thilo Hackert, Ziyovuddin Saatov, Dimitri Aristotle Raptis, Jaume Boadas, Francesco Vitali, Livia Archibugi, Miroslav Ryska, Balazs Tihanyi, Vikesh K. Singh, Atsushi Masamune, Paul Yeaton, Kerrington D. Smith, Shrey Modi, Laura Cosen-Binker, Savio George Barreto, Eugenio Morandi, Sergio Valeri, Cintia Yoko Morioka, Luis F. Lara, Yoshifumi Takeyama, Frank G. Gress, Young-Dong Yu, Ezio Gaia, Sorin Traian Barbu, Ali Tüzün İnce, Akkraporn Deeprasertvit, Yu-Ting Chang, Stephen Olusola Abiola, Sabite Kacar, Peter Muscarella, Henri Braat, Samuel Han, Ali A. Aghdassi, Jean-Louis Frossard, Jill P. Smith, M.P. Schwartz, H.M. van Dullemen, N.G. Venneman, B.W.M. Spanier, Sjoerd Kuiken, Erwin van Geenen, Greg Beilman, Georgios Papachristou, Oscar Chapa Azuela, P. van der Schaar, Nevin Oruc, Marie-Paule Anten, William H. Nealon, Jesús García-Cano, Manol Jovani, Ziad Melki, Mustafa Mohammed Ahmed Ibrahim, M.U. Awajdarip, Mohammad Azam, K.G. Sabu, Igor Ermolaev, Shiran Shetty, Belei Oana, Juris Pokrotnieks, Malgorzata Lazuchiewicz-Kot, Riadh Bouali, Marek Winiarski, Marcus Schmitt, Mihai Rimbas, Alexander Meining, Bories Erwan, Peter N. Meier, Rainer Schoefl, Ahmed Youssef Altonbary, Igor Marsteller, Ingo Wallstabe, Skerdi Prifti, Arnaud Lemmers, M. Horvath, Ajay Kumar, Joseph J. Palermo, Issa, Y., van Santvoort, H. C., Fockens, P., Besselink, M. G., Bollen, T. L., Bruno, M. J., Boermeester, M. A., Moody, F. G., Bertrand, C., Johnson, C., van Lander, A., Carter, R., Conneely, J. B., Berrevoet, F., Sousa Silva, D., Li, Z. -F., Levy, P., Oppong, K., Gardner, T. B., Wilcox, C. M., French, J., Steer, M., Bradley, E. L., Layer, P., Napoleon, B., Mosquera, J. A., Gouma, D. J., Andersson, R., Manzelli, A., Klaase, J. M., Falconi, M., de-Madaria, E., Casadei, R., Malleo, G., Pezzilli, R., Malecka-Panas, E., Lohr, M., Mayerle, J., Rauws, E. A. J., Freeman, M. L., Ariffin, A. C., Vasavada, B., Lai, P. B. -S., Beristain-Hernandez, J. L., Juan, A., Plaudis, H., Vrochides, D., Neri, V., Velayutham, V., Andrianov, A., Figueras, J., Soreide, K., Shcherba, A., Gachabayov, M., Keith, R. G., Tsoulfas, G., Fink, M. A., Crippa, S., Nikfarjam, M., Bora, D., Desai, R., Donati, M., Bong, J. J., Martinez Moneo, E., Morris-Stiff, G., Coker, A., de Resende, A. P., Bhalerao, S. S., Sikora, S. S., Kelemen, D., Czako, L., Ramesh, H., Rummo, O., Fedaruk, A., Hlinnik, A., Chinthakindi, M., Dumitrascu, T., Egorov, V., Bettschart, V., Molinari, M., Guillermo, E. A. D., Orloff, S. L., Kostov, D. V., Sulpice, L., Knowles, B., Kimura, Y., Marangoni, G., Joshi, R., Gyokeres, T., Bedin, Vladimir, V., Ivanecz, A., Antonucci, A., Omoshoro-Jones, J. A. O., Nakache, R., Del Chiaro, M., Johnstone, M., Saito, T., Balzano, G., Chooklin, S., Boraschi, P., Park, W., Pereira, P. N. V. R., Pagano, N., Lykoudis, P., Partecke, L. I., Siatkouski, A., Martin, R. J., Kawabata, Y., Lourenco, L. C., Marra-Lopez, C., Lee, J. K., Habbe, N., Verdonk, R. C., Rabotyagova, Y., Talukdar, R., Frulloni, L., Galeev, S., Berger, Z., Yasuda, T., Hackert, T., Saatov, Z., Raptis, D. A., Boadas, J., Vitali, F., Archibugi, L., Ryska, M., Tihanyi, B., Singh, V. K., Masamune, A., Yeaton, P., Smith, K. D., Modi, S., Cosen-Binker, L., Barreto, S. G., Morandi, E., Valeri, S., Morioka, C. Y., Lara, L. F., Takeyama, Y., Gress, F. G., Yu, Y. -D., Gaia, E., Barbu, S. T., Ince, A. T., Deeprasertvit, A., Chang, Y. -T., Abiola, S. O., Kacar, S., Muscarella, P., Braat, H., Han, S., Aghdassi, A. A., Frossard, J. -L., Smith, J. P., Schwartz, M. P., van Dullemen, H. M., Venneman, N. G., Spanier, B. W. M., Kuiken, S., van Geenen, E., Beilman, G., Papachristou, G., Chapa Azuela, O., van der