Publicaties

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Spontaneous delayed brain herniation through a subdural membrane after tumor surgery Universiteit Gent

Annelies Van Dycke, Jean-Pierre Kalala Okito, Marjan Acou, Karel Deblaere, Dimitri Hemelsoet, Dirk Van Roost
Background and Importance: We report on a rare case of spontaneous cerebral herniation through a subdural membrane in a 54-year-old patient. Brain herniation in adults as a complication of chronic subdural hematomas shortly after a neurosurgical intervention is rare. We are the first to report a case of delayed local herniation in an adult patient more than 1 year after a neurosurgical procedure.Clinical Presentation: The patient suffered from a ...

Accuracy and patient-centered outcome variables in guided implant surgery. An RCT comparing immediate with delayed loading KU Leuven

Ignace Naert, Reinhilde Jacobs, Wim Teughels, Marc Quirynen
AIM: To assess the accuracy and patient-centered outcome of a novel guided surgery system for placing implants in an edentulous maxilla. MATERIAL AND METHODS: Fifteen consecutive patients with sufficient bone to place six implants in the maxilla were randomly assigned to the immediate loading (with delivery of the final prosthesis within 24 h) or the delayed loading treatment group. Accuracy was assessed by matching the planning CT with a ...

Surgery for Crohn's disease in the era of biologicals: A reduced need or delayed verdict? KU Leuven

Albert Wolthuis, André D'Hoore
Crohn's disease (CD) is a chronic inflammatory bowel disease that can affect the entire gastrointestinal tract. Ultimately, up to 70% of all patients will need surgery, despite optimized medical therapy. Moreover, about half of the patients will need redo-surgery because of disease recurrence. The introduction of anti-tumor necrosis factor (TNF) drugs (Infliximab in 1998) revolutionized the treatment of CD. Different randomized trials assessed ...

Tissue oxygen saturation as an early indicator of delayed lactate clearance after cardiac surgery: a prospective observational study KU Leuven

Steffen Rex
BACKGROUND: In this observational study near infrared spectroscopy (NIRS) was evaluated as a non-invasive monitor of impaired tissue oxygenation (StO2) after cardiac surgery. StO2, cardiac output, mixed venous oxygen saturation and mean arterial pressure were compared with lactate clearance as established measure for sufficient tissue perfusion and oxygen metabolism. METHODS: Forty patients after cardiac surgery (24 aortocoronary bypass ...

Analysis of the effects of a delay of surgery in patients with hip fractures: outcome and causes Vrije Universiteit Brussel

Siddhartha Lieten, Annika Herrtwich, Bert Bravenboer, Thomas Scheerlinck, Johan Vanlauwe, Sven Van Laere

Summary: This study analyzed characteristics of hip fracture patients who did not undergo surgery within 24 hours after hospitalization, as recommended by the Belgian quality standards. Reasons for delay were analyzed. Delay in surgery for hip fracture was related to the medical condition of the patients. Introduction: To compare patients with optimal timing to patients with a delay in hip surgery, with respect to outcome (complications ...

Standardized algorithms for management of anastomotic leaks and related abdominal and pelvic abscesses after colorectal surgery KU Leuven

R Phitayakorn, CP Delaney, HL Reynolds, BJ Champagne, AG Heriot, P Neary, AJ Senagore, Freddy Penninckx, and the International Anastomotic Leak Study Group
BACKGROUND: The risk factors and incidence of anastomotic leak following colorectal surgery are well reported in the literature. However, the management of the multiple clinical scenarios that may be encountered has not been standardized. METHODS: The medical literature from 1973 to 2007 was reviewed using PubMed for papers relating to anastomotic leaks and abdominal abscess, with a specific emphasis on predisposing factors, prevention ...

Finite Mixture Models Based on Pain Intensity, Functional Disability and Psychological Distress Composite Assessment Allow Identification of Two Distinct Classes of Persistent Spinal Pain Syndrome after Surgery Patients Related to Their Quality of Life Vrije Universiteit Brussel

Amine Ounajim, Maxime Billot, Pierre-Yves Louis, Yousri Slaoui, Denis Frasca, Lisa Goudman, Manuel Roulaud, Nicolas Naiditch, Bertille Lorgeoux, Sandrine Baron, et al.

Persistent Spinal Pain Syndrome Type 2 (PSPS-T2), (Failed Back Surgery Syndrome), dramatically impacts on patient quality of life, as evidenced by Health-Related Quality of Life (HRQoL) assessment tools. However, the importance of functioning, pain perception and psychological status in HRQoL can substantially vary between subjects. Our goal was to extract patient profiles based on HRQoL dimensions in a sample of PSPS-T2 patients and to ...

Fear of Movement Is Related to Low Back Disability During a Two-Year Period in Patients Who Have Undergone Elective Lumbar Spine Surgery Vrije Universiteit Brussel

Mike K Kemani, Olle Hägg, Max Jakobsson, Mari Karin Elisabeth Lundberg

OBJECTIVE: To evaluate change in fear of movement and the relationship of fear of movement and pain intensity to low back disability and general health-related quality of life over a 2-year period.

METHODS: Consecutive patients scheduled for lumbar spine surgery were included. In addition to clinical background variables, back pain intensity, fear of movement, low back disability, and general health-related quality of life were assessed ...

Late life revision surgery for dilated colonic conduit in long gap oesophageal atresia KU Leuven

Paolo De Coppi
Long gap oesophageal atresia presents a surgical challenge as there is insufficient length of the oesophagus to restore continuity. Oesophageal replacement is generally achieved using a conduit, taken from the stomach, jejunum or colon. Preferences of approach vary between and within surgical centres. Specific to colonic interposition, the continued growth and dilation of the interposed segment may lead to redundancy. Revision surgery in these ...