Maria Lempa

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To evaluate the status of perioperative pain management we mailed a anonymous postal survey to all 2,254 surgical departments in Germany. We received answers from 1,000 clinics (44.4%) which were representative related to their regional distribution. We asked the responsible surgeons to report their organizational structure and responsibilities for treating(More)
To evaluate the status of perioperative pain management we mailed a anonymous postal survey to all 2,254 surgical departments in Germany. We received answers from 1,000 clinics (44.4 %) which were representative related to their regional distribution. We asked the responsible surgeons to report their organizational structure and responsibilities for(More)
Introduction: Sufficient pain treatment is part of surgical therapy. One popular method of pain control is patient-controlled analgesia (PCA), which allows the patients to apply small doses of analgesics intravenously via a pump. Patient involvement in PCA requires an exact assessment of the patient's expectations as to the treatment of pain. Methods: In a(More)
BACKGROUND Surgical treatment is the most effective method for weight reduction in morbid obesity. The most common operations are gastric banding and gastric bypass. The effect of these interventions on esophageal function and gastroesophageal reflux symptoms has not been adequately investigated. METHODS Patients undergoing obesity surgery were(More)
UNLABELLED Morbidity and mortality after reversal of Hartmann's procedure following perforated sigmoid diverticulitis are high and the rate of intestinal restoration is low. AIM To investigate whether laparoscopically assisted reversal of Hartmann's procedure is technically feasible and whether the laparoscopic procedure offers any benefit to the patient.(More)
INTRODUCTION Sufficient pain treatment is part of surgical therapy. One popular method of pain control is patient-controlled analgesia (PCA), which allows the patients to apply small doses of analgesics intravenously via a pump. Patient involvement in PCA requires an exact assessment of the patient's expectations as to the treatment of pain. METHODS In a(More)
The efficacy of an acute pain service was prospectively evaluated on elective abdominal operations by comparing two surgical departments including a total of 498 patients. The patients of the clinic with an acute pain service reported less pain (at rest and in movement) pre- and postoperatively and received more analgetics. They had more appetite, lower(More)
If a patient presents with symptoms of a functional somatic pain syndrome in the primary care setting, it is important to confirm the diagnosis based on a thorough history and physical examination including selected diagnostic tests to exclude somatic diseases with a similar clinical presentation. Important aspects of psychosomatic medicine in the primary(More)
In this prospective clinical study we examined the intravenous application of salmon-calcitonin in eight patients with severe phantom limb pain (Visual Analogue Scale = 50-100). The patients presented at the Acute Pain Service (APS) section of the Second Department of Surgery, University of Cologne. Six of eight patients (75%) had no phantom limb pain after(More)
Ein bedeutender Teil der Schmerzsyndrome aller Gebiete der Medizin einschließlich der Schmerztherapie kann einem Bereich zugeordnet werden, der gemäß der Klassifikation der International Society of the Study of Pain (IASP) als „Schmerzsyndrome mit dysfunktioneller Ätiologie“ bzw. nach internistischer Terminologie als „funktionelle somatische Syndrome“(More)