Felmerer, Gunther

[["dc.bibliographiccitation.firstpage","121"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","LYMPHOLOGY"],["dc.bibliographiccitation.lastpage","130"],["dc.bibliographiccitation.volume","44"],["dc.contributor.author","Zvonik, M."],["dc.contributor.author","Foeldi, Ethelka"],["dc.contributor.author","Felmerer, Gunther"],["dc.date.accessioned","2018-11-07T08:52:50Z"],["dc.date.available","2018-11-07T08:52:50Z"],["dc.date.issued","2011"],["dc.description.abstract","Genital lymphedema represents a severe disability for patients particularly when complicated by erysipelas, the most frequent complication. The objectives of this study were: to investigate the frequency of erysipelas in patients with genital lymphedema and genital lymphatic cysts who underwent evaluation for surgical treatment, to observe the influence of resection operations on the frequency of erysipelas, and to measure changes in the quality of life due to the resection. A total of 93 patients with genital lymphedema were studied. All patients underwent integrated care treatment in the Foldi Clinic, Hinterzarten and the Department of Plastic and Hand Surgery of the University Hospital Freiburg during the period between 1997 and 2007. 44 of these patients underwent surgical treatment of genital lymphedema. The results indicate that lymphatic cysts were the most important risk-aggravating factor for recurrent erysipelas with lymphorrhea in the genital region (p<0.001). Following the resection operation, however, the number of erysipelas incidents significantly decreased (p<0.001). In addition, the antibiotic dose could be reduced after surgery (p=0.039) and an improved quality of life was achieved (p<0.001)."],["dc.identifier.isi","000208737600004"],["dc.identifier.pmid","22165582"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/22266"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Lymphology"],["dc.relation.issn","0024-7766"],["dc.title","THE EFFECTS OF REDUCTION OPERATION WITH GENITAL LYMPHEDEMA ON THE FREQUENCY OF ERYSIPELAS AND THE QUALITY OF LIFE"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","294"],["dc.bibliographiccitation.journal","Journal of Surgical Research"],["dc.bibliographiccitation.lastpage","303"],["dc.bibliographiccitation.volume","253"],["dc.contributor.author","Felmerer, Gunther"],["dc.contributor.author","Stylianaki, Aikaterini"],["dc.contributor.author","Hägerling, Rene"],["dc.contributor.author","Wang, Anna"],["dc.contributor.author","Ströbel, Philipp"],["dc.contributor.author","Hollmén, Maija"],["dc.contributor.author","Lindenblatt, Nicole"],["dc.contributor.author","Gousopoulos, Epameinondas"],["dc.date.accessioned","2021-04-14T08:23:24Z"],["dc.date.available","2021-04-14T08:23:24Z"],["dc.date.issued","2020"],["dc.identifier.doi","10.1016/j.jss.2020.03.055"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/80899"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-399"],["dc.relation.issn","0022-4804"],["dc.title","Adipose Tissue Hypertrophy, An Aberrant Biochemical Profile and Distinct Gene Expression in Lipedema"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","904"],["dc.bibliographiccitation.issue","11"],["dc.bibliographiccitation.journal","Journal of Wound Care"],["dc.bibliographiccitation.lastpage","914"],["dc.bibliographiccitation.volume","30"],["dc.contributor.author","Ernst, Jennifer"],["dc.contributor.author","Tanyeli, Murat"],["dc.contributor.author","Borchardt, Thomas"],["dc.contributor.author","Ojugo, Moses"],["dc.contributor.author","Helmke, Andreas"],["dc.contributor.author","Viöl, Wolfgang"],["dc.contributor.author","Schilling, Arndt F"],["dc.contributor.author","Felmerer, Gunther"],["dc.date.accessioned","2021-12-01T09:22:31Z"],["dc.date.available","2021-12-01T09:22:31Z"],["dc.date.issued","2021"],["dc.description.abstract","Objective: The response of different critical acute and hard-to-heal wounds to an innovative wound care modality—direct application of cold atmospheric plasma (CAP)—was investigated in this clinical case series. Method: Over an observation period of two years, acute wounds with at least one risk factor for chronification, as well as hard-to-heal wounds were treated for 180 seconds three times per week with CAP. CAP treatment was additional to standard wound care. Photographs were taken for wound documentation. The wound sizes before the first CAP treatment, after four weeks, after 12 weeks and at wound closure/end of observation time were determined using image processing software, and analysed longitudinally for the development of wound