nach oben

European Journal of Plastic Surgery

Erschienen in:

01.12.2024 | Review

The role and management of mineral supplementation in plastic surgery patients: a comprehensive review

verfasst von: Navya Baranwal, Jung Ho Gong, Taylor E. Arnoff, Raman Mehrzad

Erschienen in: European Journal of Plastic Surgery | Ausgabe 1/2024

Einloggen, um Zugang zu erhalten

Abstract

Background

Mineral deficiencies can predispose patients to surgical complications and poor wound healing. Moreover, it is known that a significant number of patients are on vitamin- and mineral supplements. Given the importance of nutritional status for any patient, a plastic surgeon should be aware about the role and management minerals for their patients, and how they can affect surgical outcomes.

Methods

Literature on minerals was reviewed and summarized to include biological functions, surgical relevance, and effects of deficiency. Scientific evidence was used to collate advice to plastic surgeons regarding mineral management in the perioperative setting.

Results

Minerals play fundamental physiological roles, some of which contribute to postoperative wound healing and immune response. Screening and supplementation for specific minerals can be considered based on patient characteristics, nutritional and medical history, and history of bariatric surgery.

Conclusions

Plastic surgeons should have open discussions with patients to learn about which mineral supplements they take and whether they are at risk for deficiency. This comprehensive review discusses and provide guidance surrounding chromium, copper, iron, magnesium, selenium, and zinc in the context of plastic surgery.

Level of Evidence

Not ratable.

Nur mit Berechtigung zugänglich

Ali AAH (2023) Overview of the vital roles of macro minerals in the human body. J Trace Elem Minerals. ;4

Costa-Pinto R, Gantner D (2020) Macronutrients, minerals, vitamins and energy. Anaesth Intensive Care Med 21(3):157–161CrossRef

Knackstedt R, Oliver J, Gatherwright J (2020) Evidence-based Perioperative Nutrition recommendations: optimizing results and minimizing risks. Plast Reconstr Surg Aug 146(2):423–435. https://doi.org/10.1097/PRS.0000000000007004CrossRef

Afzal S, Quinones GA (2022) Chromium Deficiency. StatPearls

Lukaski HC, Bolonchuk WW, Siders WA, Milne DB (1996) Chromium supplementation and resistance training: effects on body composition, strength, and trace element status of men. Am J Clin Nutr Jun 63(6):954–965. https://doi.org/10.1093/ajcn/63.6.954CrossRef

Krzizek EC, Brix JM, Stöckl A, Parzer V, Ludvik B (2021) Prevalence of Micronutrient Deficiency after bariatric surgery. Obes Facts 14(2):197–204. https://doi.org/10.1159/000514847CrossRefPubMedPubMedCentral

Mechanick JI, Apovian C, Brethauer S et al (2020) Clinical practice guidelines for the Perioperative Nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures – 2019 update: Cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, the Obesity Society, American Society for Metabolic and Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists. Obes (Silver Spring) Apr 28(4):O1–O58. https://doi.org/10.1002/oby.22719CrossRef

Griffith DP, Liff DA, Ziegler TR, Esper GJ, Winton EF (2009) Acquired copper deficiency: a potentially serious and preventable complication following gastric bypass surgery. Obes (Silver Spring) Apr 17(4):827–831. https://doi.org/10.1038/oby.2008.614CrossRef

Tahir N, Ashraf A, Waqar SHB et al (2022) Copper deficiency, a rare but correctable cause of pancytopenia: a review of literature. Expert Rev Hematol Nov 15(11):999–1008. https://doi.org/10.1080/17474086.2022.2142113CrossRef

10.

Agha-Mohammadi S, Hurwitz DJ (2010) Enhanced recovery after body-contouring surgery: reducing surgical complication rates by optimizing nutrition. Aesthetic Plast Surg Oct 34(5):617–625. https://doi.org/10.1007/s00266-010-9522-xCrossRef

11.

Jaiser SR, Winston GP (2010) Copper deficiency myelopathy. J Neurol Jun 257(6):869–881. https://doi.org/10.1007/s00415-010-5511-xCrossRef

12.

