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Journals Canadian Journal of Surgery. J...

Canadian Journal of Surgery. Journal Canadien de Chirurgie

https://read.qxmd.com/read/37225246/clinical-characteristics-of-sars-cov-2-vaccine-related-acute-appendicitis
#1
JOURNAL ARTICLE
Elchanan Quint, Ivan Kukeev, Itai Hazan, Daniel Grupel, Oleg Dukhno, Anton Osyntsov, Gilbert Sebbag, Ohad Guetta, David Czeiger
BACKGROUND: In a large nationwide mass vaccination setting, the SARS-CoV-2 vaccine was recently linked to myocarditis, lymphadenopathy, herpes zoster infection and appendicitis. We aimed to examine the characteristics and management of SARS-CoV-2 vaccine-related acute appendicitis. METHODS: We performed a retrospective cohort study in a large tertiary medical centre in Israel. All patients presenting with acute appendicitis within 21 days of receiving their SARS-CoV-2 vaccination (PCVAA group) were compared with patients who presented with acute appendicitis not related to the vaccination (N-PCVAA group)...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37225245/nipple-margin-assessment-at-the-time-of-nipple-sparing-mastectomy
#2
JOURNAL ARTICLE
Lina Cadili, Jin-Si Pao, Elaine McKevitt, Carol Dingee, Amy Bazzarelli, Rebecca Warburton
BACKGROUND: Documenting negative margins at the nipple-areolar complex (NAC) during nipple-sparing mastectomy (NSM) remains the standard, but how to achieve this and how to manage a positive margin is debated. We sought to review nipple margin assessments at our institution and to analyze the risk factors of a positive margin and rate of local recurrence. METHODS: Patients who underwent NSM between 2012 and 2018 were reviewed and divided into 3 groups based on indication - cancer, contralateral prophylactic mastectomy (CPM) and bilateral prophylactic mastectomy (BPM)...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37225244/paramedic-to-trauma-team-verbal-handover-optimization-a-complex-interaction
#3
JOURNAL ARTICLE
Shaun Cowan, Patrick Murphy, Michael Kim, Brett Mador, Eddie Chang, Alison Kabaroff, Emerson North, Cheryl Cameron, Kevin Verhoeff, Sandy Widder
BACKGROUND: Handover to the trauma team is crucial to trauma care. The emergency medical services (EMS) report must be concise, contain key details, and be time-limited. Effective handover is difficult, often occurring between unfamiliar teams, in chaotic environments, and without standardization. We aimed to evaluate handover formats in comparison to ad-lib communication during trauma handover. METHODS: We conducted a single-blind randomized simulation trial evaluating 2 structured handover formats...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37169388/correction-to-remoteness-from-urban-centre-does-not-affect-gastric-cancer-outcomes-with-established-care-pathway-to-specialist-centre
#4
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37169387/are-outdoor-playgrounds-the-real-culprit-for-elbow-fractures-in-children-a-lesson-learned-from-covid-19-sanitary-measures
#5
JOURNAL ARTICLE
Pierre-Henri Heitz, Jocelyn Gravel, Nathalie Jourdain, Mathilde Hupin, Marie-Lyne Nault
BACKGROUND: The association between elbow fractures and outdoor playgrounds has always been anecdotal. We sought to determine the impact of closing outdoor playgrounds and other play areas during the COVID-19 lockdown on elbow fractures in a pediatric population. METHODS: We conducted a retrospective cohort study of all elbow fractures from a single pediatric referral hospital between 2016 and 2020 for the months of April and May. The months chosen corresponded to the COVID-19 lockdown during which outdoor playgrounds were closed...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37169386/degenerative-spinal-conditions-requiring-emergency-surgery-an-evolving-crisis-in-a-publicly-funded-health-care-system
#6
JOURNAL ARTICLE
Charlotte Dandurand, Mathew N Hindi, Pedram Farimani Laghaei, Mohammad Sadegh Mashayekhi, Brian K Kwon, Nicolas Dea, Charles G Fisher, Raphaële Charest-Morin, Tamir Ailon, Michael Boyd, Marcel Dvorak, Scott Paquette, John Street
BACKGROUND: Surgery for degenerative spine pathologies is typically performed on a scheduled basis; however, worsening symptoms may warrant emergency surgery. An increasing number of patients requiring emergency surgery has been observed (22.6% in 2006 to 34.8% in 2019). We sought to compare the outcomes of patients who received scheduled surgery and those who required emergency surgery. METHODS: All patients treated between Jan. 1, 2006, and Dec. 31, 2019, were included...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37169385/comparison-of-a-validated-decision-support-tool-to-a-standard-of-care-triage-system-for-knee-osteoarthritis-assessment-a-proof-of-concept-study
#7
JOURNAL ARTICLE
Paige Wagar, Simrun Chahal, Rabail Siddiqui, Shalyn Littlefield, Caroline Fanti, Claude Cullinan, Kurt Droll, Travis E Marion, T Derek Cooke, David Puskas