Schaar, P., Oruc, N., Anten, M. -P., Nealon, W. H., Garcia-Cano, J., Jovani, M., Melki, Z., Ibrahim, M. M. A., Awajdarip, M. U., Azam, M., Sabu, K. G., Ermolaev, I., Shetty, S., Oana, B., Pokrotnieks, J., Lazuchiewicz-Kot, M., Bouali, R., Winiarski, M., Schmitt, M., Rimbas, M., Meining, A., Erwan, B., Meier, P. N., Schoefl, R., Altonbary, A. Y., Marsteller, I., Wallstabe, I., Prifti, S., Lemmers, A., Horvath, M., Kumar, A., Palermo, J. J., Surgery, Amsterdam institute for Infection and Immunity, Amsterdam Gastroenterology Endocrinology Metabolism, Gastroenterology and Hepatology, CCA - Cancer Treatment and Quality of Life, CCA - Imaging and biomarkers, AGEM - Digestive immunity, AGEM - Re-generation and cancer of the digestive system, Cancer Center Amsterdam, APH - Methodology, AII - Infectious diseases, Issa, Yama, van Santvoort, Hjalmar C., Fockens, Paul, Besselink, Marc G., Bollen, Thomas L., Bruno, Marco J., Boermeester, Marja A., Moody, Frank G., Bertrand, Claude, Johnson, Colin, van Lander, Aude, Carter, Ro, Conneely, John B., Berrevoet, Frederik, Sousa Silva, Donzãlia, Zong-Fang, Li, Lã©vy, Philippe, Oppong, Kofi, Gardner, Timothy B., Wilcox, C. Mel, French, Jeremy, Steer, Michael, Bradley, Edward L., Layer, Peter, Napoleon, Bertrand, Mosquera, Jorge Antonio, Andersson, Roland, Manzelli, Antonio, Falconi, Massimo, de-Madaria, Enrique, Casadei, Riccardo, Malleo, Giuseppe, Pezzilli, Raffaele, Malecka-Panas, Ewa, Lohr, Matthia, Mayerle, Julia, Rauws, Erik A. J., Freeman, Martin L., Ariffin, Affirul Chairil, Vasavada, Bhavin, Lai, Paul Bo-San, Beristain-Hernandez, Jose Lui, Juan, à lvarez, Plaudis, Harald, Vrochides, Dionisio, Neri, Vincenzo, Velayutham, Vimalraj, Andrianov, Aleksey, Figueras, Joan, Soreide, Kjetil, Shcherba, Aliaksei, Gachabayov, Mahir, Keith, Roger G., Tsoulfas, Georgio, Fink, Michael Anthony, Crippa, Stefano, Nikfarjam, Mehrdad, Bora, Dibyajyoti, Desai, Rajendra, Donati, Marcello, Bong, Jan Jin, MartÃnez Moneo, Emma, Morris-Stiff, Gareth, Coker, Ahmet, de Resende, Alexandre Prado, Bhalerao, Suryabhan Sakhahari, Sikora, Sadiq S., Kelemen, Dezså, Czakã³, Lã¡szlã³, Ramesh, Hariharan, Rummo, Oleg, Fedaruk, Aliaksei, Hlinnik, Alexey, Chinthakindi, Madhusudhan, Dumitrascu, Traian, Egorov, Vyacheslav, Bettschart, Vincent, Molinari, Michele, Guillermo, E. Aldana D., Orloff, Susan L., Kostov, Daniel Vasilev, Sulpice, Laurent, Knowles, Brett, Kimura, Yasutoshi, Marangoni, Gabriele, Joshi, Rajeev, Gyã¶keres, Tibor, Bedin, Null, Ivanecz, Arpad, Antonucci, Adelmo, Omoshoro-Jones, Jones A. O., Nakache, Richard, Del Chiaro, Marco, Johnstone, Marianne, Saito, Tomoaki, Balzano, Gianpaolo, Chooklin, Serge, Boraschi, Piero, Park, Walter, Pereira, Pedro Nuno Valente Rei, Pagano, Nico, Lykoudis, Pavlo, Partecke, Lars Ivo, Siatkouski, Aliaksandr, Martãn, Rosa Jorba, Kawabata, Yasunari, Lourenã§o, LuÃs Carvalho, Marra-Lopez, Carlo, Lee, Jun Kyu, Habbe, Nil, Verdonk, Robert C., Rabotyagova, Yliya, Talukdar, Rupjyoti, Frulloni, Luca, Galeev, Shamil, Berger, Zoltã¡n, Yasuda, Takeo, Hackert, Thilo, Saatov, Ziyovuddin, Raptis, Dimitri Aristotle, Boadas, Jaume, Vitali, Francesco, Archibugi, Livia, Ryska, Miroslav, Tihanyi, Balaz, Singh, Vikesh K., Masamune, Atsushi, Yeaton, Paul, Smith, Kerrington D., Modi, Shrey, Cosen-Binker, Laura, Barreto, Savio George, Morandi, Eugenio, Valeri, Sergio, Morioka, Cintia Yoko, Lara, Luis F., Takeyama, Yoshifumi, Gress, Frank G., Young-Dong, Yu, Gaia, Ezio, Barbu, Sorin Traian, Ä°nce, Ali Tüzün, Deeprasertvit, Akkraporn, Chang, Yu-Ting, Abiola, Stephen Olusola, Kacar, Sabite, Muscarella, Peter, Braat, Henri, Han, Samuel, Aghdassi, Ali A., Frossard, Jean-Loui, Smith, Jill