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World Journal of Surgery

Harjeet Singh, Santhosh Irrinki, Thakur Deen Yadav, Hemanth Kumar, Jyoti Kharel, Narender Dhaka, Harshal Mandavdhare, Vishal Sharma
BACKGROUND: Abdominal cocoon (AC) or sclerosing encapsulating peritonitis is an uncommon cause of intestinal obstruction. Surgical intervention is warranted in patients with persistent pain or intestinal obstruction. METHODOLOGY: A retrospective analysis of patients operated for AC was performed. Clinical presentation, radiological data, postoperative outcomes (Ryles tube (RT) removal, duration of hospital stay, enterocutaneous fistula, requirement for re-exploration and mortality) were retrieved and analyzed...
April 22, 2019: World Journal of Surgery
Leo Licari, Giovanni Guercio, Sofia Campanella, Gregorio Scerrino, Sebastiano Bonventre, Roberta Tutino, Leonardo Gulotta, Giuseppe Profita, Dalila Scaturro, Giulia Letizia Mauro, Giuseppe Salamone
BACKGROUND: Hernias severely impact patient quality of life (QoL), and 80% of patients need surgical operation. The primary outcome of the study is to assess improvements in balance, posture and deambulation after abdominal hernia repair. Moreover, the study investigated the improvement in the postoperative QoL. METHODS: Patients operated at the Policlinico "Paolo Giaccone" at Palermo University Hospital between June 2015 and June 2017 were identified in a prospective database...
April 22, 2019: World Journal of Surgery
Howard Wain, Victor Kong, John Bruce, Grant Laing, Damian Clarke
BACKGROUND: Surgical 'never events' have serious adverse outcomes for patients. A never event can be defined as a serious, avoidable patient safety incident that would not occur if necessary preventative measures are implemented. The literature from South Africa on this topic is limited. This study aims to understand these never events in our setting and to develop a taxonomy to classify these events which facilitates the development of strategies to prevent and reduce the incidence and impact of surgical never events...
April 22, 2019: World Journal of Surgery
Dominik A Jakob, Philipp Riss, Christian Scheuba, Michael Hermann, Corina Kim-Fuchs, Christian A Seiler, Martin A Walter, Reto M Kaderli
BACKGROUND: High-volume caseload in thyroid surgery is associated with lower postoperative complication rates resulting to better outcomes. The aim of the present study was to investigate the correlation of the departments' annual number of thyroid surgeries on the adherence to consensus guidelines and on the implementation of measures for quality assurance. METHODS: In 2016, we sent an anonymous electronic survey with questions related to the perioperative management in thyroid surgery to all directors of departments in operative medicine in Switzerland and Austria...
April 22, 2019: World Journal of Surgery
Carmen S S Latenstein, Bob J van Wely, Mieke Klerkx, Marjan J Meinders, Bastiaan Thomeer, Philip R de Reuver
BACKGROUND: For both gallbladder removal and inguinal hernia repair, it is important to include patients' perspective in the decision-making process, as watchful waiting is an accepted alternative in selected patients. The aim of this study was to evaluate operation rates before and after implementation of decision aids (DAs) and to assess patient compliance with the use of DAs. METHODS: A single-centered retrospective study was performed, including all patients ≥18 years referred to the surgical outpatient clinic with symptomatic gallstones or an inguinal hernia between January 2014 and December 2017...
April 22, 2019: World Journal of Surgery
Jun Yoshino, Daisuke Ban, Toshiro Ogura, Kosuke Ogawa, Hiroaki Ono, Yusuke Mitsunori, Atsushi Kudo, Shinji Tanaka, Minoru Tanabe
OBJECTIVES: Pancreatic fistula after distal pancreatectomy (DP) remains an unsolved problem, and postoperative CT imaging often demonstrates fluid collection (FC) around the pancreatic remnant. This study sought to clarify the clinical implications of FC. METHODS: This study enrolled 146 patients who underwent DP. FC was defined as a cyst-like lesion ≥ 10 mm in diameter on CT imaging at postoperative day (POD) 7. FC size, irregularity of FC margin, and air bubbles in FC were investigated...
April 19, 2019: World Journal of Surgery
Fadi Hamadani, Tarek Razek, Ezio Massinga, Shailvi Gupta, Monica Muataco, Paloma Muripiha, Catarina Maguni, Vania Muripa, Ivandra Percina, Aassis Costa, Prem Yohannan, David Bracco, Evan Wong, Sam Harper, Dan L Deckelbaum, Otilia Neves
BACKGROUND: Mozambique has had no policy-driven trauma system and no hospital-based trauma registries, and injury was not a public health priority. In other low-income countries, trauma system implementation and trauma registries have helped to reduce mortality from injury by up to 35%. In 2014, we introduced a trauma registry in four hospitals in Maputo serving 18,000 patients yearly. The project has since expanded nationally. This study summarizes the challenges, results, and lessons learned from this large national undertaking...
