Nieuwe defibrillator heeft leads onder het borstbeen
Traditionele ICD’s Een defibrillator vermindert sudden arrhythmic death (SUD; plotselinge hartdood) bij patiënten met een risico op aritmieën. Bij de traditionele ICD’s kunnen de lead of leads transveneus of subcutaan  worden geplaatst. Aan de transveneuze ICD (T-ICD) implantatie zitten bepaalde risico’s vast, zoals vasculaire verwondingen en obstructies. Transveneuze leads zijn ook onderhevig aan mechanisch falen […]

Aanbevolen

Heup
Heupairbags verlagen incidentie heup- en bekkenfracturen bij ouderen
Naar schatting valt een derde van alle patiënten in de leeftijd van > 65 jaar elk jaar, en de helft daarvan valt herhaaldelijk. ‎Als men ouder w...
Lever/galblaas
Eerste volledige multi-orgaantransplantatie ter behandeling van kanker
De afgelopen tien jaar is er opvallende vooruitgang geboekt op het gebied van orgaantransplantatie. Daarom wordt een orgaantransplantatie tegenwoordig...

Chirurgie nieuws

MDL

Efficacy of a whole slide image?based prediction model for lymph node metastasis in T1 colorectal cancer: A systematic review
onlinelibrary.wiley.com
Accurate stratification of the risk of lymph node metastasis (LNM) following endoscopic resection of submucosal invasive (T1) colorectal cancer (CRC) ...
Prophylactic negative pressure wound therapy to improve wound healing rates following ileostomy closure: a randomized controlled trial
onlinelibrary.wiley.com
Reversal of ileostomy is associated with morbidity including wound infection and prolonged wound healing. Negative pressure wound therapy (NPWT) has b...
Surgical and survival outcomes of early?onset colorectal cancer patients: a single?centre descriptive Australian study
onlinelibrary.wiley.com
In this retrospective study of the postoperative outcomes and survival of 111 EOCRC patients treated at the Royal Prince Alfred Hospital in Sydney, Au...
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Oncologie

US FDA approves perioperative treatment of neoadjuvant Opdivo & chemotherapy followed by surgery and adjuvant single─agent Opdivo for resectable NSCLC
pharmabiz.com
Bristol Myers Squibb announced that the US Food and Drug Administration (FDA) approved Opdivo (nivolumab) for the treatment of adult patients with resectable (tumours =4 cm or node positive) non─small cell lung cancer
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Transplantatie

Transplant in myeloma: individualized approaches needed depending on context, access and biology
nature.com
Bone Marrow Transplantation, Published online: 06 October 2024; doi:10.1038/s41409-024-02428-7
The Outcome of Restrictive Cardiac Allograft Physiology in Severe Coronary Allograft Vasculopathy
jhltonline.org
Microvascular dysfunction after heart transplantation leads to restrictive cardiac allograft physiology (RCP), which is classified as severe coronary allograft vasculopathy (CAV); however, the prognosis of RCP remains unclear. Therefore, in this study, we aimed to elucidate the prognosis of RCP in comparison with that of severe angiographic CAV.
[Clinical Picture] Delayed immune tolerance through donor haematopoietic stem cell infusion 14 months after kidney transplantation
thelancet.com
A 28-year-old man, who received a two-haplotype matched renal transplant for end-stage renal disease secondary to IgA nephropathy, was evaluated for immunosuppression withdrawal using a novel method to develop delayed immunological tolerance. The kidney had been donated by his brother 14 months earlier. The patient had been maintained on standard triple therapy immunosuppression. A plasma donor-derived cell-free DNA test—obtained 8 months after the initial transplantation—was negative for allograft injury.
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Traumatologie

Practice Variation in Venous Thromboembolism Prophylaxis in Adolescent Trauma Patients: A Comparative Analysis of Pediatric, Adult, and Mixed Trauma Centers
Adolescent trauma patients are at increased risk of venous thromboembolism (VTE). It is unclear whether VTE prophylaxis practice patterns differ across trauma center types.
Practice Variation in Venous Thromboembolism Prophylaxis in Adolescent Trauma Patients: A Comparative Analysis of Pediatric, Adult, and Mixed Trauma Centers
Adolescent trauma patients are at increased risk of venous thromboembolism (VTE). It is unclear whether VTE prophylaxis practice patterns differ across trauma center types.
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