2006 - UZ Leuven

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the implant to the vault and sacrum. The operation time, peri-operativecomplication rate and performance (on a Visual Analogous Scale: 0-10) for each step were registered, analysed and compared to those ofthe surgeon experienced in performing LS (> 200 LS) referred to asteacher. In the first 30 procedures the trainee only performed step 1and 2. The trainee performed suturing and stapling (step 3) in the next20; the study is ongoing.Results: Between November 2003 and March <strong>2006</strong> 50 patients wereincluded. The dissection of the promontory by the trainee took 14.8 ±8.6 min which was no different from that of the teacher (12.4 ± 9.7min; ns). The mean time to dissect the vaginal vault was 42.4 ± 16.7min, significantly longer than that by the teacher (25 ± 18.4 min, p
esistant to degradation, but at 365d half of the implants demonstratedsigns of degradation, the other half remaining intact. We wanted tofollow up the latter process in a 2-year follow up study in the rabbitmodel.Material and methods: Four 2.5 x 2.5 cm full thickness abdominal walldefects were created in 8 New Zealand rabbits, resulting in 32 implantsites. In a random fashion the defects were primarily closed with oneeither Prolene (Ethicon), SIS or Pelvicol. At 545 and 720 days fourrabbits were sacrificed providing minimally 5 implants for eachmaterial and for each time group. The macroscopic appearance of theimplant was noted and freshly harvested explant strips (1 cm wide)were tested by tensiometry (Instron). Microscopic evaluation consistedof quantification of polymorphonuclear cells, mononuclear cells(MNC), foreign body giant cells and newly formed vessels onHematoxylin and Eosin (H&E) and Movat stained parafin sections.Results: Three of the 8 rabbits, all from the 545 group, died fromunknown reasons, before sacrifice could take place. Macroscopically80% of all Pelvicol implants remained nearly intact except that thematerial showed 3 to 4 bursts spread over the implant area and half ofthem. These implants felt hard, rigid and stiff. The remaining 20%Pelvicol implants had a moth-eaten aspect with 90% of the meshsurface remaining intact. SIS implants were macroscopically notrecognisable anymore and replaced by a connective tissue scar. Ontensiometry all biopsies were tearing at the interface with nosignificant difference in strength between the different materials. Therewere two clinical herniation sites at sacrifice, one in the SIS (545d)and Pelvicol (545d) group. Pelvicol explants showed a strong chronicinflammatory infiltrate (100 MNC/hpf), limited to the interface. Theconnective tissue deposition was parelleling the implant(encapsulation), except from rare small islands of connective tissueinvading the implant. SIS was entirely replaced by slightly organisedconnective tissue consisting of collagen, fat and muscle tissue withalmost no inflammatory cells (5MNC/hpf). Prolene explants had amilder chronic inflammatory cell infiltrate (10MNC/hpf) and fibrosiswith an intermediately dens collagen deposition.Conclusion: Pelvicol implants remain virtually intact up to two yearsafter implantation. They are encapsulated by the host but become stiffand non compliant. SIS is entirely replaced by a mix of connectivetissue.CLAES H., VAN POPPEL H.: Thoughts and views on erectiledysfunction in the 50+ population in Belgium. Eur. Urol. Suppl., <strong>2006</strong>;5(2): 102 (320).133
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CYRURGIE2006
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Heelmeesters allerhande, verenig u!
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INHOUDSOPGAVEAbdominale Heelkunde 1
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De resultaten van een grote Noord-A
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VEGF (P = 0.008) correlate with a p
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severe ulcerative ileitis and jejun
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tekens op CT en/of MRI kunnen een b
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data we propose a scoring system in
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ABDOMINALETRANSPLANTATIECHIRURGIECA
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DYCKMANS K., LERUT E., GILLARD P.,
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LERUT J., ORLANDO G., ADAM R., SABB
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histopathologic diagnostic process.
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additional stimulants that the inna
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ARTIKELS UIT HETLEUVENSE NETCREVITS
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PRUYT M., DEVRIENDT D., VANNESTE A.
