W. Düsel

Unfallkrankenhaus Berlin, Berlín, Berlin, Germany

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Publications (24)20.06 Total impact

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    ABSTRACT: Asymptomatic pilonidal sinus disease (PSD) discovered incidentally is regarded as a precursor of symptomatic disease, which is characterized by intradermal hair eliciting an inflammatory reaction. We aimed to investigate whether asymptomatic PSD already shows inflammation, though clinically inapparent, or represents a 'virgin' sinus. One thousand seven hundred and thirty-one medical records of patients presenting with primary PSD, which underwent surgery, were analysed to identify patients with surgically resected incidental PSD. Acute purulent pilonidal disease was seen in 514 of 1,731, whereas chronic fistulating pilonidal disease was the most common diagnosis group with 1,019 of 1,731 (58.9%). One hundred and forty-three of 1,731 (8.3%) patients had a previous chronic remitting pilonidal sinus. A total of 55 (3.2%) patients with clinically asymptomatic PSD were identified. Histological workup documented hair in 64.6% (1,119/1,731), with comparable rates between 68% and 71% in chronic fistulating disease, chronic remitting disease and incidental PSD (p = 0.80). Inflammation was found in 53 of 55 (96.4%) incidental PSD specimens, with two thirds (37 of 55) showing chronic inflammatory changes and one third (16 of 55) combining acute and chronic inflammation. Our findings support the idea that incidental PSD is a sub-clinically inflamed pilonidal sinus, with hair and chronic infection present. However, the data suggest that a prophylactic surgery for asymptomatic PSD provides no benefit for the patient compared to surgery in chronic PSD; thus, observational treatment is most likely sufficient for asymptomatic PSD.
    International Journal of Colorectal Disease 06/2008; 23(9):839-44. · 2.24 Impact Factor
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    ABSTRACT: and aims To elicit mechanisms and timing of sinus development, the role of age at onset of symptoms, symptomatic disease duration, and consecutive number of sinuses were investigated. Analysis of 1,962 medical records of patients admitted for primary surgical pilonidal sinus treatment. Sinus number ranged from 1 to 16 (median 2), with chronic pilonidal disease showing more sinuses than acute disease (mean 2.6 vs 2.1 sinuses; p < 0.0001; Kolmogorov-Smirnov). Disease duration in chronic pilonidal disease was not linked to sinus formation (p = 0.98; Spearman). In acute pilonidal disease, duration was linked to the development of six sinuses per 1,000 symptomatic disease years (p = 0.0001; Spearman). A larger sinus number correlated with earlier onset of symptoms (p = 0.009; Spearman). Long-standing chronic disease does not produce sinus per se. As sinus does not substantially arise during the course of symptomatic disease, there must be a time before the start of symptomatic disease when the sinus originates. These findings suggest that sinus can only be acquired up to a certain age, even if occupational exposure continues.
    International Journal of Colorectal Disease 05/2008; 23(4):359-64. · 2.24 Impact Factor
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    ABSTRACT: To study the potential benefits of intraoperative methylene blue (MB) use in pilonidal sinus surgery, the correlation between long-term recurrence rate and intraoperative MB use in pilonidal sinus surgery was investigated. Explicit investigations of MB effects in sinus surgery are scarce and inconclusive; an effect on long-term recurrence rate has never been systematically investigated. A random selection of 247 patients out of 1,960 patients with primary sinus surgery was drawn, and the patients were subjected to a telephone interview according to a specific questionnaire. The interview covered a recurrence follow-up time of 14.9 years after surgery (mean, standard deviation=3.8 years, range 8.6-25.4 years). Recurrence was less likely to occur when MB was used intraoperatively (32 of 197, [16% actuarial 20-year recurrence rate, Kaplan-Meier estimate] recurrences with MB vs 15 of 50, 30% [actuarial 20-year recurrence rate, Kaplan-Meier estimate] recurrences without MB; p=0.018; log-rank test). This effect was especially pronounced in acute abscess-forming disease (8 of 46, 17% [actuarial 20-year recurrence rate, Kaplan-Meier estimate] recurrences with MB; 11 of 33, 33% [actuarial 20-year recurrence rate, Kaplan-Meier estimate] recurrences without MB; p=0.078; log-rank test) compared to chronic disease (24 of 151, 16% [actuarial 20-year recurrence rate, Kaplan-Meier estimate]) recurrences with MB; 4 of 17, 24% [actuarial 20-year recurrence rate, Kaplan-Meier estimate] recurrences without MB; p=0.35; log-rank test). MB application halves the long-term risk of recurrence for pilonidal sinus patients. This significant reduction in recurrence rate can be achieved by a single careful injection of non toxic inexpensive dye into the sinus at the start of the operation. MB application should therefore be considered as an integral part of pilonidal sinus surgery.
