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Surgery

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https://www.readbyqxmd.com/read/28318554/decubitus-ulcers-in-patients-undergoing-vascular-operations-do-not-influence-mortality-but-affect-resource-utilization
#1
J Hunter Mehaffey, Amani D Politano, Castigliano M Bhamidipati, Margaret C Tracci, Kenneth J Cherry, John A Kern, Irving L Kron, Gilbert R Upchurch
BACKGROUND: While it is anticipated that decubitus ulcers are detrimental to outcomes after vascular operations, the contemporary influence of perioperative decubitus ulcers in vascular surgery remains unknown. METHODS: Using the National Impatient Survey, all adult patients who underwent vascular operation were selected. Patients were stratified by the presence or absence (non-decubitus ulcers) of decubitus ulcer. Case-mix adjusted hierarchical mixed-models examined in-hospital mortality, the occurrence of any complication, and discharge disposition...
March 17, 2017: Surgery
https://www.readbyqxmd.com/read/28318553/comment-on-clinicopathological-study-on-metachronous-double-cholangiocarcinomas-of-perihilar-and-subsequent-distal-bile-duct-origin
#2
EDITORIAL
John Allendorf
No abstract text is available yet for this article.
March 17, 2017: Surgery
https://www.readbyqxmd.com/read/28318551/the-potential-role-of-preoperative-portal-vein-embolization-for-the-prevention-of-small-for-size-syndrome
#3
LETTER
Antonios Athanasiou, Eleftherios Spartalis, Christos Damaskos, Demetrios Moris
No abstract text is available yet for this article.
March 17, 2017: Surgery
https://www.readbyqxmd.com/read/28318549/the-use-of-water-soluble-contrast-medium-gastrografin-in-uncomplicated-acute-adhesive-small-bowel-obstruction-remains-a-hot-topic
#4
LETTER
Cyril Cossé, Jean Marc Regimbeau
No abstract text is available yet for this article.
March 17, 2017: Surgery
https://www.readbyqxmd.com/read/28318552/development-of-a-sustainable-project-in-tanzania-based-on-simple-innovative-ideas
#5
William Gamble, John Toso, Bobby Griffin, Barbara Griffin
No abstract text is available yet for this article.
March 16, 2017: Surgery
https://www.readbyqxmd.com/read/28318550/circular-stapling-versus-triangulating-stapling-for-the-cervical-esophagogastric-anastomosis-after-esophagectomy-in-patients-with-thoracic-esophageal-cancer-a-prospective-randomized-controlled-trial
#6
Keiji Hayata, Mikihito Nakamori, Masaki Nakamura, Toshiyasu Ojima, Makoto Iwahashi, Masahiro Katsuda, Toshiaki Tsuji, Tomoya Kato, Jyunya Kitadani, Akihiro Takeuchi, Hirotaka Tabata, Hiroki Yamaue
BACKGROUND: Several studies have reported that the triangulating stapling method decreases the incidence of anastomotic stricture after esophagectomy, but no randomized, controlled trial has confirmed the efficacy of the triangulating stapling method for cervical esophagogastrostomy. We compared triangulating stapling and circular stapling for cervical esophagogastric anastomosis regarding the decrease in anastomotic stricture after esophagectomy for thoracic esophageal cancer. METHODS: Between August 2010 and April 2014, 100 patients enrolled in this randomized, controlled trial at the Wakayama Medical University Hospital were allocated randomly to either the circular stapling group (n = 49) or the triangulating stapling group (n = 51)...
March 15, 2017: Surgery
https://www.readbyqxmd.com/read/28292521/comment-on-the-final-countdown-is-intraoperative-intermittent-neuromonitoring-ionm-really-useful-in-preventing-permanent-nerve-palsy-evidence-from-a-meta-analysis
#7
LETTER
https://www.readbyqxmd.com/read/28291540/roux-en-y-gastric-bypass-improves-glucose-homeostasis-reduces-oxidative-stress-and-inflammation-in-livers-of-obese-rats-and-in-kupffer-cells-via-an-ampk-dependent-pathway
#8
Yanhua Peng, James Zongyu Li, Min You, Michel M Murr
BACKGROUND: Oxidative stress and inflammation are implicated in the pathogenesis of steatohepatitis. We hypothesize that Roux-en-Y gastric bypass reduces oxidative stress and inflammation in the liver of obese rats via activation of AMPK-α. METHODS: Obese Sprague-Dawley male rats underwent either sham operation or Roux-en-Y gastric bypass. Hepatic TNF-α, NF-κB, IRS-2, PI3 kinase, PKC-ζ, NOX2, and AMPK-α were measured. Mechanistic studies were done in a rat Kupffer cell line (RKC1) that was treated with free fatty acids to mimic lipotoxicity and then transfected with AMPK-α siRNA...
March 10, 2017: Surgery
https://www.readbyqxmd.com/read/28279482/log-odds-of-metastatic-lymph-nodes-lodds-or-negative-to-positive-lymph-node-ratio
#9
LETTER
Mesut Tez, Kadri Altundag
No abstract text is available yet for this article.