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BOSHOFF D., BUDTS W., MERTENS L., E
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FLAMENG W., MEURIS B., HERIJGERS P.
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prosthetic valve endocarditis who w
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in these patients We present a case
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SERCA2a. In SKO mice, gene-targeted
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MULTIDISCIPLINAIRBORSTCENTRUMMORALE
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east implant. Only two other cases
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Object: Based on data from primate
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SISCOM hyperperfusion cluster and M
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ONCOLOGISCHEHEELKUNDEBROUNS F., SCH
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infiltrative multilobular spindle c
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multivariable Cox model adjusted fo
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We retrospectively evaluated a surg
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We performed resection arthroplasty
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earing posterior-stabilised. To do
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age and key pinch strength. The dif
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FABRY K., LAMMENS J., DELHEY P., ST
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cases. The mean Knee Society’s kn
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short-term solution for his fractur
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the foot and result in major septic
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SAEGEMAN V., LISMONT D., VERDUYCKT
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Objective: The objective of this st
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VICTOR J., BELLEMANS J.: Physiologi
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skin construct displays authentic f
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Bewertung des Spenderdefektes ergab
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HIERNER R., BERGER A.: Options and
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vascularized ulnar nerve graft and
Page 89 and 90: cranial bone and dura which cannot
Page 91 and 92: defects.Adequate debridement, early
Page 93 and 94: Patients and Methods: Between 1995
Page 95 and 96: MASSAGE P., VANDENHOF B., VRANCKX J
Page 97 and 98: Background: High pressure injuries
Page 99 and 100: VERMEULEN P., DICKENS S., VRANCKX J
Page 101 and 102: inhibitors that neutralize the impa
Page 103 and 104: internship. These components repres
Page 105 and 106: Objective: To evaluate the expressi
Page 107 and 108: patients were diagnosed with acute
Page 109 and 110: Conclusions: This study demonstrate
Page 111 and 112: progressive accumulation of FVIII a
Page 113 and 114: his name to this condition through
Page 115 and 116: gevallen, beschouwen wij de minimaa
Page 117 and 118: Table 1Reperfusion time(min)PVR(dyn
Page 119 and 120: transplantation; dehiscence (n = 25
Page 121 and 122: upon reperfusion results from a red
Page 123 and 124: VAN DE WAUWER C., VAN RAEMDONCK D.E
Page 125 and 126: Bronchiolitis obliterans syndrome (
Page 127 and 128: noodzakelijk een beter inzicht te v
Page 129 and 130: patients of 70 years and older trea
Page 131 and 132: of debate. A good pain relief can b
Page 133 and 134: VAN GESTEL L., NIJS S., BROOS P.: T
Page 135 and 136: UROLOGIEALBERSEN M., JONIAU S., VAN
Page 137 and 138: children achieve bladder and bowel
Page 139: Results: Ninety-five percent of the
Page 143 and 144: Results: Although the surgery was m
Page 145 and 146: DE RIDDER D.: Conservatieve aanpak
Page 147 and 148: pressures were measured. The effect
Page 149 and 150: GOEMAN L., JONIAU S., OYEN R., VAN
Page 151 and 152: pelvic lymph node status were not w
Page 153 and 154: literature on nephron-sparing surge
Page 155 and 156: on overall survival was studied. Su
Page 157 and 158: materials, although it was architec
Page 159 and 160: Material und Methoden: Von 13 Zentr
Page 161 and 162: a remarkable higher number of forei
Page 163 and 164: VAN CALSTEREN K., VAN MENSEL K., JO
Page 165 and 166: VANDE WALLE J.G.J., BOGAERT G.A., M
Page 167 and 168: Introduction & Objectives: Control
Page 169 and 170: VAATHEELKUNDEBLADT O., MALEUX G., H
Page 171 and 172: FOURNEAU I., SABBE T., DAENENS K.,
Page 173 and 174: computed tomography (CT) and magnet
Page 175 and 176: We report an unusual case of a uret
Page 177: during GPIb stimulation, its activa
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2006 - UZ Leuven

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