    International Journal of Colorectal Disease 03/2008; 23(2):181-7. · 2.24 Impact Factor
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    ABSTRACT: This study was designed to evaluate the timeline of recurrence of pilonidal sinus disease after primary vs. multiple surgery. Data of medical military service in Germany were reviewed. Telephone interview of 205 patients after pilonidal sinus disease surgery after median interval of 14.8 (standard deviation +/-3.9) years was conducted. A total of 345 patient charts with pilonidal sinus disease recurrence and fully documented previous surgery history were analyzed. Pilonidal sinus disease recurred in 41 of 205 patients (20 percent; actuarial survival 22 percent) after first surgery. Median recurrence-free-interval was 1.8 (range, 0.1-16.5) years. Twenty-nine of 41 of all recurrences (71 percent) were observed within four years after primary surgery. Fifteen of 50 patients (30 percent) treated by primary closure had recurrent disease after a median recurrence-free interval of 2.7 (range, 0.2-13.5) years compared with 24 of 144 patients (17 percent), who experienced recurrence after rhomboid excision and open wound treatment after a median of 1.8 (range 0.1-16.5) years (P = 0.081, long-rank-test). Analysis of 345 recurrent disease charts revealed that recurrence time decreased for multiple recurrences compared with first recurrence (R1 vs. R2: P = 0.07; R2 vs. R3: P = 0.03, Mann-Whitney U test). Long-term recurrence rate was 22 percent and thus higher than previously reported. This may be attributed to the long follow-up interval. Recurrences up to 20 years after surgery were seen. Our data provide evidence that follow-up after first to the third pilonidal sinus surgery should complete or exceed five years, because the majority of recurrences occur during this postoperative interval. Nevertheless, even a five-year follow-up will still miss 25 percent of recurrences.
    Diseases of the Colon & Rectum 12/2007; 50(11):1928-34. · 3.34 Impact Factor
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    ABSTRACT: Rupture of the heart after blunt trauma has been attributed to multiple mechanisms. We present a patient in whom massive abdominal blunt trauma leading to massive venous return resulted in rupture of the auricle without pericardial rupture.
    Der Unfallchirurg 08/2007; 110(7):637-9. · 0.64 Impact Factor
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    ABSTRACT: Eine Herzruptur nach stumpfem Trauma kann auf viele Verletzungsmechanismen zurückzuführen sein. Wir präsentieren einen Patienten, bei dem ein massives Bauchtrauma zu einem massiven venösen Rückstrom geführt hat. Die Folge war ein Riss des Herzohrs ohne Ruptur des Perikards. Rupture of the heart after blunt trauma has been attributed to multiple mechanisms. We present a patient in whom massive abdominal blunt trauma leading to massive venous return resulted in rupture of the auricle without pericardial rupture.
    Der Unfallchirurg 06/2007; 110(7):637-639. · 0.64 Impact Factor
  • R Czymek, W Düsel
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    ABSTRACT: "dear aunt lina. i do not know any big letters yet, but i want to thank you in small letters for the beautiful pens. say hello to grandpa and to everybody. yours truly, ernst." These are the first surviving written words of Ernst von Bergmann. Between them and his last words about his suspected colon cancer on 25 March 1907 ("I diagnosed this 5 years ago, and now it has come to pass.") lie many years in a vigorous life characterised by untiring activity and creativity, self-discipline, and care for patients and his family. They were years of enormous success in surgery and private happiness but also of professional setbacks and tragic family loss. Ernst von Bergmann became a leading German surgeon not only because of his surgical and scientific achievements, particularly in the fields of asepsis and war surgery, but also due to his exemplary character, reliability, engaging personality, and commitment to medical training in various medical societies. Of these, the German Society of Surgery is most indebted to him. After assuming a chair in surgery in 1882, he continued to play a leading role in this society, not least as its five-time president from 1888 to 1890 and in 1896 and 1900. A worthy successor to Bernhard von Langenbeck, he was a full professor at the Berlin University Hospital for 25 years. He also taught at the Medical and Surgical Academy for the Military after being appointed there by Emperor Wilhelm I on 16 November 1882. This position was important to him and corresponded to his patriotic views.
