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MedWorm: Surgery



MedWorm.com provides a medical RSS filtering service. Over 7000 RSS medical sources are combined and output via different filters. This feed contains the latest news and research in Surgery



Last Build Date: Mon, 28 Mar 2016 02:14:58 +0100

 



Palliative Management of Unresectable Pancreas Cancer.

Sun, 27 Mar 2016 21:38:02 +0100

This article reviews the palliative management of unresectable pancreatic cancer, including potential palliative resection, surgical and endoscopic biliary and gastric decompression, and pain control with celiac plexus block. PMID: 27013367 [PubMed - in process] (Source: The Surgical Clinics of North America)

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Ultrasound-guided supraclavicular central venous catheter tip positioning via the right subclavian vein using a microconvex probe.

Sun, 27 Mar 2016 20:40:01 +0100

CONCLUSIONS: Ultrasound-guided CVC tip confirmation following catheterization of the right subclavian vein via a right supraclavicular approach with a microconvex probe is feasible. PMID: 27012271 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)



Trans-collateral angioplasty in vascular access intervention therapy for subacute occluded vessel.

Sun, 27 Mar 2016 20:40:01 +0100

We describe the first reported case of successful trans-collateral angioplasty (TCA) in vascular access intervention therapy (VAIVT) for a subacute occluded lesion in the vascular access route. TCA is a technique which has been developed in the field of endovascular therapy for peripheral arterial disease and is usually applied for a long chronic total occluded lesion with no available distal puncture site. Because such lesion characteristics suitable for being applied with TCA are not usually seen in the patients who receive VAIVT, there is little opportunity when TCA is performed in VAIVT. The present patient showed subacute occlusion in the vascular access route with well-developed collateral blood vessels. Because antegrade wiring resulted in subintimal tracking, we failed to antegrade...



Resection of Bilateral Bronchopulmonary Sequestrations via a Single Left-Sided Muscle-Sparing Thoracotomy

Sat, 26 Mar 2016 23:00:00 +0100

Publication date: Available online 26 March 2016 Source:Journal of Pediatric Surgery Case Reports Author(s): Scott Deeney, Matthew Landman, Timothy M. Crombleholme (Source: Journal of Pediatric Surgery Case Reports)



Comparison of Inpatient and Outpatient Thyroidectomy: Demographic and Economic Disparities

Sat, 26 Mar 2016 23:00:00 +0100

Conclusions Racial and economic disparities exist in the utilization of ambulatory thyroidectomy. Experienced surgeons are more likely to provide ambulatory thyroidectomy, and surgeries performed by them are associated with more favorable outcomes and lower hospital charges. (Source: European Journal of Surgical Oncology (EJSO))



Excision of the urachal remnant using the abdominal wall-lift laparoscopy: A Case Report.

Sat, 26 Mar 2016 23:00:00 +0100

Discussion and conclusion Urachal sinus excision using the abdominal wall-lift laparoscopy seems to surpass the previously reported methods in term of safety, cosmetics, and adequacy of surgical procedures. (Source: International Journal of Surgery Case Reports)

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Open surgery versus laparoscopic surgery after stent insertion for obstructive colorectal cancer

Fri, 25 Mar 2016 23:00:00 +0100

Conclusion The patients who underwent laparoscopic resection had less blood loss, although no significant difference was found in postoperative morbidity or mortality. Thus, laparoscopic resection after stent insertion is a feasible and safe option for patients with obstructive colorectal cancer. (Source: Surgery Today)



Advances in Intraoperative Margin Assessment for Breast Cancer

Fri, 25 Mar 2016 23:00:00 +0100

Abstract Breast-conserving therapy including partial mastectomy and radiation is commonly performed for patients who are surgical candidates for breast cancer. Although it is as effective as mastectomy for the treatment of early breast cancer, re-excision for positive or close margins is common. This is costly, inconvenient for patients and delays initiation of adjuvant therapies. Commonly used methods for breast tumor localization and optimization of margin assessment include preoperative wire or seed localization, precise specimen orientation, specimen radiography, and cavity shaving. Unfortunately, these techniques do not assess margins on a microscopic scale in real time. Our report reviews the current and experimental techniques of intraoperative microscopic margin assessmen...



Evaluation and Improvement of the Comprehension of Informed Consent Documents

Fri, 25 Mar 2016 23:00:00 +0100

Conclusions The introduction of improvement dynamics in the design of ICFs is possible and necessary because it produces more effective and easily readable ICFs. (Source: Cirugia Espanola)



Accuracy of preoperative endometrial sampling diagnosis for predicting the final pathology grading in uterine endometrioid carcinoma

Fri, 25 Mar 2016 23:00:00 +0100

Conclusions Preoperative endometrial sampling was found to be only a modest overall predictor of postoperative histological grading. A selective staging policy based on predictive models to avoid lymph node dissections in endometrial cancer should take into account additional parameters. (Source: European Journal of Surgical Oncology (EJSO))



Local recurrence risk after previous salvage mastectomy

Fri, 25 Mar 2016 23:00:00 +0100

Conclusion The lymph node status of the primary tumor might be a predictive factor of local recurrence-free survival after salvage mastectomy for IBTR. Further research and validation studies are needed. (UMIN-CTR number UMIN000008136). (Source: European Journal of Surgical Oncology (EJSO))

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Meconium Peritonitis Following Intestinal Atresia: A Case Report

