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Systematic review of pneumothoraces after endoscopic retrograde cholangiopancreatography
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
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
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
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
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
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
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.
Late correction of tetralogy of Fallot in children
Early repair of tetralogy of Fallot has many advantages, but patients in developing countries usually do not receive timely repair interventions.
Cell therapies for skin regeneration: an overview of 40 years of experience in burn units
Switzerland had one of the highest rates of cell transplantation in Europe in 2009. Cell therapies are particularly common for skin regeneration, especially at the University Hospital of Lausanne, one of two national centres specialised in burn care.
Management of brainstem haemorrhages
Primary brainstem haemorrhages remain associated with poor outcomes compared to other forms of spontaneous intracranial haemorrhage. Their management needs re-evaluation and reinvestigation to update the relevant data.