Montano-Pedroso JC, Garcia EB, Omonte IR, Rocha MG, Ferreira LM (2013) Hematological variables and iron status in abdominoplasty after bariatric surgery. Obes Surg Jan 23(1):7–16. https://doi.org/10.1007/s11695-012-0720-2CrossRef

13.

Nelson JA, Fischer JP, Grover R et al (2014) The impact of anemia on microsurgical breast reconstruction complications and outcomes. Microsurgery May 34(4):261–270. https://doi.org/10.1002/micr.22202CrossRef

14.

Serati M, Cetin I, Athanasiou S (2019) Recovery after surgery: do not forget to check iron status before. Int J Womens Health 11:481–487. https://doi.org/10.2147/IJWH.S213822CrossRefPubMedPubMedCentral

15.

Shander A, Knight K, Thurer R, Adamson J, Spence R (2004) Prevalence and outcomes of anemia in surgery: a systematic review of the literature. Am J Med Apr 05(Suppl 7A):58S–69S. https://doi.org/10.1016/j.amjmed.2003.12.013CrossRef

16.

Musallam KM, Tamim HM, Richards T et al (2011) Preoperative anaemia and postoperative outcomes in non-cardiac surgery: a retrospective cohort study. Lancet. Oct 15. ;378(9800):1396 – 407. https://doi.org/10.1016/S0140-6736(11)61381-0

17.

Sequeira SB, Quinlan ND, Althoff AD, Werner BC (2021) Iron Deficiency Anemia is Associated with increased early postoperative Surgical and Medical complications following total hip arthroplasty. J Arthroplasty Mar 36(3):1023–1028. https://doi.org/10.1016/j.arth.2020.09.043CrossRef

18.

Mathew KK, Vakharia RM, Salem HS et al (2020) Is Iron Deficiency Anemia a risk factor for poorer outcomes in primary total knee arthroplasty? J Arthroplasty May 35(5):1252–1256. https://doi.org/10.1016/j.arth.2020.01.021CrossRef

19.

Hamaway S, Hadid B, Vakharia RM et al (2022) The association of iron deficiency anemia and perioperative complications following revision total knee arthroplasty. Arthroplasty Jul 27(1):34. https://doi.org/10.1186/s42836-022-00129-4CrossRef

20.

Polisetty T, Cannon D, Grewal G, Vakharia RM, Vegas A, Levy JC (2023) Iron deficiency anemia is associated with increased medical and implant-related complications and length of stay for patients undergoing total shoulder arthroplasty. J Shoulder Elb Surg May 32(5):e200–e205. https://doi.org/10.1016/j.jse.2022.11.005CrossRef

21.

Clevenger B, Richards T (2015) Pre-operative anaemia. Anaesth Jan 70 Suppl 1:20 – 8, e6-8. https://doi.org/10.1111/anae.12918

22.

Massenburg B, Sanati-Mehrizy P, Ranson W, Ingargiola M, Taub P (2017) Abstract: Anemia and Plastic Surgical outcomes. Plast Reconstr Surg Global Open 5(9):101–102CrossRef

23.

Muñoz M, Acheson AG, Auerbach M et al (2017) International consensus statement on the peri-operative management of anaemia and iron deficiency. Anaesth Feb 72(2):233–247. https://doi.org/10.1111/anae.13773CrossRef

24.

Tibi P, McClure RS, Huang J et al (2021) STS/SCA/AmSECT/SABM update to the clinical practice guidelines on patient blood management. J Cardiothorac Vasc Anesth Sep 35(9):2569–2591. https://doi.org/10.1053/j.jvca.2021.03.011CrossRef

25.

Munting KE, Klein AA (Jan 2019) Optimisation of pre-operative anaemia in patients before elective major surgery - why, who, when and how? Anaesthesia. 74(Suppl 1):49–57. https://doi.org/10.1111/anae.14466

26.

Barney J, Moosavi L, Iron (2023) StatPearls

27.