P., Kuiken, Sjoerd, van Geenen, Erwin, Beilman, Greg, Papachristou, Georgio, Chapa Azuela, Oscar, Oruc, Nevin, Anten, Marie-Paule, Nealon, William H., GarcÃa-Cano, Jesãº, Jovani, Manol, Melki, Ziad, Ibrahim, Mustafa Mohammed Ahmed, Azam, Mohammad, Ermolaev, Igor, Shetty, Shiran, Oana, Belei, Pokrotnieks, Juri, Lazuchiewicz-Kot, Malgorzata, Bouali, Riadh, Winiarski, Marek, Schmitt, Marcu, Rimbas, Mihai, Meining, Alexander, Erwan, Borie, Meier, Peter N., Schoefl, Rainer, Altonbary, Ahmed Youssef, Marsteller, Igor, Wallstabe, Ingo, Prifti, Skerdi, Lemmers, Arnaud, Kumar, Ajay, Palermo, Joseph J., and Gastroenterology & Hepatology
- Subjects
Endoscopic ultrasound ,medicine.medical_treatment ,Islets of Langerhans Transplantation ,Practice Patterns ,Diagnosis, treatment, chronic pancreatitis, survey ,Bioinformatics ,0302 clinical medicine ,Risk Factors ,Lithotripsy ,Diagnosis ,03.02. Klinikai orvostan ,Endoscopy, Digestive System ,Chronic ,Practice Patterns, Physicians' ,Tomography ,Digestive System Surgical Procedures ,treatment ,medicine.diagnostic_test ,Gastroenterology ,Magnetic Resonance Imaging ,X-Ray Computed ,Treatment Outcome ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Predictive value of tests ,Pancreatectomy ,030211 gastroenterology & hepatology ,Autologous ,medicine.medical_specialty ,Clinical Decision-Making ,Transplantation, Autologous ,Decision Support Techniques ,chronic pancreatitis ,03 medical and health sciences ,Predictive Value of Tests ,Pancreatitis, Chronic ,medicine ,Humans ,survey ,Pancreatic duct ,Transplantation ,Physicians' ,Hepatology ,business.industry ,General surgery ,Gastroenterologists ,Endoscopy ,Magnetic resonance imaging ,medicine.disease ,Pancreatitis ,Health Care Surveys ,Tomography, X-Ray Computed ,business ,Digestive System - Abstract
Background The aim of the study was to evaluate the current opinion and clinical decision-making process of international pancreatologists, and to systematically identify key study questions regarding the diagnosis and treatment of chronic pancreatitis (CP) for future research. Methods An online survey, including questions regarding the diagnosis and treatment of CP and several controversial clinical case vignettes, was send by e-mail to members of various international pancreatic associations: IHPBA, APA, EPC, ESGE and DPSG. Results A total of 288 pancreatologists, 56% surgeons and 44% gastroenterologists, from at least 47 countries, participated in the survey. About half (48%) of the specialists used a classification tool for the diagnosis of CP, including the Mayo Clinic (28%), Mannheim (25%), or Buchler (25%) tools. Overall, CT was the preferred imaging modality for evaluation of an enlarged pancreatic head (59%), pseudocyst (55%), calcifications (75%), and peripancreatic fat infiltration (68%). MRI was preferred for assessment of main pancreatic duct (MPD) abnormalities (60%). Total pancreatectomy with auto-islet transplantation was the preferred treatment in patients with parenchymal calcifications without MPD abnormalities and in patients with refractory pain despite maximal medical, endoscopic, and surgical treatment. In patients with an enlarged pancreatic head, 58% preferred initial surgery (PPPD) versus 42% initial endoscopy. In patients with a dilated MPD and intraductal stones 56% preferred initial endoscopic ± ESWL treatment and 29% preferred initial surgical treatment. Conclusion Worldwide, clinical decision-making in CP is largely based on local expertise, beliefs and disbeliefs. Further development of evidence-based guidelines based on well designed (randomized) studies is strongly encouraged.
