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Hamza A, Warczok C, Meyberg-Solomayer G, Takacs Z, Juhasz-Boess I, Solomayer EF, Radosa MP, Radosa CG, Stotz L, Findeklee S, Radosa JC. Correction to: Teaching undergraduate students gynecological and obstetrical examination skills: the patient’s opinion. Arch Gynecol Obstet 2021; 306:577. [PMID: 34783895 PMCID: PMC9349084 DOI: 10.1007/s00404-021-06324-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Affiliation(s)
- Amr Hamza
- Department of Obstetrics and Gynecology, Homburg University Medical Centre, 66421, Homburg, Germany.
| | - C Warczok
- Department of Obstetrics and Gynecology, Homburg University Medical Centre, 66421, Homburg, Germany
| | - G Meyberg-Solomayer
- Department of Obstetrics and Gynecology, Homburg University Medical Centre, 66421, Homburg, Germany
| | - Z Takacs
- Department of Obstetrics and Gynecology, Homburg University Medical Centre, 66421, Homburg, Germany
| | - I Juhasz-Boess
- Department of Obstetrics and Gynecology, Homburg University Medical Centre, 66421, Homburg, Germany
| | - E-F Solomayer
- Department of Obstetrics and Gynecology, Homburg University Medical Centre, 66421, Homburg, Germany
| | - M P Radosa
- Department of Radiology, Dresden University Hospital, Fetscherstraße 74, 01307, Dresden, Germany
| | - C G Radosa
- Department for Gynecology, Diaconia Clinic Kassel, Kassel, Hessen, Germany
| | - L Stotz
- Department of Obstetrics and Gynecology, Homburg University Medical Centre, 66421, Homburg, Germany
| | - S Findeklee
- Department of Obstetrics and Gynecology, Homburg University Medical Centre, 66421, Homburg, Germany
| | - J C Radosa
- Department of Obstetrics and Gynecology, Homburg University Medical Centre, 66421, Homburg, Germany
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Mothes AR, Mothes HK, Kather A, Altendorf-Hofmann A, Radosa MP, Radosa JC, Runnebaum IB. Inverse correlation between urethral length and continence before and after native tissue pelvic floor reconstruction. Sci Rep 2021; 11:22011. [PMID: 34759288 PMCID: PMC8580999 DOI: 10.1038/s41598-021-01565-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Accepted: 10/22/2021] [Indexed: 01/10/2023] Open
Abstract
Urethral length was evaluated retrospectively in patients with prolapse undergoing anterior native-tissue repair. Effects of age, prolapse stage, defect pattern, urodynamic and clinical stress test findings, and tension-free vaginal tape (TVT) surgery indication were analyzed using Mann-Whitney and Wilcoxon tests and linear and logistic regression. Of 394 patients, 61% had stage II/III and 39% had stage IV prolapse; 90% of defects were central (10% were lateral). Median pre- and postoperative urethral lengths were 14 and 22 mm (p < 0.01). Preoperative urethral length was greater with lateral defects [p < 0.01, B 6.38, 95% confidence interval (CI) 4.67-8.08] and increased stress incontinence risk (p < 0.01, odds ratio 1.07, 95% CI 1.03-1.12). Postoperative urethral length depended on prolapse stage (p < 0.01, B 1.61, 95% CI 0.85-2.38) and defect type (p = 0.02, B - 1.42, 95% CI - 2.65 to - 0.2). Postoperatively, TVT surgery was indicated in 5.1% of patients (median 9 months), who had longer urethras than those without this indication (p = 0.043). Native-tissue prolapse repair including Kelly plication increased urethral length, reflecting re-urethralization, particularly with central defects. The functional impact of urethral length in the context of connective tissue aging should be examined further.
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Affiliation(s)
- A R Mothes
- Women's University Hospital of Jena, Department of Gynaecology and Reproductive Medicine, Jena University Hospital, Friedrich-Schiller-University Jena, Am Klinikum 1, 07747, Jena, Germany
- Department of Gynaecology, St. Georg Hospital Eisenach, Academic Teaching Hospital of University of Jena, Eisenach, Germany
| | - H K Mothes
- Department of General, Visceral and Vascular Surgery, Jena University Hospital, Jena, Germany
- Department of Abdominal and Vascular Surgery, Sophien and Hufeland Hospital Weimar, Academic Teaching Hospital of University of Jena, Weimar, Germany
| | - A Kather
- Women's University Hospital of Jena, Department of Gynaecology and Reproductive Medicine, Jena University Hospital, Friedrich-Schiller-University Jena, Am Klinikum 1, 07747, Jena, Germany
| | - A Altendorf-Hofmann
- Department of General, Visceral and Vascular Surgery, Jena University Hospital, Jena, Germany
| | - M P Radosa
- Women's University Hospital of Jena, Department of Gynaecology and Reproductive Medicine, Jena University Hospital, Friedrich-Schiller-University Jena, Am Klinikum 1, 07747, Jena, Germany
- Department of Gynaecology and Obstetrics, Hospital Bremen North, Bremen, Germany
| | - J C Radosa
- Department of Obstetrics & Gynaecology, Saarland University Hospital, Homburg/Saar, Germany
| | - I B Runnebaum
- Women's University Hospital of Jena, Department of Gynaecology and Reproductive Medicine, Jena University Hospital, Friedrich-Schiller-University Jena, Am Klinikum 1, 07747, Jena, Germany.
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Zimmermann JSM, Radosa JC, Radosa MP, Sklavounos P, Schweitzer PA, Solomayer EF. Survey of current practices and opinions of German Society of Gynecologic Endoscopy members regarding the treatment of ovarian neoplasia by robotic surgery. Arch Gynecol Obstet 2020; 303:1305-1313. [PMID: 33201376 PMCID: PMC8286217 DOI: 10.1007/s00404-020-05876-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Accepted: 11/03/2020] [Indexed: 11/25/2022]
Abstract
PURPOSE As data on this topic are sparse and contradictory, we aimed to ascertain the opinions of the members of the German Society of Gynecologic Endoscopy (AGE) regarding the use of robotic surgery in the treatment of ovarian malignancies. METHODS In 2015, an anonymous questionnaire was sent to AGE members to assess their views on the treatment of ovarian malignancies by robotic surgery according to T stage and the current treatment practices in their facilities. RESULTS Of the 228 respondents, 132 (58%) were fellows or attending physicians and 156 (68%) worked at university hospitals or tertiary referral centers. Most [n = 218 (96%)] respondents reported treating < 10% of their patients using robotic surgery. Respondents felt that T1 and borderline ovarian tumors, but not T2 (51%) or T3/4 (76%) tumors, should and could be treated by robot surgery. 162 (71%) respondents considered the currently available data on this subject to be insufficient, and 42% indicated their willingness to participate in clinical studies on the applicability of robotic surgery to the treatment of T1/2 ovarian tumors. CONCLUSION The majority of AGE members surveyed considered robotic surgery to be an option for the treatment of T1 ovarian malignancies and borderline ovarian tumors. However, prospective randomized studies are needed to determine the relevance of robotic surgery in this context.
