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were implemented. Results: All patients survived the procedure, no major complications occurred and no blood transfusion was administered. The Cell-saver system (transfused volume: 474±101ml) and synthetic plasma substitutes (Ringer’s Lactate, 873±367ml and Voluven 700±388ml) were used routinely as well as hemostaticas such as Bone-Wax (100%) fibrin-glue Tissucol DuoS (21%) and Tabotamp Nu-Knit(29%). Mean pre-discharge Hk and Hb were 32.2±3.2% and 10.6±1.2g/dl. The decrease of Hk and Hb appeared to be the lowest after off-pump surgery when compared to all other procedures requiring cardio-pulmonary bypass (20±6% vs. 33±6%;p=0.01 and 22±9% vs. 34±6%;p=0.04). Similarly, the decrease of platelets was significantly lower after off-pump surgery (21±12% vs. 45±14%;p=0.01) and even did not drop below the normal range. Follow-up was completed for all patients with a mean time of 52±34months. Within this period, only one patient had died for a non-cardiac reason, whereas all others were alive, in good clinical condition and did not have major adverse cardiac events (MACE) or recurrent symptoms requiring redo surgery or re-intervention. Conclusion: Modern peri-operative management leads to excellent short and long-term outcomes in JW patients. Combined efforts in regard to preoperative haematological parameter optimization, senior surgical staff, effective intraoperative volume-management and modern surgical techniques make this possible but raise the cautionary note why this is only possible in JW patients. 23.3 Serious complication with sternal destruction in high risk patients after DSS implantation B. Winkler, M. Grapow, P. Matt, F. Rueter, F. Eckstein (Basel) Objective: Sternal instability after median sternotomy occurs infrequently but can be challenging to repair. DSS( sternal synthesis device), a novel fixation system provided for high risk patients as a primarily prophylactic device, was evaluated in our clinic according to clinical utilization and postoperative sternum stability. Methods: 17 high risk patients undergoing cardiac surgery with multiple known risk factors such as diabetes, COPD, osteoporosis and obesity with BMI over 35 were treated after median sternotomy by the novel DSS ( Mikai Spa, Vincenza Italy) system in addition to wires. The DSS consists of separate Titanium clips sliding into each other for length adjustment, the single vertical arms are placed in the intercostal space. Finally this system is surrounded by stainless steel wires for reapproximation. Results: 13 patients (BMI mean 30) showed an uneventful postoperative course. Unfortunately 4 Patients with extensive obesity (BMI mean 34) presented with a complete traumatic rupture of the sternal bone at the level of the costal cartilage insertions after coughing. Extensive reconstruction required the use of a transverse plate refixation system in 3 patients and a musculocutaneous flap in one patient. Hospitalisation time was significantly prolonged in this cohort (p24hours (12.0% vs. 7.5%;p
of the remaining 40 patients with attempted tvAR the operation was completed transvaginally. There were 4 conversions to a conventional laparoscopic operation and 2 conversions to open surgery due to damage to the anastomosis of Riolan during the extraction of the mobilized colon through the vagina in 5 (12.5%) patients. The overall conversion rate to open surgery was 4.4% (2/45). Two major complications (one anastomotic leackage, one cardial decompensation) and 10 minor complications occurred. There was no serious postoperative gynaecological morbidity. Six weeks postoperatively, overall life quality improved (p
Page 1 and 2: Abstracts 97. Jahreskongress der Sc
Page 3 and 4: Der Jahreskongress der Chirurgische
Page 5 and 6: Abstracts Session Topic Page 02 Vis
Page 7 and 8: Visceral Surgery - Cholecystitis &
Page 9 and 10: performed were recorded. Descriptiv
Page 11 and 12: avec délai dans le diagnostic, ang
Page 13 and 14: group (conventional: n=13, RS=1.8 +
Page 15 and 16: time-efficient all-in-one 3D visual
Page 17 and 18: (CHI=54 [6.49%]; SWI=27[4.98%]) wer
Page 19 and 20: Conclusion: Both procedures markedl
Page 21: 22.7 Transplantation of kidneys fro
Page 25 and 26: and 6/2009 and were prospectively f
Page 27 and 28: Conclusion: In our patient cohort,
Page 29 and 30: plantation. With the introduction o
Page 31 and 32: Results: SLN negative patients were
Page 33 and 34: Conclusion: This is the first study
Page 35 and 36: were grouped into four age groups a
Page 37 and 38: gain up to the 20 th procedure (Fig
Page 39 and 40: ��
Page 41 and 42: normal angiogenesis induced by cell
Page 43 and 44: 52.4 Sham-feeding of patients with
Page 45 and 46: Methods: Erfasst wurden Aggressions
Page 47 and 48: Conclusion: Pharmacological inhibit
Page 49 and 50: 54.19 Gene chip analysis of A20 exp
Page 51 and 52: 55.10 Optimized intrapleural cispla
Page 53 and 54: 62.7 Posttraumatic symptomatic cyst
Page 55 and 56: Conclusion: Only patients older 75
Page 57 and 58: no sign of occlusion. No further th
Page 59 and 60: packing as part of damage control s
Page 61 and 62: sonalführung und werden auch in de
Page 63 and 64: Figure 3 Figure 2 Figure 4 71.2 Tec
Page 65 and 66: formed 5 months later, again with a
Page 67 and 68: 99.16 3-D endo-stomal ultrasound (
Page 69 and 70: tional recanalization. Conclusion:
Page 71 and 72: 99.37 Extended Clavien-Dindo classi
Page 73 and 74:
ial colitis was excluded by stool c
Page 75 and 76:
99.55 Complexes de von Meyenburg(ha
Page 77 and 78:
99.64 Traumatic abdominal wall hern
Page 79 and 80:
99.75 Isolated dorso-medial disloca
Page 81 and 82:
FRAGMIN ® DER ERFAHRENE WEGGEFÄHR
Page 83 and 84:
Kalbermatten Daniel, PD Dr., CHUV C
Page 85 and 86:
Meyer Antoine, Dr., Hôpital canton
Page 87 and 88:
Covidien Switzerland Limited multip
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