- Published
- 2017
33. [Myases from here and elsewhere : pseudo-furonculosis and Ignatzschineria larvae bacteremia].
- Author
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Berthod D, Duss FR, Palazzuolo M, Eyer M, Onya O, Aellen S, Bettschart V, Schmid T, Greub G, and Troillet N
- Subjects
- Animals, Humans, Myiasis microbiology, Switzerland, Bacteremia microbiology, Diptera microbiology, Diptera pathogenicity, Gammaproteobacteria pathogenicity, Larva pathogenicity, Myiasis parasitology
- Abstract
Myiasis is an infestation by maggots. In humans, it predominates in regions with low socio-economic development. We report on two cases of myiasis acquired during a tropical travel and in Switzerland, respectively. The first one presented as a furunculous-like disease due to the invasion of subcutaneous tissues by Cordylobia sp. larvae. The second corresponded to a chronic wound infestation that resulted in a rarely reported bacteremia due to Ignatzschineria larvae, a commensal bacteria of maggots' digestive tract. Surgery was necessary in both cases, mainly for psychological reasons in the first case. Both the entomologist and molecular biology were instrumental for treatment decisions., Competing Interests: Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.
- Published
- 2020
34. Bilateral Renal Autotransplantation May Be an Effective and Definitive Treatment in Case of Loin Pain Haematuria Syndrome.
- Author
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Rohrer F, Déglise S, Bettschart V, and Schmidtko J
- Subjects
- Adult, Female, Flank Pain diagnostic imaging, Flank Pain etiology, Hematuria diagnostic imaging, Hematuria etiology, Humans, Pain Measurement, Syndrome, Tomography, X-Ray Computed, Treatment Outcome, Flank Pain surgery, Hematuria surgery, Kidney Transplantation methods, Transplantation, Autologous
- Abstract
Loin pain haematuria (LPHS) is a rare and difficult-to-diagnose syndrome. Different therapeutic approaches have been used historically with little or no success. We report a case of LPHS in which bilateral renal autotransplantation led to pain relief, cessation of all medication and no recurrence beyond two years of follow-up., (© 2015 S. Karger AG, Basel.)
- Published
- 2017
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35. Abdominal wall abscess after cholecystectomy.
- Author
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Grass F, Fournier I, and Bettschart V
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- Aged, Anti-Bacterial Agents therapeutic use, Arthritis, Rheumatoid complications, Cholecystitis surgery, Foreign Bodies, Heart Failure complications, Humans, Male, Tomography, X-Ray Computed methods, Abdominal Wall pathology, Abscess pathology, Cholecystectomy, Laparoscopic adverse effects, Gallstones surgery
- Abstract
Background: Laparoscopic cholecystectomy is one of the most frequently performed surgical interventions nowadays in developed countries. While lost gallstones during the procedure represent a commonly encountered issue, there is an ongoing debate whether split gallstones imperatively need to be extracted during the same procedure. The reported case of a wall abscess several years after follow-up lights up this debate., Case Presentation: A 75-year-old male Caucasian with a history of rheumatoid arthritis and congestive heart failure presented with a recurrent subcutaneous abdominal wall abscess with occasional, spontaneous drainage of pus. He underwent laparoscopic cholecystectomy for acute calculous cholecystitis 3 years ago with uneventful and prompt recovery. A computed tomography scan showed a cavity in the periumbilical abdominal wall with peripheral contrast-enhancing, next to a calcified foreign body between the rectus muscle sheets. Wound exploration under general anaesthesia was performed with drainage of the cavity, extraction of the foreign body and closure of the anterior rectus sheet over a drainage catheter. The foreign body turned out to be a gallstone lost in the periumbilical port site during the procedure. Antibiotic treatment with co-amoxiclav was continued for 14 days. The patient was discharged 9 days postoperatively with a clean wound., Conclusion: This case and short review of the literature is a reminder of the importance of careful extraction of split gallstones during cholecystectomy in order to avoid early or late complications. This is especially important in the light of one of the most commonly performed surgical procedures in developed countries with generally low morbidity.
- Published
- 2015
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36. [Clostridium difficile: a serious outpatient infection?].