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Affiliation(s)
- J S M Zimmermann
- Department of Gynecology and Obstetrics, Saarland University Hospital, Kirrbergerstraße 100, 66421, Homburg, Saar, Germany.
| | - J C Radosa
- Department of Gynecology and Obstetrics, Saarland University Hospital, Kirrbergerstraße 100, 66421, Homburg, Saar, Germany
| | - M P Radosa
- Department of Gynecology and Obstetrics, Klinikum Bremen Nord, Bremen, Germany
| | - P Sklavounos
- Department of Gynecology and Obstetrics, Saarland University Hospital, Kirrbergerstraße 100, 66421, Homburg, Saar, Germany
| | - P A Schweitzer
- Department of Gynecology and Obstetrics, Saarland University Hospital, Kirrbergerstraße 100, 66421, Homburg, Saar, Germany
| | - E F Solomayer
- Department of Gynecology and Obstetrics, Saarland University Hospital, Kirrbergerstraße 100, 66421, Homburg, Saar, Germany
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Radosa JC, Kasoha M, Doerk M, Zimmermann JS, Stotz L, Linxweiler B, Linxweiler M, Bochen F, Bohle RM, Wagner M, Radosa MP, Wagenpfeil G, Solomayer EF, Takacs Z. Die Rolle des 3q26 Onkogens SEC62 als prädiktiver Marker für das Ansprechen auf eine neoadjuvante Chemotherapie bei Patientinnen mit primärem Mammakarzinom. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1717841] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- JC Radosa
- Universitätsklinikum des Saarlandes, Klinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin
| | - M Kasoha
- Universitätsklinikum des Saarlandes, Klinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin
| | - M Doerk
- Universitätsklinikum des Saarlandes, Klinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin
| | - JS Zimmermann
- Universitätsklinikum des Saarlandes, Klinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin
| | - L Stotz
- Universitätsklinikum des Saarlandes, Klinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin
| | - B Linxweiler
- Universitätsklinikum des Saarlandes, Klinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin
| | - M Linxweiler
- Universitätsklinikum des Saarlandes, Klinik für Hals-, Nasen- und Ohrenheilkunde
| | - F Bochen
- Universitätsklinikum des Saarlandes, Klinik für Hals-, Nasen- und Ohrenheilkunde
| | - RM Bohle
- Universitätsklinikum des Saarlandes, Allgemeine und Spezielle Pathologie
| | - M Wagner
- Universitätsklinikum des Saarlandes, Allgemeine und Spezielle Pathologie
| | - MP Radosa
- Universitätsklinikum Leipzig, Klinik und Poliklinik für Frauenheilkunde
| | - G Wagenpfeil
- Universitätsklinikum des Saarlandes, Institut für Medizinische Biometrie, Epidemiologie und Medizinische Informatik
| | - EF Solomayer
- Universitätsklinikum des Saarlandes, Klinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin
| | - Z Takacs
- Universitätsklinikum des Saarlandes, Klinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin
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Zimmermann JSM, Deeken M, Stotz L, Huwer S, Müller C, Weinmann R, Kaya A, Radosa CG, Radosa MP, Karsten MM, Wagenpfeil S, Solomayer EF, Radosa JC. Kann die präoperative axilläre Sonografie das operative Staging ersetzen: Genauigkeit des axillären sonografischen Stagings im Hinblick auf die Z0011 Kriterien bei 2108 Patientinnen mit primärem Mammakarzinom. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1717882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- JSM Zimmermann
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes
| | - M Deeken
- Knappschaftsklinikum Saar, Frauenklinik Püttlingen
| | - L Stotz
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitäsklinikum des Saarlandes
| | - S Huwer
- Frauenklinik des Universitätsklinikums Freiburg
| | - C Müller
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitäsklinikum des Saarlandes
| | - R Weinmann
- Knappschaftsklinikum Saar, Frauenklinik Püttlingen
| | - A Kaya
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitäsklinikum des Saarlandes
| | - CG Radosa
- Institut und Poliklinik für diagnostische und interventionelle Radiologie des Universitätsklinikums Dresden
| | - MP Radosa
- Klinik und Poliklinik für Frauenheilkunde des Universitätsklinikums Leipzig
| | - MM Karsten
- Charité Universitätsmedizin Berlin, Klinik für Gynäkologie mit Brustzentrum
| | - S Wagenpfeil
- Institut für Medizinische Biometrie, Epidemiologie und Medizinische Informatik der Medizinischen Fakultät der Universität des Saarlandes
| | - EF Solomayer
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitäsklinikum des Saarlandes
| | - JC Radosa
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitäsklinikum des Saarlandes
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Zimmermann JSM, Deeken M, Stotz L, Huwer S, Müller C, Kaya A, Weinmann R, Radosa MP, Radosa CG, Karsten MM, Wagenpfeil S, Solomayer EF, Radosa JC. Kann die präoperative axilläre Sonografie das operative Staging ersetzen: Genauigkeit des axillären sonografischen Stagings im Hinblick auf die Z0011 Kriterien bei 2108 Patientinnen mit primärem Mammakarzinom. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1714647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/22/2023] Open
Affiliation(s)
- JSM Zimmermann
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin des Universitätsklinkums des Saarlandes
| | - M Deeken
- Knappschaftsklinikum Saar, Frauenklinik
| | - L Stotz
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin des Universitätsklinkums des Saarlandes
| | - S Huwer
- Klinik für Frauenheilkunde, Universitätsklinikum Freiburg
| | - C Müller
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin des Universitätsklinkums des Saarlandes
| | - A Kaya
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin des Universitätsklinkums des Saarlandes
| | | | - MP Radosa
- Klinik und Poliklinik für Frauenheilkunde, Universitätsklinikum Leipzig
| | - CG Radosa
- Institut und Poliklinik für diagnostische und interventionelle Radiologie, Universitätsklinikum Carl Gustav Carus Dresden
| | - MM Karsten
- Charité Universitätsmedizin Berlin, Klinik für Gynäkologie mit Brustzentrum
| | - S Wagenpfeil
