Dr. med. Timo Rodi
Hamburg, Hamburg, Deutschland
17.117 Follower:innen
500+ Kontakte
Info
Physician turned healthcare entrepreneur⚕️
Shaping the future of Primary Care at…
Berufserfahrung
Ausbildung
Bescheinigungen und Zertifikate
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Cambridge English: Advanced (CAE) - Grade A (Score: 210/210) - CEFR level C2
Cambridge English Language Assessment
Ausgestellt:
Ehrenamt
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Local medical lead (Gliederungsarzt) - Malteser Ravensburg/ Weingarten
Malteser
–Heute 3 Jahre 9 Monate
Health
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Admission Committee for international applicants (e.g. Medicine, Law) - Committee Member
University of Heidelberg
– 1 Jahr 5 Monate
Education
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Heidelberg University Hospital Structure and strategy commission - Committee Member
University Hospital Heidelberg
– 2 Jahre 1 Monat
Health
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Symposium “Future of medicine” - Organisation Committee
Studienstiftung des deutschen Volkes
– 3 Jahre 5 Monate
Science and Technology
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Admission Committee for the Germany scholarship (Heidelberg University) - Committee Member
University of Heidelberg
– 2 Jahre 3 Monate
Education
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Conferment of the adjunct professor title (Senate of Heidelberg University) - Commission Member
University of Heidelberg
– 2 Jahre 7 Monate
Education
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Heidelberg Medical Students’ Research Congress - Initiation, Organisation Committee
University Hospital Heidelberg
– 1 Jahr 2 Monate
Science and Technology
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Stem cell donator registration - Head of Organisation Committee
University Hospital Heidelberg
– 1 Jahr 9 Monate
Health
Veröffentlichungen
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The Versatility of the Pedicled Medial Sural Artery Perforator Flap: From Simple to Its Chimeric Pattern and Clinical Experience with 37 Cases
Plastic and Reconstructive Surgery
Background:
Defects in the knee area, popliteal fossa region, and upper third of the lower extremity can pose a challenge for reconstructive plastic surgeons. The purpose of this article is to report the authors’ experience with the use of the pedicled medial sural artery perforator flap in its simple and chimeric form for reconstruction of defects in three different regions: knee, popliteal fossa, and proximal lower leg.
Methods:
From April of 2018 to April of 2019, 37 patients…Background:
Defects in the knee area, popliteal fossa region, and upper third of the lower extremity can pose a challenge for reconstructive plastic surgeons. The purpose of this article is to report the authors’ experience with the use of the pedicled medial sural artery perforator flap in its simple and chimeric form for reconstruction of defects in three different regions: knee, popliteal fossa, and proximal lower leg.
Methods:
From April of 2018 to April of 2019, 37 patients (29 men and eight women) with a mean age of 51 years (range, 18 to 78 years) underwent reconstruction with 37 pedicled medial sural artery perforator flaps. All flaps were harvested as pedicled perforator flaps in conventional or chimeric fashion and were based on one or two perforators. The defect locations included the knee (18 cases), popliteal fossa (seven cases), and proximal lower leg (12 cases). The cause of reconstruction was trauma in 22 patients (59 percent), tumor in 10 patients (27 percent), and donor-site closure of free medial sural artery perforator in five patients (14 percent).
Results:
The flap sizes varied from 3.5 × 5 cm to 5 × 10 cm. All but one flap, which showed distal tip necrosis, survived completely after surgery. The donor sites were all closed primarily. Minor complications included flap dehiscence (two cases) and minor wound infection delaying the healing process (four cases). All complications were treated conservatively. Follow-up observations were conducted for 3 to 12 months, and all patients had good functional recovery with satisfactory cosmetic results.