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Copt C, Christodoulou M, Friolet R, Berclaz R, Bettschart V, and Troillet N
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- Anti-Bacterial Agents therapeutic use, Community-Acquired Infections diagnosis, Community-Acquired Infections drug therapy, Community-Acquired Infections epidemiology, Drug Resistance, Microbial, Enterocolitis, Pseudomembranous diagnosis, Enterocolitis, Pseudomembranous drug therapy, Female, Humans, Middle Aged, Clostridioides difficile, Enterocolitis, Pseudomembranous epidemiology
- Abstract
Secondary to severe hospital outbreaks due to hypervirulent strains of Clostridium difficile, several surveillance systems in North-America and Europe observed an increase in infections due to this micro-organism, also in the outpatient setting. The case reported in the present article illustrates the fulminant presentation that a C. difficile colitis can show in a previously healthy person without prior contact with healthcare facilities. It introduces a review of some recent publications on the current changes in the epidemiology, clinical presentation, diagnosis and treatment of this disease.
- Published
- 2010
37. Damage control surgery by keeping the abdomen open during pregnancy: favorable outcome, a case report.
- Author
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Staszewicz W, Christodoulou M, Marty F, and Bettschart V
- Abstract
Background: Acute abdomen in advanced pregnancy is one of the most challenging surgical situations. In life-threatening situations, despite optimal management, foetus distress and preterm delivery may occur. Although laparostomy is a useful treatment of abdominal sepsis, its successful management has not been reported previously in pregnant women., Case: 30-year-old woman at 23 week of pregnancy was investigated for non-specific abdominal pain. Surgical exploration revealed extensive ischemic bowel necrosis. Multiple segmental resections were performed and abdomen was left open with vacuum assisted dressing, maintained for 48 hours. At the third surgical look the continuity was restored and abdominal wall closed. The foetal condition stayed unperturbed under pharmacologic tocolysis. Pregnancy was carried to full term delivery., Conclusion: Open abdomen strategy can be successfully applied in pregnant woman.
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- 2009
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38. Laparoscope use and surgical site infections in digestive surgery.
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Romy S, Eisenring MC, Bettschart V, Petignat C, Francioli P, and Troillet N
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- Adolescent, Adult, Appendectomy adverse effects, Cholecystectomy adverse effects, Cholecystectomy methods, Colectomy adverse effects, Female, Humans, Male, Middle Aged, Risk Factors, Surgical Wound Infection epidemiology, Digestive System Surgical Procedures adverse effects, Laparoscopy adverse effects, Surgical Wound Infection etiology
- Abstract
Objective: To compare surgical site infection (SSI) rates in open or laparoscopic appendectomy, cholecystectomy, and colon surgery. To investigate the effect of laparoscopy on SSI in these interventions., Background: Lower rates of SSI have been reported among various advantages associated with laparoscopy when compared with open surgery, particularly in cholecystectomy. However, biases such as the lack of postdischarge follow-up and confounding factors might have contributed to the observed differences between the 2 techniques., Methods: This observational study was based on prospectively collected data from an SSI surveillance program in 8 Swiss hospitals between March 1998 and December 2004, including a standardized postdischarge follow-up. SSI rates were compared between laparoscopic and open interventions. Factors associated with SSI were identified by using logistic regression models to adjust for potential confounding factors., Results: SSI rates in laparoscopic and open interventions were respectively 59/1051 (5.6%) versus 117/1417 (8.3%) in appendectomy (P = 0.01), 46/2606 (1.7%) versus 35/444 (7.9%) in cholecystectomy (P < 0.0001), and 35/311 (11.3%) versus 400/1781 (22.5%) in colon surgery (P < 0.0001). After adjustment, laparoscopic interventions were associated with a decreased risk for SSI: OR = 0.61 (95% CI 0.43-0.87) in appendectomy, 0.27 (0.16-0.43) in cholecystectomy, and 0.43 (0.29-0.63) in colon surgery. The observed effect of laparoscopic techniques was due to a reduction in the rates of incisional infections, rather than in those of organ/space infections., Conclusion: When feasible, a laparoscopic approach should be preferred over open surgery to lower the risks of SSI.
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- 2008
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39. A framework for intraoperative update of 3D deformable models in liver surgery.