    Der Chirurg 04/2007; 78(3):265-8, 270-2. · 0.52 Impact Factor
  • R. Czymek, W. Düsel
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    ABSTRACT: liebe tante lina. ich kann noch keine groen buchstaben, aber ich will dir mit den kleinen sehr danken fr die schnen federn. gre gropapa und alle. dein lieber ernst. Zwischen diesen ersten berlieferten schriftlichen Zeilen des Ernst von Bergmann und seinen letzten Worten am 25. Mrz 1907 zum vermuteten Dickdarmkrebs Ich habe die Diagnose schon vor 5Jahren gestellt und nun ist es auch so. liegen Jahrzehnte eines kraftvollen Lebens unbndiger Schaffenskraft, ausgeprgter Selbstdisziplin und mitfhlender Frsorge fr Patienten und Familie; Jahrzehnte gewaltiger chirurgischer Erfolge und privaten Glckes wie beruflicher Rckschlge und tragischer familirer Verluste. Ernst von Bergmann stieg auf zu einem der fhrenden deutschen Chirurgen nicht nur durch seine operativen und wissenschaftlichen Leistungen insbesondere auf den Gebieten der Asepsis und Kriegschirurgie, sondern auch durch sein vorbildliches, zuverlssiges, einnehmendes Wesen und sein Engagement fr die rztliche Fortbildung in verschiedenen medizinischen Gesellschaften. Allen voran ist die Deutsche Gesellschaft fr Chirurgie ihm zu Dank verpflichtet. Nach bernahme des Berliner Lehrstuhles 1882 hatte er immer eine fhrende Rolle in ihr, nicht nur als deren 5-maliger Prsident in den Jahren 1888 bis 1890, 1896 und 1900. Als wrdiger Nachfolger Langenbecks war er 25Jahre Ordinarius im Universittsklinikum Berlin in der Ziegelstrae (1882–1907). Im Nebenamt dozierte er durch die Bestallung von Kaiser WilhelmI. am 16. November 1882 als ordentlicher Professor an der Medizinisch-Chirurgischen Akademie fr das Militr; eine Aufgabe, die seinem patriotisch-nationalen Wesen besonders am Herzen lag.dear aunt lina. i do not know any big letters yet, but i want to thank you in small letters for the beautiful pens. say hello to grandpa and to everybody. yours truly, ernst. These are the first surviving written words of Ernst von Bergmann. Between them and his last words about his suspected colon cancer on 25 March 1907 (I diagnosed this 5years ago, and now it has come to pass.) lie many years in a vigorous life characterised by untiring activity and creativity, self-discipline, and care for patients and his family. They were years of enormous success in surgery and private happiness but also of professional setbacks and tragic family loss. Ernst von Bergmann became a leading German surgeon not only because of his surgical and scientific achievements, particularly in the fields of asepsis and war surgery, but also due to his exemplary character, reliability, engaging personality, and commitment to medical training in various medical societies. Of these, the German Society of Surgery is most indebted to him. After assuming a chair in surgery in 1882, he continued to play a leading role in this society, not least as its five-time president from 1888 to 1890 and in 1896 and 1900. A worthy successor to Bernhard von Langenbeck, he was a full professor at the Berlin University Hospital for 25years. He also taught at the Medical and Surgical Academy for the Military after being appointed there by Emperor Wilhelm I on 16 November 1882. This position was important to him and corresponded to his patriotic views.
    Der Chirurg 02/2007; 78(3):265-272. · 0.52 Impact Factor
  • R Czymek, K Harder, W Düsel
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    ABSTRACT: November 22, 2006 will mark the one hundred twentieth anniversary of the oldest regional surgical society in Germany, which was founded as the Free Association of Berlin Surgeons in 1886. For years, the chairmen were also chairmen of the German Surgical Society (established 1872). Thus they made important contributions to surgery in Germany as a whole. Professors such as Ernst von Bergmann, August Bier, and Ferdinand Sauerbruch furthered the reputation of the Berlin practitioners and German surgery throughout the world. In the states of Berlin and Brandenburg, development and promotion of surgery in the late eighteenth and nineteenth centuries owed much to the Prussian emperor Friedrich Wilhelm I and the necessities of Prussian battlefields (military surgical training). These battlefields also caused the sharp decline in worldwide importance of Berlin surgeons at the end of World War II. The special geopolitical situation of Berlin in post-war Germany constituted a negative turning point in this region, not only for surgery. As a result of the destruction of Berlin, most records and documents of the Berlin Surgical Society were lost. Research conducted in February 2006 revealed 20 membership lists from the founding years (1893-1914) which were presumed to be lost. These lists can now help us restore part of the Society's identity and roots. New insights have been made regarding the composition of the Society. For example, the large number of military surgeons in these lists reflects the spirit of the times around 1900 and emphasizes the importance of military medicine in imperial Germany.
