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Journals Canadian Journal of Surgery. J...

Canadian Journal of Surgery. Journal Canadien de Chirurgie

https://read.qxmd.com/read/38575180/prospective-assessment-of-the-impact-of-intraoperative-diuretics-in-kidney-transplant-recipient-surgery
#1
JOURNAL ARTICLE
Max A Levine, Andrew Rasmussen, Daniel Lee, Claire Rim, Kaveh Farokhi, Patrick P Luke, Alp Sener
BACKGROUND: The use of intraoperative diuretics, such as furosemide or mannitol, during kidney transplantation has been suggested to reduce the rate of delayed graft function (DGF). The evidence base for this is sparse, however, and there is substantial variation in practice. We sought to evaluate whether the use of intraoperative diuretics during kidney transplantation translated into a reduction in DGF. METHODS: We conducted a cohort study evaluating the use of furosemide or mannitol given intraoperatively before kidney reperfusion compared with control (no diuretic)...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38575179/postoperative-protocols-for-older-adults-undergoing-emergency-surgery-a-scoping-review
#2
REVIEW
Brianna Greenberg, Stephanie Jiang, Ashlie Nadler
BACKGROUND: As the population of older adults expands, it is becoming increasingly crucial to develop perioperative protocols to meet their physiologic, functional, and cognitive demands after emergency surgery. We sought to identify protocols that improve the disposition, length of stay, and overall health outcomes of older adults undergoing emergency intracavitary, noncardiac surgery. METHODS: Embase, Cochrane, and MEDLINE databases were searched, and results were deduplicated and uploaded to Covidence...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38548300/correction-to-2023-canadian-surgery-forum-cats-abstract-16
#3
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38548299/comparing-immediate-postoperative-outcomes-of-different-vats-approaches-for-anatomical-lung-resection-a-single-centre-retrospective-study
#4
JOURNAL ARTICLE
Justin-Pierre Lorange, Amit Katz, James Tankel, Caroline Huynh, Jonathan Spicer
BACKGROUND: Video-assisted thoracic surgery (VATS) can be performed through 1 or more intercostal or subxiphoid ports. The aim of this study was to evaluate whether number and location of ports had an impact on early perioperative outcomes and postoperative pain after anatomical lung resection (ALR). METHODS: A search of the departmental electronic database identified all patients who underwent VATS ALR between June 2018 and June 2019. We stratified patients according to the surgical approach: 2-port VATS, 3-port VATS, and subxiphoid VATS...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38548298/defining-the-canadian-rural-general-surgeon
#5
REVIEW
Lyndsay Glass, Malcolm Davidson, Emily Friedrich, Rebecca Afford, Sarah MacVicar, Quinn Gentles, Peter Miles, Roy Kirkpatrick, Lauren Smithson, Mark Walsh, Stephen Hiscock, Evan Wong, Caitlin Champion
BACKGROUND: A total of 18%-30% of Canadians live in a rural area and are served by 8% of the country's general surgeons. The demographic characteristics of Canada's population and its geography greatly affect the health outcomes and needs of the population living in rural areas, and rural general surgeons hold a unique role in meeting the surgical needs of these communities. Rural general surgery is a distinct area of practice that is not well understood. We aimed to define the Canadian rural general surgeon to inform rural health human resource planning...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38503461/knowledge-perceptions-attitudes-and-barriers-pertaining-to-genetic-literacy-among-surgeons-a-scoping-review
#6
REVIEW
Zuhaib M Mir, Linda Y N Fei, Sandra McKeown, Rachelle Dinchong, Nicholas Cofie, Nancy Dalgarno, Alison Rusnak, Rona E Cheifetz, Shaila J Merchant
BACKGROUND: The rapid evolution of genetic technologies and utilization of genetic information for clinical decision-making has necessitated increased surgeon participation in genetic counselling, testing, and appropriate referral of patients for genetic services, without formal training in genetics. We performed a scoping review to describe surgeons' knowledge, perceptions, attitudes, and barriers pertaining to genetic literacy in the management of patients who had confirmed cancer or who were potentially genetically at risk...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38503460/position-statement-management-of-proximal-humerus-fractures
#7
REVIEW
Peter Lapner, Ujash Sheth, Diane Nam, Emil Schemitsch, Pierre Guy, Robin Richards
We sought to compare outcomes and reoperation rates for the surgical treatment of proximal humerus fractures (excluding head-splitting fractures, fracture-dislocations, and isolated greater-tuberosity fractures) in men and women older than 60 years. We searched MEDLINE, Embase, and Cochrane through to Feb. 1, 2022, and included all English-language randomized trials comparing operative versus nonoperative treatment; open reduction and internal fixation (ORIF) with locking plate versus intramedullary nail; arthroplasty versus ORIF; and reverse shoulder arthroplasty versus hemiarthroplasty...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38453352/the-case-for-a-national-breast-implant-registry-in-canada
#8
JOURNAL ARTICLE
Jan Willem Cohen Tervaert