Fri, 25 Mar 2016 23:00:00 +0100

We present a case of meconium peritonitis with emergent cesarean section delivery after the patient developed massive meconium ascites, hydrops fetalis, and non-reassuring fetal monitoring. In the immediate postnatal period, the patient was intubated and a peritoneal drain was placed for respiratory and hemodynamic stabilization. He was then taken to the operating room the following day for laparotomy and bowel resection. His post-operative course was uneventful, and he was discharged home in good clinical condition. (Source: Journal of Pediatric Surgery Case Reports)



Esophagogastric Fistula Complicating Nissen Fundoplication

Fri, 25 Mar 2016 23:00:00 +0100

Publication date: Available online 26 March 2016 Source:Journal of Pediatric Surgery Case Reports Author(s): Marcel Tafen, Nader Tehrani, Afshin A. Anoushiravani, Avinash Bhakta, Timothy G. Canty, Christine Whyte Esophagogastric fistula or double-lumen esophagus is a rare condition. There have been fewer than 15 reported cases in adults and only one reported case in the pediatric population. Esophagogastric fistulas typically develop in patients with preexisting gastrointestinal reflux, esophagogastric surgery, esophageal ulcers, or carcinoma. Our case involves a 5 year-old girl presenting with odynophagia and nocturnal cough who had a prior Nissen fundoplication. She was found to have an esophagogastric fistula. Conservative management with esophageal dilatation and proton pump in...



Congenital prepubic sinus: a case report and review of the literature

Fri, 25 Mar 2016 23:00:00 +0100

We report a case of CPS and review the literature to improve the global understanding of CPS. (Source: Journal of Pediatric Surgery Case Reports)



Beware of the persistent abscess:Chronic granulomatous disease presenting with suppurative lymphadenitis

Fri, 25 Mar 2016 23:00:00 +0100

Publication date: Available online 26 March 2016 Source:Journal of Pediatric Surgery Case Reports Author(s): C. Pardy, J. Pumphrey, R. Hallows, V. Scott, K. Fidler (Source: Journal of Pediatric Surgery Case Reports)



Systematic Review and Meta-Analysis of Utility of Graduated Compression Stockings in Prevention of Post-Thrombotic Syndrome

Fri, 25 Mar 2016 23:00:00 +0100

Up to 50% of patients develop post-thrombotic syndrome (PTS) following their first proximal deep vein thrombosis (DVT). This meta-analysis aims to evaluate the effectiveness of graduated compression stockings (GCS) in preventing PTS. (Source: European Journal of Vascular and Endovascular Surgery)

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Ultrasound Guided Compression Versus Ultrasound Guided Thrombin Injection for the Treatment of Post-Catheterization Femoral Pseudoaneurysms: Systematic Review and Meta-Analysis of Comparative Studies

Fri, 25 Mar 2016 23:00:00 +0100

To compare results of ultrasound based techniques (ultrasound guided compression-(UGC) versus ultrasound guided thrombin injection (UGTI)) to treat iatrogenic post-catheterization femoral pseudoaneurysms. (Source: European Journal of Vascular and Endovascular Surgery)



Progression of moderate-to-severe carotid disease

Fri, 25 Mar 2016 23:00:00 +0100

Our goals were to investigate the degree to which patient demographics, risk factors, laboratory data, and medications influence moderate carotid disease progression among patients with asymptomatic moderate carotid disease and whether such associations are solely based on how progression is defined. In addition, we aimed to establish optimal threshold criteria to categorize patients at high risk of progression. (Source: Journal of Vascular Surgery)



INTRASELLAR ARACHNOID CYST: A CASE REPORT and REVIEW OF THE LITERATURE

Fri, 25 Mar 2016 23:00:00 +0100

CONCLUSION Although a rare entity, arachnoid cysts should be considered in the differential diagnosis of sellar region. (Source: International Journal of Surgery Case Reports)



Breast prosthesis infection and pets: a case report and review of the literature

Fri, 25 Mar 2016 23:00:00 +0100

Conclusion In the case of breast infection, surgical revision − with or without removal of the implant − is required in order to carry out a meticulous intraoperative cleaning. Antibiotherapy is always necessary in such cases. Particularly when patients presenting comorbidities are concerned, the focus must be put on avoiding close contact of the wound with pets. (Source: International Journal of Surgery Case Reports)



Pancreatic Schwannoma: a rare case and a brief literature review

Fri, 25 Mar 2016 23:00:00 +0100

Conclusion Although rare, PS's should be considered in the differential diagnosis of the other solid or cystic masses of the pancreas. (Source: International Journal of Surgery Case Reports)

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Validation of venous duplex ultrasound imaging in determining iliac vein stenosis after standard treatment of active chronic venous ulcers

Fri, 25 Mar 2016 23:00:00 +0100

Conclusions This study highlights the utility of VDUS in diagnosing iliac vein stenosis with 2.5 seconds to predict ≥50% iliac vein stenosis. Stent placement and pentoxifylline were associated with ulcer healing and reduced risk of venous ulcer recurrence. (Source: Journal of Vascular Surgery: Venous and Lymphatic Disorders)



Inter-rater agreement and checklist validation for postoperative wound assessment using smartphone images in vascular surgery

Fri, 25 Mar 2016 23:00:00 +0100

Conclusions Using smartphone digital images is a valid method for evaluating postoperative vascular surgery wounds and is comparable to in-person evaluation with regard to most wound characteristics. The inter-rater reliability for determining treatment recommendations was universally high. Remote wound monitoring and assessment may play an integral role in future transitional care models to decrease readmission for SSI in vascular or other surgical patients. These findings will inform smartphone implementation in the clinical care setting as wound images transition from informal clinical communication to becoming part of the care standard. (Source: Journal of Vascular Surgery: Venous and Lymphatic Disorders)



Improved Bowel Preparation with Multimedia Education in a Predominantly African-American Population: A Randomized Study.