Triphaus C, Judd L, Glaser P et al (2021) Effectiveness of Preoperative Iron Supplementation in Major Surgical patients with Iron Deficiency: a prospective observational study. Ann Surg Sep 01(3):e212–e219. https://doi.org/10.1097/SLA.0000000000003643CrossRef

28.

Patel JJ, Mundi MS, Hurt RT, Wolfe B, Martindale RG (2017) Micronutrient deficiencies after bariatric surgery: an emphasis on vitamins and Trace minerals [Formula: see text]. Nutr Clin Pract Aug 32(4):471–480. https://doi.org/10.1177/0884533617712226CrossRef

29.

Wolfe BM, Kvach E, Eckel RH (2016) Treatment of obesity: weight loss and bariatric surgery. Circ Res May 27(11):1844–1855. https://doi.org/10.1161/CIRCRESAHA.116.307591CrossRef

30.

Montano-Pedroso JC, Bueno Garcia E, Alcântara Rodrigues de Moraes M, Francescato Veiga D, Masako Ferreira L (2018) Intravenous iron sucrose versus oral iron administration for the postoperative treatment of post-bariatric abdominoplasty anaemia: an open-label, randomised, superiority trial in Brazil. Lancet Haematol Jul 5(7):e310–e320. https://doi.org/10.1016/S2352-3026(18)30071-1CrossRef

31.

Vaxman F, Olender S, Lambert A, Nisand G, Grenier JF (1996) Can the wound healing process be improved by vitamin supplementation? Experimental study on humans. Eur Surg Res 28(4):306–314. https://doi.org/10.1159/000129471CrossRefPubMed

32.

Saeg F, Orazi R, Bowers GM, Janis JE (2021) Evidence-based nutritional interventions in Wound Care. Plast Reconstr Surg Jul 01(1):226–238. https://doi.org/10.1097/PRS.0000000000008061CrossRef

33.

Chen LR, Yang BS, Chang CN, Yu CM, Chen KH (2018) Additional vitamin and Mineral support for patients with severe Burns: a nationwide experience from a Catastrophic Color-Dust Explosion Event in Taiwan. Nutrients Nov 16(11). https://doi.org/10.3390/nu10111782

34.

Afzali H, Jafari Kashi AH, Momen-Heravi M et al (2019) The effects of magnesium and vitamin E co-supplementation on wound healing and metabolic status in patients with diabetic foot ulcer: a randomized, double-blind, placebo-controlled trial. Wound Repair Regen May 27(3):277–284. https://doi.org/10.1111/wrr.12701CrossRef

35.

Pastorfide GB, Gorgonio NM, Ganzon AR, Alberto RM (1989) Zinc chloride spray–magnesium hydroxide ointment dual topical regimen in the treatment of obstetric and gynecologic incisional wounds. Clin Ther 11(2):258–263PubMed

36.

Razzaghi R, Pidar F, Momen-Heravi M, Bahmani F, Akbari H, Asemi Z (2018) Magnesium supplementation and the effects on Wound Healing and Metabolic Status in patients with Diabetic Foot Ulcer: a Randomized, Double-Blind, placebo-controlled trial. Biol Trace Elem Res Feb 181(2):207–215. https://doi.org/10.1007/s12011-017-1056-5CrossRef

37.

Gragossian A, Bashir K, Bhutta B, Friede R (2022) Hypomagnesemia. StatPearls

38.

Agha-Mohammadi S, Hurwitz DJ (2008) Nutritional deficiency of post-bariatric surgery body contouring patients: what every plastic surgeon should know. Plast Reconstr Surg Aug 122(2):604–613. https://doi.org/10.1097/PRS.0b013e31817d6023CrossRef

39.

Madan AK, Orth WS, Tichansky DS, Ternovits CA (2006) Vitamin and trace mineral levels after laparoscopic gastric bypass. Obes Surg May 16(5):603–606. https://doi.org/10.1381/096089206776945057CrossRef

40.

Nessel T, Gupta V, Selenium (2023) StatPearls

41.

Selenium, Mount Sinai Health Library (2023) Accessed 11/21/2023. :text=Anticoagulants%20and%20antiplatelet%20drugs%20(blood,Heparin. https://www.mountsinai.org/health-library/supplement/selenium#:~

42.

