Sökning: "Emil Nüssler"

Hittade 2 avhandlingar innehållade orden Emil Nüssler.

  1. 1. Surgical quality control of minimally invasive procedures, fast-track surgery and implant technology in gynaecological surgery in Sweden

    Författare :Emil Karl Nüssler; Mats Löfgren; Pär Nordin; Umeå universitet; []
    Nyckelord :MEDICAL AND HEALTH SCIENCES; MEDICIN OCH HÄLSOVETENSKAP; MEDICIN OCH HÄLSOVETENSKAP; MEDICAL AND HEALTH SCIENCES; Prolapse; mesh surgery; fast track surgery; laparoskopic hysterectomi; obstetrik och gynekologi; Obstetrics and Gynaecology;

    Sammanfattning : Internationally as well as in Sweden, efforts for improvement in gynaecological surgery in recent decades have mainly focused on three new treatment concepts:(1) Use of minimally invasive procedures: since there is an interdependency between the extent of surgical trauma and the risk for adverse outcome, increased use of supposedly atraumatic endoscopic procedures has revolutionized several aspects of surgical care(2) A multimodal approach to eliminate harmful procedures in the peri-operative process based on evidence-based principles(3) Introduction of implants to support damaged tissue with synthetic mesh in incontinence and pelvic organ prolapse patients.Research question 1: Is introduction of a minimally invasive operation enough per se or is the measured improvement mediated by elimination of harmful procedures in the perioperative process?Findings: Our study (Paper I) indicates that by applying a multimodal intervention programme for the pre- and postoperative care of patients undergoing supravaginal hysterectomy, the surgical procedure per se is of less importance than generally considered. LÄS MER

  2. 2. Vaginal prolapse surgery : an epidemiological perspective : studies of native tissue repair versus implants, surgeons´ practical experiences and five year follow-up in the swedish national quality register for gynecological surgery

    Författare :Emil Nüssler; Mats Löfgren; Marie Bixo; Martin Stjernquist; Umeå universitet; []
    Nyckelord :pelvic organ prolapse; Kaplan-Meier curves; long-term follow-up; quality register; questionnaire; patient reported outcome; cystocele; rectocele; colporrhaphy; non-absorbable mesh; surgical experience; hälso- och sjukvårdsforskning; health services research; Obstetrics and Gynaecology; obstetrik och gynekologi;

    Sammanfattning : Background: Pelvic organ prolapse (POP) is a common condition that impacts on quality of life for many women. The mean age of Swedish women operated for POP is 60 years, and with a life expectancy of approximately 84 years this means that the average patient will live 24 years subsequent to the operation. LÄS MER