SummaryThe House of Commons Standing Committee on Health proposed in 2022 to start a national registry for breast implants. Why, and what requirements are needed, will be outlined. Breast implant products are not always in compliance with international norms and standards, and several scandals have occurred because of industry fraud. To trace which patients have defective breast implants, a good registry is an absolute must. Furthermore, some diseases, such as lymphomas, autoimmune diseases, and so-called breast implant illness, are believed to be associated with breast implants...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38453351/gap-patterns-and-radiographic-follow-up-of-newer-generation-cementless-total-knee-arthroplasty-designs
#9
JOURNAL ARTICLE
Abigail Frazer, Jason B T Lim, Matthew G Teeter, James Howard, Edward M Vasarhelyi, Brent A Lanting
BACKGROUND: Interest in cementless total knee arthroplasty (TKA) has increased with advancement of biomaterials and implant design and associated improved longevity. We sought to evaluate the gap patterns and radiolucent zones radiographically for 2 newer-generation cementless TKA designs. METHODS: We retrospectively reviewed our single-institution database between January 2017 and December 2019. We identified patients with a porous keeled tibia base-plate with 4-bullet cruciform spikes and peri-apatite coated femoral component (study group 1) and patients who received a cementless porous coated femoral component and rotating platform tibia baseplate with 4 peripheral porous coated pegs around a central cone (study group 2)...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38453350/a-mixed-method-study-evaluating-an-innovative-care-model-for-rural-patients-undergoing-outpatient-breast-surgery
#10
JOURNAL ARTICLE
Sharon Chiu, Samantha Fowler, Sarah Bridges, Natasha Hanson, Jordan King, Sarah Street, Heather Tait, Karen Irving, Peggy McLean, Lauren McLaughlin, Adrienne Gulliver
BACKGROUND: The Delta Oasis program was launched in New Brunswick in 2006 to offer patients from rural areas who were undergoing breast cancer surgery and their families 1 night of free accommodations and a postoperative consultation with an extramural nurse. We sought to investigate patient experiences with this program. METHODS: This mixed-method retrospective study took place from 2020 to 2022 and compared the preoperative anxiety and quality of recovery of program participants and control patients who were discharged home over 100 km from hospital...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38453349/evaluating-the-scope-of-rural-general-surgery-in-british-columbia
#11
JOURNAL ARTICLE
Rebecca M Afford, Sara D Bolin, Dunavan K Morris-Janzen, Alastair McLellan, Nicole Robbins, Tracy M Scott, Ahmer A Karimuddin
BACKGROUND: Rural general surgeons perform many procedures outside the conventional scope of the specialty. Unique to British Columbia, the Rural Practice Subsidiary Agreement (RSA) formally defines rurality in the province. Our goal is to understand the scope of practice for BC's rural general surgeons and whether it has been affected over time by changing privileging guidelines. METHODS: Medical Services Plan (MSP) data were collected from 2011 to 2021 for procedures billed by general surgeons in communities defined by the RSA as rural...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38453348/trauma-resident-exposure-in-canada-and-operative-numbers-traumarecon-a-national-multicentre-retrospective-review-of-operative-and-nonoperative-trauma-teaching
#12
MULTICENTER STUDY
Paul T Engels, Qian Shi, Angela Coates, Laura Allen, Fran Priestap, Bradley S Moffat, Kelly N Vogt, Emily Joos, Samuel Minor, Mylene Marchand, Erin Williams, Chris Evans, Brett Mador, Sandy Widder, Markus Ziessman, Jacinthe Lampron, Chad G Ball, Timothy J Rice
BACKGROUND: General surgeons play an important role in the provision of trauma care in Canada and the current extent of their trauma experience during training is unknown. We sought to quantify the operative and nonoperative educational experiences among Canadian general surgery trainees. METHODS: We conducted a multicentre retrospective study of major operative exposures experienced by general surgery residents, as identified using institutional trauma registries and subsequent chart-level review, for 2008-2018...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38383031/predictors-of-clinical-deterioration-and-intensive-care-unit-admission-in-trauma-patients-transferred-from-northern-quebec-to-a-level-1-trauma-centre-a-retrospective-cohort-study
#13
JOURNAL ARTICLE
Jeongyoon Moon, Tarek Razek, Jeremy Grushka, Dan Deckelbaum, Nathalie Boulanger, Larry Watt, Kosar Khwaja, Paola Fata, Katherine McKendy, Atif Jastaniah, Evan G Wong
BACKGROUND: Trauma care in Nunavik, Quebec, is highly challenging. Geographic distances and delays in transport can translate into precarious patient transfers to tertiary trauma care centres. The objective of this study was to identify predictors of clinical deterioration during transport and eventual intensive care unit (ICU) admission for trauma patients transferred from Nunavik to a tertiary trauma care centre. METHODS: This is a retrospective cohort study using the Montreal General Hospital (MGH) trauma registry...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38383030/-not-available
#14
EDITORIAL
Chad G Ball, Kenji Inaba, Edward J Harvey
No abstract text is available yet for this article.
