Refine
Year of publication
- 2016 (73) (remove)
Document Type
- Doctoral Thesis (46)
- Article (27)
Language
- English (73) (remove)
Has Fulltext
- yes (73)
Is part of the Bibliography
- no (73)
Keywords
- - (25)
- Genetik (3)
- Pancreatic cancer (3)
- Atmosphärendruckplasma (2)
- Biokatalyse (2)
- Enzyme (2)
- Molecular biology (2)
- Molekularbiologie (2)
- Plasmadiagnostik (2)
- Plasmamedizin (2)
- Plasmaphysik (2)
- Protein-Engineering (2)
- Proteomics (2)
- Prävention (2)
- Schleimpilze (2)
- Slime molds (2)
- Slime moulds (2)
- Staphylococcus aureus (2)
- Thrombozyt (2)
- Thrombozytopenie (2)
- fMRI (2)
- plasma medicine (2)
- 1-deoxy sphingolipids (1)
- 3DM (1)
- <span style="font-variant:small-caps; text-transform:lowercase">L</span>-Carnitine (1)
- ASDEX (1)
- Abdominal fat (1)
- Abiraterone (1)
- Afrika (1)
- Akt (1)
- Alcohol dehydrogenases (1)
- Alexithymia (1)
- Angiogenesis (1)
- Animal models (1)
- Antibacterial efficacy (1)
- Antikörper (1)
- Aquatic Interfaces (1)
- Art (1)
- Arxula adeninivorans (1)
- Atomspektrum (1)
- BDNF (1)
- BK-virus (1)
- Bacillus (1)
- Bacterial infection (1)
- Band (1)
- Beckenboden (1)
- Bernoulli convolutions (1)
- Bernoulli-Faltungen (1)
- Binaural beats (1)
- Biocatalysis (1)
- Biogeochemie (1)
- Biogeografie (1)
- Biomarkers (1)
- Biotechnologie (1)
- Bose-Einstein-Kondensation (1)
- CP7_E2alf (1)
- Calcium regulation (1)
- Caries decline (1)
- Cell surface molecules (1)
- Central Europe (1)
- Ceramide (1)
- Cerebral angiogram (1)
- Cerebral cavernous malformations (1)
- Cerebrovascular disease (1)
- Changai (1)
- Chemotherapy (1)
- Childhood trauma (1)
- Children (1)
- Chiral alcohols (1)
- Classical swine fever virus (1)
- Cluster (1)
- Cold atmospheric pressure plasma (1)
- Community dentistry (1)
- Community-based Health Insurance (1)
- Complement (1)
- Cytoprotection (1)
- DIVA-Impfstoff (1)
- Demenz (1)
- Dental profiles (1)
- Dental public health (1)
- Deutschland (1)
- Diabetes mellitus (1)
- Differentialgleichung (1)
- Diffusion (1)
- Dilated cardiomyopathy (1)
- Disease management (1)
- Dissociation (1)
- Dual-task (1)
- Dusty Plasma (1)
- ECC (1)
- EPR (1)
- ERK1/2 (1)
- Ecology (1)
- Efficacy (1)
- Effizienz (1)
- Eisenoxid-Nanopartikels (1)
- Eisflussmodellierung (1)
- Elastizitätstheorie (1)
- Electroencephalography (1)
- Elektronenemission (1)
- Elektronenparamagnetische Resonanz (1)
- Endomyokardbiopsien und Plasma (1)
- Enteral nutrition (1)
- Enzym (1)
- Enzyme identification (1)
- Enzymidentifizierung (1)
- Epidemiologie (1)
- Epilepsy (1)
- Epoxid-Hydrolase (1)
- Esterasen (1)
- Extracellular matrix (1)
- Exziton (1)
- FOLFIRINOX (1)
- FTIR (1)
- Ficus species (1)
- Ficus-Arten (1)
- Fidschi (1)
- Flüssigkeiten (1)
- Fusion plasma (1)
- Fusionsplasma (1)
- General Anesthesia (1)
- Genetics (1)
- Geochronologie (1)
- Geomorphologie (1)
- Germany (1)
- Gesundheitssysteme (1)
- Gesundheitssystementwicklung (1)
- Gesundheitsökonomie (1)
- Glucocorticoid receptor (1)
- Guided Streamer (1)
- Haemorrhagic cystitis (1)
- Haloalkan-Dehalogenase (1)
- Hansenula polymorpha (1)
- Heart Failure (1)
- Heat shock protein 27 (1)
- Heißes Plasma (1)
- Heparin (1)
- Herzchirurgie (1)
- Herzinsuffizienz (1)
- Hot plasma (1)
- Hue (1)
- Human (1)
- Hutchinson Operator (1)
- Hutchinson-Operator (1)
- Hydrolasen (1)
- Immobilisierung (1)
- Immobilization (1)
- Immunantwort (1)
- Immunbiologie (1)
- Immune response (1)
- Immunkomplex (1)
- Immunoadsorptionstherapie (1)
- Immunsystem (1)
- Impfstoff (1)
- Imunoadsorption therapy (1)
- Inanspruchnahme (1)
- Infektionen (1)
- Informeller Sektor (1)
- Innate immunity (1)
- Innere Energie (1)
- Insulin (1)
- Integrierte Soziale Sicherung (1)
- Internet (1)
- Intracerebral haemorrhage (1)