- IMBEI der medizinischen Fakultät der Universität des Saarlandes
| | - EF Solomayer
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin des Universitätsklinikums des Saarlandes
| | - JC Radosa
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin des Universitätsklinikums des Saarlandes
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Hamza A, Warczok C, Meyberg-Solomayer G, Takacs Z, Juhasz-Boess I, Solomayer EF, Radosa MP, Radosa CG, Stotz L, Findeklee S, Radosa JC. Teaching undergraduate students gynecological and obstetrical examination skills: the patient's opinion. Arch Gynecol Obstet 2020; 302:431-438. [PMID: 32488397 PMCID: PMC8595149 DOI: 10.1007/s00404-020-05615-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2019] [Accepted: 05/20/2020] [Indexed: 12/02/2022]
Abstract
Introduction Our study assesses the patients’ opinion about gynecological examination performed by undergraduate students (UgSts). This assessment will be used in improving our undergraduate training program. A positive opinion would mean a lower chance of a patient refusing to be examined by a tutor or student, taking into account vaginal examination (VE). Materials and methods We performed a prospective cross-sectional survey on 1194 patients, consisting of outpatient and inpatient at the departments of obstetrics and gynecology from November 2015 to May 2016. The questionnaire consisted of 46 questions. Besides demographic data, we assessed the mindset of patients regarding the involvement of undergraduate student (UgSt) in gynecological and obstetrical examinations. We used SPSS version 23 for the statistical analysis. For reporting the data, we followed the STROBE statement of reporting observational studies. Results The median age was 38 years having a median of one child. 34% presented due to obstetrical problems, 38% due to gynecological complaints, and 19% due to known gynecological malignancies. Generally, we retrieved a positive opinion of patients towards the involvement of students in gynecological and obstetrical examination under supervision in 2/3 of the cases. Conclusions There is no reason to exclude medical UgSts from gynecological and obstetrical examinations after obtaining a written or oral consent.
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Affiliation(s)
- Amr Hamza
- Department of Obstetrics and Gynecology, Homburg University Medical Centre, 66421, Homburg, Germany.
| | - C Warczok
- Department of Obstetrics and Gynecology, Homburg University Medical Centre, 66421, Homburg, Germany
| | - G Meyberg-Solomayer
- Department of Obstetrics and Gynecology, Homburg University Medical Centre, 66421, Homburg, Germany
| | - Z Takacs
- Department of Obstetrics and Gynecology, Homburg University Medical Centre, 66421, Homburg, Germany
| | - I Juhasz-Boess
- Department of Obstetrics and Gynecology, Homburg University Medical Centre, 66421, Homburg, Germany
| | - E-F Solomayer
- Department of Obstetrics and Gynecology, Homburg University Medical Centre, 66421, Homburg, Germany
| | - M P Radosa
- Department of Radiology, Dresden University Hospital, Fetscherstraße 74, 01307, Dresden, Germany
| | - C G Radosa
- Department for Gynecology, Diaconia Clinic Kassel, Kassel, Hessen, Germany
| | - L Stotz
- Department of Obstetrics and Gynecology, Homburg University Medical Centre, 66421, Homburg, Germany
| | - S Findeklee
- Department of Obstetrics and Gynecology, Homburg University Medical Centre, 66421, Homburg, Germany
| | - J C Radosa
- Department of Obstetrics and Gynecology, Homburg University Medical Centre, 66421, Homburg, Germany
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Radosa JC, Radosa MP, Schweitzer PA, Radosa CG, Stotz L, Hamza A, Takacs Z, Lepper PM, Wagenpfeil S, Linxweiler M, Morinello E, Solomayer EF. Impact of different intraoperative CO 2 pressure levels (8 and 15 mmHg) during laparoscopic hysterectomy performed due to benign uterine pathologies on postoperative pain and arterial pCO 2 : a prospective randomised controlled clinical trial. BJOG 2019; 126:1276-1285. [PMID: 31136069 DOI: 10.1111/1471-0528.15826] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/21/2019] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To compare the effects of two different intraoperative CO2 pressures (8 and 15 mmHg) during laparoscopic hysterectomy for benign uterine pathologies in terms of postoperative abdominal and shoulder pain, laparoscopy-mediated vegetative alterations, pain medication requirement, arterial CO2 pressure (pCO2 ), surgical parameters, and safety. DESIGN Prospective randomised controlled study. SETTING German university hospital. POPULATION Female patients undergoing laparoscopic hysterectomy for benign uterine pathologies. METHODS Patients were randomised to a standard pressure (SP; 15 mmHg, control) or low-pressure (LP; 8 mmHg, experimental) group. MAIN OUTCOME MEASURES Primary outcomes were postoperative abdominal and shoulder pain intensities, measured via numeric rating scale (NRS) and vegetative parameters (fatigue, nausea, vomiting, bloating) at 3, 24, and 48 hours postoperatively. Secondary outcomes were pain medication requirement (mg) and arterial pCO2 (mmHg). Surgical parameters and intra- and postoperative complications were also recorded. RESULTS In total, 178 patients were included. Patients in the LP group (n = 91) showed significantly lower postoperative abdominal and shoulder pain scores, fewer vegetative alterations, lower pain medication requirements, a shorter postoperative hospitalization, and lower intra- and postoperative arterial pCO2 values compared with the SP group (n = 87; P ≤ 0.01). No differences in intra- and postoperative complications were observed between groups. CONCLUSIONS Low-pressure laparoscopy seems to be an effective and safe technique for the reduction of postoperative pain and laparoscopy-induced metabolic and vegetative alterations following laparoscopic hysterectomy for benign indications. TWEETABLE ABSTRACT Low-pressure laparoscopy seems to be an effective and safe technique for reduction of pain following laparoscopic hysterectomy.
