Search

Your search keyword '"RUDROFF, CLAUDIA"' showing total 25 results
Start Over Author "RUDROFF, CLAUDIA"
25 results on '"RUDROFF, CLAUDIA"'

5. Synthetic Versus Biological Mesh in Laparoscopic and Open Ventral Hernia Repair (LAPSIS): Results of a Multinational, Randomized, Controlled, and Double-blind Trial

Author

Miserez, Marc, Lefering, Rolf, Famiglietti, Federico, Mathes, Tim, Seidel, Dörthe, Sauerland, Stefan, Korolija, Dragan, Heiss, Markus, Weber, Gyorgy, Agresta, Ferdinando, Steup, Willem-Hans, Śmietański, Maciej, Ribeiro, Rui, Cuccurullo, Diego, Catena, Fausto, Rudroff, Claudia, Rosanelli, Georg, Schön, Fabian, Smet, Bart, Wenger, Frank, Saad, Stefano, Naver, Lars, and Neugebauer, Edmund

Published
2021
Full Text
View/download PDF

7. AbsorbaTack™ vs. ProTack™ vs. sutures: a biomechanical analysis of cervical fixation methods for laparoscopic apical fixations in the porcine model

Author

Ludwig Sebastian, Jansen Alina, Thangarajah Fabinshy, Ratiu Dominik, Sauerwald Axel, Hachenberg Jens, Wegmann Kilian, Rudroff Claudia, Karapanos Leonidas, Radosa Julia, Trageser Nadja, and Eichler Christian

Subjects
Obstetrics and Gynecology, General Medicine
Abstract

Purpose Treatment of pelvic organ prolapse (POP) often requires the use of synthetic mesh. In case of a novel and standardized bilateral apical fixation, both uterosacral ligaments are replaced by polyvinylidene-fluoride (PVDF) tapes. One of the main problems remains the fixation method, which should be stable, but also simple and quick to use. The current study evaluated biomechanical differences between the cervical tape fixation with sutures (group 1), non-absorbable tacks (group 2) and absorbable tacks (group 3) in an in vitro porcine model. Methods A total of 28 trials, conducted in three groups, were performed on porcine, fresh cadaver uteri. All trials were performed until mesh, tissue or fixation device failure occurred. Primary endpoints were the biomechanical properties maximum load (N), displacement at failure (mm) and stiffness (N/mm). The failure mode was a secondary endpoint. Results There was a significant difference between all three groups concerning the maximum load. Group 1 (sutures) supported a maximum load of 64 ± 15 N, group 2 (non-absorbable tacks) yielded 41 ± 10 N and group 3 (absorbable tacks) achieved 15 ± 8 N. The most common failure mode was a mesh failure for group 1 and 2 and a fixation device failure for group 3. Conclusion The PVDF-tape fixation with sutures supports 1.5 times the load that is supported by non-absorbable tacks and 4.2 times the load that is supported by absorbable tacks. Nevertheless, there was also a stable fixation through tacks. Sutures are the significantly stronger and cheaper fixation device but may prolong the surgical time in contrast to the use of tacks.

Published
2022

8. The single-incision laparoscopic surgery technique has questionable advantages in colorectal surgery

Author

Schneider Bernd, Brockhaus Anne Catharina, Gelos Marcos, and Rudroff Claudia

Subjects
colorectal surgery, laparoscopic surgery, minimally invasive surgery, postoperative course, single-incision laparoscopic surgery, Surgery, RD1-811
Abstract

Laparoscopic procedures have increasingly been accepted as standard in surgical treatment of benign and malignant entities, resulting in a continuous evolution of operative techniques. Since one of the aims in laparoscopic colorectal surgery is to reduce access trauma, one possible way is to further reduce the surgical site by the single-incision laparoscopic surgery technique (SLS). One of the main criticisms concerning the use of SLS is its questionable benefit combined with its technical demands for the surgeon. These questions were addressed by comparing SLS versus conventional laparoscopic multitrocar surgery (LMS) in benign and malignant conditions with respect to technical operative parameters and early postoperative outcome of the patients.

