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A contemporary perspective on the diagnosis and treatment of diffuse gliomas in adults

Review article: Biomedical intelligence
Roth P, Hottinger AF, Hundsberger T, Läubli H, Schucht P, Reinert M, Mamot C, Roelcke U, Pesce G, Hofer S, Weller M
Swiss Med Wkly. 2020;150:w20256

The present manuscript results from two ad hoc meetings of Swiss neuro-oncologists that aimed to define current standards of clinical practice as well as challenges in the diagnosis and management of gliomas in adulthood, including specific considerations for Switzerland.

Parvimonas micra as a rare cause of spondylodiscitis – case series from a single centre

Original article
Durovic A, Eberhard N, Schären S, Widmer AF
Swiss Med Wkly. 2020;150:w20272

Parvimonas micra is a rare cause of spondylodiscitis. Nevertheless, recent dental procedures with subsequent back pain should lead to the consideration of possible anaerobic causes of spondylodiscitis. Heightened awareness of this pathogen and improvements in diagnostic methods might lead to higher detection rates.

Response of a European surgical department to the COVID-19 crisis

Viewpoint
Peloso A, Moeckli B, Oldani G, Triponez F, Toso C
Swiss Med Wkly. 2020;150:w20241

At first sight, surgery appears to be only peripherally affected by the COVID.19 pandemic. However, the surgical department plays a key role in the response to this crisis. This article aims to provide a blueprint for a general surgery department’s response to this current pandemic crisis and also future events of similar magnitude.

Systematic review of pneumothoraces after endoscopic retrograde cholangiopancreatography

Systematic review
Lehmann V, Keller W, Egger B
Swiss Med Wkly. 2020;150:w20199

Pneumothoraces after endoscopic retrograde cholangiopancreatography (ERCP) are an uncommon but potentially lethal complication. Little evidence is available on their epidemiology, diagnosis and therapy.

Practical guidelines for the treatment of patellar fractures in adults

Review article: Medical guidelines
Steinmetz S, Brügger A, Chauveau J, Chevalley F, Borens O, Thein E
Swiss Med Wkly. 2020;150:w20165

The prognosis after patellar fractures depends on the type of fracture, the force of the trauma and the number of fragments. Complications after patella fracture are not rare and potentially debilitating, and can be avoided by well-conducted treatment.

First in Switzerland: concomitant off-pump transapical transcatheter aortic valve implantation and mitral valve reconstruction with the NeoChord system

Original article
Ntinopoulos V, Tüller D, Bernheim A, Papadopoulos N, Haeussler A, Matter-Ensner S, Eberli F, Dzemali O
Swiss Med Wkly. 2019;149:w20168

Older and polymorbid patients with multivalvular heart disease exhibit high peri­operative morbidity and mortality when treated with conventional surgery. Minimally invasive concomitant procedures are, however, possible.

Secondary hyperparathyroidism: recurrence after total parathyroidectomy with autotransplantation

Original article
Steffen L, Moffa G, Müller PC, Oertli D
Swiss Med Wkly. 2019;149:w20160

If drug therapy for secondary hyperparathyroidism (sHPTH) fails, total parathyroidectomy with autotransplantation of parathyroid tissue into the forearm (PTX-AT) is the most widely used procedure, but high recurrence rates are reported.

Impact of staffing a surgical intermediate care unit with a critical care specialist

Original article
Paratte G, Zingg T, Addor V, Krief H, Schäfer M, Demartines N
Swiss Med Wkly. 2019;149:w20117

Intermediate care units are important in many institutions where ICUs were overbooked and occupied by some patients not requiring ICU care. Limitations are the lack of surgeons trained in critical care and demands on the time of surgical staff.

Development and validation of a multivariable risk score for prolonged length of stay in the surgical intensive care unit

Original article
Wesch C, Denhaerynck K, Barandun Schaefer U, Siegemund M, Wehrli M, Pargger H, Look S
Swiss Med Wkly. 2019;149:w20122

Chronically critical illness (CCI) is highly relevant in intensive care units (ICUs), but the definitions in literature vary greatly. The timely detection of prolonged intensive care unit length of stay could support care planning for CCI patients.

Extra-abdominal desmoid tumours – further evidence for the watchful waiting policy

Original article
Krieg AH, Wirth C, Lenze U, Kettelhack C, Coslovsky M, Baumhoer D, Klenke FM, Siebenrock KA, Exner GU, Bode-Lesniewska B, Fuchs B, Cherix S, Hefti F
Swiss Med Wkly. 2019;149:w20107

Extra-abdominal desmoid tumours are benign and rare, and lead to a persistent treatment dilemma because of their high recurrence rate and their heterogeneous behaviour.

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