Selenium - Uses S, Effects, More (2023) WebMD. Accessed 11/21/2023, https://www.webmd.com/vitamins/ai/ingredientmono-1003/selenium

43.

Yoshimoto N, Itoh T, Inaba Y, Ishii H, Yamamoto K (2013) Structural basis for inhibition of carboxypeptidase B by selenium-containing inhibitor: selenium coordinates to zinc in enzyme. J Med Chem Oct 10(19):7527–7535. https://doi.org/10.1021/jm400816vCrossRef

44.

Yoshimoto N, Sasaki T, Sugimoto K, Ishii H, Yamamoto K (2012) Design and characterization of a selenium-containing inhibitor of activated thrombin-activatable fibrinolysis inhibitor (TAFIa), a zinc-containing metalloprotease. J Med Chem Sep 13(17):7696–7705. https://doi.org/10.1021/jm300735tCrossRef

45.

Zbikowska HM, Wachowicz B, Krajewski T (1999) Selenium compounds inhibit the biological activity of blood platelets. Platelets 10(2–3):185–190. https://doi.org/10.1080/09537109976275CrossRefPubMed

46.

Rahm D (2005) Perioperative nutrition and nutritional supplements. Plast Surg Nurs. ;25(1):21 – 8; quiz 29–30. https://doi.org/10.1097/00006527-200501000-00004

47.

Vitagliano T, Garieri P, Lascala L et al (2023) Preparing patients for Cosmetic surgery and aesthetic procedures: ensuring an Optimal Nutritional Status for successful results. Nutrients Jan 10(2). https://doi.org/10.3390/nu15020352

48.

Agren MS, Franzén L (1990) Influence of zinc deficiency on breaking strength of 3-week-old skin incisions in the rat. Acta Chir Scand Oct 156(10):667–670

49.

Eriksson G (1986) Comparison of two occlusive bandages in the treatment of venous leg ulcers. Br J Dermatol Feb 114(2):227–230. https://doi.org/10.1111/j.1365-2133.1986.tb02801.xMathSciNetCrossRef

50.

Barcia PJ (1970) Lack of acceleration of healing with zinc sulfate. Ann Surg Dec 172(6):1048–1050. https://doi.org/10.1097/00000658-197012000-00019CrossRef

51.

Lin PH, Sermersheim M, Li H, Lee PHU, Steinberg SM, Ma J (2017) Zinc in Wound Healing Modulation. Nutrients Dec 24(1). https://doi.org/10.3390/nu10010016

52.

Rech M, To L, Tovbin A, Smoot T, Mlynarek M (2014) Heavy metal in the intensive care unit: a review of current literature on trace element supplementation in critically ill patients. Nutr Clin Pract Feb 29(1):78–89. https://doi.org/10.1177/0884533613515724CrossRef

53.

Kurmis R, Greenwood J, Aromataris E (2016) Trace element supplementation following severe burn Injury: a systematic review and Meta-analysis. J Burn Care Res 37(3):143–159. https://doi.org/10.1097/BCR.0000000000000259CrossRefPubMed

54.

Adjepong M, Agbenorku P, Brown P, Oduro I (2016) The role of antioxidant micronutrients in the rate of recovery of burn patients: a systematic review. Burns Trauma 4:18. https://doi.org/10.1186/s41038-016-0044-xCrossRefPubMedPubMedCentral

55.

Mirastschijski U, Martin A, Jorgensen LN, Sampson B, Ågren MS (2013) Zinc, copper, and selenium tissue levels and their relation to subcutaneous abscess, minor surgery, and wound healing in humans. Biol Trace Elem Res Jun 153(1–3):76–83. https://doi.org/10.1007/s12011-013-9658-zCrossRef

56.

Berger MM, Baines M, Raffoul W et al (2007) Trace element supplementation after major burns modulates antioxidant status and clinical course by way of increased tissue trace element concentrations. Am J Clin Nutr May 85(5):1293–1300. https://doi.org/10.1093/ajcn/85.5.1293CrossRef

57.

van Anholt RD, Sobotka L, Meijer EP et al (2010) Specific nutritional support accelerates pressure ulcer healing and reduces wound care intensity in non-malnourished patients. Nutr Sep 26(9):867–872. https://doi.org/10.1016/j.nut.2010.05.009CrossRef

58.