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Dagon B, Baur C, and Bettschart V
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- Algorithms, Hepatic Veins anatomy & histology, Hepatic Veins pathology, Humans, Liver anatomy & histology, Liver pathology, Models, Statistical, Reproducibility of Results, Software, Tomography, X-Ray Computed methods, Ultrasonography methods, Imaging, Three-Dimensional methods, Liver surgery, Models, Anatomic, Surgery, Computer-Assisted methods
- Abstract
Efficient computer assisted surgery dealing with soft tissues remains a complex task. In most cases, the preoperative information such as 3D organ reconstructions and the planning built upon are no longer valid during the surgical process itself due to the deformations of the organ of interest. In this article, we describe the foundation parts of a framework that enables updating preoperative 3D models with intraoperative measurements in case of liver resection. The technique can be summarized as follows. During the planning stage, the discrete skeleton of hepatic veins is created out of the CT-reconstruction. It is used at time of surgery as the core component of an elastic registration between the model and measured points located on vessels centerline. Intraoperative data points are automatically computed from navigated ultrasound images with a real-time segmentation method. Our approach was tested on simulated and real datasets and has demonstrated to be fast and effective.
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- 2008
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40. Effect of carbohydrate overfeeding on whole body and adipose tissue metabolism in humans.
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Minehira K, Bettschart V, Vidal H, Vega N, Di Vetta V, Rey V, Schneiter P, and Tappy L
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- Adipose Tissue growth & development, Adult, Basal Metabolism physiology, Calorimetry, Indirect, Dietary Carbohydrates administration & dosage, Fatty Acids, Volatile blood, Female, Humans, Lipids blood, Male, Obesity etiology, Obesity metabolism, Oxygen Consumption, RNA, Messenger metabolism, Triglycerides biosynthesis, Triglycerides blood, Adipose Tissue metabolism, Dietary Carbohydrates metabolism, Energy Metabolism physiology, Lipids biosynthesis
- Abstract
Objective: To evaluate the effect of a 4-day carbohydrate overfeeding on whole body net de novo lipogenesis and on markers of de novo lipogenesis in subcutaneous adipose tissue of healthy lean humans., Research Methods and Procedures: Nine healthy lean volunteers (five men and four women) were studied after 4 days of either isocaloric feeding or carbohydrate overfeeding. On each occasion, they underwent a metabolic study during which their energy expenditure and net substrate oxidation rates (indirect calorimetry), and the fractional activity of the pentose-phosphate pathway in subcutaneous adipose tissue (subcutaneous microdialysis with 1,6(13)C2,6,6(2)H2 glucose) were assessed before and after administration of glucose. Adipose tissue biopsies were obtained at the end of the experiments to monitor mRNAs of key lipogenic enzymes., Results: Carbohydrate overfeeding increased basal and postglucose energy expenditure and net carbohydrate oxidation. Whole body net de novo lipogenesis after glucose loading was markedly increased at the expense of glycogen synthesis. Carbohydrate overfeeding also increased mRNA levels for the key lipogenic enzymes sterol regulatory element-binding protein-1c, acetyl-CoA carboxylase, and fatty acid synthase. The fractional activity of adipose tissue pentose-phosphate pathway was 17% to 22% and was not altered by carbohydrate overfeeding., Discussion: Carbohydrate overfeeding markedly increased net de novo lipogenesis at the expense of glycogen synthesis. An increase in mRNAs coding for key lipogenic enzymes suggests that de novo lipogenesis occurred, at least in part, in adipose tissue. The pentose-phosphate pathway is active in adipose tissue of healthy humans, consistent with an active role of this tissue in de novo lipogenesis.
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- 2003
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41. Respiratory complications of gastroesophageal reflux associated with paraesophageal hiatal hernia.
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Greub G, Liaudet L, Wiesel P, Bettschart V, and Schaller MD
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- Aged, Bronchial Diseases etiology, Constriction, Pathologic, Humans, Male, Respiratory Distress Syndrome etiology, Retrospective Studies, Dyspnea etiology, Gastroesophageal Reflux complications, Hernia, Hiatal complications
- Abstract
Background: Gastroesophageal reflux disease (GERD) may be associated with episodes of bronchoaspiration, sometimes leading to life-threatening respiratory complications. GERD is frequently observed in the setting of type 1 (sliding type) hiatal hernia, but only infrequently complicates the course of type 2 (paraesophageal) hernia., Methods of Study: We performed a retrospective analysis of 50 patients operated for type 2 hiatal hernia in our hospital, to determine the prevalence of respiratory complaints related to GERD in this setting., Results: We found 7 cases (14%) of type 2 hiatal hernia complicated by pulmonary manifestations as the only symptoms of GERD. These ranged from dyspnea to severe bronchoconstriction and acute respiratory failure. The series is illustrated by the report of 1 patient who experienced acute bronchospasm and cardiopulmonary arrest as a complication of GERD. In all patients, surgical repair of the hiatal hernia, together with an antireflux procedure, resulted in complete resolution of the respiratory complaints for follow-up periods up to 160 months., Conclusions: Our data emphasize the particular prevalence of respiratory involvement in the case of GERD complicating type 2 hiatal hernia, and also the excellent symptomatic results obtained by surgical therapy for this condition.
- Published
- 2003
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42. Laparoscopic right nephrectomy for live kidney donation: functional results.