    Der Chirurg 01/2007; 77(12):1158-63. · 0.52 Impact Factor
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    ABSTRACT: A hemodynamically stable patient presenting with persistent bleeding through his chest tube (ICD) is a classic indication for early thoracoscopic intervention in trauma. The source of bleeding and air leaks can be identified and often treated: bleeding and perforated pulmonary segments can be resected, and chest wall bleeding may be coagulated or sutured. Injuries to the diaphragm are difficult to diagnose, as they might not be seen in conventional trauma imaging without gross herniation of intra-abdominal contents into the thoracic cavity. Identifying the site of diaphragm perforation can give useful hints in thoracoabdominal trauma, identifying injured cavities and localizing the bullet or stab tract. Most often, diaphragmatic defects may be closed during diagnostic thoracoscopy as well. Non- or partially drainable hemothorax is another indication for thoracoscopy. Coagulated blood can be mechanically mobilised, and aspirated or primary bleeding may be stopped. Effective lavage and a high-performance suction device are required. Correct placement of the drainage is part of optimized therapy, along with inspection of all intrathoracic organs and surfaces. Furthermore, surgical and anaesthesiological teamwork and experience are prerequisites for the fast, professional application of a minimally invasive thoracoscopic approach in chest trauma patients. Diagnostically and theurapeutically, thoracoscopy plays an important role in the trauma setting--in the case of hemodynamically stable patients.
    Der Chirurg 12/2006; 77(11):1014-21. · 0.52 Impact Factor
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    ABSTRACT: Exsanguination plays a key role in avoidable prehospital deaths. As some bleedings from deep stab wounds cannot be stopped with direct compression, the insertion of a Foley catheter can prevent ongoing bleedings. A case report of bleeding from a stab wound in the supraclavicular region is given. The simple measure of careful insertion and blocking of a Foley catheter proved to be a key resuscitative procedure which can be done under any suitable circumstances.
    Der Unfallchirurg 11/2006; 109(10):898-900. · 0.64 Impact Factor
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    ABSTRACT: Eine persistierende Blutung, die sich bei einem kreislaufstabilen Patienten ber eine liegende Pleuradrainage markiert, kann eine klassische Indikation zur Thorakoskopie bei Trauma darstellen. Die Blutungsquelle kann thorakoskopisch identifiziert und oft auch thorakoskopisch versorgt werden. Fistelnde Lungenanteile knnen durch atypische Resektion behandelt werden.Mittels konventioneller Diagnostik mitunter schwer darzustellende Zwerchfellverletzungen knnen thorakoskopisch identifiziert und im Einzelfall versorgt werden. Die Lokalisation von Zwerchfellverletzungen gibt wertvolle Hinweise auf die Stich- oder Schusskanalrichtung bei thorakoabdominellen Verletzungen. Der nicht drainierbare oder nur partiell drainierte Hmatothorax stellt eine weitere Indikation zur Thorakoskopie dar; hier kann koaguliertes Blut mechanisch mobilisiert und abgesaugt werden und die zugrunde liegende Blutung versorgt werden. Die konsekutive korrekte Drainagenplatzierung ist Teil der Therapie, ebenso wie die Inspektion aller von pleural erreichbaren intrathorakalen Organe bzw. Oberflchen.Ein enges chirurgisch-ansthesiologisches Zusammenwirken sowie Erfahrung auf beiden Seiten (Doppellumentubus, Einlungenbeatmung, thoraxansthesiologische und thoraxchirurgische Routine) stellen Voraussetzung fr die schnelle und professionelle Anwendung dieser minimal-invasiven Methode bei ausgewhlten Traumapatienten dar. Die Thorakoskopie hat ihren diagnostischen und therapeutischen Platz beim Thoraxtrauma des kreislaufstabilen Patienten.A hemodynamically stable patient presenting with persistent bleeding through his chest tube (ICD) is a classic indication for early thoracoscopic intervention in trauma. The source of bleeding and air leaks can be identified and often treated: bleeding and perforated pulmonary segments can be resected, and chest wall bleeding may be coagulated or sutured. Injuries to the diaphragm are difficult to diagnose, as they might not be seen in conventional trauma imaging without gross herniation of intra-abdominal contents into the thoracic cavity. Identifying the site of diaphragm perforation can give useful hints in thoracoabdominal trauma, identifying injured cavities and localizing the bullet or stab tract. Most often, diaphragmatic defects may be closed during diagnostic thoracoscopy as well. Non- or partially drainable hemothorax is another indication for thoracoscopy. Coagulated blood can be mechanically mobilised, and aspirated or primary bleeding may be stopped. Effective lavage and a high-performance suction device are required. Correct placement of the drainage is part of optimized therapy, along with inspection of all intrathoracic organs and surfaces. Furthermore, surgical and anaesthesiological teamwork and experience are prerequisites for the fast, professional application of a minimally invasive thoracoscopic approach in chest trauma patients. Diagnostically and theurapeutically, thoracoscopy plays an important role in the trauma setting – in the case of hemodynamically stable patients.