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Affiliation(s)
- J C Radosa
- Department of Obstetrics and Gynaecology, Saarland University Hospital, Homburg/Saar, Germany
| | - M P Radosa
- Department of Gynaecology, University Hospital of Leipzig, Leipzig, Germany
| | - P A Schweitzer
- Department of Obstetrics and Gynaecology, Saarland University Hospital, Homburg/Saar, Germany
| | - C G Radosa
- Department of Radiology, Dresden University Hospital, Dresden, Germany
| | - L Stotz
- Department of Obstetrics and Gynaecology, Saarland University Hospital, Homburg/Saar, Germany
| | - A Hamza
- Department of Obstetrics and Gynaecology, Saarland University Hospital, Homburg/Saar, Germany
| | - Z Takacs
- Department of Obstetrics and Gynaecology, Saarland University Hospital, Homburg/Saar, Germany
| | - P M Lepper
- Department of Internal Medicine, Pneumology, Allergology and Critical Care Medicine, Saarland University Hospital, Homburg/Saar, Germany
| | - S Wagenpfeil
- Institute of Medical Biometry, Epidemiology& Medical Informatics, Saarland University Hospital, Homburg/Saar, Germany
| | - M Linxweiler
- Department of Otorhinolaryngology and Head and Neck Surgery, Saarland University Hospital, Homburg/Saar, Germany
| | - E Morinello
- Department of Anaesthesiology, Saarland University Hospital, Homburg/Saar, Germany
| | - E-F Solomayer
- Department of Obstetrics and Gynaecology, Saarland University Hospital, Homburg/Saar, Germany
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Radosa JC, Mertke P, Gerlinger C, Brucker SY, Taran FA, Kommoss S, Ulrich U, Hackethal A, Deeken M, Radosa MP, Solomayer EF. Upstaging nach primär laparoskopischem Staging bei akzidentell entdeckten frühen Ovarialkarzinomen und Borderline Tumoren des Ovars: Eine retrospektive multizentrische Beobachtungsstudie. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- JC Radosa
- Universität des Saarlandes, Frauenklinik, Homburg Saar, Deutschland
| | - P Mertke
- Universität des Saarlandes, Frauenklinik, Homburg Saar, Deutschland
| | - C Gerlinger
- Universität des Saarlandes, Frauenklinik, Homburg Saar, Deutschland
| | - SY Brucker
- Universitätsfrauenklinik Tübingen, Tübingen, Deutschland
| | - FA Taran
- Universitätsfrauenklinik Tübingen, Tübingen, Deutschland
| | - S Kommoss
- Universitätsfrauenklinik Tübingen, Tübingen, Deutschland
| | - U Ulrich
- Martin-Luther-Krankenhaus, Gynäkologie, Berlin, Deutschland
| | - A Hackethal
- Tagesklinik Altonaer Strasse, Hamburg, Deutschland
| | - M Deeken
- Knappschaftsklinikum Püttlingen, Frauenheilkunde, Püttlingen, Deutschland
| | - MP Radosa
- Diakonie Klinik Kassel, Gynäkologie, Kassel, Deutschland
| | - EF Solomayer
- Universität des Saarlandes, Frauenklinik, Homburg Saar, Deutschland
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Derihaci R, Younes S, Reith B, Radosa M. Case report: HIPEC (Hyperthermie Intraperitoneale Chemoperfusion) mit Doxirubicin als adjuvante systemische Therapie nach stattgehabtem Uterussarkom-Morcellment. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- R Derihaci
- Agaplesion Diakonie Kliniken Kassel, Gynäkologie und Geburtshilfe, Kassel, Deutschland
| | - S Younes
- Agaplesion Diakonie Kliniken Kassel, Gynäkologie und Geburtshilfe, Kassel, Deutschland
| | - B Reith
- Agaplesion Diakonie Kliniken Kassel, Gynäkologie und Geburtshilfe, Kassel, Deutschland
| | - M Radosa
- Agaplesion Diakonie Kliniken Kassel, Gynäkologie und Geburtshilfe, Kassel, Deutschland
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Radosa JC, Kaya A, Radosa MP, Gerlinger C, Stotz L, Hamza A, Sklavounos P, Zoltan T, Juhasz-Böss I, Solomayer EF. Korrelation zwischen Body-Mass-Index und dem Auftreten intra- und postoperativer Komplikationen im Rahmen laparoskopischer Eingriffe: eine monozentrische retrospektive Beobachtungsstudie an einem Kollektiv von 3500 Patientinnen. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- JC Radosa
- Universitätsklinikum des Saarlandes, Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
| | - A Kaya
- Universitätsklinikum des Saarlandes, Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
| | - MP Radosa
- Diakonie Klinik Kassel, Gynäkologie, Kassel, Deutschland
| | - C Gerlinger
- Universitätsklinikum des Saarlandes, Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
| | - L Stotz
- Universitätsklinikum des Saarlandes, Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
| | - A Hamza
- Universitätsklinikum des Saarlandes, Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
| | - P Sklavounos
- Universitätsklinikum des Saarlandes, Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
| | - T Zoltan
- Universitätsklinikum des Saarlandes, Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
| | - I Juhasz-Böss
- Universitätsklinikum des Saarlandes, Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
| | - EF Solomayer
- Universitätsklinikum des Saarlandes, Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
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Radosa J, Radosa MP, Hamza A, Zoltan T, Solomayer EF, King T, Morrow M. Risikofaktoren für das triple negative Mammakarzinom im Vergleich zu anderen Mammakarzinomsubtypen: Ergebnisse einer monozentrischen Kohortenstudie. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- J Radosa
- Universität des Saarlandes, Frauenklinik, Homburg Saar, Deutschland
| | - MP Radosa
- Diakonie Klinik Kassel, Gynäkologie, Kassel, Deutschland
| | - A Hamza
- Universität des Saarlandes, Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Homburg Saar, Deutschland
| | - T Zoltan
- Diakonie Klinik Kassel, Gynäkologie, Kassel, Deutschland
| | - EF Solomayer
- Universität des Saarlandes, Frauenklinik, Homburg Saar, Deutschland
| | - T King
- Memorial Sloan Kettering Cancer Center, Breast Surgery Department, New York, Vereinigte Staaten von Amerika
| | - M Morrow
- Memorial Sloan Kettering Cancer Center, Breast Surgery Department, New York, Vereinigte Staaten von Amerika
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Stotz L, Heesen A, Hamza A, Juhasz-Böss I, Gerlinger C, Radosa MP, Solomayer EF. Implementierung und Validierung eines postoperativen Schmerzprotokolls für laparoskopische Eingriffe. Geburtshilfe Frauenheilkd 2017. [DOI: 10.1055/s-0037-1606161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Affiliation(s)
- L Stotz
- Universitätsklinikum des Saarlandes, Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin
| | - A Heesen
- Universitätsklinikum des Saarlandes, Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin
| | - A Hamza
- Universitätsklinikum des Saarlandes, Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin
| | - I Juhasz-Böss
- Universitätsklinikum des Saarlandes, Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin
| | - C Gerlinger
- Universitätsklinikum des Saarlandes, Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin
| | - MP Radosa
- Abteilung für Gynäkologie, Diakonie Krankenhaus Kassel, Kassel
| | - EF Solomayer
- Universitätsklinikum des Saarlandes, Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin
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Braun EM, Wieczorek A, Stotz L, Hamza A, Solomayer EH, Radosa CG, Radosa MP, Radosa JC. Nahtdehiszenz nach totaler laparoskopischer Hysterektomie – Inzidenz und Risikofaktoren. Geburtshilfe Frauenheilkd 2017. [DOI: 10.1055/s-0037-1606163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Affiliation(s)
- EM Braun
