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Surgery Journal

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https://read.qxmd.com/read/30899787/the-impact-of-interdisciplinary-education-on-skills-and-attitudes-of-surgery-and-emergency-medicine-residents
#1
Anastasia Kunac, Neil A King, Ilya Ostrovsky, David Rytzarev, Aziz M Merchant, Tiffany Murano
Background  Interdisciplinary education (IDE) has been proposed as a means to improve patient safety by enhancing the performance of diverse health care teams. The improved camaraderie between members of different specialties may enhance communication and can foster a more supportive and positive work environment. Objective  This study was aimed to assess the effect of IDE on the procedural skills of general surgery (GS) and emergency medicine (EM), as well as the perceptions that GS and EM residents have of one another...
January 2019: Surgery Journal
https://read.qxmd.com/read/30838336/diffuse-large-b-cell-lymphoma-involvement-in-two-different-localizations-a-case-report
#2
Nilufer Bulut, Hılal Serap Arslan, Ipek Yıldız Ozaydın
The genital system and skin involvement of diffuse B-cell lymphomas are quite rare. The appearance of these rare types in the same patient and the same period makes the treatment of the disease difficult. But both types respond well to anthracyclines and immunotherapies. A 74-year-old woman was treated with R-CHOP (Rituximab, cyclophosphamide, doxorubicine, vincristine, prednisolone) without surgery and/or radiotherapy, and no recurrence at 2 years follow-up. Despite the poor prognosis of these types of lymphomas, treatment responses are quite good as they are in other subtypes...
January 2019: Surgery Journal
https://read.qxmd.com/read/30838335/evaluation-of-postoperative-deficits-following-motor-cortex-tumor-resection-using-small-craniotomy
#3
Wellingson Silva Paiva, Erich Talamoni Fonoff, André Beer-Furlan, Bárbara Albuquerque Morais, Iuri Santana Neville, Rogério Bicudo Ramos-Filho, Manoel Jacobsen Teixeira
Introduction  Surgical treatment of brain tumors in eloquent areas has always been considered a major challenge because removal-related cortical damage can cause serious functional impairment. However, few studies have investigated the association between small craniotomies and the higher risk of incidence of motor deficits and prolonged recovery time. Here, we analyzed neurologic deficits and the prognostic variables after surgery guided by navigation for motor cortex tumors under general anesthesia. Methods  This was a prospective study that included 47 patients with tumors in the precentral gyrus...
January 2019: Surgery Journal
https://read.qxmd.com/read/30775445/thoracoscopic-diagnosis-of-follicular-lymphoma-relapsing-after-13-years
#4
Serda Kanbur, Onur Derdiyok, Hakan Kiral, Hakan Yilmaz, Mine Demir, Cagatay Tezel, Volkan Baysungur, Serdar Evman
Relapse in lymphoproliferative malignancies is not an exceptional entity and generally occurs within the first 2 or 3 years following the primary treatment. Lymph node biopsy is essential for the diagnosis of relapse and treatment. A 64-years-old woman was referred to our clinic for back pain and dyspnea. Chest X-ray and computed tomography (CT) showed pleural thickening in the right hemithorax and pleural effusion. Hereby, we report a patient with a history of follicular lymphoma treatment 13 years ago, presenting with unilateral pleural effusion and being diagnosed, unpredictably, with relapsing lymphoma by video-assisted thoracoscopic surgery pleural biopsy...
January 2019: Surgery Journal
https://read.qxmd.com/read/30648159/urinary-n-telopeptide-the-new-diagnostic-test-for-osteoporosis
#5
Ganesan Ram Ganesan, Phagal Varthi Vijayaraghavan
Context  Osteoporosis is a silent disease until it is complicated by trivial fall fractures. There is an increasing interest within the orthopaedic community in the noninvasive cost-effective measurement of the bone mineral density. Aims  The aim of the study is to assess whether urinary N-telopeptide level can be a new diagnostic tool in diagnosing osteoporosis. Methods and Material  This prospective study was done at Sri Ramachandra Medical Centre (SRMC) hospital from October 2015 to October 2017. The study was conducted among patients who comes to SRMC as inpatient or outpatient with suspected osteoporosis and underwent dual-energy X-ray absorptiometry (DXA) scan and urinary N-telopeptide...
January 2019: Surgery Journal
https://read.qxmd.com/read/30574556/oncological-outcomes-of-open-radical-retropubic-prostatectomy-in-ireland-a-single-surgeon-s-5-year-experience
#6
Stefanie M Croghan, Deep Mudit Matanhelia, Ann T Foran, David J Galvin
Objectives  There is a little published data on the outcomes of radical prostatectomy in the Irish context. We aimed to determine the 5-year oncological results of open radical retropubic prostatectomy (RRP) performed by a single surgeon following appointment. Methods  A retrospective review of RRPs performed between 2011 and 2016 was conducted. Patient demographics, preoperative parameters (clinical stage on digital rectal exam, prostate-specific antigen (PSA) levels, biopsy Gleason's score and MRI [magnetic resonance imaging] findings), pathological variables (T-stage, Gleason's score, nodal status, and surgical margin status), and treatment decisions (lymphadenectomy or adjuvant radiotherapy) were recorded...