    Der Chirurg 10/2006; 77(11):1014-1021. · 0.52 Impact Factor
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    ABSTRACT: As criminality and weapon use increase, general and military surgeons are increasingly confronted with penetrating pelvic injuries both at home and on peacekeeping missions. Penetrating injuries to the iliac vascular axis are associated with considerable mortality, and thus the majority of these emergency patients arrive in a state of deep hypovolemic shock. Concomitant bowel injuries are present in one of five cases, resulting in contamination of the damaged area. Surgical options are simple lateral repair, ligation of the veins, temporary shunt insertion, and prosthetic graft interposition in the injured artery. In extremis ligation of the common or external iliac artery may be the only option to save the patient's life. Surgeons must be aware that damage control surgery and related methods may be needed early on to enable patient survival.
    Der Chirurg 10/2006; 77(9):770-80. · 0.52 Impact Factor
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    ABSTRACT: Es wird eine Methode vorgestellt, wie Blutungen, die einer Kompression nicht zugnglich sind (z.B. tiefe, schmale Stichkanle), in Rettungsdienst und Notfallraum temporr kontrolliert werden knnen. Hierzu verwendet man einen sterilen Blasenkatheter, dessen Ballon nach Einfhren in die Tiefe der Wunde mit Wasser gefllt und geblockt wird. Das Fallbeispiel eines Patienten mit einer kreislaufwirksam blutenden supraklavikulren Stichverletzung wird vorgestellt.Exsanguination plays a key role in avoidable prehospital deaths. As some bleedings from deep stab wounds cannot be stopped with direct compression, the insertion of a Foley catheter can prevent ongoing bleedings. A case report of bleeding from a stab wound in the supraclavicular region is given. The simple measure of careful insertion and blocking of a Foley catheter proved to be a key resuscitative procedure which can be done under any suitable circumstances.
    Der Unfallchirurg 09/2006; 109(10):898-900. · 0.64 Impact Factor
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    ABSTRACT: Durch eine Zunahme der Kriminalitt und dem damit verbundenen Waffengebrauch werden Chirurgen im Inland sowie Militrchirurgen im Einsatz in Krisengebieten vermehrt mit penetrierenden Verletzungen des Beckens konfrontiert. Penetrierende Verletzungen der Iliakalgefe sind mit einer hohen Mortalitt verknpft; die Mehrzahl dieser Patienten erreicht die medizinische Behandlung im profunden Ausblutungsschock. Assoziierte Darmverletzungen, die in ber 20% vorhanden sind, fhren zu einer zeitgleichen Kontamination des Operationsgebietes. Die Versorgungsoptionen fr Gefe beinhalten die einfache Rekonstruktion von Vene oder Arterie, die Ligatur der Vene, die temporre Shunteinlage oder das Kunststoffinterponat der Arterie. Bei anderweitig nicht kontrollierbarer Blutung stellt die Ligatur der Iliakalarterie eine lebensrettende Option dar. Frhzeitige Konversion in den Damage-Control-Modus und verbundene Versorgungstechniken knnen verhindern, dass diese schwerstverletzten Patienten in die Koagulopathie abgleiten.As criminality and weapon use increase, general and military surgeons are increasingly confronted with penetrating pelvic injuries both at home and on peacekeeping missions. Penetrating injuries to the iliac vascular axis are associated with considerable mortality, and thus the majority of these emergency patients arrive in a state of deep hypovolemic shock. Concomitant bowel injuries are present in one of five cases, resulting in contamination of the damaged area. Surgical options are simple lateral repair, ligation of the veins, temporary shunt insertion, and prosthetic graft interposition in the injured artery. In extremis ligation of the common or external iliac artery may be the only option to save the patients life. Surgeons must be aware that damage control surgery and related methods may be needed early on to enable patient survival.