size. Results: A total of 27 wounds (19 hard-to-heal and eight acute wounds) with a mean wound area of 15cm 2 and a mean wound age of 49 months were treated with CAP and analysed. All (100%) of the acute wounds and 68% of the hard-to-heal wounds healed after an average treatment duration of 14.2 weeks. At the end of the observation period, 21% of hard-to-heal wounds were not yet closed but were reduced in size by >80%. In 11% of the hard-to-heal wounds (n=2) therapy failed. Conclusion: The results suggested a beneficial effect of additional CAP therapy on wound healing. Declaration of interest: This work was carried out within the research projects \\‘Plasma for Life\\’ (funding reference no. 13FH6I04IA) with financial support from the German Federal Ministry of Education and Research (BMBF). In the past seven years AFS has provided consulting services to Evonik and has received institutional support by Heraeus, Johnson & Johnson and Evonik. There are no royalties to disclose. The Department for Trauma Surgery, Orthopaedics and Plastic Surgery received charitable donations by CINOGY GmbH. CINOGY GmbH released the di_CAP devices and electrodes for the study. WV and AH were involved in the development of the used di_CAP device (Plasmaderm, CINOGY GmbH). WV is shareholder of the outsourced start-up company CINOGY GmbH."],["dc.identifier.doi","10.12968/jowc.2021.30.11.904"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/94420"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-478"],["dc.relation.eissn","2052-2916"],["dc.relation.issn","0969-0700"],["dc.title","Effect on healing rates of wounds treated with direct cold atmospheric plasma: a case series"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","Die Urologie"],["dc.contributor.author","Reichert, M."],["dc.contributor.author","Schüler, P."],["dc.contributor.author","Stepniewski, A."],["dc.contributor.author","Felmerer, G."],["dc.contributor.author","Trojan, L."],["dc.contributor.author","von Knobloch, H. C."],["dc.date.accessioned","2022-10-04T10:21:22Z"],["dc.date.available","2022-10-04T10:21:22Z"],["dc.date.issued","2022"],["dc.description.abstract","Zusammenfassung\n Unter Berücksichtigung einiger Grundprinzipien der Fistelchirurgie gibt es verschiedene Möglichkeiten der operativen Sanierung urethrorektaler Fisteln. Ein Standard, welche Operationsmethode unter welchen Umständen eingesetzt werden sollte, gibt es – auch aufgrund der Heterogenität dieser Erkrankung – nicht. Dieser Fall beschreibt die individuelle Adaptation einer Operationstechnik, welche zur Behandlung vesikovaginaler Fisteln eingesetzt wird, auf die Behandlung einer urethrorektalen Fistel eines Patienten nach bereits frustranem Versuch eines Fistelverschlusses, welche auf Basis einer etablierten Methode unter Verwendung eines Interponats zum Erfolg führte."],["dc.description.abstract","Abstract\n When taking into consideration the basic principles of fistula surgery, numerous options are available for the surgical repair of rectourethral fistulas. However, there is no standard regarding which surgical method should be used under which circumstances—due to the heterogeneity of this disease. This case report describes the individual adaptation of a surgical technique that is used for the treatment of vesicovaginal fistulas to treat a rectourethral fistula in a patient who had already undergone an unsuccessful fistula closure attempt. Successful closure of the fistula was achieved on the basis of an established method using tissue interposition."],["dc.identifier.doi","10.1007/s00120-022-01924-2"],["dc.identifier.pii","1924"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/114393"],["dc.language.iso","de"],["dc.notes.intern","DOI-Import GROB-600"],["dc.relation.eissn","2731-7072"],["dc.relation.issn","2731-7064"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","Verschluss einer persistierenden urethrorektalen Fistel nach suprasymphysärer Adenomenukleation der Prostata durch kombiniertes Bressel-Naujox- mit einem Gracilisflapverfahren"],["dc.title.translated","Closure of persisting rectourethral fistula after suprasymphyseal adenoma enucleation of the prostate by combining the Bressel-Naujox and gracilis flap procedure"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","35"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Lymphatic Research and Biology"],["dc.bibliographiccitation.lastpage","39"],["dc.bibliographiccitation.volume","14"],["dc.contributor.author","Felmerer, Gunther"],["dc.contributor.author","Dowlatshahi, A. S."],["dc.contributor.author","Stark, G. Bjoern"],["dc.contributor.author","Foeldi, Ethelka"],["dc.contributor.author","Foeldi, Martha"],["dc.contributor.author","Ahls, Maria