Publications by authors named "J Dohmen"
German surgeons' perspective on the application of artificial intelligence in clinical decision-making.
Int J Comput Assist Radiol Surg
February 2025
Purpose: Artificial intelligence (AI) is transforming clinical decision-making (CDM). This application of AI should be a conscious choice to avoid technological determinism. The surgeons' perspective is needed to guide further implementation.
View Article and Find Full Text PDFArticle Synopsis
- - The study explores the effectiveness of a new device called the vertical traction device (VTD) in facilitating early definitive fascial closure (DFC) for patients with an open abdomen due to abdominal compartment syndrome (ACS).
- - Out of nine patients who were treated, six successfully achieved DFC, with the VTD significantly reducing the distance between fascia until closure, while not impacting ventilation or other critical health metrics adversely.
- - Although three patients died before DFC and some experienced mild skin irritation, the study concludes that the VTD is a promising and safe tool for improving outcomes in emergency surgical cases involving open abdomens.
Background: Lynch syndrome (LS) is the most frequent hereditary tumor syndrome and is associated with an increased risk of colorectal cancer (CRC). While gene-specific and age-specific differences are considered in patient surveillance, gender-specific risks in the development of CRC have been reported in many studies but are not consistently documented.
Objective: This systematic review aims to investigate gender-specific differences in CRC development among LS patients.
Background: The median arcuate ligament syndrome (MALS) is a rare disease caused by compression of the celiac artery (ORPHA: 293208). Surgical treatment of MALS aims to restore normal celiac blood flow by laparoscopic celiac artery decompression. However, surgical success rates vary widely between patients, therefore adequate selection of patients is essential to improve surgical outcome.
View Article and Find Full Text PDF[Imaging of the pelvic floor (MR defecography) : The surgeon's perspective].
Radiologie (Heidelb)
November 2023
Article Synopsis
- MRD is key for diagnosing pelvic floor disorders, providing insights into both organ structure and the defecation process, requiring collaboration between radiologists and surgeons for effective use.
- This review discusses when MRD is appropriate, emphasizing the importance of its findings in conditions like fecal incontinence and obstructed defecation syndrome while being cautious about potential overdiagnosis, especially with rectocele.
- MRD results should be assessed alongside clinical history and other examinations, as differences between structural abnormalities and patient symptoms can be significant; interdisciplinary collaboration is essential for accurate diagnosis and treatment planning.