- Klinik für Frauenheilkunde, Geburtsmedizin und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
| | - A Wieczorek
- Klinik für Frauenheilkunde, Geburtsmedizin und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
| | - L Stotz
- Klinik für Frauenheilkunde, Geburtsmedizin und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
| | - A Hamza
- Klinik für Frauenheilkunde, Geburtsmedizin und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
| | - EH Solomayer
- Klinik für Frauenheilkunde, Geburtsmedizin und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
| | - CG Radosa
- Institut und Poliklinik für diagnostische Radiologie, Carl-Gustav-Carus Universität Dresden, Dresden
| | - MP Radosa
- Abteilung für Gynäkologie, Diakonissen Krankenhaus, Kliniken Kassel
| | - JC Radosa
- Klinik für Frauenheilkunde, Geburtsmedizin und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
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Radosa JC, Schweitzer PA, Radosa MP, Juhasz-Böss I, Rimbach S, Solomayer EF. AGE (Arbeitsgemeinschaft für gynäkologische Endoskopie) – Umfrage zur laparoskopischen/Roboter-assistierten chirurgischen Therapie maligner Ovarialtumore. Geburtshilfe Frauenheilkd 2017. [DOI: 10.1055/s-0037-1606165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Affiliation(s)
- JC Radosa
- Klinik für Frauenheilkunde, Geburtsmedizin und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
| | - PA Schweitzer
- Klinik für Frauenheilkunde, Geburtsmedizin und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
| | - MP Radosa
- Abteilung für Gynäkologie, Diakonissen Krankenhaus, Kliniken Kassel
| | - I Juhasz-Böss
- Klinik für Frauenheilkunde, Geburtsmedizin und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
| | - S Rimbach
- Abteilung für Gynäkologie, Krankenhaus Agatharied, Hausham
| | - EF Solomayer
- Klinik für Frauenheilkunde, Geburtsmedizin und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
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Radosa JC, Schweitzer PA, Stotz L, Hamza A, Juhasz-Böss I, Lepper P, Solomayer EF, Radosa CG, Radosa MP. Prospektive randomisierte Studie zum Vergleich des Einflusses zweier verschiedener intraoperativer CO2-Maximalwerte (10 und 15 mm Hg) während laparoskopischer Hysterektomie aufgrund benigner uteriner Pathologien. Geburtshilfe Frauenheilkd 2017. [DOI: 10.1055/s-0037-1606164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Affiliation(s)
- JC Radosa
- Klinik für Frauenheilkunde, Geburtsmedizin und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
| | - PA Schweitzer
- Klinik für Frauenheilkunde, Geburtsmedizin und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
| | - L Stotz
- Klinik für Frauenheilkunde, Geburtsmedizin und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
| | - A Hamza
- Klinik für Frauenheilkunde, Geburtsmedizin und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
| | - I Juhasz-Böss
- Klinik für Frauenheilkunde, Geburtsmedizin und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
| | - P Lepper
- Klinik für Pneumologie, Allergologie, Beatmungs- und Umweltmedizin, Universitätsklinikum des Saarlandes, Homburg
| | - EF Solomayer
- Klinik für Frauenheilkunde, Geburtsmedizin und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
| | - CG Radosa
- Institut und Poliklinik für diagnostische Radiologie, Carl-Gustav-Carus Universität Dresden
| | - MP Radosa
- Abteilung für Gynäkologie, Diakonissen Krankenhaus, Kliniken Kassel
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Mothes A, Mothes H, Fröber R, Radosa M, Runnebaum I. Systematische Klassifikation der Elongatio cervicis uteri bei Patientinnen mit Descensus genitalis. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Radosa JC, Schweitzer PA, Stotz L, Hamza A, Papaioannou C, Schmidt G, Sklavounos P, Juhasz-Böss I, Lepper P, Solomayer EF, Radosa MP. Prospektive randomisierte Studie zum Vergleich des Einflusses zweier verschiedener intraoperativer CO2-Maximalwerte (10 und 15 mm Hg) während laparoskopischer Hysterektomie aufgrund benigner uteriner Pathologie. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Radosa JC, Schweitzer PA, Radosa MP, Juhasz-Böss I, Rimbach S, Solomayer EF. AGE (Arbeitsgemeinschaft für gynäkologische Endoskopie) – Umfrage zur laparoskopischen/Roboter-assistierten chirurgischen Therapie maligner Ovarialtumore. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Mothes A, Lehmann T, Kwetkat A, Radosa M, Runnebaum I. Gynäkologische Deszensus-Chirurgie bei hochaltrigen Patientinnen: Eine Fall-Kontroll-Studie zu Co-Morbidität und chirurgischen Komplikationen. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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George F, Stotz L, Hamza A, Papaioannou C, Solomayer EF, Giebels C, Radosa MP, Radosa JC. Myxoiden Leiomyosarkom mit intravenöser Ausdehnung über die Vena cava bis zum rechten Vorhof – ein Case Report und Literaturrecherche. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Bushuven E, Wieczorek A, Stotz L, Hamza A, Juhasz-Böss I, Papaioannou C, Solomayer EF, Radosa MP, Radosa JC. Nahtdehiszenz nach totaler laparoskopischer Hysterektomie – Inzidenz und Risikofaktoren. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Stotz L, Schweitzer PA, Hamza A, Joukhadar R, Juhasz-Böss I, Solomayer EF, Radosa MP, Radosa JC. Implementierung und Validierung eines postoperativen Schmerzprotokolls für laparoskopische Eingriffe. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Mothes AR, Lehmann T, Kwetkat A, Radosa MP, Runnebaum IB. Gynaecological Prolapse Surgery in Very Old Female Patients: A Case-Control Study on Co-Morbidity and Surgical Complications. Geburtshilfe Frauenheilkd 2016; 76:869-874. [PMID: 27582580 DOI: 10.1055/s-0042-109868] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
BACKGROUND The aim of this study is to compare very elderly female patients with a younger control group after prolapse surgery with regard to co-morbidity and complications. METHOD In a case-control design, the consecutive data of patients after prolapse surgery at the age of over 80 years and those of a control group were analysed by means of the Clavien-Dindo (CD) classification of surgical complications, the Charlson Comorbidity Index and the Cumulative Illness Rating Scale Geriatrics (CIRS-G). Statistics: Student's t, Fisher's exact and Mann-Whitney U tests. RESULTS The analysis comprised n = 57 vs. n = 60 operations. In the very elderly patients there was often a grade IV prolapse (p < 0.001), apical fixations were more frequent (p < 0.001), but the operating times were not different. In the very elderly patients 21 % CD II+III complications were observed, in the control group 6.6 % (p = 0.031). No CD IV and V complications occurred in either group, the duration of inpatient stay amounted to 5 (± 1) vs. 4.1 (± 0.8; p < 0.001) days, the very elderly patients needed an inpatient follow-up more frequently (p < 0.001). The co-morbidities of the very elderly patients differed from those of the control group in number (median 2.0 vs. 1.5; p < 0.001), in CIRS-G (4.1 ± 2.2 vs. 2.4 ± 1.7; p < 0.01) and in Charlson Index (1.6 ± 1.6 vs. 0.5 ± 0.7; p < 0.001). CONCLUSIONS A prolapse in very elderly women can be safely managed by surgery. In no case did the complications require intensive care treatment nor were they life-threatening, but they did lead to a longer duration of hospital stay and more frequently to further treatment geriatric or inpatient internal medicine facilities.