October 2018: Surgery Journal
https://read.qxmd.com/read/30539942/response-to-letter-to-the-editor
#7
COMMENT
Christian Bonde
No abstract text is available yet for this article.
October 2018: Surgery Journal
https://read.qxmd.com/read/30539148/no-value-of-routine-brain-computed-tomography-6-weeks-after-evacuation-of-chronic-subdural-hematoma
#8
Mehmet Turgut
No abstract text is available yet for this article.
October 2018: Surgery Journal
https://read.qxmd.com/read/30474067/enterovesical-fistula-secondary-to-transitional-cell-carcinoma-of-the-bladder
#9
Mark Bugeja, Christine Mizzi, Ernest Ellul, Simon Bugeja, Stephen Mattocks
Although fistulae between the urinary bladder and the gastrointestinal tract are not uncommon, those caused by carcinoma of the urinary bladder are rare. This report describes the case of an 85 years old male who was diagnosed with a mass involving the small bowel and the urinary bladder during the course of investigation for recurrent urinary tract infections. At laparotomy, the presence of an enterovesical fistula involving the ileum and bladder was confirmed. Histopathological examination of the resected mass showed poorly differentiated urothelial carcinoma...
October 2018: Surgery Journal
https://read.qxmd.com/read/30474066/outcomes-of-biliointestinal-bypass-among-iranian-obese-patients
#10
Seyed Morteza Mousavi Naeini, Alireza Khalaj, Ali Abbaszadeh-Kasbi, Seyed Rouhollah Miri
Background  There are several surgical approaches to treat obesity not cured with medical approaches. Each method has its advantages and complications. In here, we have conducted a study to evaluate complications of biliointestinal bypass surgery (BIBP). Methods  A prospective study was conducted in a private hospital from 2002 to 2016. Those patients, not previously operated for morbid obesity, were eligible. Mean follow-up period was 89 months ( ± 54 months; range: 73-108 months). Main outcome measures were weight, BMI (body mass index), concentrations of blood lipids and glucose, liver transaminases, and obesity-related comorbidities and complications...
October 2018: Surgery Journal
https://read.qxmd.com/read/30474065/impact-of-graft-steatosis-on-postoperative-complications-after-liver-transplantation
#11
Emad Ali Ahmed, Ashraf Mohammad El-Badry, Federico Mocchegiani, Roberto Montalti, Asem Elsani Ali Hassan, Alaa Ahmed Redwan, Marco Vivarelli
Background  Steatotic grafts are more susceptible to ischemia-reperfusion injury than are normal grafts. Therefore, using steatotic grafts for liver transplantation (LT) is associated with high primary dysfunction and decreased survival rates. The aim of this study is to evaluate the impact of graft steatosis on post LT outcomes. Methods  A retrospective cohort analysis of 271 LT recipients from 2005 to 2016 was performed and patients were classified based on two types of steatosis, macrosteatosis (MaS), and microsteatosis (MiS)...
October 2018: Surgery Journal
https://read.qxmd.com/read/30474064/the-role-of-prophylactic-octreotide-following-pancreaticoduodenectomy-to-prevent-postoperative-pancreatic-fistula-a-meta-analysis-of-the-randomized-controlled-trials
#12
Pankaj Kumar Garg, Jyoti Sharma, Ashish Jakhetiya, Nilokali Chishi
Introduction  A postoperative pancreatic fistula (POPF) is a major cause of morbidity and mortality following pancreaticoduodenectomy (PD). A pharmacologic approach using perioperative octreotide, a long-acting somatostatin analog having an inhibitory action on pancreatic exocrine secretion, was proposed to reduce the incidence of the POPF. Despite contradictory results in various randomized controlled trials (RCTs), the prophylactic octreotide has been widely used in the last two decades to reduce the POPF...
October 2018: Surgery Journal
https://read.qxmd.com/read/30402546/case-series-about-the-changed-antiplatelet-protocol-for-carotid-endarterectomy-in-a-teaching-hospital-more-patients-with-complications
#13
Martijn S Marsman, Denise M D Özdemir-van Brunschot, Abdelkarime Kh Jahrome, Nic J G M Veeger, Wouter J Schuiling, Frank G van Rooij, Giel G Koning
Introduction  In the Netherlands, clopidogrel monotherapy increasingly replaces acetylsalicylic acid and extended release dipyridamole as the first-choice antiplatelet therapy after ischemic stroke. It is unknown whether the risk of peri- and postoperative hemorrhage in carotid artery surgery is higher in patients using clopidogrel monotherapy compared with acetylsalicylic acid and extended release dipyridamole. We therefore retrospectively compared occurrence of perioperative major and (clinical relevant) minor bleedings during and after carotid endarterectomy of two groups using different types of platelet aggregation inhibition after changing our daily practice protocol in our center...
