• Disease
  • Surgical
  • Surgical Complications
  • Daniel R Dindo

    Prominent publications by Daniel R Dindo

    KOL Index score: 15974

    OBJECTIVE: To define whether laparoscopic gastric banding or laparoscopic Roux-en-Y gastric bypass represents the better approach to treat patients with morbid obesity.

    SUMMARY BACKGROUND DATA: Two techniques, laparoscopic gastric bypass or gastric banding, are currently widely used to treat morbid obesity. Since both procedures offer certain advantages, a strong controversy exists as to which operation should be proposed to these patients. Therefore, data are urgently needed to identify ...

    Also Ranks for: Gastric Banding |  morbid obesity |  bypass laparoscopic |  postoperative complications |  weight loss reduction
    KOL Index score: 11397

    BACKGROUND: The dramatic shortage of kidney donors has triggered interest in other sources of organs, such as donors without a heartbeat. Accumulating evidence suggests that the short-term survival of cadaveric kidneys from such donors is similar to that of cadaveric kidneys from donors with a heartbeat. However, no data from large, matched studies with long-term follow-up are available. We conducted a matched, single-center study of kidney transplants obtained from donors without a ...

    Also Ranks for: Kidneys Donors |  kidney transplantation |  graft survival |  recipients groups |  follow studies
    KOL Index score: 10176

    BACKGROUND AND AIMS: The lack of consensus on how to define and grade adverse postoperative events has greatly hampered the evaluation of surgical procedures. A new classification of complications, initiated in 1992, was updated 5 years ago. It is based on the type of therapy needed to correct the complication. The principle of the classification was to be simple, reproducible, flexible, and applicable irrespective of the cultural background. The aim of the current study was to ...

    Also Ranks for: Surgical Complications |  patients nurses |  illness terminology |  health personnel humans |  new classification
    KOL Index score: 9765

    BACKGROUND: Obese patients are generally believed to be at a higher risk for surgery than those who are not obese, although convincing data are lacking.

    METHODS: We prospectively investigated a cohort of 6336 patients undergoing general elective surgery at our institution to assess whether obesity affects the outcome of surgery. Exclusion criteria were emergency, vascular, thoracic, and bariatric operations; transplantation procedures; patients under immunosuppression; and operations ...

    Also Ranks for: General Elective Surgery |  patients obese |  postoperative complications |  obesity risk |  stay length
    KOL Index score: 8981

    AIM: Transanal minimal invasive surgery (TAMIS) of rectal lesions is increasingly being used, but the technique is not yet standardized. The aims of this study were to evaluate peri-operative complications and long-term functional outcome of the technique and to analyse whether or not the rectal defect needs to be closed.

    METHOD: Consecutive patients undergoing TAMIS using the SILS port (Covidien) and standard laparoscopic instruments were studied.

    RESULTS: Seventy-five patients (68% ...

    Also Ranks for: Rectal Lesions |  invasive surgery |  sils port |  anal verge |  operative time
    KOL Index score: 8879

    BackgroundSurgical residents often use a laparoscopic camera in minimally invasive surgery for the first time in the operating room (OR) with no previous education or experience. Computer-based simulator training is increasingly used in residency programs. However, no randomized controlled study has compared the effect of simulator-based versus the traditional OR-based training of camera navigation skills.MethodsThis prospective randomized controlled study included 24 pregraduation ...

    Also Ranks for: Camera Navigation |  randomized controlled |  operating room |  simulator training |  residency programs
    KOL Index score: 8619

    OBJECTIVE: Although quality assessment is gaining increasing attention, there is still no consensus on how to define and grade postoperative complications. This shortcoming hampers comparison of outcome data among different centers and therapies and over time.

    PATIENTS AND METHODS: A classification of complications published by one of the authors in 1992 was critically re-evaluated and modified to increase its accuracy and its acceptability in the surgical community. Modifications mainly ...

    Also Ranks for: Surgical Complications |  health reproducibility |  quality assessment surgery |  international survey |  outcome data
    KOL Index score: 8015

    PURPOSE: The clinical and morphologic outcome of patients with obstructed defecation syndrome after stapled transanal rectal resection was prospectively evaluated.

    METHODS: Twenty-four consecutive patients (22 women; median age, 61 (range, 36-74) years) who suffered from obstructed defecation syndrome and with rectal redundancy on magnetic resonance defecography were enrolled in the study. Constipation was assessed by using the Cleveland Constipation Score. Morphologic changes were ...

    Also Ranks for: Obstructed Defecation Syndrome |  stapled transanal |  rectal resection |  magnetic resonance |  defecation defecography
    KOL Index score: 7727

    Background and aimsChronic anal fissures are difficult to treat. The aim of this retrospective study was to determine the outcome of combined fissurectomy and injection of botulinum toxin Type A (BT).Materials and methodsBetween January 2001 and August 2004, 40 patients (21 women), median age 37 years (range 18 to 57), underwent fissurectomy and BT injection. Fissurectomy was performed followed by injection of 10 U of BT into the internal anal sphincter on both sides of the fissure. All ...

    Also Ranks for: Combined Fissurectomy |  anal fissure |  botox injection |  1 year |  longterm recurrence
    KOL Index score: 7297

    BACKGROUND: Many instruments are used for laparoscopic dissection, including monopolar electrosurgery scissors (MES), electrothermal bipolar vessel sealers (BVS) and ultrasonically coagulating shears (UCS). These three devices were compared with regard to dissection time, blood loss, safety and costs.

    METHODS: Sixty-one consecutive patients undergoing laparoscopic left-sided colectomy were randomized to MES, BVS or UCS. The primary endpoint was dissection time.

    RESULTS: Patient and ...