BACKGROUND: Patients with knee osteoarthritis (OA) in northwestern Ontario are referred by their primary care provider (PCP) to a centralized assessment clinic for evaluation by an advanced practice physiotherapist (APP) to determine if they will require surgical management. However, many patients are found to not require surgical management, resulting in delays for patients who do. A decision-support tool was developed to address this issue and to guide treatment options by determining the need for surgical or nonsurgical approaches...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37130709/early-intensive-mobilization-after-acute-high-risk-abdominal-surgery-a-nonrandomized-prospective-feasibility-trial
#8
JOURNAL ARTICLE
Line Rokkedal Jønsson, Nicolai Bang Foss, Janne Orbæk, Morten Laksafoss Lauritsen, Helene Nygaard Sejrsen, Morten Tange Kristensen
BACKGROUND: Mobilization after emergency abdominal surgery is considered essential to facilitate rehabilitation and reduce postoperative complications. The aim of this study was to evaluate the feasibility of early intensive mobilization after acute high-risk abdominal (AHA) surgery. METHODS: We conducted a nonrandomized, prospective feasibility trial of consecutive patients after AHA surgery at a university hospital in Denmark. The participants followed a predefined, interdisciplinary protocol for early intensive mobilization during the first 7 postoperative days (PODs) of their hospital admission...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37130708/remoteness-from-urban-centre-does-not-affect-gastric-cancer-outcomes-with-established-care-pathway-to-specialist-centre
#9
JOURNAL ARTICLE
Anitha Kammili, Dominique Morency, Jonathan Cools-Lartigue, Lorenzo E Ferri, Carmen L Mueller
BACKGROUND: Patients living in rural communities experience difficulty accessing specialized medical care. Rural patients with cancer present with more advanced disease, have reduced access to treatment and have poorer overall survival than urban patients. This study's aim was to evaluate outcomes of patients with gastric cancer living in rural and remote areas versus urban and suburban communities in the context of an established care corridor to a tertiary care centre. METHODS: All patients treated for gastric cancer at the McGill University Health Centre during 2010-2018 were included...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37130707/preoperative-diagnosis-and-management-of-inherited-bleeding-disorders-in-female-adolescents-and-adults
#10
REVIEW
R Douglas Wilson
Although inherited bleeding disorders (IBDs) affect both females and males, this review of the preoperative diagnosis and management of IBDs focuses on genetic and gynecologic screening, diagnosis and management of affected and carrier females. A PubMed literature search was conducted, and the peer-reviewed literature on IBDs was evaluated and summarized. Best-practice considerations for screening, diagnosis and management of IBDs in female adolescents and adults, with GRADE (Grading of Recommendations, Assessment, Development, and Evaluations) evidence level and ranking of recommendation strength, are presented...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37130706/optimizing-opioid-prescribing-practices-after-minimally-invasive-lung-resection-through-a-quality-improvement-intervention
#11
JOURNAL ARTICLE
Evan Barber, Melissa Whidden, Francisco Aguirre, Andrew Graham
BACKGROUND: In their 2019 guideline on the prescribing and management of opioids after elective ambulatory thoracic surgery, the Canadian Association of Thoracic Surgeons (CATS) recommended 120 morphine milligram equivalents (MME) after minimally invasive (video-assisted thoracoscopic surgery [VATS]) lung resection. We conducted a quality-improvement project to optimize opioid prescribing after VATS lung resection. METHODS: We assessed baseline prescribing practices for opioid-naive patients...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37130705/learning-objectives-for-thoracic-surgery-developing-a-national-standard-for-undergraduate-medical-education
#12
JOURNAL ARTICLE
Uzair Jogiat, Abdollah Behzadi, Laura Donahoe, Awrad Nasralla, Julius Poon, Najib Safieddine, Nazgol Seyednejad, Iran Tavakoli, Simon R Turner
BACKGROUND: The Continuing Professional Development (CPD) (Education) Committee of the Canadian Association of Thoracic Surgeons (CATS) has established a goal of describing the essential knowledge of thoracic surgery. We aimed to develop a national standardized set of undergraduate learning objectives for thoracic surgery. METHODS: We obtained these learning objectives from 4 medical schools in Canada. These 4 institutions were selected to provide a broad geographical representation of medical schools of varying sizes and of both official languages...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37085295/the-mcgill-simulation-complexity-score-mscs-a-novel-complexity-scoring-system-for-simulations-in-trauma