Fri, 25 Mar 2016 20:43:02 +0100

Conclusion. MME can lead to significant improvement in the quality of bowel preparation and large adenoma detection in a predominantly African-American population. PMID: 27006590 [PubMed] (Source: Diagnostic and Therapeutic Endoscopy)



Retroauricular full-thickness skin grafts in syndactyly repair: outcome and comparison with inguinal full-thickness skin grafts: retrospective (cross-sectional) study.

Fri, 25 Mar 2016 20:17:02 +0100

CONCLUSION: Due to the excellent pigmentation match and the inconspicuousness of the donor site, this study recommends the use of retroauricular full-thickness skin grafts for syndactyly repair. PMID: 27011298 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)



The effect of adipose stromal vascular fraction on transverse rectus abdominis musculocutaneous flap: an experimental study.

Fri, 25 Mar 2016 20:17:02 +0100

CONCLUSION: The adipose SVF cells were found out to improve the TRAM flap viability and decrease necrosis, especially in zone 3 and 4. PMID: 27010192 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)

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Distraction osteogenesis of the sternum for thoracic expansion in a severe case of jeune syndrome: a preliminary report.

Fri, 25 Mar 2016 20:17:02 +0100

Authors: Imai Y, Kitanishi R, Saiki Y, Takeda A, Tachi M Abstract Severe asphyxiating thoracic dystrophy (Jeune syndrome) is usually fatal. The authors used distraction osteogenesis in a severe case and achieved 45 mm distraction of the sternum and improvement in tidal volume, lung compliance, and mean airway pressure. PMID: 27009488 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)



Ozone Gas Bath Combined with Endovenous Laser Therapy for Lower Limb Venous Ulcers: A Randomized Clinical Trial.

Fri, 25 Mar 2016 20:12:02 +0100

CONCLUSIONS: Ozone gas bath combined with EVLT showed improved efficacy for the treatment of lower limb venous ulcers and lower recurrence ratio comparison with EVLT alone. This procedure is a safe and technically feasible. PMID: 27010682 [PubMed - as supplied by publisher] (Source: Journal of Investigative Surgery)



Optimal Number of Fixation Pins for Dedicated Mini Jig Cutting Guides During Navigated Total Knee Arthroplasty.

Fri, 25 Mar 2016 20:12:02 +0100

CONCLUSION: This study reveals a trend toward greater accuracy of resections with more fixation pins. Further investigation may be beneficial. PMID: 27010612 [PubMed - as supplied by publisher] (Source: Journal of Investigative Surgery)



Preventive Effect of Ethyl Pyruvate on Postoperative Adhesion Formation Following Abdominal Surgery.

Fri, 25 Mar 2016 20:12:02 +0100

CONCLUSIONS: Intraperitoneal ethyl pyruvate application reduced the incidence and the extent of postoperative adhesions in rat cecal abrasion model. Ethyl pyruvate also had comparable overall efficacy for adhesion prevention as Seprafilm. PMID: 27010523 [PubMed - as supplied by publisher] (Source: Journal of Investigative Surgery)



Therapy Modalities for Antibody Mediated Rejection in Renal Transplant Patients.

Fri, 25 Mar 2016 20:12:02 +0100

CONCLUSION: AMR leads to progressive loss of renal function and has low graft survival. More effective treatment alternatives are needed for this clinical issue. PMID: 27002854 [PubMed - as supplied by publisher] (Source: Journal of Investigative Surgery)

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Treatment of Severe Aortic Bleeding Using Hemopatch in Swine on Dual Antiplatelet Therapy.

Fri, 25 Mar 2016 20:12:02 +0100

CONCLUSION: The combination of a procoagulant collagen pad with a synthetic sealing component provides excellent hemostatic properties under a worst-case scenario. PCC rapidly and firmly adheres to tissue, thereby controlling severe arterial bleeding, even when platelet function is significantly reduced. Treatment with PCC provided superior time to hemostasis compared to FTC. PMID: 27002742 [PubMed - as supplied by publisher] (Source: Journal of Investigative Surgery)



Cleft Surgery Boosts Economy in Developing NationsCleft Surgery Boosts Economy in Developing Nations

Fri, 25 Mar 2016 18:34:07 +0100

Born in Ghana with a cleft lip and palate, baby Kodjo was on the brink of being drowned in a river by his family in a religious sacrifice until a passing villager intervened. Reuters Health Information (Source: Medscape General Surgery Headlines)



Index

Fri, 25 Mar 2016 15:35:28 +0100

Note: Page numbers of article titles are in boldface type. (Source: Surgical Clinics of North America)



Forthcoming Issues

Fri, 25 Mar 2016 15:35:28 +0100

Practical Urology for the General Surgeon (Source: Surgical Clinics of North America)

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Contents

Fri, 25 Mar 2016 15:35:28 +0100

Ronald F. Martin (Source: Surgical Clinics of North America)



Contributors

Fri, 25 Mar 2016 15:35:28 +0100

RONALD F. MARTIN, MD, FACS (Source: Surgical Clinics of North America)



Copyright

Fri, 25 Mar 2016 15:35:28 +0100

ELSEVIER (Source: Surgical Clinics of North America)