G."],["dc.contributor.author","Stroebel, Philipp"],["dc.contributor.author","Aung, Thiha"],["dc.date.accessioned","2018-11-07T10:17:37Z"],["dc.date.available","2018-11-07T10:17:37Z"],["dc.date.issued","2016"],["dc.description.abstract","Background: Stewart-Treves syndrome is a rare complication of breast cancer treatment, representing a lymphangiosarcoma commonly associated with lymphedema and severely impacting patient's outcome. The tumor typically develops in the atrophic, pachydermatous, hyperkeratotic skin of limbs affected by long-standing lymphedema. Clinical data associated with Stewart-Treves syndrome and lymphedema management have rarely been published. Methods and Results: In the period between 1980 and 2009, ten patients with Stewart-Treves syndrome were diagnosed and treated at the Foeldiklinik, Hinterzarten, Germany. Nine of the ten patients were female. Five patients had previously suffered from breast cancer (and were treated with mastectomy); two from other malignancies; two patients had primary lymphedema, and one had undergone lower extremity lymphadenectomy. All cancer patients had undergone radiation treatment. In all cases, the sarcoma developed in non-irradiated areas 6-48 years (average 16.3 years) after the onset of lymphedema. None of the patients had received complex decongestive physical therapy (CDT). Two patients had above-elbow amputation, one had shoulder exarticulation, two patients had wide excision and skin grafting, two patients had above-knee amputation procedure, two patients had a below-knee amputation procedure, and one patient had no surgical treatment at all. The time to recurrence after surgery, time to metastasis, patient survival and CDT were recorded. Conclusions: Patients with lymphedema should be closely examined starting 5 years from the time of lymphedema onset, paying special attention to those with associated malignancies. Only early diagnosis and treatment by radical ablative surgery confers a reasonable prognosis with this rare but aggressive disease. A potential effect of CDT on lymphangiosarcoma has to be studied in a greater patient cohort."],["dc.identifier.doi","10.1089/lrb.2015.0006"],["dc.identifier.isi","000372184300007"],["dc.identifier.pmid","26584023"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/41264"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Mary Ann Liebert, Inc"],["dc.relation.issn","1557-8585"],["dc.relation.issn","1539-6851"],["dc.title","Lymphangiosarcoma: Is Stewart-Treves Syndrome a Preventable Condition?"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","European Journal of Plastic Surgery"],["dc.contributor.author","Stepniewski, Adam S."],["dc.contributor.author","Saul, Dominik"],["dc.contributor.author","Synn, Helen"],["dc.contributor.author","Felmerer, Gunther"],["dc.date.accessioned","2020-06-15T06:55:49Z"],["dc.date.available","2020-06-15T06:55:49Z"],["dc.date.issued","2020"],["dc.description.abstract","Background The first description of local fascio-cutaneous flaps used for the coverage of soft tissue defects of the limbs originates from the 1980s. Over the years, this technique has advanced, and in the meantime, a sub-group of flaps named perforator-based propeller flaps has gained increased attention. In our study, we aimed to demonstrate our experience of operating surgeries with perforator-based propeller flaps and to compare this technique with other flap techniques, which are to reconstruct tissue defects of the knee, lower leg, and foot. Methods A systematic retrospective search for flap procedures for defect reconstructions in the knee, lower leg, and foot from our database was performed. All data between January 2010 and August 2018 were considered. We identified 56 procedures performed on 14 female and 42 male patients with the mean age of 54.13 years. Reconstruction procedures consisted of 34 free flaps, 14 perforator-based propeller flaps, and eight other perforator-based flaps. Compared to free flaps, the perforator-based propeller flaps had shorter surgery duration by 46.6% (p < 0.0001) and the complication rate in the cases of perforator-based propeller flaps was reduced by 31.14% (p = 0.0315). Furthermore, the operations carried out with perforator-based propeller flaps resulted in a significantly lower rate of revisions by 36.03% (p = 0.0204), compared to those with free flaps. The majority of the donor sites of free flaps were self-closing with the direct suture (p = 0.004). Conclusions