- Ionenstrahlfalle (1)
- Iterated Function System (1)
- Iteriertes Funktionensystem (1)
- Kardiovaskuläre Krankheit (1)
- Kernfusion (1)
- Kinder (1)
- Kinetische Gastheorie (1)
- Krankenversicherung (1)
- Krankheitskosten (1)
- LSR (1)
- Lebendmarker-Vakzine (1)
- Leptin (1)
- Limnologie (1)
- Linear Elasticity (1)
- Lipoprotein (1)
- Lévy processes (1)
- Lévy-prozess (1)
- MRP3 (1)
- Magnetohydrodynamik (1)
- Massenspektrometrie (1)
- Maus (1)
- Mediation analysis (1)
- Metabolismus (1)
- Metabolomics (1)
- Methicillin-resistant (1)
- Microarrays (1)
- Modellbildung (1)
- Modenübergang (1)
- Molecular Modelling (1)
- Molecular modelling (1)
- Mongolei (1)
- Mongolia (1)
- Mongolischer Altai (1)
- Monitoring (1)
- Myodes glareolus (1)
- N-Acyl-L-Homoserinlakton (1)
- NOD/SCID mouse model (1)
- Nab-paclitaxel (1)
- Narkose (1)
- Neonatal outcome (1)
- Neonates (1)
- Nephropathy (1)
- Netz (1)
- Neue Medien (1)
- Neukaledonien (1)
- Neutrophil extracellular traps (1)
- Niedertemperaturplasma (1)
- Nuckelflaschenkaries (1)
- Oberflächendatierung (1)
- Omega-3 fatty acids (1)
- Optimal Control (1)
- Optimale Kontrolle (1)
- Organic Matter (1)
- Organischer Stoff (1)
- P-Glykoprotein (1)
- PDAC (1)
- PDE (1)
- PI3K (1)
- PLK1 (1)
- PRP (1)
- PTSD (1)
- Palliative chemotherapy (1)
- Paläoklima (1)
- Pancreatitis (1)
- Panton-Valentin-Leukozidin (1)
- Panton-Valentine Leukocidin (1)
- Parenteral nutrition (1)
- Pazifischer Ozean <Süd > (1)
- Perinatal infection (1)
- Pharmakogenetik (1)
- Pharmakokinetik (1)
- Phosphoproteomik (1)
- Phylogenie (1)
- Physik (1)
- Physiologie (1)
- Pilz-Endophyten (1)
- Pilz-Vielfalt (1)
- Plasma-Flüssigkeits-Wechselwirkung (1)
- Plasmachemie (1)
- Polaron (1)
- Polymorphism (1)
- Polynesien (1)
- Population genetics (1)
- Populationsgenetik (1)
- Precision medicine (1)
- Preterm infants (1)
- Prevalence (1)
- Prevention (1)
- Process engineering (1)
- Progenitor cells (1)
- Progenitorzellen (1)
- Prostate cancer (1)
- Protamine (1)
- Protease (1)
- Proteine (1)
- Proteinphosphorylierung (1)
- Proteinreinigung (1)
- Proteomik (1)
- Prozesstechnik (1)
- Psychiatrie (1)
- Puumala virus (1)
- Quantendot (1)
- Quantengruppe (1)
- Quantenwahrscheinlichkeitstheorie (1)
- Quorum quenching (1)
- Quorum sensing (1)
- RNS (1)
- ROS (1)
- Radiation (1)
- Radiofrequenz (1)
- Random matrices (1)
- Reaktionskaskade (1)
- Recurrent depression (1)
- Redox Biogeochemie (1)
- Redox Biogeochemistry (1)
- Referred (1)
- Rekrutierung (1)
- Responder und Nicht-Responder (1)
- SPIONs (1)
- Schale (1)
- Schlaganfall (1)
- Schlieren (1)
- Schlinge (1)
- Schnecken (1)
- Schweineleber-Esterase (1)
- Screening (1)
- Sekundärmetaboliten (1)
- Shells (1)
- Sicherheit (1)
- Simulation (1)
- Social Health Insurance (1)
- Socio-economic status (1)
- Soziale Krankenversicherung (1)
- Sozialversicherung (1)
- Spektroskopie (1)
- Spektrum (1)
- Sphingolipide (1)
- Spin Trap (1)
- Spin Trapping (1)
- Statistik (1)
- Staubiges Plasma (1)
- Stem cell transplantation (1)
- Stereotactic surgery (1)
- Synthetic Biology (1)
- Synthetische Biologie (1)
- THP-1 cells (1)
- TRP channels (1)
- Talinolol (1)
- Targeted delivery (1)
- Temperatur (1)
- Theranostics (1)
- Thyroid function (1)
- Thyroid-stimulating hormone (1)
- Tokamak (1)
- Tolerability (1)
- Tomographie (1)
- Tourismus (1)
- Tracer particles (1)
- Tracerpartikel (1)
- Transaminasen (1)
- Transfer Operator (1)
- Transfer-Operator (1)
- Transportproteine (1)
- Tropen (1)
- Truncatelloidea (1)
- Tumor spezifischer Transport (1)
- Universal Health Coverage (1)
- Universelle Abdeckung (1)
- Urological complications (1)
- Vanuatu (1)
- Vergletscherung (1)
- Verhaltensmodifikation (1)
- Vietnam (1)
- Virulence (1)
