Publications by authors named "D Bussen"
[Feasibility and structural prerequisites for conversion to outpatient treatment in proctology].
Chirurgie (Heidelb)
December 2024
Background: Despite the introduction of the diagnosis-related groups (DRG) system, costs in the German healthcare system have risen continuously for years. In order to reduce costs the federal government is aiming to shift inpatient services to the outpatient sector. Outpatient services affect many areas of medicine, including proctological operations as these are common and can often be carried out on an outpatient basis.
View Article and Find Full Text PDFArticle Synopsis
- - Cryptoglandular anal fistulas, arising from abscesses or chronic infections in the anorectum, are common colorectal conditions with an incidence of about 20 per 100,000 individuals, and surgical intervention is the preferred treatment method.
- - Surgery varies based on the extent of sphincter muscle involvement; primary fistulotomy is used for less severe cases, while seton drains or advanced techniques like mucosal flaps are options for more complex situations.
- - The choice of surgical technique must balance effective healing of the fistula with the risk of affecting the patient's continence, and factors like fistula type, prior surgeries, and the surgeon’s skill can influence postoperative outcomes.
Physiological Dependency Explains Temperature Differences in Sensitivity Towards Chemical Exposure.
Arch Environ Contam Toxicol
November 2022
In chemical risk assessment, extrapolations from laboratory tests to more realistic conditions are essential to address the toxic effects of pesticides on individuals and populations under field conditions. To transfer toxicological laboratory tests to differing temperature conditions, or outdoor field scenarios, the consideration of temperature dependence is essential and increases realism. Special consideration is given to the impact of temperature on direct sensitivity of organisms to pesticides, for which there are only few modelling approaches available so far.
View Article and Find Full Text PDFEarthworms are considered ecosystem engineers and, as such, they are an integral part of the soil ecosystem. The movement of earthworms is significantly influenced by environmental factors such as temperature and soil properties. As movement may directly be linked to food ingestion, especially of endogeic species like , changes in those environmental factors also affect life history traits such as growth and reproduction.
View Article and Find Full Text PDFAim: Bowel movements after reconstructive anorectal surgery may negatively affect surgical outcome. This study was aimed to assess any differences between a standard diet (SD) and the enteral resorbable diet (ED) in terms of operative outcomes and patient tolerance after fistulectomy with primary sphincter reconstruction.
Method: Adult patients undergoing elective fistulectomy with primary sphincter reconstruction for anorectal and rectovaginal fistulas were eligible for inclusion.