Technical Aspects of Oncologic Hepatic Surgery

Fri, 25 Mar 2016 15:35:28 +0100

SURGICAL CLINICS OF NORTH AMERICA (Source: Surgical Clinics of North America)



Erratum

Fri, 25 Mar 2016 15:35:28 +0100

In the February 2016 issue (Volume 96, number 1), in the article, “Education and Training to Address Specific Needs During the Career Progression of Surgeons,” Dr. Sachdeva should be listed on the title page as “Ajit K. Sachdeva, MD, FRCSC, FACS.” (Source: Surgical Clinics of North America)

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Resection of Perihilar Cholangiocarcinoma

Fri, 25 Mar 2016 15:35:28 +0100

This article reviews the various strategies and techniques, the role of staging laparoscopy, intraoperative frozen section, caudate lobectomy, and vascular reconstruction. (Source: Surgical Clinics of North America)



Technical Aspects of Gallbladder Cancer Surgery

Fri, 25 Mar 2016 15:35:28 +0100

In this review, the authors present an updated description of gallbladder cancer in 2 sections based on presentation: disease that presents incidentally following laparoscopic cholecystectomy and malignancy that is suspected preoperatively. Elements pertaining to technical aspects of surgical resection provide the critical focus of this review and are discussed in the context of evidence-based literature on gallbladder cancer today. (Source: Surgical Clinics of North America)



Hepatic Tumor Ablation

Fri, 25 Mar 2016 15:35:28 +0100

Tumor ablation is a safe and effective treatment available in the multidisciplinary care of the surgical oncology patient. The role of ablation is well established in the treatment of hepatocellular carcinoma and is becoming more accepted in the treatment of various malignancies metastatic to the liver, in particular colorectal cancer. Understanding the underlying technology, achieving appropriate applicator placement, using maximum energy delivery to create margins, and performing necessary adjunctive maneuvers are all required for successful tumor ablation. (Source: Surgical Clinics of North America)



Hepatic Perfusion Therapy

Fri, 25 Mar 2016 15:35:28 +0100

Isolated hepatic perfusion uses the unique vascular supply of hepatic malignancies to deliver cytotoxic chemotherapy. The procedure involves vascular isolation of the liver and delivery of chemotherapy via the hepatic artery and extraction from retrohepatic vena cava. Benefits of hepatic perfusion have been observed in hepatic metastases of ocular melanoma and colorectal cancer and primary hepatocellular carcinoma. Percutaneous and prophylactic perfusions are avenues of ongoing research. (Source: Surgical Clinics of North America)



Transarterial Therapy for Colorectal Liver Metastases

Fri, 25 Mar 2016 15:35:28 +0100

Until recently, hepatic arterial therapies (HAT) had been used for colorectal liver metastases after failure of first-, second-, and third-line chemotherapies. HAT has gained greater acceptance in patients with liver-dominant colorectal metastases after failure of surgery or systemic chemotherapy. The current data demonstrate that HAT is a safe and effective option for preoperative downsizing, optimizing the time to surgery, limiting non-tumor-bearing liver toxicity, and improving overall survival after surgery in patients with colorectal liver-only metastases. The aim of this review is to present the current data for HAT in liver-only and liver-dominant colorectal liver metastases. (Source: Surgical Clinics of North America)

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Vascular Reconstruction in Hepatic Malignancy

Fri, 25 Mar 2016 15:35:28 +0100

This article reviews those reconstruction techniques and outcomes in detail, including in situ perfusion and ex vivo liver surgery, and provides a discussion of implications and operative planning for patients with hepatic malignancy in order to provide surgeons with better understanding of these complicated operations. (Source: Surgical Clinics of North America)



Multiple Choice Questions

Fri, 25 Mar 2016 15:34:57 +0100

(Source: European Journal of Vascular and Endovascular Surgery)



Selected Abstracts from the April Issues of the Journal of Vascular Surgery and the Journal of Vascular Surgery: Venous and Lymphatic Disorders

Fri, 25 Mar 2016 15:34:57 +0100

Wesley S. Moore, MD, Jeffrey J. Popma, MD, Gary S. Roubin, MD, PhD, Jenifer H. Voeks, PhD, Donald E. Cutlip, MD, Michael Jones, MD, George Howard, DrPH, and Thomas G. Brott, MD, on behalf of the CREST Investigators (Source: European Journal of Vascular and Endovascular Surgery)



Forthcoming Events

Fri, 25 Mar 2016 15:34:57 +0100

(Source: European Journal of Vascular and Endovascular Surgery)



Contents

Fri, 25 Mar 2016 15:34:57 +0100

(Source: European Journal of Vascular and Endovascular Surgery)

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Editorial Board

Fri, 25 Mar 2016 15:34:57 +0100

(Source: European Journal of Vascular and Endovascular Surgery)



Prognostic Relevance of the Peritoneal Surface Disease Severity Score Compared to the Peritoneal Cancer Index for Colorectal Peritoneal Carcinomatosis.

