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23 results on '"Kafka, Reinhold"'

7. The role of damage control surgery in the treatment of perforated colonic diverticulitis: a systematic review and meta-analysis

Author

Cirocchi, Roberto, primary, Popivanov, Georgi, additional, Konaktchieva, Marina, additional, Chipeva, Sonia, additional, Tellan, Guglielmo, additional, Mingoli, Andrea, additional, Zago, Mauro, additional, Chiarugi, Massimo, additional, Binda, Gian Andrea, additional, Kafka, Reinhold, additional, Anania, Gabriele, additional, Donini, Annibale, additional, Nascimbeni, Riccardo, additional, Edilbe, Mohammed, additional, and Afshar, Sorena, additional

Published
2020
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11. Bloodstream infection following 217 consecutive systemic-enteric drained pancreas transplants

Author

Mark Walter, Kafka Reinhold, Mayer Gert, Margreiter Christian, Steurer Wolfgang, Guggenbichler Sigmund, Berger Natalie, Rosenkranz Alexander R, Margreiter Raimund, and Bonatti Hugo

Subjects
Infectious and parasitic diseases, RC109-216
Abstract

Abstract Background Combined kidney pancreas transplantation (PTx) evolved as excellent treatment for diabetic nephropathy. Infections remain common and serious complications. Methods 217 consecutive enteric drained PTxs performed from 1997 to 2004 were retrospectively analyzed with regard to bloodstream infection. Immunosuppression consisted of antithymocyteglobuline induction, tacrolimus, mycophenolic acid and steroids for the majority of cases. Standard perioperative antimicrobial prophylaxis consisted of pipercillin/tazobactam in combination with ciprofloxacin and fluconazole. Results One year patient, pancreas and kidney graft survival were 96.4%, 88.5% and 94.8%, surgical complication rate was 35%, rejection rate 30% and rate of infection 59%. In total 46 sepsis episodes were diagnosed in 35 patients (16%) with a median onset on day 12 (range 1–45) post transplant. Sepsis source was intraabdominal infection (IAI) (n = 21), a contaminated central venous line (n = 10), wound infection (n = 5), urinary tract infection (n = 2) and graft transmitted (n = 2). Nine patients (4%) experienced multiple episodes of sepsis. Overall 65 pathogens (IAI sepsis 39, line sepsis 15, others 11) were isolated from blood. Gram positive cocci accounted for 50 isolates (77%): Coagulase negative staphylococci (n = 28, i.e. 43%) (nine multi-resistant), Staphylococcus aureus (n = 11, i.e. 17%) (four multi-resistant), enterococci (n = 9, i.e. 14%) (one E. faecium). Gram negative rods were cultured in twelve cases (18%). Patients with blood borne infection had a two year pancreas graft survival of 76.5% versus 89.4% for those without sepsis (p = 0.036), patient survival was not affected. Conclusion Sepsis remains a serious complication after PTx with significantly reduced pancreas graft, but not patient survival. The most common source is IAI.

Published
2006
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14. Damage control Operation und verzögerte primäre Anastomosierung bei perforierter Sigmadivertikulitis Hinchey III und IV -eine Zentrumsanalyse über 5 Jahre

Author

Kafka, Reinhold, Perathoner, Alexander, Pratschke, Johann, and Zitt, Matthias

Subjects
ddc: 610, 610 Medical sciences, Medicine
Abstract

Einleitung: Durch verbesserte Systeme der offenen Abdomenbehandlung mit Unterdruck wurde die Indikation für "damage control" Konzepte in der septischen Abdominalchirurgie erweitert. Ziel unseres Konzeptes ist die rasche Stabilierung des Patienten mit generalisierter purulenter oder kotiger[for full text, please go to the a.m. URL], 130. Kongress der Deutschen Gesellschaft für Chirurgie

Published
2013

15. Narbenhernienrate nach abdominal VAC dressing und sekundärem direktem Faszienverschluss - eine Zentrumsanalyse von 209 konsekutiven Fällen

Author

Kafka, Reinhold, Brandl, Andreas, Perathoner, Alexander, Pratschke, Johann, and Zitt, Matthias

Subjects
ddc: 610, 610 Medical sciences, Medicine
Abstract

Einleitung: Die Indikation für abdominal VAC dressing in der septischen Abdominalchirurgie wurde in den letzten Jahren stark ausgeweitet. Durch dynamische Nähte in Kombination mit der Unterdrucktherapie kann ein direkter Faszienverschluss in mehr als 80% der Patienten erreicht werden.[for full text, please go to the a.m. URL], 130. Kongress der Deutschen Gesellschaft für Chirurgie

Published
2013

18. Impact of Cytomegalovirus Match on Survival after Cardiac and Lung Transplantation

Author

Bonatti, Hugo, primary, Tabarelli, Walther, additional, Ruttmann, Elfriede, additional, Kafka, Reinhold, additional, Larcher, Clara, additional, Hofer, Daniel, additional, Klaus, Alexander, additional, Laufer, Günther, additional, Christian, Geltner M.D., additional, Margreiter, Raimund, additional, Müller, Ludwig, additional, and Antretter, Herwig, additional

Published
2004
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22. DISTRIBUTION OF CMV MATCHING IN DIFFERENT GROUPS OF SOLID ORGAN RECIPIENTS AND ITS IMPACT ON LONG TERM SURVIVAL

Author

Bonatti, Hugo, primary, Kafka, Reinhold, additional, M??hlmann, Gilbert, additional, Bodner, Johannes, additional, Klaus, Alexander, additional, ??fner, Dietmar, additional, Larcher, Clara, additional, Obexer, Petra, additional, Tabarelli, Walther, additional, Antretter, Herwig, additional, M??ller, Ludwig, additional, Graziadei, Ivo, additional, Angerer, Christian, additional, B??sm??ller, Claudia, additional, Stapf, Ulrike, additional, Steurer, Wolfgang, additional, Hengster, Paul, additional, and Margreiter, Raimund, additional

Published
1999
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