- Virus der klassischen Schweinepest (1)
- Visceral adipose tissue (1)
- Visceral body fat (1)
- Vitronectin (1)
- Waves (1)
- Wellen (1)
- Wirt-Erreger Interaktion (1)
- Wirtsorganismus (1)
- Yeast (1)
- Zahnstatus (1)
- Zeeman and Stark effects (1)
- Zeeman- und Stark-Effekte (1)
- Zerstörung (1)
- Zufallsmatrizen (1)
- Zylinderschale (1)
- adhesin A (1)
- affective neuroscience (1)
- alloplastische Materialien (1)
- amygdala (1)
- aquatische Grenzzonen (1)
- arousal (1)
- atomic spectra (1)
- bank vole (1)
- caries prevelance (1)
- catalytic promiscuity (1)
- cell signaling (1)
- climate extremes (1)
- dendritic spine function (1)
- dendrometer measurements (1)
- destination image (1)
- destination loyalty (1)
- diffusion weighted imaging (1)
- dilatative Kardiomyopathie (1)
- duktale Adenokarzinom des Pankreas (1)
- dystrophin deficient (1)
- efficacy (1)
- electron emission (1)
- emotion (1)
- emotion perception (1)
- endemic region (1)
- endoscope-assisted (1)
- enzyme evolution (1)
- event coincidence analysis (1)
- evolutionary lineage (1)
- face perception (1)
- free probability (1)
- fungal diversity (1)
- fungal endophytes (1)
- gamma (1)
- gemeindebasierte Krankenversicherung (1)
- geochronology (1)
- gerichtete Evolution (1)
- glaciers (1)
- group prevention (1)
- growth response (1)
- guided streamer (1)
- hemifacial spasm (1)
- host pathogen interactions (1)
- hydrolases (1)
- ice flow model (1)
- individual differences (1)
- internal energy (1)
- intestinale Absorption (1)
- intraoperative monitoring (1)
- invariant measure (1)
- invariantes Maß (1)
- ion-beam trap (1)
- katalytische Promiskuität (1)
- lateral spread (1)
- life-span development (1)
- live marker vaccine (1)
- microvascular decompression (1)
- motivation (1)
- motor outcome (1)
- multilayers (1)
- neural circuits and behavior (1)
- neuroimmune interactions (1)
- outbreak (1)
- p38 (1)
- phagocytosis (1)
- phonon localization (1)
- phonon propagation (1)
- pig liver esterase (1)
- plasma-liquid-interaction (1)
- prediction (1)
- protein engineering (1)
- proteomics (1)
- psychiatric disorders (1)
- pulsed laser deposition (1)
- pump-probe spectroscopy (1)
- quantum groups (1)
- quantum probability (1)
- recovery (1)
- reinforcement learning (1)
- resting state fMRI (1)
- safety (1)
- secondary metabolites (1)
- sexual dimorphism (1)
- social relationships in school (1)
- spectrum (1)
- stroke (1)
- sub-Saharan Africa (1)
- surface exposure dating (1)
- synaptic function (1)
- synaptic remodeling (1)
- synaptic transmission (1)
- temperature (1)
- tourism (1)
- tourist satisfaction (1)
- transbilayer lipid (flip-flop) motion (1)
- tropics (1)
- visual processing (1)
- Ökologie (1)
Institute
- Institut für Physik (9)
- Institut für Chemie und Biochemie (7)
- Abteilung für Mikrobiologie und Molekularbiologie (5)
- Institut für Botanik und Landschaftsökologie & Botanischer Garten (4)
- Institut für Mathematik und Informatik (3)
- Institut für Psychologie (3)
- Klinik für Psychiatrie und Psychotherapie (3)
- Klinik und Poliklinik für Neurologie (3)
- Poliklinik für Kieferorthopädie, Präventive Zahnmedizin und Kinderzahnheilkunde (3)
- Institut für Geographie und Geologie (2)
Publisher
- S. Karger AG (15)
- Frontiers Media S.A. (8)
- De Gruyter (1)
- IOP Publishing (1)