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Affiliation(s)
- A R Mothes
- Universitätsfrauenklinik, Friedrich-Schiller-Universität, Jena
| | - T Lehmann
- Institut für Medizinische Statistik, Informatik und Dokumentation, Friedrich-Schiller-Universität, Jena
| | - A Kwetkat
- Klinik für Geriatrie, Universitätsklinikum, Friedrich-Schiller-Universität, Jena
| | - M P Radosa
- Universitätsfrauenklinik, Friedrich-Schiller-Universität, Jena
| | - I B Runnebaum
- Universitätsfrauenklinik, Friedrich-Schiller-Universität, Jena
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Radosa JC, Radosa CG, Kastl C, Mavrova R, Gabriel L, Gräber S, Wagenpfeil G, Baum S, Hamza A, Joukhadar R, Juhasz-Böss I, Heimes AS, Meyberg-Solomayer G, Solomayer EF, Radosa MP. Influence of the Preoperative Decision-Making Process on the Postoperative Outcome after Hysterectomy for Benign Uterine Pathologies. Geburtshilfe Frauenheilkd 2016; 76:383-389. [PMID: 27134293 DOI: 10.1055/s-0041-110396] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
Introduction: The aim of this study was to assess whether the preoperative decision-making process might influence treatment success in premenopausal women undergoing hysterectomy for benign uterine pathologies Materials and Methods: All premenopausal women treated with hysterectomy for benign uterine pathologies between April 2011 and June 2013 at a tertiary university center were enrolled in this prospective observational cohort study. Five parameters of the preoperative decision-making process were assessed upon their correlation with postoperative quality of life, sexual function and patients' satisfaction. These outcome measures were assessed for the pre- and postoperative (six months after surgery) status using two validated questionnaires (EQ-5D and "female sexual function index" (FSFI). Patients' satisfaction with the postoperative outcome was assessed with a self-developed questionnaire. Results: 255 of 402 (63 %) patients completed the study. A correlation between the co-variables "interval between first counseling and decision to surgery", "subjectively perceived quality of the preoperative counseling" and "certainty in the decision for the intervention" and postoperative outcomes were found. The co-variables "person mainly responsible for election of hysterectomy mode" and "discussion of decision for surgery with others" showed no influence on postoperative patients-reported outcomes. Conclusion: We found a correlation between certain parameters of the preoperative decision-making process and postoperative patient-reported sexual function, quality of life and patients' satisfaction in premenopausal women undergoing hysterectomy for benign uterine pathologies. An optimization of these factors could contribute to an improvement in treatment outcomes.
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Affiliation(s)
- J C Radosa
- Universitätsfrauenklinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum Homburg, Homburg
| | - C G Radosa
- Institut und Poliklinik für radiologische Diagnostik, Universitätsklinikum Carl Gustav Carus Dresden, Dresden
| | - C Kastl
- Universitätsfrauenklinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum Homburg, Homburg
| | - R Mavrova
- Universitätsfrauenklinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum Homburg, Homburg
| | - L Gabriel
- Universitätsfrauenklinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum Homburg, Homburg
| | - S Gräber
- Fachrichtung Medizinische Biometrie, Epidemiologie und Medizinische Informatik, Universität des Saarlandes, Campus Homburg/Saar, Homburg/Saar
| | - G Wagenpfeil
- Fachrichtung Medizinische Biometrie, Epidemiologie und Medizinische Informatik, Universität des Saarlandes, Campus Homburg/Saar, Homburg/Saar
| | - S Baum
- Universitätsfrauenklinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum Homburg, Homburg
| | - A Hamza
- Universitätsfrauenklinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum Homburg, Homburg
| | - R Joukhadar
- Universitätsfrauenklinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum Homburg, Homburg
| | - I Juhasz-Böss
- Universitätsfrauenklinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum Homburg, Homburg
| | - A-S Heimes
- Klinik für Geburtshilfe und Frauenkrankheiten, Johannes Gutenberg Universität, Mainz
| | - G Meyberg-Solomayer
- Universitätsfrauenklinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum Homburg, Homburg
| | - E-F Solomayer
- Universitätsfrauenklinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum Homburg, Homburg
| | - M P Radosa
- Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Jena, Jena
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Radosa JC, Eaton A, Stempel M, Khander A, Liedtke C, Solomayer EF, Radosa MP, Gunthner-Biller M, Morrow M, King T. Untersuchung der Abhängigkeit des Alters bei Diagnosestellung auf Lokalrezidiv- und Fernmetastasierraten triple negativer Mammakarzinome. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0035-1570054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Jiménez Cruz J, Meißner W, Radosa MP, Runnebaum IB. Ist minimal-invasiv gleich minimal schmerzhaft? Schmerz-Ranking gynäkologischer Operationen und Evaluation von Risikofaktoren. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1551622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Mothes AR, Köhler A, Radosa MP, Runnebaum IB. Vaginalruptur mit Evisceration 7 Monate nach vorderer vaginaler Netzeinlage bei Rezidiv-Descensus vaginae – Ein Fallbericht. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1551626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Vorwergk J, Radosa MP, Nicolaus K, Baus N, Cruz JJ, Rensgberger M, Gajda M, Diebolder H. Evaluation des klinischen Nutzens der „elektiven" Salpingektomie bei der laparoskopisch assistierten vaginalen Hysterektomie. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Cruz JJ, Meissner W, Radosa MP, Runnebaum IB. Ist minimal-invasiv gleich minimal schmerzhaft? Schmerz-Ranking gynäkologischer Operationen. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Mothes AR, Radosa MP, Runnebaum IB. Adopting Clavien – Dindo classification of surgical complications in 438 cases of vaginal native tissue repair for pelvic organ prolapse. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388299] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Radosa J, Radosa MP, Kastl C, Baum S, Joukhadar R, Hamza A, Juhasz-Böss I, Solomayer EF. Influence of laparoscopic myomectomy on patients' postoperative sexual function and quality of life. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Mothes AR, Radosa MP, Runnebaum IB. Nekrotisierende Fasziitis nach TVT. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Radosa MP, Meyberg-Solomayer G, Radosa J, Vorwergk J, Nicolaus K, Baum S, Juhasz-Böss I, Petri E, Solomayer E, Runnebaum IB. Standardisierte Erhebung chirurgischer Komplikationsraten bei laparoskopisch-gynäkologischen Therapieverfahren unter Anwendung der Clavien-Dindo Klassifikation. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Radosa MP, Owsianowski Z, Mothes A, Weisheit A, Vorwergk J, Bernardi T, Camara O, Runnebaum IB. Langzeitrezidivrisiko nach laparoskopischer Myomektomie. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Radosa MP, Meyberg-Solomayer G, Radosa J, Vorwergk J, Oettler K, Mothes A, Baum S, Juhasz-Boess I, Petri E, Solomayer EF, Runnebaum IB. Standardised Registration of Surgical Complications in Laparoscopic-Gynaecological Therapeutic Procedures Using the Clavien-Dindo Classification. Geburtshilfe Frauenheilkd 2014; 74:752-758. [PMID: 25221343 DOI: 10.1055/s-0034-1382925] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2014] [Revised: 06/18/2014] [Accepted: 06/30/2014] [Indexed: 10/24/2022] Open
Abstract
Introduction: The registration of complications represents an important component in the evaluation of surgical therapeutic procedures. The aim of the present study was to examine the frequency of occurrence as well as the severity of surgical complications after laparoscopic-gynaecological operations in a standardised manner using the Clavien-Dindo system. Material and Methods: Altogether 7438 treatment courses after laparoscopic-gynaecological interventions by 9 working groups were evaluated. Covariates recorded were the technical complexity of the operation, type of study cohort, study size, data acquisition as well as study centre. Target variables recorded were the surgical morbidity rate, subdivided into mild (Clavien-Dindo grade I-II) and severe complications (Clavien-Dindo grade III-V). In addition, a binary logistic regression analysis for the mentioned covariates and the occurrence of surgical complication was carried out. Results: 946 complications were recorded (overall complication rate: 13 %). These included 664 mild complications (8.9 %) and 305 severe complications (4.1 %). A correlation was found between the covariates technical complexity (relative risk [rR] 1.37; p < 0.01), study size (rR: 0.35; p < 0.01) and study centre (rR 0.19; p < 0.01) and the occurrence of surgical complications. Conclusion: By means of a standardised registration of complications using the Clavien-Dindo classification it appears to be possible to limit the methodologically caused underestimation of surgical morbidity in the retrospective evaluation of gynaecological-endoscopic therapeutic procedures. Factors decisively influencing the surgical morbidity of gynaecological-laparoscopic therapeutic procedures are the respective operative experience of the treating facility as well as the technical complexity of the intervention.
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Affiliation(s)
- M P Radosa
- Department of Gynecology and Obstetrics, Jena University Hospital, Jena
| | - G Meyberg-Solomayer
- Department of Obstetrics and Gynecology, University of Saarland, Homburg/Saar
| | - J Radosa
- Department of Obstetrics and Gynecology, University of Saarland, Homburg/Saar
| | - J Vorwergk
- Department of Gynecology and Obstetrics, Jena University Hospital, Jena
| | - K Oettler
- Department of Gynecology and Obstetrics, Jena University Hospital, Jena
| | - A Mothes
- Department of Gynecology and Obstetrics, Jena University Hospital, Jena
| | - S Baum
- Department of Obstetrics and Gynecology, University of Saarland, Homburg/Saar
| | - I Juhasz-Boess
- Department of Obstetrics and Gynecology, University of Saarland, Homburg/Saar
| | - E Petri
- Department of Obstetrics and Gynecology, University Greifswald, Greifswald
| | - E F Solomayer
- Department of Obstetrics and Gynecology, University of Saarland, Homburg/Saar
| | - I B Runnebaum
- Department of Gynecology and Obstetrics, Jena University Hospital, Jena
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Radosa MP, Vorwergk J, Fitzgerald J, Kaehler C, Schneider U, Camara O, Runnebaum IB, Schleußner E. Sonographic discrimination between benign and malignant adnexal masses in premenopause. Ultraschall Med 2014; 35:339-344. [PMID: 23775448 DOI: 10.1055/s-0033-1335728] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
PURPOSE The aim of this study was to assess the diagnostic value of sonographic pattern recognition by experts, a standardized morphological scoring system, the risk malignancy index (RMI) and CA 125 assay for the preoperative assessment of ovarian lesions in premenopausal patients. MATERIAL AND METHODS Diagnostic work-up of 1320 patients who underwent surgical exploration due to an adnexal mass at a tertiary referral center were included. We assessed the discriminative value of pattern recognition, a sonographic morphological scoring system, RMI and CA 125 by calculating sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and Cohen's kappa for each diagnostic approach while using histopathology as the reference standard. RESULTS Pattern recognition showed the highest discriminative power with an observed kappa of 0.53. Sensitivity and specificity yielded 0.76 and 0.97 respectively. Combining pattern recognition with CA 125 serum measurement in the context of a triage system diminished the diagnostic value (kappa: 0.24; sensitivity: 0.29 specificity: 0.97). For the RMI we observed a sensitivity of 0.54 and a specificity of 0.96 and estimated kappa value yielded 0.37. Omitting the CA 125 assay and using a morphological sonographic assessment system increased the kappa value to 0.45 with sensitivity and specificity observed at 0.61 and 0.97 respectively. CONCLUSION Expert pattern recognition was found to be the method with the highest discriminative power in assessing an adnexal mass during premenopause. Additional assessment of serum CA 125 diminished the diagnostic accuracy. Standardized morphological sonographic assessment resulted in a moderate diagnostic accuracy. Supplementing the morphological sonographic assessment with CA 125 by using the RMI algorithm did not improve the diagnostic value.