Fri, 25 Mar 2016 11:02:02 +0100

Conclusion. PCI is superior to PSDSS in predicting OS and PFS and remains the prognostic score of choice in CPC patients undergoing CRS/HIPEC. PMID: 27006828 [PubMed - in process] (Source: International Journal of Surgical Oncology)



Performance of medical students on a virtual reality simulator for knee arthroscopy: an analysis of learning curves and predictors of performance

Fri, 25 Mar 2016 00:00:00 +0100

Ethical concerns for surgical training on patients, limited working hours with fewer cases per trainee and the potential to better select talented persons for arthroscopic surgery raise the interest in simulat... (Source: BMC Surgery)



Bypass Surgery vs Diet, Exercise for DiabetesBypass Surgery vs Diet, Exercise for Diabetes

Thu, 24 Mar 2016 23:54:48 +0100

After one year, gastric bypass surgery did a better job of bringing type 2 diabetes into remission than an intensive diet and exercise regimen, according to results of a small trial among obese patients. Reuters Health Information (Source: Medscape General Surgery Headlines)



Y-type congenital urethral duplication with normal dorsal urethra and small ventral fistula to perineal skin - 28th reported case

Thu, 24 Mar 2016 23:00:00 +0100

Publication date: Available online 25 March 2016 Source:Journal of Pediatric Surgery Case Reports Author(s): Donald E. Meier, Alfonso Latiff There are numerous types of urethral duplication previously described in the literature including a Type IIA2Y where a large ventral channel branches from the hypoplastic, dorsal, orthotopic urethra. There have been 27 previously reported cases of a similar defect, called “congenital posterior urethrocutaneous fistula” (CUPF) with the only difference being that the ventral urethra is hypoplastic and the dorsal, orthotopic one normal. The difference in treatment for these 2 entities is markedly different, and preoperative identification of the appropriate abnormality is essential. Treatment of CUPF requires only safe excision of the ventral seg...



The natural history of pancreatic acinar cell cystadenoma: is resection better than surveillance? An update to a case report from 2010

Thu, 24 Mar 2016 23:00:00 +0100

Publication date: Available online 24 March 2016 Source:Journal of Pediatric Surgery Case Reports Author(s): David G. Darcy, Dominique Jan Cystic lesions of the pancreas are a rare entity, and few reports have described their natural history in children. A previously published report described a 9-year-old boy with an acinar cell cystadenoma, discovered during a laparoscopic appendectomy. Initially asymptomatic and followed by serial MRI, this patient presented to our institution several years later with chronic obstructive symptoms that required surgical intervention. Planning for resection included multidisciplinary input from the genetics and endocrinology services. Initially, a partial pancreatic resection was performed in an attempt to preserve normal pancreatic tissue and islet c...



Xanthogranulomatous Appendicitis in Interval Appendectomy Specimens of Children

Thu, 24 Mar 2016 23:00:00 +0100

Publication date: Available online 24 March 2016 Source:Journal of Pediatric Surgery Case Reports Author(s): Yusuf Hakan Çavuşoğlu, Burak Ardiçli, Sema Apaydin, Çağatay Evrim Afşarlar, Engin Yilmaz (Source: Journal of Pediatric Surgery Case Reports)



Isolated injury to the pancreas: The importance of the baseline computed tomography scan

Thu, 24 Mar 2016 23:00:00 +0100

Publication date: Available online 24 March 2016 Source:Journal of Visceral Surgery Author(s): J. Krige, U. Kotze, A. Nicol, P. Navsaria (Source: Journal of Visceral Surgery)



Improving access to bariatric surgery: early surgical and patient focused outcomes of a rural obesity clinic

Thu, 24 Mar 2016 23:00:00 +0100

Conclusions The Whitehorse Bariatric Program provides peri-operative obesity care comparable to a larger center. Patient follow-up and satisfaction suggests a highly successful program. This may serve as a model for improving access to obesity services across Canada. Teaser Bariatric peri-operative care is often delivered at a distance, presenting numerous challenges to patients and healthcare providers. The Whitehorse Bariatric offers peri-operative care that is comparable to a larger center (Edmonton) and does not compromise health outcomes. (Source: The American Journal of Surgery)

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Thoracoscopic Lobectomy for Non–small Cell Lung Cancer

Thu, 24 Mar 2016 23:00:00 +0100

Lobectomy is the gold standard treatment in operable patients with surgically resectable non–small cell lung cancer. Thoracoscopic lobectomy has emerged as an option for surgeons facile with the technique. Video-assisted thoracoscopic surgery (VATS) is used for a variety of indications, but its efficacy as a reliable oncologic procedure makes it appealing in the treatment of non–small cell lung cancer. Fewer postoperative complications and decreased postoperative pain associated with VATS procedures can lead to shorter lengths of stay and lower overall costs. Thoracoscopic surgery continues to evolve, and uniportal, robot-assisted, and awake thoracoscopic procedures have all shown promising results. (Source: Surgical Oncology Clinics of North America)



A 31-day time to surgery compliant exercise training programme improves aerobic health in the elderly

Thu, 24 Mar 2016 23:00:00 +0100

Conclusions It is possible to improve cardiorespiratory fitness in 31 days in individuals of comparable age to those presenting for CRC surgery. (Source: Techniques in Coloproctology)



First international training and assessment consensus workshop on transanal total mesorectal excision (taTME)

Thu, 24 Mar 2016 23:00:00 +0100

(Source: Techniques in Coloproctology)



Introduction of the non-technical skills for surgeons (NOTSS) system in a Japanese cancer center

Thu, 24 Mar 2016 23:00:00 +0100

Conclusion These findings demonstrate that implementing the NOTSS system is feasible in Japan. Education of both surgical trainers and trainees would contribute to better team performance. (Source: Surgery Today)



Comments on: Clinical predictors of prolonged postresection hypotension after laparoscopic adrenalectomy for pheochromocytoma

Thu, 24 Mar 2016 23:00:00 +0100

This study showed that about half of their patients required continuous catecholamine infusion to maintain a blood pressure >90 mmHg at the end of adrenalectomy. (Source: Surgery)