Based on our findings, we can propose the applicability of perforator-based flaps in treating defects of the knee, lower leg, and foot. With a correct indication, perforator-based propeller flap represents a promising alternative to free flaps, with its significantly shorter surgery duration, lower complications rate, and lower revision rate. However, both techniques of the free flap transfer and the transfer of local pedicle-based flap possess their advantages and disadvantages. Therefore, it is hard to define which microsurgical technique is exclusive in treating lower leg defects."],["dc.identifier.doi","10.1007/s00238-019-01619-6"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/66242"],["dc.language.iso","en"],["dc.relation.eissn","1435-0130"],["dc.relation.issn","0930-343X"],["dc.title","Surgical defect reconstructions in knee, lower leg, and foot with flaps: a retrospective analysis"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","171"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Microsurgery"],["dc.bibliographiccitation.lastpage","177"],["dc.bibliographiccitation.volume","32"],["dc.contributor.author","Felmerer, Gunther"],["dc.contributor.author","Sattler, Thorsten"],["dc.contributor.author","Lohrmann, Christian"],["dc.contributor.author","Tobbia, Dalia"],["dc.date.accessioned","2021-06-01T10:47:02Z"],["dc.date.available","2021-06-01T10:47:02Z"],["dc.date.issued","2011"],["dc.identifier.doi","10.1002/micr.20968"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/85455"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-425"],["dc.relation.issn","0738-1085"],["dc.title","Treatment of various secondary lymphedemas by microsurgical lymph vessel transplantation"],["dc.title.alternative","Lymphedema, Lymph Vessel, Transplantation"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","53"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Clinical Hemorheology and Microcirculation"],["dc.bibliographiccitation.lastpage","63"],["dc.bibliographiccitation.volume","73"],["dc.contributor.author","Klingelhoefer, Eric"],["dc.contributor.author","Hesse, Karl"],["dc.contributor.author","Taeger, Christian D."],["dc.contributor.author","Prantl, Lukas"],["dc.contributor.author","Stepniewski, Adam"],["dc.contributor.author","Felmerer, Gunther"],["dc.contributor.editor","Wiggermann, P."],["dc.contributor.editor","Krüger-Genge, A."],["dc.contributor.editor","Jung, F."],["dc.date.accessioned","2020-12-10T18:44:09Z"],["dc.date.available","2020-12-10T18:44:09Z"],["dc.date.issued","2019"],["dc.identifier.doi","10.3233/CH-199213"],["dc.identifier.eissn","1875-8622"],["dc.identifier.issn","1386-0291"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/78347"],["dc.notes.intern","DOI Import GROB-354"],["dc.title","Factors affecting outcomes after supermicrosurgical lymphovenous anastomosis in a defined patient population"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","129"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","World Journal of Transplantation"],["dc.bibliographiccitation.lastpage","137"],["dc.bibliographiccitation.volume","11"],["dc.contributor.author","Felmerer, Gunther"],["dc.contributor.author","Behringer, Dominik"],["dc.contributor.author","Emmerich, Nadine"],["dc.contributor.author","Grade, Marian"],["dc.contributor.author","Stepniewski, Adam"],["dc.date.accessioned","2021-06-01T10:48:58Z"],["dc.date.available","2021-06-01T10:48:58Z"],["dc.date.issued","2021"],["dc.identifier.doi","10.5500/wjt.v11.i4.129"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/86118"],["dc.notes.intern","DOI-Import GROB-425"],["dc.relation.issn","2220-3230"],["dc.title","Donor defects after lymph vessel transplantation and free vascularized lymph node transfer: A comparison and evaluation of complications"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","Developmental Dynamics"],["dc.contributor.author","Wilting, Jörg"],["dc.contributor.author","Felmerer, Gunther"],["dc.contributor.author","Becker, Jürgen"],["dc.date.accessioned","2022-04-01T10:01:18Z"],["dc.date.available","2022-04-01T10:01:18Z"],["dc.date.issued","2022"],["dc.identifier.doi","10.1002/dvdy.460"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/105643"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-530"],["dc.relation.eissn","1097-0177"],["dc.relation.issn","1058-8388"],["dc.rights.uri","http://creativecommons.org/licenses/by-nc/4.0/"],["dc.title","Control of the extracellular matrix by hypoxic lymphatic endothelial cells: Impact on the progression of lymphedema?"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]