October 2018: Surgery Journal
https://read.qxmd.com/read/30377656/the-first-dorsal-metacarpal-artery-flap-family-a-review
#14
REVIEW
Jose Couceiro, Marta de Prado, Guillermo Menendez, Zaira Manteiga
Deep soft tissue injuries around the thumb can severely hinder hand function if not treated correctly. Many different surgical options have been described for the treatment of these serious lesions, including microsurgical flaps, such as toe to hand flaps, local flaps, and distant pedicled flaps. The first dorsal metacarpal artery family of flaps belongs to this last category. These flaps can be performed in different ways, as a racquet, as an island flap, and as a bilobed flap including the second metacarpal artery, among others...
October 2018: Surgery Journal
https://read.qxmd.com/read/30377655/trust-the-capitonnage-in-the-giant-cyst-case-report
#15
Murat Oncel, Huseyin Yildiran, Guven Sadi Sunam
Cyst hydatid in the lung is still a health problem for many countries. It develops in the lung and can grow into the lung parenchyma. When it is diagnosed as a giant cyst, surgery should be performed. In the surgery, capitonnage is necessary to protect the lung parenchyma.
October 2018: Surgery Journal
https://read.qxmd.com/read/30377654/laparoscopic-ventral-mesh-rectopexy-functional-outcomes-after-surgery
#16
Nasir Zaheer Ahmad, Samuel Stefan, Vidhi Adukia, Syed Abul Hassan Naqvi, Jim Khan
Aims  Rectal prolapse is a debilitating and unpleasant condition adversely affecting the quality of life. Laparoscopic ventral mesh rectopexy (LVMR) is recognized as one of the treatment options. The aim of this study was to evaluate the functional outcomes after a standardized LVMR. Methods  A cohort of patients who underwent LVMR from 2011 to 2015 were contacted and asked to fill questionnaires about their symptoms before and after the surgery. Three questionnaires based on measurement of Wexner fecal incontinence (WFI), obstructive defecation syndrome (ODS), and Birmingham Bowel and Urinary Symptom (BBUS) scores were used to assess the changes in postoperative functional outcomes...
October 2018: Surgery Journal
https://read.qxmd.com/read/30345368/two-decades-of-contemporary-surgery-of-primary-cardiac-tumors
#17
Khalil Jawad, Tamer Owais, Stefan Feder, Sven Lehmann, Martin Misfeld, Jens Garbade, Michael Borger
Objective  The decision to operate cardiac tumors is an issue of balancing surgical outcome and survival with quality of life (QOL). We report our single-center experience in managing primary cardiac tumors between 1994 and 2014. Methods and Results  In this study, 269 patients were subjected to our standardized operative protocols, preoperative preparations, postoperative follow-up, and consents of participation. Demographic and preoperative/intraoperative/postoperative variables were collected with focus on long-term follow-up and survival...
October 2018: Surgery Journal
https://read.qxmd.com/read/30306137/atypical-carcinoid-neuroendocrine-tumor-of-the-ureter-a-case-report-and-literature-review
#18
Huay Shan Yuen, Gerald Henner Rix, Soumadri Sen, Venkata Ramana Murthy Kusuma
Neuroendocrine tumors (NETs) of the ureter are rare, with less than 40 cases described in the literature. A majority of tumors described are poorly differentiated tumors with a poor prognosis. We present the case of a moderately differentiated atypical carcinoid NET of the ureter with a good postoperative outcome. A literature review was also performed to identify similar cases to compare their management and postoperative outcomes.
October 2018: Surgery Journal
https://read.qxmd.com/read/30271877/total-knee-arthroplasty-wrong-side-implant
#19
Hassan Alanazi, Mousa Alahmari, Musaab Abdullah Hashem, Muath Alqahtani, Abdulaziz Alanazi, Bashir Alenazi
We report a unique wrong implant error during bilateral total knee replacement procedure in 72-year-old woman with bilateral knee osteoarthritis that failed conservative treatment. Patient has severe bilateral knee pain. Examination showed full range of motion. X-ray showed severe bilateral tricompartmental osteoarthritis. Patient underwent surgery in 2013; postoperative radiographs showed well-fixed femoral, tibial, and patellar components but right femoral implant was placed in the left knee. Postoperative examination showed painless full range of motion...
July 2018: Surgery Journal
https://read.qxmd.com/read/30206542/olfactory-nerve-schwannoma-a-case-report-and-review-of-the-literature
#20
Mahmoud M Taha, Amr AlBakry, Magdy ElSheikh, Tarek H AbdelBary
Schwannomas are benign tumors, which arise from the Schwann cells of the central or peripheral nerves. They form 8% of all intracranial tumors and most of the cases arise from vestibular division of the 8 th cranial nerve. Rare cases are shown to arise from the olfactory or optic nerve, being devoid of myelin sheath. Up to date and according to our best of knowledge, 66 cases have been reported till now. Here we present a review of the literature and a case report of a 56-year-old male with an accidently discovered anterior cranial fossa schwannoma, following a road traffic accident...
July 2018: Surgery Journal
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