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Bettschart V, Boubaker A, Martinet O, Golshayan D, Wauters JP, and Mosimann F
- Subjects
- Aged, Creatinine metabolism, Female, Humans, Ischemia pathology, Kidney pathology, Kidney physiopathology, Liver Circulation, Male, Middle Aged, Muramidase urine, Time Factors, Tissue and Organ Harvesting standards, Kidney Transplantation, Laparoscopy, Living Donors, Nephrectomy, Tissue and Organ Harvesting methods
- Abstract
Laparoscopic live-donor nephrectomy has gained wide acceptance. However, the vast majority of surgeons perform left nephrectomies only, which may not always be in the best interest of the donor. Of 17 consecutive laparoscopic donor nephrectomies, 13 were done on the right side. The function of these grafts was compared with that of 17 kidneys previously procured by an open technique and with that of the four left laparoscopic grafts. Ischaemic damage was evaluated by post-operative nuclear scanning and urinary lysozyme, and graft function by creatinine and creatinine clearance. Results show that operating time was longer in the laparoscopic donors, but identical in right and left laparoscopic procurements. Ischaemic damage and function were similar, regardless of the side or the surgical technique. We can conclude that right laparoscopic donor nephrectomy is feasible and results in good graft function. Systematic harvesting from the left side may, therefore, not be justified.
- Published
- 2003
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43. Mediastinal recurrence of alveolar echinococcosis after liver transplantation.
- Author
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Mosimann F, Bettschart V, and Meuli R
- Subjects
- Adult, Echinococcosis, Hepatic diagnostic imaging, Echinococcosis, Hepatic pathology, Humans, Liver pathology, Magnetic Resonance Spectroscopy, Radiography, Echinococcosis, Hepatic diagnosis, Echinococcosis, Hepatic surgery, Liver Transplantation, Mediastinal Diseases parasitology, Postoperative Complications diagnosis
- Published
- 2003
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- View/download PDF
44. Traumatic hernia of the abdominal wall after pelvic and acetabular fracture: a case report.
- Author
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Borens O, Fischer JF, Bettschart V, and Mouhsine E
- Subjects
- Acetabularia, Adult, Diagnosis, Differential, Female, Fractures, Bone surgery, Hernia, Ventral diagnosis, Hernia, Ventral surgery, Humans, Pelvic Bones pathology, Pelvic Bones surgery, Tomography, X-Ray Computed, Abdominal Wall pathology, Acetabulum injuries, Fractures, Bone complications, Hernia, Ventral etiology, Pelvic Bones injuries
- Abstract
Traumatic hernia of the abdominal wall is a rare and easily missed injury in the presence of major pelvic and abdominal lesions. We present a radiographically documented case of combined pelvic and acetabular fracture with a major contralateral traumatic hernia with avulsion of the internal oblique, the external oblique and the transverse abdominal muscles diagnosed four months after the initial trauma. To our knowledge no similar case has been described in the current literature.
- Published
- 2002
45. Re: Kuo PC et al. Laparoscopic donor nephrectomy with a 23-hour stay. A new standard for transplantation surgery. Ann Surg 2000; 231:772-779.
- Author
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Mosimann F, Bettschart V, Wauters JP, and Schneider R
- Subjects
- Clinical Competence, Humans, Nephrectomy economics, Laparoscopy economics, Length of Stay economics, Living Donors, Nephrectomy methods
- Published
- 2001
- Full Text
- View/download PDF
46. [Advanced Trauma Life Support: towards a standardization of care for the trauma patient].
- Author
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Bettschart V, Corpataux JM, Fishman D, and Mosimann F
- Subjects
- Advanced Cardiac Life Support education, Humans, Needs Assessment, Switzerland, Technology Transfer, Traumatology education, Treatment Outcome, United States, Advanced Cardiac Life Support methods, Multiple Trauma therapy, Practice Guidelines as Topic, Traumatology methods
- Abstract
The ATLS concept is a strategy for the treatment of the injured patient and a teaching method. ATLS originates from the USA and it was introduced in the French speaking part of Switzerland two years ago. This article describes the principles that made ATLS successful, as well as its objectives and impact on the treatment of injured patients. As a consequence, a trend is now emerging towards a standardisation of care of the trauma patient.
- Published
- 2001
47. [Validation of laparoscopic surgical techniques].
- Author
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Bettschart V, Suter M, and Mosimann F
- Subjects
- Evidence-Based Medicine, Feasibility Studies, Humans, Laparoscopy methods, Laparoscopy trends, Reproducibility of Results, Treatment Outcome, Laparoscopy standards
- Abstract
The use of laparoscopic surgery has increased rapidly. However, a technically feasible procedure is not automatically recommendable. Thus, if cholecystectomy and fundoplication are currently fully validated techniques, this does not hold true for gastroplasty and kidney harvesting for transplantation: these operations are feasible indeed but their efficacy remains to be proved. Laparoscopic oncology has been shown to be feasible too, but its efficacy has not been documented yet.