#13
JOURNAL ARTICLE
Kosar Khwaja, Melina Deban, Sameena Iqbal, Jalal Alowais, Bader Al Bader, Dan Deckelbaum, Tarek Razek
BACKGROUND: In medical education, simulation can be defined as an activity in which an individual demonstrates skills, procedures and critical thinking using interactive mannequins in a setting closely resembling the clinical environment. To our knowledge, the complexity of trauma simulations has not previously been assessed. We aimed to develop an objective trauma simulation complexity score and assess its interrater reliability. METHODS: The McGill Simulation Complexity Score (MSCS) was designed to address the need for objective evaluation of the complexity of trauma scenarios...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37085294/position-statement-management-of-rotator-cuff-tears-in-adults
#14
REVIEW
Peter Lapner, Patrick Henry, George Athwal, Joel Moktar, Daniel McNeil, Peter MacDonald
We sought to compare success and re-tear rates of surgically treated full-thickness tears of the rotator cuff in men and women older than 18 years of age to develop a guideline intended for orthopedic surgeons and other health care providers who assess, counsel and care for these patients. We searched Medline, Embase and Cochrane databases through to Apr. 20, 2021, and included all English-language randomized trials comparing single-row versus double-row fixation via arthroscopic approaches; latissimus dorsi transfer (LDT) versus partial rotator cuff repair, lower trapezius transfer (LTT), and superior capsular reconstruction (SCR); and early versus late arthroscopic rotator cuff repair for traumatic tears...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37085293/ai-and-surgery-skynet-or-a-great-opportunity
#15
EDITORIAL
Edward J Harvey, Chad G Ball
No abstract text is available yet for this article.
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37085292/-not-available
#16
EDITORIAL
Edward J Harvey, Chad G Ball
No abstract text is available yet for this article.
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37085291/total-neoadjuvant-therapy-for-rectal-cancer-a-guide-for-surgeons
#17
JOURNAL ARTICLE
Garrett G R J Johnson, Jason Park, Ramzi M Helewa, Benjamin A Goldenberg, Maged Nashed, Eric Hyun
SummaryThe modern management of rectal cancers continues to evolve. With the release of data from new landmark randomized controlled trials (RAPIDO, PRODIGE-23), total neoadjuvant therapy (TNT) has moved to the forefront of locally advanced rectal cancer treatment and is considered a standard option in selected patients. Total neoadjuvant therapy promises enhanced systemic disease control, better treatment adherence and less time with an ostomy. However, TNT as currently described encompasses a number of different potential treatment options that differ significantly in terms of their radiation dosage, chemotherapy regimen and order of treatments administered...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37085290/virtual-trauma-patient-simulation-design-using-the-mcgill-simulation-complexity-score-mscs-a-breakthrough-in-trauma-education
#18
RANDOMIZED CONTROLLED TRIAL
Melina Deban, Sameena Iqbal, Andrew Beckett, Nancy Posel, David M Fleiszer, Tarek Razek, Kosar Khwaja
BACKGROUND: Virtual patient simulations are interactive, computer-based cases. We designed scenarios based on the McGill Simulation Complexity Score (MSCS), a previously described objective complexity score. We aimed to establish validity of the MSCS and introduce a novel learning tool in trauma education at our institution. METHODS: After design of an easy and difficult patient scenario, we randomized medical students and residents to each perform 1 of the 2 scenarios...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37068167/correction-to-c-case-2022-competence-to-excellence-abstract-on-subpial-resection-in-a-novel-epilepsy-simulation-model
#19
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/37001976/the-epidemiology-of-early-deep-vein-thrombosis-in-kidney-transplant-recipients
#20
JOURNAL ARTICLE
Wendi Qu, Michelle Minkovich, Ioana Clotea, Olusegun Famure, Yanhong Li, Jason Y Lee, Markus Selzner, S Joseph Kim, Anand Ghanekar
BACKGROUND: Because kidney transplant recipients may be at increased risk for deep vein thrombosis (DVT) following transplantation, we investigated the incidence, risk factors, treatments and outcomes of early DVT among kidney transplant recipients. METHODS: An observational, single-centre cohort study was conducted among adult kidney transplant recipients from Jan. 1, 2005, to Dec. 31, 2016 with 1-year followup. Time to DVT was assessed using the Kaplan-Meier method...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
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