Navigation überspringen
Universitätsbibliothek Heidelberg
Status: Bibliographieeintrag

Verfügbarkeit
Standort: ---
Exemplare: ---
heiBIB
 Online-Ressource
Verfasst von:Kalev, Georgi [VerfasserIn]   i
 Schuler, Ramona [VerfasserIn]   i
 Langer, Andreas [VerfasserIn]   i
 Goos, Matthias [VerfasserIn]   i
 Konschake, Marko [VerfasserIn]   i
 Schiedeck, Thomas [VerfasserIn]   i
 Marquardt, Christoph [VerfasserIn]   i
Titel:Intraoperative pelvic neuromonitoring based on bioimpedance signals
Titelzusatz:a new method analyzed on 30 patients
Verf.angabe:Georgi Kalev, Ramona Schuler, Andreas Langer, Matthias Goos, Marko Konschake, Thomas Schiedeck, Christoph Marquardt
E-Jahr:2024
Jahr:03 August 2024
Umfang:9 S.
Fussnoten:Gesehen am 25.02.2025
Titel Quelle:Enthalten in: Langenbeck's archives of surgery
Ort Quelle:Berlin : Springer, 1948
Jahr Quelle:2024
Band/Heft Quelle:409(2024), Artikel-ID 237, Seite 1-9
ISSN Quelle:1435-2451
Abstract:Purpose Increasing importance has been attributed in recent years to the preservation of the pelvic autonomic nerves during rectal resection to achieve better functional results. In addition to improved surgical techniques, intraoperative neuromonitoring may be useful. Methods This single-arm prospective study included 30 patients who underwent rectal resection performed with intraoperative neuromonitoring by recording the change in the tissue impedance of the urinary bladder and rectum after stimulation of the pelvic autonomic nerves. The International Prostate Symptom Score, the post-void residual urine volume and the Low Anterior Resection Syndrome Score (LARS score) were assessed during the 12-month follow-up period. Results A stimulation-induced change in tissue impedance was observed in 28/30 patients (93.3%). In the presence of risk factors such as low anastomosis, neoadjuvant radiotherapy and a deviation stoma, an average increase of the LARS score by 9 points was observed 12 months after surgery (p = 0,04). The function of the urinary bladder remained unaffected in the first week (p = 0,7) as well as 12 months after the procedure (p = 0,93). Conclusion The clinical feasibility of the new method for pelvic intraoperative neuromonitoring could be verified. The benefits of intraoperative pelvic neuromonitoring were particularly evident in difficult intraoperative situations with challenging visualization of the pelvic nerves.
DOI:doi:10.1007/s00423-024-03403-y
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.1007/s00423-024-03403-y
 kostenfrei: Volltext: http://link.springer.com/article/10.1007/s00423-024-03403-y
 DOI: https://doi.org/10.1007/s00423-024-03403-y
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1918448035
Verknüpfungen:→ Zeitschrift

Permanenter Link auf diesen Titel (bookmarkfähig):  https://katalog.ub.uni-heidelberg.de/titel/69308258   QR-Code
zum Seitenanfang