Published
2018
Full Text
View/download PDF

9. Early Safety and Efficiency Outcomes of a Novel Standardized Interdisciplinary Procedure of Combined Laparoscopic Resection Rectopexy with Laparoscopic Sacrocolpopexy to Treat Obstructive Defecation Syndrome in Women with Pelvic Organ Prolapse

Author

Ludwig, Sebastian, primary, Madukkakuzhy, Joshy, additional, Hernandez, Alberto Vega, additional, Otten, Jakob, additional, Ulrici, Christoph, additional, Karapanos, Leonidas, additional, and Rudroff, Claudia, additional

Published
2022
Full Text
View/download PDF

10. AbsorbaTack

Author

Ludwig, Sebastian, Jansen, Alina, Thangarajah, Fabinshy, Ratiu, Dominik, Sauerwald, Axel, Hachenberg, Jens, Wegmann, Kilian, Rudroff, Claudia, Karapanos, Leonidas, Radosa, Julia, Trageser, Nadja, and Eichler, Christian

Abstract

Treatment of pelvic organ prolapse (POP) often requires the use of synthetic mesh. In case of a novel and standardized bilateral apical fixation, both uterosacral ligaments are replaced by polyvinylidene-fluoride (PVDF) tapes. One of the main problems remains the fixation method, which should be stable, but also simple and quick to use. The current study evaluated biomechanical differences between the cervical tape fixation with sutures (group 1), non-absorbable tacks (group 2) and absorbable tacks (group 3) in an in vitro porcine model.A total of 28 trials, conducted in three groups, were performed on porcine, fresh cadaver uteri. All trials were performed until mesh, tissue or fixation device failure occurred. Primary endpoints were the biomechanical properties maximum load (N), displacement at failure (mm) and stiffness (N/mm). The failure mode was a secondary endpoint.There was a significant difference between all three groups concerning the maximum load. Group 1 (sutures) supported a maximum load of 64 ± 15 N, group 2 (non-absorbable tacks) yielded 41 ± 10 N and group 3 (absorbable tacks) achieved 15 ± 8 N. The most common failure mode was a mesh failure for group 1 and 2 and a fixation device failure for group 3.The PVDF-tape fixation with sutures supports 1.5 times the load that is supported by non-absorbable tacks and 4.2 times the load that is supported by absorbable tacks. Nevertheless, there was also a stable fixation through tacks. Sutures are the significantly stronger and cheaper fixation device but may prolong the surgical time in contrast to the use of tacks.

Published
2022

11. pre- and post-MAGIC-era

Author

Rudroff, Claudia Lieselotte, Alakus, Hakan, Universitätsklinikum Köln. Klinik Und Poliklinik Für Allgemein-, Viszeral- Und Tumorchirurgie, and Pamuk, Aylin

Subjects
Medizin und Gesundheit
Published
2022
Full Text
View/download PDF

13. Tacks vs. sutures: a biomechanical analysis of sacral bony fixation methods for laparoscopic apical fixations in the porcine model

Author

Jansen, Alina Katharina, primary, Ludwig, Sebastian, additional, Malter, Wolfram, additional, Sauerwald, Axel, additional, Hachenberg, Jens, additional, Pahmeyer, Caroline, additional, Wegmann, Kilian, additional, Rudroff, Claudia, additional, Karapanos, Leonidas, additional, Radosa, Julia, additional, Trageser, Nadja, additional, and Eichler, Christian, additional

Published
2021
Full Text
View/download PDF

14. Ghost Ileostomy: Safe and Cost-effective Alternative to Ileostomy After Rectal Resection for Deep Infiltrating Endometriosis.