Conclusion:
The pedicled medial sural artery perforator flap can be considered an optimal method of reconstruction for covering defects not only in the knee area but also in the popliteal fossa and upper lower leg.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, IV.Andere Autor:innen -
Unilateral breast reconstruction with the free contralateral split breast flap using supermicrosurgical anastomosis: A case report
Microsurgery, Wiley
Consecutive or simultaneous contralateral breast reduction is a frequent request from patients undergoing unilateral breast reconstruction. Both procedures can be combined using otherwise discarded tissue as a split breast graft for reconstruction of the contralateral side. There have been few reports on the use of pedicled split breast grafts. We present a 75‐year‐old female with multicentric mammary carcinoma following chemotherapy, mastectomy, axillary lymph node dissection and radiotherapy.…
Consecutive or simultaneous contralateral breast reduction is a frequent request from patients undergoing unilateral breast reconstruction. Both procedures can be combined using otherwise discarded tissue as a split breast graft for reconstruction of the contralateral side. There have been few reports on the use of pedicled split breast grafts. We present a 75‐year‐old female with multicentric mammary carcinoma following chemotherapy, mastectomy, axillary lymph node dissection and radiotherapy. She requested a reconstruction of the left breast as well as reduction of the right breast. Risk factors, including heavy alcohol and tobacco dependence and COPD, limited the surgical options. While a free flap breast reconstruction was the standard feasible option, we opted for a procedure with minimal surgery‐related morbidity. The right breast was evidently tumor‐free, and the patient had no family history of breast cancer. Reconstruction was performed 22 months postmastectomy. The split‐breast free flap was based on the right internal mammary artery (IMA) perforator and harvested during the right‐sided breast reduction. Microsurgical anastomosis was performed on the IMA perforator on the left side. Mastopexy was performed on the right side and the nipple‐areola complex (NAC) was transferred to its new position as a free graft to complete the breast reduction. A tattoo of the left NAC was performed 4 months postreconstruction. There was complete flap survival with a pleasant cosmetic result. Split breast reconstruction could be an alternative to more common procedures. However, this approach is only feasible in patients with hypertrophic contralateral breast and absence of risk factors for developing a second primary breast cancer.
Andere Autor:innenVeröffentlichung anzeigen -
Direct repair of iatrogenic thoracic duct injury through lymphovenous anastomosis (LVA): A case report
Journal of Surgical Oncology, Wiley Periodicals, Inc.
This is a case report of a 64‐year‐old male with cancer with an unknown primary and bilateral cervical lymph node metastases. Twelve months after chemo‐, radio‐, immunotherapy, and radical neck dissection, he presented with recurrent cervical metastases. The patient underwent radical revision neck dissection including the deep neck muscles of the cervical plexus and reconstruction with a free anterolateral thigh flap. During tumor resection, parts of the thoracic duct were removed which…
This is a case report of a 64‐year‐old male with cancer with an unknown primary and bilateral cervical lymph node metastases. Twelve months after chemo‐, radio‐, immunotherapy, and radical neck dissection, he presented with recurrent cervical metastases. The patient underwent radical revision neck dissection including the deep neck muscles of the cervical plexus and reconstruction with a free anterolateral thigh flap. During tumor resection, parts of the thoracic duct were removed which resulted in a large lymph leak. This was addressed by creating a lymphovenous anastomosis to a branch of the subclavian vein. The flow of lymph was reinstated, and no leak has been observed up to a recent 6‐month follow‐up.
Andere Autor:innen -
Anatomy of the Greater Occipital Nerve Compression Site in Migraine Surgery
Springer, Cham
Book chapter in
Atlas of Surgical Therapy for Migraine and Tension-Type Headache
Editor
Edoardo Raposio
Print ISBN
978-3-030-29504-2
Online ISBN
978-3-030-29505-9
Introduction
The approaches to the complex field of chronic headache are rapidly evolving; accordingly, this timely and well-illustrated volume offers an in-depth description of all currently available surgical options for the treatment of migraine and headache (MH). With more than 300…Book chapter in
Atlas of Surgical Therapy for Migraine and Tension-Type Headache
Editor
Edoardo Raposio
Print ISBN
978-3-030-29504-2
Online ISBN
978-3-030-29505-9
Introduction
The approaches to the complex field of chronic headache are rapidly evolving; accordingly, this timely and well-illustrated volume offers an in-depth description of all currently available surgical options for the treatment of migraine and headache (MH). With more than 300 high-quality figures, and written by an international panel of experts, this first edition of the Atlas of Surgical Therapy for Migraine and Tension-Type Headache, provides detailed, step-by-step instructions on how to perform state-of-the-art MH surgical techniques, while reviewing relevant anatomical issues and their implications for treatment. In light of the interdisciplinary nature of migraine treatment, this book will prove an invaluable resource for MH practitioners from the resident plastic surgeon to the neurosurgeon and neurologist, and health care professionals across various fields of clinical medicine.Andere Autor:innen -
Meta-analysis of venous anastomosis techniques in free flap reconstruction
Journal of Plastic, Reconstructive & Aesthetic Surgery, Elsevier Ltd
Background
Coupler devices and hand-sewn anastomosis techniques are both routinely employed for venous anastomosis in microsurgical free flap transfer. However, uncertainty remains about whether those two techniques are different in terms of risk of venous thrombosis. The aim of this review was to evaluate the quality of the evidence and quantify the difference in venous thrombosis rates in both techniques.