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38383029/what-does-professionalism-really-mean-in-the-contemporary-surgical-landscape
#15
EDITORIAL
Chad G Ball, Kenji Inaba, Edward J Harvey
No abstract text is available yet for this article.
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38320779/characteristics-and-contributing-factors-of-diagnostic-error-in-surgery-analysis-of-closed-medico-legal-cases-and-complaints-in-canada
#16
JOURNAL ARTICLE
Janice L Kwan, Lisa A Calder, Cara L Bowman, Anna MacIntyre, Richard Mimeault, Liisa Honey, Cynthia Dunn, Gary Garber, Hardeep Singh
BACKGROUND: Diagnostic errors lead to patient harm; however, most research has been conducted in nonsurgical disciplines. We sought to characterize diagnostic error in the pre-, intra-, and postoperative surgical phases, describe their contributing factors, and quantify their impact related to patient harm. METHODS: We performed a retrospective analysis of closed medico-legal cases and complaints using a database representing more than 95% of all Canadian physicians...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38320778/the-impact-of-public-health-lockdown-measures-during-the-covid-19-pandemic-on-the-epidemiology-of-children-s-orthopedic-injuries-requiring-operative-intervention
#17
JOURNAL ARTICLE
Magdalena Tarchala, Catharine S Bradley, Samuel Grant, Yashvi Verma, Mark Camp, Clyde Matava, Simon P Kelley
BACKGROUND: In March 2020, Ontario instituted a lockdown to reduce spread of the SARS-CoV-2 virus. Schools, recreational facilities, and nonessential businesses were closed. Restrictions were eased through 3 distinct stages over a 6-month period (March to September 2020). We aimed to determine the impact of each stage of the COVID-19 public health lockdown on the epidemiology of operative pediatric orthopedic trauma. METHODS: A retrospective cohort study was performed comparing emergency department (ED) visits for orthopedic injuries and operatively treated orthopedic injuries at a level 1 pediatric trauma centre during each lockdown stage of the pandemic with caseloads during the same date ranges in 2019 (prepandemic)...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38320777/total-hip-arthroplasty-with-monobloc-press-fit-acetabular-components-and-large-diameter-bearings-for-atypical-acetabula-is-safe-a-consecutive-case-series-of-125-hips-with-mean-follow-up-of-9-years
#18
JOURNAL ARTICLE
Paul-André Synnott, Marc-Olivier Kiss, Maged Shahin, Mina W Morcos, Benoit Binette, Pascal-André Vendittoli
BACKGROUND: Large-diameter head (LDH) total hip arthroplasty (THA) with a monobloc acetabular component improves hip stability. However, obtaining initial press-fit stability is quite challenging in atypical acetabula. The purpose of this study was to assess primary and secondary fixation of monobloc cups in atypical acetabula. METHODS: In this consecutive case series, the local arthroplasty database was used to retrospectively identify patients with secondary osteoarthritis who underwent primary hip replacement with press-fit only LDH monobloc acetabular components between 2005 and 2018 and who had a minimum of 2 years of follow-up...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38278550/a-scoping-review-of-surgical-care-for-people-experiencing-homelessness-prevalence-access-and-disparities
#19
REVIEW
Caroline Hircock, Peter Huan, Christina Pizzola, Madeline McDonald
BACKGROUND: Numerous studies have highlighted the inequitable access to medical and psychiatric care that people experiencing homelessness (PEH) face, yet the surgical needs of this population are not well understood. We sought to assess evidence describing surgical care for PEH and to perform a thematic analysis of the results. METHODS: Ovid MEDLINE, Embase, and Web of Science were searched using the terms "surgery" AND "homelessness." Grey literature was also searched...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38278549/minimally-invasive-sacroiliac-joint-fusion-using-triangular-titanium-implants-versus-nonsurgical-management-for-sacroiliac-joint-dysfunction-a-systematic-review-and-meta-analysis
#20
JOURNAL ARTICLE
Abdullah A Ghaddaf, Jawaher F Alsharef, Noor K Alsharef, Mawaddah H Alsaegh, Raneem M Alshaban, Amal O Almutairi, Amal H Abualola, Mohammed S Alshehri
BACKGROUND: Minimally invasive sacroiliac joint (MISIJ) fusion is a surgical option to relieve SIJ pain. The aim of this systematic review and meta-analysis was to compare MISIJ fusion with triangular titanium implants (TTI) to nonoperative management of SIJ dysfunction. METHODS: We searched MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials. We included prospective clinical trials that compared MISIJ fusion to nonoperative management in individuals with chronic low back pain attributed to SIJ dysfunction...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
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