Frías Soriano L, Lage Vázquez MA, Maristany CP, Xandri Graupera JM, Wouters-Wesseling W, Wagenaar L (2004) The effectiveness of oral nutritional supplementation in the healing of pressure ulcers. J Wound Care Sep 13(8):319–322. https://doi.org/10.12968/jowc.2004.13.8.26654CrossRef

59.

Cereda E, Gini A, Pedrolli C, Vanotti A (2009) Disease-specific, versus standard, nutritional support for the treatment of pressure ulcers in institutionalized older adults: a randomized controlled trial. J Am Geriatr Soc Aug 57(8):1395–1402. https://doi.org/10.1111/j.1532-5415.2009.02351.xCrossRef

60.

Houwing RH, Rozendaal M, Wouters-Wesseling W, Beulens JW, Buskens E, Haalboom JR (2003) A randomised, double-blind assessment of the effect of nutritional supplementation on the prevention of pressure ulcers in hip-fracture patients. Clin Nutr Aug 22(4):401–405. https://doi.org/10.1016/s0261-5614(03)00039-6CrossRef

61.

Strömberg HE, Agren MS (1984) Topical zinc oxide treatment improves arterial and venous leg ulcers. Br J Dermatol Oct 111(4):461–468. https://doi.org/10.1111/j.1365-2133.1984.tb06610.xCrossRef

62.

Hallböök T, Lanner E (1972) Serum-zinc and healing of venous leg ulcers. Lancet. Oct 14. ;2(7781):780-2. https://doi.org/10.1016/s0140-6736(72)92143-5

63.

Husain SL (1969) Oral zinc sulphate in leg ulcers. Lancet May 31(7605):1069–1071. https://doi.org/10.1016/s0140-6736(69)91706-1CrossRef

64.

Odgaard KM, Anderen NB, Munk C, Wessel I, Andersen JR (2019) SUN-PO310: a Randomized Controlled Clinical Trial of pre- and postoperative supplementation with zinc, Vitamin C, arginine and multivitamin in patients operated for Head and Neck Cancer. Clin Nutr 38(1). https://doi.org/10.1016/S0261-5614(19)32940-1

65.

Pories WJ, Henzel JH, Rob CG, Strain WH (1967) Acceleration of healing with zinc sulfate. Ann Surg Mar 165(3):432–436. https://doi.org/10.1097/00000658-196703000-00015CrossRef

66.

Al-Kaisy AA, Salih Sahib A, Al-Biati HA (2006) Effect of zinc supplement in the prognosis of burn patients in Iraq. Ann Burns Fire Disasters Sep 30(3):115–122

67.

Sahib AS, Al-Jawad FH, Alkaisy AA (2010) Effect of antioxidants on the incidence of wound infection in burn patients. Ann Burns Fire Disasters Dec 31(4):199–205

68.

Momen-Heravi M, Barahimi E, Razzaghi R, Bahmani F, Gilasi HR, Asemi Z (2017) The effects of zinc supplementation on wound healing and metabolic status in patients with diabetic foot ulcer: a randomized, double-blind, placebo-controlled trial. Wound Repair Regen May 25(3):512–520. https://doi.org/10.1111/wrr.12537CrossRef

69.

Barbosa E, Faintuch J, Machado Moreira EA et al (2009) Supplementation of vitamin E, vitamin C, and zinc attenuates oxidative stress in burned children: a randomized, double-blind, placebo-controlled pilot study. J Burn Care Res 30(5):859–866. https://doi.org/10.1097/BCR.0b013e3181b487a8CrossRefPubMed

70.

Kogan S, Sood A, Garnick MS (2017) Zinc and Wound Healing: a review of Zinc Physiology and clinical applications. Wounds Apr 29(4):102–106

71.