    Also Ranks for: Ultrasonic Shears |  mes ucs |  laparoscopic colorectal surgery |  bipolar vessel |  blood loss
    KOL Index score: 6902

    A variety of explanations have been provided to elucidate the requirement of the large islet mass that is essential for a successful treatment of patients with type I diabetes by intrahepatic transplantation. The purpose of this study was to investigate islet cell survival under the effect of prolonged hypoxia and/or nutrient withdrawal, which mimics posttransplantation environment of transplanted islets in the liver. We studied the influence of 24 h of hypoxia (1% O2) in intact isolated ...

    Also Ranks for: Central Necrosis |  islets langerhans |  min6 cells |  cell hypoxia |  hypoxic human
    KOL Index score: 6865

    BackgroundOne strategy to reduce the consumption of resources associated to specific procedures is to utilize clinical pathways, in which surgical care is standardized and preset by determination of perioperative in-hospital processes. The aim of this prospective study was to establish the impact of clinical pathways on costs, complication rates, and nursing activities.MethodData was prospectively collected for 171 consecutive patients undergoing laparoscopic cholecystectomy (n = 50), ...

    Also Ranks for: Clinical Pathways |  laparoscopic cholecystectomy |  humans length |  hospital costs |  gastric bypass
    KOL Index score: 6852

    BackgroundPerineal stapled prolapse (PSP) resection is a novel operation for treating external rectal prolapse. However, no long-term results have been reported in the literature. This study analyses the long-term recurrence rate, functional outcome, and morbidity associated with PSP resection.MethodsNine consecutive patients undergoing PSP resection between 2007 and 2011 were prospectively followed. Surgery was performed by the same surgeons in a standardised technique. Recurrence rate, ...

    Also Ranks for: Prolapse Resection |  recurrence rate |  external rectal |  functional outcome |  perineal stapled
    KOL Index score: 6671

    BACKGROUND: Wide excision with secondary wound healing is a frequently performed surgical procedure for pilonidal sinus. This intervention requires general anesthesia and has a wound healing time of up to several months with a long time to return to work. Sinusectomy of the track is an alternative operation. We here describe the long-term outcome of 257 patients operated between 2001 and 2010.

    METHODS: Sinusectomy consisted of a selective minimal invasive excision of the sinus after ...

    Also Ranks for: Pilonidal Sinus |  time work |  local anesthesia |  recurrence rate |  wound healing
    KOL Index score: 6443

    BackgroundAlthough laparoscopy is associated with reduced hospital stay, early recovery, and decreased morbidity compared with open surgery, it is not well established for the treatment of small bowel obstruction (SBO).MethodsThis study analyzed a prospective nationwide database of the Swiss Association of Laparoscopic and Thoracoscopic Surgery.ResultsFrom 1995 to 2006, 537 patients underwent laparoscopy for SBO. Matted adhesions were the main cause of obstruction (62.6%). Intraoperative ...

    Also Ranks for: Small Bowel Obstruction |  postoperative complications |  surgery databases |  conversion rate |  matted adhesions


    Daniel R Dindo: Influence Statistics

    Sample of concepts for which Daniel R Dindo is among the top experts in the world.
    Concept World rank
    fistula recurrence fistulas #1
    defect tamis #1
    rectal defect patients #1
    rectal lesions defect #1
    injection fissurectomy #1
    conclusions clinical improvement #1
    technique rectal defect #1
    tamis sils port #1
    proctologic fistulas #1
    uncomplicated finding #1
    preexisting intussusception #1
    syndrome stapled #1
    negative outcome complication #1
    rectal lesions technique #1
    tamis rectal lesions #1
    morphologic correction #1
    fistulotomy low risk #1
    classification surgical complications #1
    detectable rectoceles #1
    36 1575 #1
    r2resected tumour #1
    anal cleft #1
    define grade #1
    cleveland constipation score #1
    pilonidalsinus #1
    38 lowrisk cancers #1
    systemic complication rate #1
    38 9105 #1
    rectal diseases purpose #1
    recurrence fistulas #1
    combined fissurectomy #1
    77 25245 #1
    transanal minimal #1
    defecography stapled #1
    extrasphincteral fistulas #1
    incontinence fistula recurrence #1
    reintervention conclusions #1
    lesions defect #2
    general elective surgery #2
    events laparoscopic #2
    sinusectomy #2
    cost eraf #2

    Key People For Surgical Complications

    Top KOLs in the world
    Pierre‐Alain Clavien
    liver transplantation ischemic preconditioning postoperative complications
    Daniel R Dindo
    surgical complications gastric banding obstructed defecation syndrome
    Nicolas C Demartines
    enhanced recovery colorectal surgery postoperative complications
    William G Henderson†
    veterans affairs postoperative complications patient safety
    John L Cameron†
    pancreatic cancer acute pancreatitis surgical resection
    Shukri F Khuri¶
    veterans affairs cardiopulmonary bypass cardiac surgery

    Daniel R Dindo:Expert Impact

    Concepts for whichDaniel R Dindohas direct influence:Surgical complications,  Laparoscopic gastric bypass,  Clinical pathways,  Obstructed defecation syndrome,  Gastric banding,  Combined fissurectomy,  Gastric bypass,  Camera navigation.

    Daniel R Dindo:KOL impact

    Concepts related to the work of other authors for whichfor which Daniel R Dindo has influence:Postoperative complications,  Gastric cancer,  Liver resection,  Hepatocellular carcinoma,  Elderly patients,  Retrospective studies,  Learning curve.



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    Triemli Hospital Zurich Department of Visceral Surgery Zurich Switzerland | University Hospital Zurich Department of Visceral and Transplant Surgery Zurich Switzerland | Triemli Hospital Zurich Department of Surgery Zurich Switzerland | Department of