Author

VEGA HERNÁNDEZ, ALBERTO, OTTEN, JAKOB, CHRIST, HILDEGARD, ULRICI, CHRISTOPH, PIRIYEV, ELVIN, LUDWIG, SEBASTIAN, and RUDROFF, CLAUDIA

Subjects
ILEOSTOMY, ENDOMETRIOSIS, PATIENT satisfaction, PATIENTS' attitudes, CLINICAL trials
Abstract

Background/Aim: Endometriosis infiltrating the rectum often requires resection with a protecting stoma. A ghost ileostomy (GI) is an alternative to prevent the psychological burden for the young women affected. The present study evaluated the safety and cost-effectiveness of the ghost ileostomy (GI) procedure in a group of patients after rectal resection for deep infiltrating endometriosis. Patients and Methods: The prospective controlled interventional trial was conducted in 54 consecutive patients with deep infiltrating endometriosis of the rectum. GI was considered after ultra-low resection with primary anastomosis, previous colorectal anastomosis, or pelvic redo surgery. Loop ileostomy (LI) was performed after simultaneous colpotomy with suture, only. Operating time, morbidity according to the Clavien-Dindo classification (CDC), duration of hospital stay, and patient satisfaction were obtained. Individual costs were estimated for the endometriosis procedure with or without a GI or LI, including stoma supply and closure expenses. Results: Of the 54 patients, 27 received GI (50%), whereas 4 underwent LI (7%). The remaining 23 patients received no outlet (NO). The complication rate did not differ among the GI, LI, and NO groups. Two cases were re-operated and required a diverting stoma, one in the GI and the NO group each. The additional healthcare expenses for each patient receiving a LI averaged 6,000 €. The patients were very satisfied with the option of a GI. Conclusion: GI is a costeffective and safe alternative to LI after rectal resection for deep infiltrating endometriosis in cases where it is required. The individual costs per patient were reduced substantially, with a cumulative savings of 160,000 € in healthcare expenditure. Additionally, the method clearly lowers the psychological burden on the young women concerned. [ABSTRACT FROM AUTHOR]

Published
2022
Full Text
View/download PDF

25. One year ago not business as usual: Wound management, infection and psychoemotional control during tertiary medical care following the 2004 Tsunami disaster in southeast Asia

Author

Maegele, Marc, Gregor, Sven, Yuecel, Nedim, Simanski, Christian, Paffrath, Thomas, Rixen, Dieter, Heiss, Markus, Rudroff, Claudia, Saad, Stefan, Perbix, Walter, Wappler, Frank, Harzheim, Andreas, Schwarz, Rosemarie, and Bouillon, Bertil

Abstract

Introduction Following the 2004 tsunami disaster in southeast Asia severely injured tourists were repatriated via airlift to Germany. One cohort was triaged to the Cologne-Merheim Medical Center (Germany) for further medical care. We report on the tertiary medical care provided to this cohort of patients.Methods This study is an observational report on complex wound management, infection and psychoemotional control associated with the 2004 Tsunami disaster. The setting was an adult intensive care unit (ICU) of a level I trauma center and subjects included severely injured tsunami victims repatriated from the disaster area (19 to 68 years old; 10 females and 7 males with unknown co-morbidities).Results Multiple large flap lacerations (2 × 3 to 60 × 60 cm) at various body sites were characteristic. Lower extremities were mostly affected (88%), followed by upper extremities (29%), and head (18%). Two-thirds of patients presented with combined injuries to the thorax or fractures. Near-drowning involved the aspiration of immersion fluids, marine and soil debris into the respiratory tract and all patients displayed signs of pneumonitis and pneumonia upon arrival. Three patients presented with severe sinusitis. Microbiology identified a variety of common but also uncommon isolates that were often multi-resistant. Wound management included aggressive debridement together with vacuum-assisted closure in the interim between initial wound surgery and secondary closure. All patients received empiric anti-infective therapy using quinolones and clindamycin, later adapted to incoming results from microbiology and resistance patterns. This approach was effective in all but one patient who died due to severe fungal sepsis. All patients displayed severe signs of post-traumatic stress response.Conclusion Individuals evacuated to our facility sustained traumatic injuries to head, chest, and limbs that were often contaminated with highly resistant bacteria. Transferred patients from disaster areas should be isolated until their microbial flora is identified as they may introduce new pathogens into an ICU. Successful wound management, including aggressive debridement combined with vacuum-assisted closure was effective. Initial anti-infective therapy using quinolones combined with clindamycin was a good first-line choice. Psychoemotional intervention alleviated severe post-traumatic stress response. For optimum treatment and care a multidisciplinary approach is mandatory.

Published
2006

Catalog

Books, media, physical & digital resources
See catalog results