Chasapis CT, Ntoupa PA, Spiliopoulou CA, Stefanidou ME (2020) Recent aspects of the effects of zinc on human health. Arch Toxicol May 94(5):1443–1460. https://doi.org/10.1007/s00204-020-02702-9CrossRef

72.

Wernick B, Nahirniak P, Stawicki S (2022) Impaired Wound Healing. StatPearls

73.

Wright JA, Richards T, Srai SK (2014) The role of iron in the skin and cutaneous wound healing. Front Pharmacol 5:156. https://doi.org/10.3389/fphar.2014.00156CrossRefPubMedPubMedCentral

74.

Bird JK, Murphy RA, Ciappio ED, McBurney MI (2017) Risk of Deficiency in multiple concurrent micronutrients in children and adults in the United States. Nutrients Jun 24(7). https://doi.org/10.3390/nu9070655

75.

Sivaprasad M, Shalini T, Reddy PY et al (2019) Prevalence of vitamin deficiencies in an apparently healthy urban adult population: assessed by subclinical status and dietary intakes. Nutrition 63–64:106–113. https://doi.org/10.1016/j.nut.2019.01.017CrossRefPubMed

76.

Dattola A, Silvestri M, Bennardo L et al (2020) Role of vitamins in skin health: a systematic review. Curr Nutr Rep Sep 9(3):226–235. https://doi.org/10.1007/s13668-020-00322-4CrossRef

77.

Naghshineh N, O’Brien Coon D, McTigue K, Courcoulas AP, Fernstrom M, Rubin JP (2010) Nutritional assessment of bariatric surgery patients presenting for plastic surgery: a prospective analysis. Plast Reconstr Surg Aug 126(2):602–610. https://doi.org/10.1097/PRS.0b013e3181de2473CrossRef

78.

Gletsu-Miller N, Wright BN (2013) Mineral malnutrition following bariatric surgery. Adv Nutr Sep 01(5):506–517. https://doi.org/10.3945/an.113.004341CrossRef

79.

Toninello P, Montanari A, Bassetto F, Vindigni V, Paoli A (2021) Nutritional support for bariatric surgery patients: the skin beyond the Fat. Nutrients May 06(5). https://doi.org/10.3390/nu13051565

80.

Ho JW, Wu AH, Lee MW et al (2015) Malnutrition risk predicts surgical outcomes in patients undergoing gastrointestinal operations: results of a prospective study. Clin Nutr Aug 34(4):679–684. https://doi.org/10.1016/j.clnu.2014.07.012CrossRef

81.

Hill GL, Blackett RL, Pickford I et al (1977) Malnutrition in surgical patients. An unrecognised problem. Lancet Mar 26(8013):689–692. https://doi.org/10.1016/s0140-6736(77)92127-4CrossRef

82.

Roy M, Perry JA, Cross KM (2018) Nutrition and the Plastic Surgeon: possible interventions and practice considerations. Plast Reconstr Surg Glob Open Aug 6(8):e1704. https://doi.org/10.1097/GOX.0000000000001704CrossRef

83.

Correia MI, Waitzberg DL (2003) The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Clin Nutr Jun 22(3):235–239. https://doi.org/10.1016/s0261-5614(02)00215-7CrossRef

84.

Roberson ML, Egberg MD, Strassle PD, Phillips MR (2021) Measuring malnutrition and its impact on pediatric surgery outcomes: a NSQIP-P analysis. J Pediatr Surg Mar 56(3):439–445. https://doi.org/10.1016/j.jpedsurg.2020.10.001CrossRef

85.

Le B, Flier S, Madill J et al (2023) Malnutrition risk, outcomes, and costs among older adults undergoing elective surgical procedures: a retrospective cohort study. Nutr Clin Pract Oct 38(5):1045–1062. https://doi.org/10.1002/ncp.11043CrossRef

86.

Sungurtekin H, Sungurtekin U, Balci C, Zencir M, Erdem E (2004) The influence of nutritional status on complications after major intraabdominal surgery. J Am Coll Nutr Jun 23(3):227–232. https://doi.org/10.1080/07315724.2004.10719365CrossRef

87.