April 19, 2019: World Journal of Surgery
Jens Ravn Eriksen, Pia Munk-Madsen, Henrik Kehlet, Ismail Gögenur
BACKGROUND: Early catheter removal is essential to enhance postoperative mobilization and recovery, but may carry a risk of urinary retention. This study aimed to evaluate a standardized regimen for early postoperative catheter removal and re-catheterization in patients undergoing elective laparoscopic colorectal cancer surgery within an optimal ERAS setting. METHODS: This was a single-center prospective study of patients undergoing elective minimally invasive colorectal resection and postoperative catheter removal within 24 h, with a re-catheterization threshold of 800 ml bladder volume...
April 16, 2019: World Journal of Surgery
Shahin Hajibandeh, Shahab Hajibandeh, Diwakar Ryali Sarma, Sankar Balakrishnan, Mokhtar Eltair, Rajnish Mankotia, Misra Budhoo, Yogesh Kumar
OBJECTIVE: To evaluate comparative outcomes of laparoscopic transcystic (TC) and transductal (TD) common bile duct (CBD) exploration. METHODS: We systematically searched MEDLINE, EMBASE, CINAHL, CENTRAL, the World Health Organization International Clinical Trials Registry,, ISRCTN Register, and bibliographic reference lists. CBD clearance rate, perioperative complications, and biliary complications were defined as the primary outcome parameters...
April 16, 2019: World Journal of Surgery
Akihiko Okamura, Masayuki Watanabe, Ryotaro Kozuki, Tasuku Toihata, Keita Takahashi, Yu Imamura, Shinji Mine
BACKGROUND: Intramural metastasis (IM) is occasionally noted in patients with esophageal squamous cell carcinoma (ESCC). However, few recent studies have investigated the clinicopathological characteristics of IM and its survival impact. The present study aimed to clarify the clinicopathological and prognostic significance of IM in patients with ESCC. METHODS: We retrospectively examined 918 consecutive patients who underwent curative intent esophagectomy for ESCC...
April 16, 2019: World Journal of Surgery
Guillermo Ponce de León-Ballesteros, David Velázquez-Fernández, F Javier Hernández-Calderón, Carlos Bonilla-Ramírez, Rafael H Pérez-Soto, Juan Pablo Pantoja, Mauricio Sierra, Miguel F Herrera
In the original version of the article, the last three column headings in Table 3 were mislabeled. The original article has been corrected. Following is the corrected table.
April 15, 2019: World Journal of Surgery
Dimitri Sneiders, Yagmur Yurtkap, Leonard F Kroese, Gert-Jan Kleinrensink, Johan F Lange, Jean-François Gillion
BACKGROUND: Incarceration of primary and incisional hernias often results in emergency surgery. The objective of this study was to evaluate the relation of defect size and location with incarceration. Secondary objectives comprised identification of additional patient factors associated with an incarcerated hernia. METHODS: A registry-based prospective study was performed of all consecutive patients undergoing hernia surgery between September 2011 and February 2016...
April 12, 2019: World Journal of Surgery
Masashi Takeuchi, Hirofumi Kawakubo, Shuhei Mayanagi, Kayo Yoshida, Tomoyuki Irino, Kazumasa Fukuda, Rieko Nakamura, Norihito Wada, Hiroya Takeuchi, Yuko Kitagawa
BACKGROUND: Definitive chemoradiotherapy (CRT), used for treatment of patients with an initial diagnosis of unresectable locally advanced esophageal cancer, has led to unsatisfactory long-term prognosis. Moreover, CRT can lead to esophageal fistula, perforation, and strictures. Therefore, strong induction chemotherapeutic treatments are necessary to reduce the tumor volume for subsequent radical esophagectomy. This study aimed to determine the oncological utility of docetaxel plus cisplatin and 5-fluorouracil (DCF) and the technical feasibility of subsequent esophagectomy for locally advanced esophageal cancer...
April 9, 2019: World Journal of Surgery
Harish Mithiran, Lowell Leow, Kingsfield Ong, Terence Liew, Daveraj Siva, Shen Liang, John Kit Chung Tam
BACKGROUND: Primary spontaneous pneumothorax (PSP) is a relatively common clinical entity with high incidence in the young population. Video-Assisted Thoracic Surgery (VATS) bullectomy and chemical or mechanical pleurodesis are two primary modalities of treatment. There has been much debate on the ideal mode of pleurodesis, but the literature on surgical outcomes comparing VATS pleurectomy with talc pleurodesis has been inconclusive. METHODS: We performed a single-centre 5-year observational retrospective study of 202 patients who underwent VATS bullectomy with talc pleurodesis or parietal pleurectomy...