    Der Chirurg 08/2006; 77(9):770-780. · 0.52 Impact Factor
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    ABSTRACT: Temporary abdominal closure methods differ mainly between vacuum-assisted and conventional approaches. Each method has its indications. Vacuum-assisted methods seem to be superior especially for trauma indications--in terms of lethality, the possibility of secondary closure during primary hospital stay, and frequency of enterocutaneous fistulas. Skin-only closure might be used as a short-term application (e.g. when damage control closure is needed), and the Bogota bag silo gives space to protruding bowels in pending or manifest abdominal compartment syndrome. Temporary fascial mesh closure enables repetitive laparotomies through the mesh, thus sparing the fascia. For that reason it is to be preferred, especially for its good practicability in clinical situations and on mission abroad.
    Der Chirurg 08/2006; 77(7):580-5. · 0.52 Impact Factor
  • R. Czymek, K. Harder, W. Düsel
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    ABSTRACT: Am 22. November 2006 jhrt sich zum 120. Male die Grndung der ltesten chirurgischen Regionalgesellschaft Deutschlands, die in Berlin im Jahr 1886 unter dem Namen Freie Vereinigung der Chirurgen Berlins aus der Taufe gehoben wurde. ber Jahrzehnte hinweg reihten sich alle Vorsitzenden der Gesellschaft auch in die Liste der Vorsitzenden der Deutschen Gesellschaft fr Chirurgie (gegrndet 1872) ein und setzten somit entscheidende Impulse fr die Chirurgie in ganz Deutschland. Ordinarien wie Ernst von Bergmann, August Bier und Ferdinand Sauerbruch frderten den Ruf der Berliner und der Deutschen Chirurgie weltweit. In der Region Berlin/Brandenburg verdankt die Chirurgie ihre Entwicklung und Frderung im ausgehenden 18. und 19. Jahrhundert mageblich Friedrich Wilhelm I. und den Notwendigkeiten auf Preuens Schlachtfeldern (Ausbildung von Militrchirurgen). Den tiefsten und schdlichsten Einschnitt in ihre weltweite Bedeutung verdankt die Berliner Chirurgie mit dem Ende des 2.Weltkrieges ebenfalls Preuens Schlachtfeldern. Die besondere geopolitische Lage Berlins im Nachkriegsdeutschland sorgte fr eine negative Zsur nicht nur in die regionale Chirurgie. Durch die ausgeprgte Zerstrung Berlins gingen die Unterlagen und Dokumente der Berliner Chirurgischen Gesellschaft weitgehend verloren. Bei Recherchen im Februar 2006 wurden jedoch 23 verschollen geglaubte Mitgliederlisten der Grndungsjahre (1893–1914) wieder entdeckt, die nun ein Stck Identitt und Wurzeln zurckgeben knnen. Neue Erkenntnisse ber die personelle Zusammensetzung der Gesellschaft lassen sich jetzt unter verschiedenen Fragestellungen gewinnen. So spiegelt der hohe Anteil an Militrchirurgen in diesen Listen den Zeitgeist um 1900 wider und ist ein Indiz fr die sanittsdienstliche Kriegsbereitschaft im Kaiserreich.November 22 2006 will mark the one hundred twentieth anniversary of the oldest regional surgical society in Germany, which was founded as the Free Association of Berlin Surgeons in 1886. For years, the chairmen were also chairmen of the German Surgical Society (established 1872). Thus they made important contributions to surgery in Germany as a whole. Professors such as Ernst von Bergmann, August Bier, and Ferdinand Sauerbruch furthered the reputation of the Berlin practitioners and German surgery throughout the world. In the states of Berlin and Brandenburg, development and promotion of surgery in the late eighteenth and nineteenth centuries owed much to the Prussian emperor Friedrich Wilhelm I and the necessities of Prussian battlefields (military surgical training). These battlefields also caused the sharp decline in worldwide importance of Berlin surgeons at the end of World War II. The special geopolitical situation of Berlin in post-war Germany constituted a negative turning point in this region, not only for surgery. As a result of the destruction of Berlin, most records and documents of the Berlin Surgical Society were lost. Research conducted in February 2006 revealed 20 membership lists from the founding years (1893–1914) which were presumed to be lost. These lists can now help us restore part of the Societys identity and roots. New insights have been made regarding the composition of the Society. For example, the large number of military surgeons in these lists reflects the spirit of the times around 1900 and emphasizes the importance of military medicine in imperial Germany.
