Prof. Dr. Peter Kienle was born in Stuttgart in 1966. He completed his schooling in Nairobi, Kenya. He studied human medicine in Heidelberg and the USA and completed his practical training at the Heidelberg University Hospital. There he also completed his specialist training in general and visceral surgery and then worked as a senior physician. In 2004 he completed his habilitation with the topic "Implications of new diagnostic and therapeutic approaches in colorectal surgery". Since 2007 he has been senior physician and deputy clinic director at the University Medical Center Mannheim. In 2018 he became head of general and visceral surgery at the Theresienkrankenhaus.
Prof. Dr. Kienle has many years of surgical experience. His professional passion and treatment focus lie in colon surgery, particularly in the treatment of chronic inflammatory bowel diseases such as Crohn's disease and ulcerative colitis, and surgical oncology.
Vascular dissection and division plays a very important role in pouch formation. Not only it influences the size of the pouch, as the vascularization and failure rate. The division of the ileocolic vessels is still contradictory, with some studies revealing clear benefits, while others relating it with pouch failure. In this 10th episode of the Ileal Pouch Series, Dr. Peter Kienle MD PhD shares the different views and his personnel experience on the matter.
Published
Sep 2019
In this video in the Ileal Pouch Series, Dr. Kienle talks about the disadvantages of TaTME. Restorative proctocolectomy is indicated for treatment of inflammatory bowel diseases such as ulcerative colitis or in familial polyposis. Only around 20% of cases require an oncological procedure, performing a total mesolectal excision. In this video Dr. Kienle presents the disadvantages of TaTME-Pouch from his point of view. There is no hard evidence on nerve damage, functional impact, or better anastomotic results, for taTME versus lapTME. According to Dr. Kienle, making a purse-string to create an anastomosis is more difficult because if the purse-string is not tight, the risk of tissue and organ injury is higher due to impaired vision. Dr. Kienle concludes that using taTME for a restorative proctocolectomy has no proven advantages, may be harmful and more expensive, but it is important to investigate further.
Published
Jul 2019
Help your network discover Dr. Peter Kienle's clinical expertise.