April 9, 2019: World Journal of Surgery
Huiwen Zhang, Jie Lu, Qiang Wu, Bo Wu, Cheng Xu, Youben Fan, Quanhong Zhou
BACKGROUND: The aims of this study were to assess the effect of perioperative dexamethasone on postoperative thyroid surgery recovery using measures of wound drainage volume and C-reactive protein (CRP) levels and leukocyte counts. MATERIALS AND METHODS: From January to September 2014, healthy patients, aged between 18 and 65 years, had elective thyroid surgery in the tertiary hospital. Eligible patients were randomized into either group D (dexamethasone 0.1 mg/kg IV) or group S (saline IV) after anesthesia induction...
April 8, 2019: World Journal of Surgery
Josefine S Baekgaard, Trine G Eskesen, Jae Moo Lee, D Dante Yeh, Haytham M A Kaafarani, Peter J Fagenholz, Laura Avery, Noelle Saillant, David R King, George C Velmahos
BACKGROUND: Spontaneous retroperitoneal and rectus sheath hemorrhage (SRRSH) is associated with high mortality in the literature, but studies on the subject are lacking. The objective of this study was to identify early predictors of the need for angiographic or surgical intervention (ASI) in patients with SRRSH and define risk factors for mortality. METHODS: We conducted a retrospective cohort study at a tertiary academic hospital. All patients with computed tomography-identified SRRSH between 2012 to 2017 were included...
April 8, 2019: World Journal of Surgery
Zhiyang Jace Lin, York Tien Lee, Joyce Horng Yiing Chua, Rachel Wang, Vanessa Lee, Sue Mei Cheah, Seyed Ehsan Saffari, Joyce Ching Mei Lam, Amos Hong Pheng Loh
BACKGROUND: Surgical trainees performing subclavian vein (SCV) cannulation often incorrectly perceive needle trajectory and anatomical relations. As surface landmark-based methods derived from adult surgical practice may be less effective in younger patients, we developed and evaluated a novel bony landmark-based method for teaching SCV cannulation for central venous access device (CVAD) placement in children. METHODS: Over 2 sequential 3-year periods, pediatric surgical trainees were taught infraclavicular SCV cannulation via surface- and bony-landmark approaches, respectively...
April 5, 2019: World Journal of Surgery
Femke Nawijn, Roderick M Houwert, Karlijn P J van Wessem, Rogier K J Simmermacher, Geertje A M Govaert, Marijke R van Dijk, Mirjam B de Jong, Ivar G J de Bruin, Luke P H Leenen, Falco Hietbrink
BACKGROUND: The standardized approach with triple diagnostics (surgical exploration with visual inspection, microbiological and histological examination) has been proposed as the golden standard for early diagnosis of severe necrotizing soft tissue disease (SNSTD, or necrotizing fasciitis) in ambivalent cases. This study's primary aim was to evaluate the protocolized approach after implementation for diagnosing (early) SNSTD and relate this to clinical outcome. METHODS: A cohort study analyzing a 5-year period was performed...
April 5, 2019: World Journal of Surgery
G Fiorentini, F Swaid, F Cipriani, F Ratti, C Heres, A Tsung, L Aldrighetti, D A Geller
BACKGROUND: Laparoscopic major hepatectomy is expanding, but little data exist comparing surgical approaches. The aim of this study was to test the hypothesis that pure laparoscopic liver resection (PLAP) has advantages over hand-assisted (HALS) or hybrid (HYB) resection for major hemi-hepatectomy at two western centers. METHODS: Using propensity score matching, 65 cases of HALS + HYB (18 hand-assisted and 47 hybrid) were matched to 65 cases of PLAP. Baseline characteristics were well matched for gender, age, ASA score, Childs A cirrhosis, right/left hepatectomy, malignancy, tumor size, and type between the groups...
April 5, 2019: World Journal of Surgery
Marie-Rachelle Felizaire, Tiffany Paradis, Andrew Beckett, Paola Fata, Jeremy Grushka, Walter Johnson, Kosar Khwaja, John G Meara, Gabriel Ndayisaba, Ipshita Prakash, Tarek Razek, Tongmeesee Somprasong, Evan Wong, Prem Yohannan, Dan L Deckelbaum
BACKGROUND: Approximately 5 billion people do not have access to safe, timely, and affordable surgical and anesthesia care, with this number disproportionately affecting those from low-middle-income countries (LMICs). Perioperative mortality rates (POMRs) have been identified by the World Health Organization as a potential health metric to monitor quality of surgical care provided. The purpose of this systematic review was to evaluate published reports of POMR and suggest recommendations for its appropriate use as a health metric...
April 5, 2019: World Journal of Surgery
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