The aim of this retrospective observational study is to describe and discuss various complications that can arise after insertion of alloplastic materials in the field of urogynecology that require further surgical interventions in order to manage them or to at least improve the quality of life in those women. We were able to collect data on 77 patients who fulfilled the criteria. Medical history, data of clinical findings, and outcomes were collected and analyzed. The most common complication seen as an indication for resecting slings or meshes was de novo overactive bladder syndrome (40%). Other indications seen were lower urinary tract obstruction or obstructive voiding symptoms (21%), chronic pain (21%), and de novo dyspareunia (13%). 36% of the patients had recurrent symptoms (failure) after insertion of alloplastic materials in the form of urinary incontinence or prolapse, 32% presented with vaginal erosions, 2 women had severe signs of infection with abscess formation, another 3 women had urogenital fistulae. Other rare complications after mesh or sling insertion are perforations of the urinary bladder or urethra. Proper case selection is the key factor. The use of meshes and slings seems justified only in patients with known connective tissue weakness and recurrences after native tissue repair. Otherwise, patients will be exposed to unnecessary risk without any expectable improvement to their quality of life. Most of the complications are mainly caused by wrong and inadequate surgical techniques, wrong indications, or missed diagnosis of the underlying problem. In addition, lack of long-term follow-up is usually the cause behind the negligence towards many complications. Therefore, only experienced physicians should be allowed to perform such procedures, and long-term postoperative follow-up is strongly recommended. As slings and meshes are used for procedures of choice as means to improve quality of life, and not for life threatening situations, there is a need for intensive informed consent. All possible alternatives have to be discussed, as do the pros and cons of selected procedures, even the rare complications. Mesh or sling resection is considered to be an effective solution for the management of such complications. It has shown a high success rate in comparison to conservative treatment, and the majority of patients were satisfied and experienced a big improvement in their quality of life. The most common complication after resection is the recurrence of primary symptoms, either urinary incontinence or prolapse. Major or serious intra- or postoperative complications are very rare. All complications were classified and given a code according to the classification system of the international urogynecological association and the international continence society (IUGA/ICS) on 2011. The applicability and practicability of this code were evaluated, looking for ways to possibly improve it or to identify missing parameters. Many patients had more than one code, a problem that entirely torpedoed the idea of “simple” classification. Some complications are not covered individually in the classification, such as failure and recurrence or overactive bladder syndrome. These complications should be included. Many cases began with the same code, despite having different complications. Further sub-classifications should be considered to enable the reader to easily recognize the complication at hand. Patients who came with complications more than one year after mesh or sling insertion were categorized as (T4), regardless of whether the complication arose after 1 year of after 10. Therefore, sub-classifications in the (T4) category are recommended. The “site” category was not applicable in many cases. Furthermore, it is necessary that the severity of a complication is discernible, and should be mentioned in the code. We did not find any correlation between the code given and patient satisfaction. After re-modification and completion, the IUGA/ICS code could be more practical for clinical use, which would allow for the comparison of complications and make the assessment of adverse effects easier for research purposes.