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Morbidity and mortality in severely burned children with Clostridium difficile-associated diarrhea

Thu, 24 Mar 2016 23:00:00 +0100

Clostridium difficile is a key culprit underlying nosocomial infectious diarrhea. We investigated the effect of C difficile-associated diarrhea (CDAD) on morbidity and mortality in severely burned children and CDAD risk factors. (Source: Surgery)



Bypassing the Bypass

Thu, 24 Mar 2016 23:00:00 +0100

A 59-year-male presented with a painful pulsatile left leg swelling 4 years after a below-knee femoropopliteal bypass for a popliteal artery aneurysm. Computed tomography angiography revealed a proximal 29-mm vein graft aneurysm (1) and a 56-mm distal pseudoaneurysm (2) with generalised vein graft ectasia (A). These were successfully excluded under local anaesthetic by an endobypass from the superficial femoral artery to the distal anastomosis using heparin-bonded endoprostheses (Viabahn, W. L. Gore & Associates Inc., Flagstaff, AZ, USA; 11 × 100 mm, n = 2, 13 × 100 mm, n = 3) avoiding the need for complex redo lower limb surgery (B). (Source: European Journal of Vascular and Endovascular Surgery)



The Effects of Enteral Immunonutrition in Upper Gastrointestinal Surgery: A Systematic Review and Meta-analysis

Thu, 24 Mar 2016 23:00:00 +0100

The beneficial of immunonutrition on overall morbidity and mortality remains uncertain. We undertook a systematic review to evaluate the effects of immune-enhancing enteral nutrition (IEN) in upper gastrointestinal (GI) surgery. (Source: International Journal of Surgery)



Impact of stroma LOXL2 overexpression on the prognosis of intrahepatic cholangiocarcinoma

Thu, 24 Mar 2016 23:00:00 +0100

Intrahepatic cholangiocarcinoma (ICC) is associated with a poor prognosis related to early recurrence especially in the remnant liver following surgery. ICC exhibits a dense desmoplastic stroma which plays a pivotal role in ICC aggressiveness. Thus, analyzing gene deregulation in the stroma of ICC may help to identify new prognosis biomarkers and promising therapeutic targets. The aim of this study was to evaluate the clinical relevance of the matrix-remodeling enzyme lysyl oxidase-like 2 (LOXL2) expression in ICC. (Source: Journal of Surgical Research)



Outpatient Airleak Management Following Lobectomy: A CMS Cost Analysis

Thu, 24 Mar 2016 23:00:00 +0100

Airleaks following lobectomy are associated with increased length of stay (LOS) and protracted resource utilization. Portable drainage systems (PDS) allow for outpatient management of airleaks in patients otherwise meeting discharge criteria. We evaluated the safety and cost efficiency of a protocol for outpatient management of airleaks with a PDS. (Source: Journal of Surgical Research)

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Cost and Radiation Exposure in the Workup of Febrile Pediatric UTIs

Thu, 24 Mar 2016 23:00:00 +0100

Technetium-99m dimercaptosuccinic acid (DMSA) scans are often utilized in the evaluation of pediatric patients with febrile urinary tract infections (UTIs). Given the prevalence of febrile UTIs; we sought to quantify the cost, radiation exposure, and clinical utility of DMSA scans when compared to dedicated pediatric renal ultrasounds (RUS). (Source: Journal of Surgical Research)



HLA-DR13, DR15 are associated with short-term lung transplant outcomes

Thu, 24 Mar 2016 23:00:00 +0100

Lung transplantation outcomes are among the least favorable, with the majority of recipients eventually developing bronchiolitis obliterans syndrome (BOS) and subsequent graft failure. Presence of human leukocyte antigen (HLA)-DR antigens has been implicated in the pathogenesis of BOS and may play a role in these poor outcomes. (Source: Journal of Surgical Research)



Do Risk Calculators Accurately Predict Surgical Site Occurrences?

Thu, 24 Mar 2016 23:00:00 +0100

Current risk assessment models for surgical site occurrence (SSO) and surgical site infection (SSI) following open ventral hernia repair (VHR) have limited external validation. Our aim was to determine 1) if existing models stratify patients into groups by risk and 2) which model best predicts the rate of SSO and SSI. (Source: Journal of Surgical Research)



Obesity and Single-Incision Laparoscopic Appendectomy in Children

Thu, 24 Mar 2016 23:00:00 +0100

Single-incision laparoscopic appendectomy (SILA) has emerged as a less invasive alternative to conventional laparoscopy. The purpose of this study was to assess the impact of body habitus on outcomes following SILA in the pediatric population. (Source: Journal of Surgical Research)



Point-Of-Care TEG/ROTEM Based Coagulation Management in Cardiac Surgery: A Meta-Analysis of 8,332 Patients

Thu, 24 Mar 2016 23:00:00 +0100

Severe bleeding related to cardiac surgery is associated with increased morbidity and mortality. Thrombelastography (TEG®) and thrombelastometry (ROTEM®) are point-of-care-tests (POCT). Bedside ROTEM®/TEG® can rapidly detect changes in blood coagulation and therefore provide a goal-directed, individualized coagulation therapy. In this meta-analysis we aimed to determine the current evidence for or against POCT-guided algorithm in patients with severe bleeding after cardiac surgery. (Source: Journal of Surgical Research)

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Status of the Regional Nodal Basin Remains Highly Prognostic in Melanoma Patients with In-Transit Disease