Method
A PRISMA compliant systematic review and meta-analysis was performed…Background
Coupler devices and hand-sewn anastomosis techniques are both routinely employed for venous anastomosis in microsurgical free flap transfer. However, uncertainty remains about whether those two techniques are different in terms of risk of venous thrombosis. The aim of this review was to evaluate the quality of the evidence and quantify the difference in venous thrombosis rates in both techniques.
Method
A PRISMA compliant systematic review and meta-analysis was performed according to a previously published protocol. MEDLINE and Embase databases were searched from inception to 1st October 2018. Clinical studies using coupler devices for venous anastomoses in free tissue transfer were included. The primary outcome was postoperative venous thrombosis risk. Surgical anastomosis time was a secondary outcome. The risk of bias was assessed with the ROBINS-I or NIH tool and recommendations were made using the GRADE criteria.
Results
A total of 10 851 patients across 32 observational retrospective studies were included, with data available for 12 769 free flaps in breast, head and neck, limb and other reconstructions. Direct comparison meta-analysis of 7 studies showed a reduced post-operative thrombosis risk for venous coupler, although this was an imprecise estimate (RR 0.68 [95% CI 0.39-1.19]). Risk of bias was consistently high across all studies.
Conclusion
Venous couplers may reduce risk of venous thrombosis but further randomised trial data is needed to improve the accuracy of this estimate. Further research should also assess size-mismatch between donor and recipient vessel and the influence of coupler size on outcomes. (PROSPERO registration ID: CRD42018110111)Andere Autor:innenVeröffentlichung anzeigen -
Allogeneic skin substitutes versus human placental membrane products in the management of diabetic foot ulcers: a systematic comparative evaluation of the literature
The International Journal of Lower Extremity Wounds
Outcomes following standard wound care (SWC) for diabetic foot ulcers (DFUs) remain suboptimal. Supplementing SWC with tissue engineered allogeneic cellular wound therapies represents an emerging treatment strategy. This review aimed to evaluate the efficacy and safety of allogeneic skin substitutes and human placental membrane allografts in the management of DFUs. Ovid MEDLINE and Embase databases were searched from inception to October 2017. Any randomized controlled trial (RCT) with an…
Outcomes following standard wound care (SWC) for diabetic foot ulcers (DFUs) remain suboptimal. Supplementing SWC with tissue engineered allogeneic cellular wound therapies represents an emerging treatment strategy. This review aimed to evaluate the efficacy and safety of allogeneic skin substitutes and human placental membrane allografts in the management of DFUs. Ovid MEDLINE and Embase databases were searched from inception to October 2017. Any randomized controlled trial (RCT) with an allogeneic skin substitute or placental membrane allograft intervention group was included. Our primary outcome measure was the proportion of completely healed ulcers. Secondary outcome measures included time to complete wound healing and local adverse event rates. Each study was assessed for risk of bias and the quality of evidence was appraised using the GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) approach. Moderate quality evidence from 11 included RCTs demonstrated that both allogeneic cellular approaches improve the proportion of completely healed ulcers at 6 and 12 weeks. One RCT showed that a placental membrane allograft was superior to an allogeneic skin substitute, although this has yet to be repeated in other studies. The addition of allogeneic cellular wound products to SWC improves DFU outcomes. Further studies are required to conclusively establish if placental membrane allografts are superior to allogeneic skin substitutes.
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Protocol for a systematic review of venous coupler devices versus hand-sewn anastomosis for microsurgical free flap reconstruction
Systematic Reviews
BACKGROUND: A patent microvascular anastomosis is of paramount importance in free tissue transfer. Anastomotic coupler devices provide an alternative to technically demanding hand-sewn venous anastomosis. Various advantages of these devices have been discussed but previous systematic reviews had methodological flaws or did not perform a meta-analysis. This review aims to evaluate the quality of the evidence and quantify the efficacy and safety of venous couplers compared to hand-sewn…
BACKGROUND: A patent microvascular anastomosis is of paramount importance in free tissue transfer. Anastomotic coupler devices provide an alternative to technically demanding hand-sewn venous anastomosis. Various advantages of these devices have been discussed but previous systematic reviews had methodological flaws or did not perform a meta-analysis. This review aims to evaluate the quality of the evidence and quantify the efficacy and safety of venous couplers compared to hand-sewn anastomosis.
SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42018110111.Andere Autor:innenVeröffentlichung anzeigen
Auszeichnungen/Preise
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Scholarship
German National Academic Foundation (Studienstiftung des deutschen Volkes)
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Scholarship
e-fellows.net
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Abitur Mathematics Award
German Mathematical Society (DMV)
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Abitur Physics Award
German Physical Society (DPG)
Sprachen
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Deutsch
Muttersprache oder zweisprachig
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Englisch
Verhandlungssicher
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Französisch
Grundkenntnisse