- Published
- 2001
48. [Living donors in kidney and liver transplantation].
- Author
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Bettschart V, Wauters JP, Halabi G, Gillet M, and Mosimann F
- Subjects
- Ethics, Medical, Hepatectomy adverse effects, Hepatectomy methods, Hepatectomy statistics & numerical data, Humans, Kidney Transplantation adverse effects, Liver Transplantation adverse effects, Living Donors supply & distribution, Nephrectomy adverse effects, Nephrectomy methods, Nephrectomy statistics & numerical data, Patient Selection, Tissue and Organ Procurement methods, Treatment Outcome, Kidney Transplantation methods, Kidney Transplantation statistics & numerical data, Liver Transplantation methods, Liver Transplantation statistics & numerical data, Living Donors statistics & numerical data
- Abstract
The shortage of organs available for transplantation has rekindled the interest for the kidney living donor, and has recently induced the use of living donors for liver transplantation too. Both methods raise many medical and ethical interrogations. The aim of this paper is to analyse this type of organ harvesting, and to report our experience and results with kidney and liver living donors.
- Published
- 2001
49. [Laparoscopic nephrectomy in the liver donor: introduction of the method and preliminary results].
- Author
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Bettschart V, Schneider R, Halabi G, Wauters JP, Edye M, and Mosimann F
- Subjects
- Adult, Aged, Female, Graft Survival, Humans, Ischemia, Length of Stay, Male, Middle Aged, Postoperative Complications, Prospective Studies, Kidney Transplantation, Laparoscopy methods, Living Donors, Nephrectomy methods
- Abstract
Introduction: The shortage of organs available for renal transplantation has focussed attention on the use of live donors. Techniques for laparoscopic nephrectomy have recently been described, which have limited morbidity, duration of hospitalization and the period off work. However, these surgical procedures are difficult, and may be risky for the organ to be transplanted., Method: The laparoscopic live donor nephrectomy was introduced in stages, including the use of a videoconference from a reference center. In this article, the prospective analysis of the present authors' preliminary results has been presented., Results: Ten kidneys were removed by laparoscopy, i.e., three from the left and seven from the right side. No conversion of this technique to laparotomy was necessary. The mean warm ischemic time was five minutes, and in the last six operations it did not exceed three minutes. The patients were able to leave hospital between four and eight days following surgery. After a mean follow-up of 10.5 months, organ survival was 100%, and in all grafts excellent function was observed., Conclusion: The quality of these preliminary results which may act as a reference and the careful introduction of a live donor laparoscopic program could provide an incentive to potential donors, and thereby increase the pool of organs available for transplantation.
- Published
- 2001
- Full Text
- View/download PDF
50. Effects of a glucose meal on energy metabolism in patients with cirrhosis before and after liver transplantation.
- Author
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Tappy L, Schneiter P, Chioléro R, Bettschart V, and Gillet M
- Subjects
- Blood Glucose analysis, Case-Control Studies, Female, Follow-Up Studies, Glucose pharmacokinetics, Humans, Liver innervation, Liver metabolism, Male, Middle Aged, Postoperative Period, Preoperative Care, Prospective Studies, Time Factors, Weight Gain, Energy Metabolism, Glucose pharmacology, Liver Cirrhosis metabolism, Liver Cirrhosis surgery, Liver Transplantation
- Abstract
Hypothesis: Liver transplantation results in hepatic denervation. This may produce alterations of liver energy and substrate metabolism, which may contribute to weight gain after liver transplantation., Design: Prospective clinical study., Setting: Liver transplantation clinics in a university hospital., Patients: Seven nondiabetic patients with cirrhosis were recruited while on a waiting list for liver transplantation. Seven healthy subjects were recruited as controls., Intervention: Orthotopic liver transplantation., Main Outcome Measures: Evaluation of energy and substrate metabolism after ingestion of a glucose load with indirect calorimetry was performed before, 2 to 6 weeks after, and 5 to 19 months after transplantation. Whole-body glucose oxidation and storage and glucose-induced thermogenesis were calculated., Results: Patients with cirrhosis had modestly elevated resting energy expenditure and normal glucose-induced thermogenesis and postprandial glucose oxidation and storage. These measures remained unchanged after liver transplantation despite a significant increase in postprandial glycemia. Patients, however, gained an average of 3 kg of body weight after 5 to 19 months compared with their weight before transplantation., Conclusion: Liver denervation secondary to transplantation does not lead to alterations of energy metabolism after ingestion of a glucose load.
- Published
- 2001
- Full Text
- View/download PDF
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