Thu, 24 Mar 2016 23:00:00 +0100

The objective of this study was to determine the rate and prognostic significance of occult nodal disease in patients undergoing surgical nodal staging for IT disease. (Source: Journal of the American College of Surgeons)



Direct Peritoneal Resuscitation Alters Hepatic miRNA Expression after Hemorrhagic Shock

Thu, 24 Mar 2016 23:00:00 +0100

MicroRNAs (miRNAs) are small segments of non-coding RNA that regulate gene expression and protein function, and thus are key regulators of cellular processes including those of the inflammatory cascade following hemorrhagic shock (HS). We have previously shown that Direct Peritoneal Resuscitation (DPR), as an adjunct to traditional IV fluid resuscitation, improves visceral blood flow and reduces pro-inflammatory cytokines released during HS. The effects of DPR on hepatic miRNA (miR) expression patterns following resuscitated HS are not known. (Source: Journal of the American College of Surgeons)



Portal Vein Embolization Followed by Right-Side Hemihepatectomy for Hepatocellular Carcinoma Patients: A Japanese Multi-Institutional Study

Thu, 24 Mar 2016 23:00:00 +0100

This study aimed to confirm efficacies of preoperative PVE for hepatocellular carcinoma patients. (Source: Journal of the American College of Surgeons)



Surgeon Burnout: A Systematic Review

Thu, 24 Mar 2016 23:00:00 +0100

Burnout is a syndrome characterized by emotional exhaustion, depersonalization, and a decreased sense of personal accomplishment caused by work-related stress.1,2 Physicians are at increased risk for burnout as a result of long work hours, delayed gratification, challenges with work and home balance, and challenges associated with patient care, especially in the changing healthcare environment.1,3-5 (Source: Journal of the American College of Surgeons)



Does Sleeve Gastrectomy Improve the Gait Parameters of Obese Patients?

Thu, 24 Mar 2016 23:00:00 +0100

Few studies have evaluated the effect of bariatric surgery on gait parameters, which constitute an important aspect of quality of life (QOL). (Source: Surgery for Obesity and Related Diseases)

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Laparoscopic resection of transverse colon cancer at splenic flexure: technical aspects and results

Thu, 24 Mar 2016 23:00:00 +0100

Abstract Laparoscopic resection of transverse colon cancer at splenic flexure is technical demanding and its efficacy remains controversial. The aim of this study was to investigate its technical aspects such as pitfalls and overcoming them, and to demonstrate the short-term and oncologic long-term outcomes. To overcome the difficulty in laparoscopic resection of transverse colon cancer at splenic flexure, we recognized the following technical tips as essential. First of all, we have to precisely identify major vessels variations feeding tumor. Secondary, anatomical dissection of mesocolon through medial approach is indispensible. Third, safe takedown of splenic flexure to fully mobilization of left hemicolon is mandatory. This cohort study analyzed 95 patients with stage II (43) ...



Elective colonic resection after acute diverticulitis improves quality of life, intestinal symptoms and functional outcome: experts’ perspectives and review of literature

Thu, 24 Mar 2016 23:00:00 +0100

In this study, the database of ERIC, the Web of Science, EMBASE, and MEDLINE were searched for the English-language published articles about the functional outcomes and symptomatic improvement in patients after elective surgery for diverticular disease. A majority of clinical trials showed that elective surgery following a successful conservative treatment of acute diverticulitis resulted in significantly better social and functional well-being. In addition, elective surgery greatly reduces the potential events of disease recurrence, thus decreasing financial burden on the national health services. However, to obtain the best functional outcome surgical intervention must be individualized and tailored to meet every single patient’s specific indigenous symptomatology. (Source: Updates in ...



Accuracy of Two Clinical Tests for Ischiofemoral Impingement in Patients With Posterior Hip Pain and Endoscopically Confirmed Diagnosis

Thu, 24 Mar 2016 23:00:00 +0100

To establish the accuracy of the long-stride walking (LSW) and ischiofemoral impingement (IFI) tests for diagnosing IFI in patients whose primary symptom is posterior hip pain. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)



The Influence of Surgical Stabilization on Glenohumeral Abduction Using Three-Dimensional Computed Tomography in Patients With Shoulder Instability

Thu, 24 Mar 2016 23:00:00 +0100

This study compared the amount of glenohumeral abduction during arm abduction in the affected and unaffected shoulders of three groups of patients with shoulder instability: failed surgical stabilization, successful surgical stabilization, and unstable shoulder with no prior surgical intervention. (Source: Arthroscopy - Journal of Arthroscopic and Related Surgery)



Caregiver fatigue and surrogate end-of-life decision making.

Thu, 24 Mar 2016 21:51:03 +0100

Authors: McAlister VC PMID: 27007086 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)

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Letter to the Editor.

Thu, 24 Mar 2016 21:51:02 +0100

Authors: Kornelsen J, McCartney K PMID: 27007098 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)



Apples and oranges: Author response.

Thu, 24 Mar 2016 21:51:02 +0100

Authors: Urbach DR, Malik A, Stukel TA, Bell CM PMID: 27007097 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)



Apples and oranges.

Thu, 24 Mar 2016 21:51:02 +0100

Authors: Vinden C PMID: 27007096 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)



Dr. William Waugh (1851-1936): promoter of change in nineteenth century medical education and practice.