    Der Chirurg 01/2006; 77(12):1158-1163. · 0.52 Impact Factor
  • W Düsel, A Lieber, S Lenz, D Doll
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    ABSTRACT: On military missions abroad, surgical care for penetrating abdominal injuries differentiates from that given at home. The different conditions in the field usually include a single general surgeon with no further specialists or hospitals to rely upon. Thus a mismatch between treatment capacity and needs can be experienced in mass casualty situations. Therefore the focus is on damage control surgery, getting patients fit for evacuation, and transport home under intensive care if needed. Knowledge of ballistics and explosive devices are adjunct fields of interest, as they improve the understanding and treatment of military injuries. Although these aspects add up to additional training requirements to be met by our surgeons, we are convinced that the new German education standards will allow successful training of future military surgeons.
    Der Chirurg 11/2005; 76(10):935-44. · 0.52 Impact Factor
  • W. Düsel, A. Lieber, S. Lenz, D. Doll
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    ABSTRACT: Die Versorgung des offenen Abdominaltraumas aus Sicht der Bundeswehr im Einsatz erfordert wegen anderer Rahmenbedingungen auch prinzipiell genderte chirurgische Strategien. Einer der Grnde hierfr ist, dass zumeist nur ein Chirurg (Allgemeinchirurg mit unterschiedlichen zustzlichen fachlichen Schwerpunkten) vor Ort ist, der sich nicht auf eine Hochleistungsmedizin im Umfeld absttzen kann. Hufig besteht ein Missverhltnis zwischen Anfall von Verletzten und vorhandenen Ressourcen. Die Prinzipien der damage control surgery, das Herstellen der Transportfhigkeit und die schnelle Verlegung ins Heimatland unter optimalen intensivmedizinischen Bedingungen stehen im Vordergrund. Kenntnisse ber die eingesetzten Waffen oder Sprengstze erleichtern das Verstndnis fr die ausgelsten Verletzungen. Diese erweiterten Anforderungen an unsere Chirurgen im Auslandseinsatz haben konkrete Auswirkungen auf Ausbildung und kontinuierliche Aufrechterhaltung der erworbenen Kompetenzen. Die neue Weiterbildungsordnung gibt uns die Chance, diese Ziele zu erreichen.On military missions abroad, surgical care for penetrating abdominal injuries differentiates from that given at home. The different conditions in the field usually include a single general surgeon with no further specialists or hospitals to rely upon. Thus a mismatch between treatment capacity and needs can be experienced in mass casualty situations. Therefore the focus is on damage control surgery, getting patients fit for evacuation, and transport home under intensive care if needed. Knowledge of ballistics and explosive devices are adjunct fields of interest, as they improve the understanding and treatment of military injuries. Although these aspects add up to additional training requirements to be met by our surgeons, we are convinced that the new German education standards will allow successful training of future military surgeons.
    Der Chirurg 01/2005; 76(10):935-944. · 0.52 Impact Factor
  • U. Müller, S. Lenz, W. Düsel
    Viszeralchirurgie 01/2005; 40(6):415-417. · 0.06 Impact Factor

Publication Stats

81 Citations
20.06 Total Impact Points

Institutions

  • 2008
    • Unfallkrankenhaus Berlin
      Berlín, Berlin, Germany
  • 2007–2008
    • University of the Witwatersrand
      • Department of Surgery
      Johannesburg, Gauteng, South Africa
  • 2006
    • Technische Universität München
      München, Bavaria, Germany
  • 2005–2006
    • Bundeswehr Institute of Microbiology
      München, Bavaria, Germany