Castro-Quezada I, Román-Viñas B, Serra-Majem L (2014) The Mediterranean diet and nutritional adequacy: a review. Nutrients Jan 03 6(1):231–248. https://doi.org/10.3390/nu6010231CrossRef

Titel: The role and management of mineral supplementation in plastic surgery patients: a comprehensive review
verfasst von: Navya Baranwal
Jung Ho Gong
Taylor E. Arnoff
Raman Mehrzad
Publikationsdatum: 01.12.2024
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Plastic Surgery / Ausgabe 1/2024
Print ISSN: 0930-343X
Elektronische ISSN: 1435-0130
DOI: https://doi.org/10.1007/s00238-024-02183-4

Neu im Fachgebiet Chirurgie

Häusliche Gewalt in der orthopädischen Notaufnahme oft nicht erkannt

28.05.2024 Häusliche Gewalt Nachrichten

In der Notaufnahme wird die Chance, Opfer von häuslicher Gewalt zu identifizieren, von Orthopäden und Orthopädinnen offenbar zu wenig genutzt. Darauf deuten die Ergebnisse einer Fragebogenstudie an der Sahlgrenska-Universität in Schweden hin.

Fehlerkultur in der Medizin – Offenheit zählt!

28.05.2024 Fehlerkultur Podcast

Darüber reden und aus Fehlern lernen, sollte das Motto in der Medizin lauten. Und zwar nicht nur im Sinne der Patientensicherheit. Eine negative Fehlerkultur kann auch die Behandelnden ernsthaft krank machen, warnt Prof. Dr. Reinhard Strametz. Ein Plädoyer und ein Leitfaden für den offenen Umgang mit kritischen Ereignissen in Medizin und Pflege.

Mehr Frauen im OP – weniger postoperative Komplikationen

21.05.2024 Allgemeine Chirurgie Nachrichten

Ein Frauenanteil von mindestens einem Drittel im ärztlichen Op.-Team war in einer großen retrospektiven Studie aus Kanada mit einer signifikanten Reduktion der postoperativen Morbidität assoziiert.

TAVI versus Klappenchirurgie: Neue Vergleichsstudie sorgt für Erstaunen

21.05.2024 TAVI Nachrichten

Bei schwerer Aortenstenose und obstruktiver KHK empfehlen die Leitlinien derzeit eine chirurgische Kombi-Behandlung aus Klappenersatz plus Bypass-OP. Diese Empfehlung wird allerdings jetzt durch eine aktuelle Studie infrage gestellt – mit überraschender Deutlichkeit.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Aktuelle BDC Leitlinien-Webinare

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare

CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare

CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske

Dr. med. Benjamin Meyknecht

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare

CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

The role and management of mineral supplementation in plastic surgery patients: a comprehensive review

Abstract

Background

Methods

Results

Conclusions

Level of Evidence

Neu im Fachgebiet Chirurgie

Häusliche Gewalt in der orthopädischen Notaufnahme oft nicht erkannt

Fehlerkultur in der Medizin – Offenheit zählt!

Mehr Frauen im OP – weniger postoperative Komplikationen

TAVI versus Klappenchirurgie: Neue Vergleichsstudie sorgt für Erstaunen

Update Chirurgie

Aktuelle BDC Leitlinien-Webinare

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

S2e-Leitlinie „Distale Radiusfraktur“

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Abstract

Background

Methods

Results

Conclusions

Level of Evidence

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2024

Restoring facial superfacial muscular aponeurotic system defects after permanent fillers removal using fascial and SMAS grafts: a preliminary study

Evaluation of the use of an acellular dermal matrix produced in a tissue bank with and without skin autografts in burn patients: a comparative study in a Colombian population

Systematic review and meta-analysis of speech outcome among different surgical techniques post cleft palate repair: Furlow against other palatoplasty techniques

Correction to: Comparison between breast conserving therapy and oncoplastic reduction mammaplasty: a retrospective study

Review of surgeon-performed point-of-care ultrasound imaging in plastic surgery

Seal the fate: fixation of the nasal tip in rhinoplasty—the dom extension graft (DEG)

Update Chirurgie