Publications by authors named "B S Langenhoff"
Peroperative administration of tranexamic acid in Roux-en-Y and one-anastomosis gastric bypass to reduce haemorrhage in patients with morbid obesity: protocol for randomised controlled trial (PATRY trial).
BMJ Open
May 2024
Article Synopsis
- The study investigates the effectiveness of tranexamic acid (TXA) in reducing postoperative bleeding in patients undergoing gastric bypass surgery, particularly in the context of Enhanced Recovery After Bariatric Surgery protocols.
- This multicenter, double-blind, randomized controlled trial will involve 1,524 participants across six bariatric centers in the Netherlands, comparing the effects of TXA against a placebo.
- Primary and secondary outcomes will assess hemorrhage rates, surgical details, complications, and costs, with the trial being ethically approved and results planned for publication.
Background: Laparoscopic ventral mesh rectopexy (LVMR) is considered to be the gold standard for managing rectal prolapse. Nevertheless, concerns have been expressed about the use of this procedure in elderly patients. The aim of the current study was to examine the perioperative safety of primary LVMR operations in the oldest old in comparison to younger individuals and to assess our hospital policy of offering LVMR to all patients, regardless of age and morbidity.
View Article and Find Full Text PDFObjective: This study aimed to describe longitudinal trajectories of Total Weight Loss (%TWL), and mental and physical health related quality of life (HRQOL), as well as to identify preoperative psychological predictors of these trajectories.
Methods: A prospective observational study including Dutch patients treated with metabolic and bariatric surgery (n = 420, age 44.8 ± 10.
Article Synopsis
- The study aimed to analyze the learning curves associated with Ivor Lewis totally minimally invasive esophagectomy (TMIE) across different hospitals, considering factors related to hospitals and surgeons.
- It found that hospitals performing more than 50 procedures a year had shorter learning curves and less associated morbidity compared to those with fewer cases.
- However, factors like surgeon experience, attending specialized clinics, completing fellowships, or receiving proctor supervision did not show significant improvement in learning efficiency.
Background: The optimal therapeutic strategy for drainage of malignant pericardial effusion is not yet determined. Several techniques are described, with different benefits and disadvantages. The literature suggests that surgical drainage of pericardial effusions has less effusion recurrence; however, randomized controlled trials are not available.
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