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Affiliation(s)
- M P Radosa
- Gynecology and Obstetrics, Jena Universtiy Hospital, Jena
| | - J Vorwergk
- Gynecology and Obstetrics, Jena Universtiy Hospital, Jena
| | - J Fitzgerald
- Gynecology and Obstetrics, Jena Universtiy Hospital, Jena
| | - C Kaehler
- Praxis Prof. Dr. Kaehler, Praenatologische Schwerpunktpraxis Erfurt
| | - U Schneider
- Gynecology and Obstetrics, Jena Universtiy Hospital, Jena
| | - O Camara
- Gynecology and Obstetrics, Jena Universtiy Hospital, Jena
| | - I B Runnebaum
- Gynecology and Obstetrics, Jena Universtiy Hospital, Jena
| | - E Schleußner
- Abteilung Geburtshilfe, Universitätsfrauenklinik, Jena
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Radosa MP, Owsianowski Z, Mothes A, Weisheit A, Vorwergk J, Asskaryar FA, Camara O, Bernardi TS, Runnebaum IB. Long-term risk of fibroid recurrence after laparoscopic myomectomy. Eur J Obstet Gynecol Reprod Biol 2014; 180:35-9. [PMID: 25016181 DOI: 10.1016/j.ejogrb.2014.05.029] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2013] [Revised: 02/09/2014] [Accepted: 05/23/2014] [Indexed: 10/25/2022]
Abstract
OBJECTIVE The use of laparoscopic myomectomy as a surgical treatment for uterine leiomyoma is associated with low intraoperative morbidity and short hospitalization. Limited data about the long-term outcome of this surgical approach are available. The aims of this study were to estimate the risk of uterine fibroid recurrence after laparoscopic myomectomy and to identify factors contributing to the rate of fibroid relapse. STUDY DESIGN Between 1996 and 2003, 331 patients underwent laparoscopic myomectomy to treat uterine leiomyoma in our hospital; 224 of these patients consented to participate in our 2009 follow-up survey. Clinical symptomatic uterine leiomyoma recurrence was defined as relapse. Recurrence rates at 24 and 60 months post-operatively were calculated for the study population. Fisher's exact tests were used to examine the impacts of factors previously linked to an increased risk of fibroid recurrence, including (1) patient age at the time of initial surgery, (2) pre-operative body mass index, (3) number and localization of uterine leiomyoma removed, and (4) pregnancy and (5) delivery after laparoscopic myomectomy on fibroid recurrence in our study cohort. RESULTS We observed 75 recurrences in 224 patients. The cumulative risk of recurrence was 4.9% at 24 months and 21.4% at 60 months post-operatively. An age of 30-40 years and the presence of more than one fibroid at the time of initial laparoscopic myomectomy were identified as factors significantly increasing the risk of symptomatic recurrence after laparoscopic myomectomy (31.25% and 38.71%, respectively; both p<0.01). CONCLUSION Patients with multiple uterine leiomyoma and those in the third decade of life should be counselled thoroughly about the risk of recurrence prior to laparoscopic myomectomy. The low observed recurrence rate in peri- and postmenopausal patients in our study may support the use of laparoscopic myomectomy as a uterus-preserving surgical alternative beyond the reproductive period.
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Affiliation(s)
- M P Radosa
- Department of Gynaecology and Obstetrics, Jena University Hospital, Friedrich-Schiller-University Jena, Bachstraße 18, 07743 Jena, Germany
| | - Z Owsianowski
- Department of Gynaecology and Obstetrics, Jena University Hospital, Friedrich-Schiller-University Jena, Bachstraße 18, 07743 Jena, Germany
| | - A Mothes
- Department of Gynaecology and Obstetrics, Jena University Hospital, Friedrich-Schiller-University Jena, Bachstraße 18, 07743 Jena, Germany
| | - A Weisheit
- Department of Gynaecology and Obstetrics, Jena University Hospital, Friedrich-Schiller-University Jena, Bachstraße 18, 07743 Jena, Germany
| | - J Vorwergk
- Department of Gynaecology and Obstetrics, Jena University Hospital, Friedrich-Schiller-University Jena, Bachstraße 18, 07743 Jena, Germany
| | - F A Asskaryar
- Department of Gynaecology and Obstetrics, Jena University Hospital, Friedrich-Schiller-University Jena, Bachstraße 18, 07743 Jena, Germany
| | - O Camara
- Department of Gynaecology and Obstetrics, Jena University Hospital, Friedrich-Schiller-University Jena, Bachstraße 18, 07743 Jena, Germany
| | - T S Bernardi
- Department of Gynaecology and Obstetrics, Jena University Hospital, Friedrich-Schiller-University Jena, Bachstraße 18, 07743 Jena, Germany
| | - I B Runnebaum
- Department of Gynaecology and Obstetrics, Jena University Hospital, Friedrich-Schiller-University Jena, Bachstraße 18, 07743 Jena, Germany.
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Radosa MP, Mothes A, Weisheit A, Runnebaum IB. Langzeitrezidivrisiko nach laparoskopischer Myomektomie. Geburtshilfe Frauenheilkd 2013. [DOI: 10.1055/s-0033-1343525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Radosa MP, Diebolder H, Camara O, Mothes A, Anschuetz J, Runnebaum IB. Laparoscopic lymphocele fenestration in gynaecological cancer patients after retroperitoneal lymph node dissection as a first-line treatment option. BJOG 2013; 120:628-36. [DOI: 10.1111/1471-0528.12103] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/27/2012] [Indexed: 11/28/2022]
Affiliation(s)
- MP Radosa
- Department of Gynaecology and Obstetrics; Jena University Hospital; Germany
| | - H Diebolder
- Department of Gynaecology and Obstetrics; Jena University Hospital; Germany
| | - O Camara
- Department of Gynaecology and Obstetrics; Jena University Hospital; Germany
| | - A Mothes
- Department of Gynaecology and Obstetrics; Jena University Hospital; Germany
| | - J Anschuetz
- Department of Gynaecology and Obstetrics; Jena University Hospital; Germany
| | - IB Runnebaum
- Department of Gynaecology and Obstetrics; Jena University Hospital; Germany
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