Thu, 24 Mar 2016 21:51:02 +0100

Authors: McKellar S Abstract SUMMARY: Dr. William E. Waugh (1851-1936) witnessed and actively participated in many changes in medical education and practice during his 6 decades in medicine. Trained as a surgeon and general practitioner, Waugh practised medicine in London, Ont., during the late nineteenth and early twentieth centuries. Early in his career, he embraced the new field of microbiology; refused outdated practices, such as bleeding; and dared to form a medical school despite strong criticism. Waugh was one of the founders of the Western University medical school, and he served various teaching and administrative roles in addition to maintaining a successful practice. He reminded students of the role of the physician's senses, which he cautioned were in danger of being ec...



Clinical practice guideline: management of acute pancreatitis.

Thu, 24 Mar 2016 21:51:02 +0100

Authors: Greenberg JA, Hsu J, Bawazeer M, Marshall J, Friedrich JO, Nathens A, Coburn N, May GR, Pearsall E, McLeod RS Abstract ABSTRACT: There has been an increase in the incidence of acute pancreatitis reported worldwide. Despite improvements in access to care, imaging and interventional techniques, acute pancreatitis continues to be associated with significant morbidity and mortality. Despite the availability of clinical practice guidelines for the management of acute pancreatitis, recent studies auditing the clinical management of the condition have shown important areas of noncompliance with evidence-based recommendations. This underscores the importance of creating understandable and implementable recommendations for the diagnosis and management of acute pancreatitis. The pur...

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Cross-cultural adaptation and validation of the Ankle Osteoarthritis Scale for use in French-speaking populations.

Thu, 24 Mar 2016 21:51:02 +0100

CONCLUSION: The AOS-Fr is a reliable and valid score equivalent to the English version in terms of psychometric properties, thus is available for use in multicentre trials. PMID: 27007093 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)



The relevance of preoperative ultrasound cervical mapping in patients with thyroid cancer.

Thu, 24 Mar 2016 21:51:02 +0100

CONCLUSION: This single-institution study indicated that preoperative ultrasound mapping is an accurate imaging procedure for predicting lymphatic spread in differentiated and medullary thyroid cancer. Ultrasound mapping can be used as an efficient tool for surgical planning and prognosis determination, as well as for identifying the group of patients who would benefit most from subsequent surgical intervention. PMID: 27007092 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)



Are patients willing to pay for total shoulder arthroplasty? Evidence from a discrete choice experiment.

Thu, 24 Mar 2016 21:51:02 +0100

CONCLUSION: Our results suggest that patients waiting for TSA to treat severe shoulder OA have minimal willingness to pay for a reduction in wait time or travel time for surgery, yet will pay higher amounts for treatment by an experienced surgeon. PMID: 27007091 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)



A Canadian population-based description of the indications for lower-extremity amputations and outcomes.

Thu, 24 Mar 2016 21:51:02 +0100

CONCLUSION: There is variability in the delivery of lower-extremity amputations and postoperative hospital discharges among surgical specialists and regions across Canada. Future work is needed to investigate the reasons for this variability and to develop initiatives to shorten postoperative hospital stays. PMID: 27007090 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)



Laparoscopic sleeve gastrectomy at a new bariatric surgery centre in Canada: 30-day complication rates using the Clavien-Dindo classification.

Thu, 24 Mar 2016 21:51:02 +0100

CONCLUSION: Our results support the feasibility of safely performing LSG surgery at bariatric centres completing fewer than 125 procedures annually. PMID: 27007089 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)

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Teaching surgery takes time: the impact of surgical education on time in the operating room.

Thu, 24 Mar 2016 21:51:02 +0100

CONCLUSION: Our results show that a wide range of surgical procedures require significantly more time to perform in teaching than nonteaching hospitals. Given the magnitude of this difference, the impact of surgical training on health care costs and clinical outcomes should be a priority for future studies. PMID: 27007088 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)



[La fatigue des aidants et la prise de décisions en fin de vie par autrui].

Thu, 24 Mar 2016 21:51:02 +0100

Authors: McAlister VC PMID: 27007087 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)



A Change in Direction and a Name Change: The Journal of Spinal Disorders and Techniques is Now Clinical Spine Surgery

Thu, 24 Mar 2016 20:34:54 +0100

No abstract available (Source: Journal of Spinal Disorders and Techniques)



Steroid Use in Adult Patients With Incomplete Spinal Cord Injuries

Thu, 24 Mar 2016 20:34:54 +0100

No abstract available (Source: Journal of Spinal Disorders and Techniques)



Adult Degenerative Scoliosis

Thu, 24 Mar 2016 20:34:54 +0100

The treatment of adult degenerative scoliosis begins in the outpatient setting when evaluating a patient both radiographically. Assessing the flexibility of the deformity is essential in determining what techniques will be required to achieve the goals of correction. Ultimately the surgeon’s comfort and experience and the patient’s medical risk stratification determine the strategy needed to address either a focal pathology or ultimate deformity correction. (Source: Journal of Spinal Disorders and Techniques)

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Minimally Invasive/Less Invasive Microdiscectomy

Thu, 24 Mar 2016 20:34:54 +0100

Herniated disks in the lumbar spine typically present with the sudden onset of back and leg pain in a myodermatomal distribution. Symptoms may include radicular pain, paresthesias, and in extreme cases weakness or foot drop. Typically patients are treated conservatively for 6–8 weeks with a combination of steroids, nonsteroidal anti-inflammatory drugs, physical therapy, epidural steroid injections, and rest. In the absence of symptom improvement, surgical intervention typically with a microdisectomy is recommended to patients who are refractory to at least 6 weeks of nonoperative treatment. Earlier intervention may be considered in patients with severe or progressive neurological deficits. This paper reviews the preoperative and postoperative considerations, as well as the surgical techn...