March 6, 2017: Surgery
https://www.readbyqxmd.com/read/28267992/clostridium-difficile-disease-diagnosis-pathogenesis-and-treatment-update
#10
REVIEW
Lena M Napolitano, Charles E Edmiston
Clostridium difficile infections are the leading cause of health care-associated infectious diarrhea, posing a significant risk for both medical and surgical patients. Because of the significant morbidity and mortality associated with C difficile infections, knowledge of the epidemiology of C difficile in combination with a high index of suspicion and susceptible patient populations (including surgical, postcolectomy, and inflammatory bowel disease patients) is warranted. C difficile infections present with a wide spectrum of disease, ranging from mild diarrhea to fulminant colitis or small bowel enteritis and recurrent C difficile infections...
March 3, 2017: Surgery
https://www.readbyqxmd.com/read/28262254/diagnostic-value-of-chromogranin-a-in-pancreatic-neuroendocrine-tumors-depends-on-tumor-size-a-prospective-observational-study-from-a-single-institute
#11
Eunsung Jun, Song Cheol Kim, Ki Byung Song, Dae Wook Hwang, Jae Hoon Lee, Sang Hyun Shin, Seung Mo Hong, Kwang-Min Park, Young-Joo Lee
BACKGROUND: Chromogranin A has recently been recommended as the most practical tumor marker in patients with pancreatic neuroendocrine tumors. However, the diagnostic effectiveness of circulating chromogranin A levels remains controversial. Here, we aimed to assess the clinical diagnostic value of plasma chromogranin A levels for pancreatic neuroendocrine tumors. METHODS: Between June 2012 and June 2015, 110 consecutive patients with a suspected pancreatic neuroendocrine tumor were prospectively enrolled...
March 2, 2017: Surgery
https://www.readbyqxmd.com/read/28262253/sexual-dysfunction-after-inguinal-hernia-repair-with-the-onstep-versus-lichtenstein-technique-a%C3%A2-randomized-clinical-trial
#12
Kristoffer Andresen, Jakob Burcharth, Siv Fonnes, Line Hupfeld, Josephine Philip Rothman, Søren Deigaard, Dorte Winther, Maj-Britt Errebo, Rikke Therkildsen, Dina Hauge, Fritz Søbæk Sørensen, Jesper Bjerg, Jacob Rosenberg
BACKGROUND: Sequelae after inguinal hernia repair include pain-related impairment of sexual function. Pain during intercourse can originate from the scar, scrotum, penis, or during ejaculation. The aim of this study was to investigate if the Onstep technique resulted in better results than the Lichtenstein technique regarding pain-related impairment of sexual function. METHODS: This study was part of the randomized ONLI trial (NCT01753219, Onstep versus Lichtenstein for inguinal hernia repair)...
March 2, 2017: Surgery
https://www.readbyqxmd.com/read/28259351/surgical-volume-and-postoperative-mortality-rate-at-a-referral-hospital-in-western-uganda-measuring-the-lancet-commission-on-global-surgery-indicators-in-low-resource-settings
#13
Geoffrey A Anderson, Lenka Ilcisin, Lenard Abesiga, Ronald Mayanja, Noralis Portal Benetiz, Joseph Ngonzi, Peter Kayima, Mark G Shrime
BACKGROUND: The Lancet Commission on Global Surgery recommends that every country report its surgical volume and postoperative mortality rate. Little is known, however, about the numbers of operations performed and the associated postoperative mortality rate in low-income countries or how to best collect these data. METHODS: For one month, every patient who underwent an operation at a referral hospital in western Uganda was observed. These patients and their outcomes were followed until discharge...
March 1, 2017: Surgery
https://www.readbyqxmd.com/read/28256258/water-soluble-contrast-agent-in-adhesive-small-bowel-obstruction-the-game-is-still-on
#14
LETTER
Marco Ceresoli, Federico Coccolini, Giulia Montori, Massimo Sartelli, Fausto Catena, Luca Ansaloni
No abstract text is available yet for this article.
February 27, 2017: Surgery
https://www.readbyqxmd.com/read/28256257/single-incision-versus-3-port-laparoscopic-cholecystectomy-in-symptomatic-gallstones-a-prospective-randomized-study
#15
Mohammed A Omar, Alaa A Redwan, Ahmed G Mahmoud
BACKGROUND: Laparoscopic cholecystectomy is the standard treatment for symptomatic gallbladder disease. Single-incision laparoscopic surgery was developed with the aim of decreasing the invasiveness of conventional laparoscopy. The aim of this study was to compare the clinical outcome of single-incision laparoscopic cholecystectomy with 3-port laparoscopic cholecystectomy. METHODS: From February 2014 to September 2016, 187 patients with symptomatic cholecystolithiasis were randomized to a single-incision laparoscopic cholecystectomy group (89 patients) or a 3-port laparoscopic cholecystectomy group (98 patients)...
February 27, 2017: Surgery
https://www.readbyqxmd.com/read/28249738/self-gripping-versus-sutured-mesh-fixation-methods-for-open-inguinal-hernia-repair-a-systematic-review-of-clinical-trials-and-observational-studies
#16
REVIEW
Ammar Ismail, Abdelrahman Ibrahim Abushouk, Ahmed Elmaraezy, Ahmed Helal Abdelkarim, Mohamed Shehata, Mohamed Abozaid, Hussien Ahmed, Ahmed Negida
BACKGROUND: We performed this systematic review and meta-analysis to compare the outcomes of Lichenstein hernia repair using either self-gripping mesh or sutured mesh fixation techniques. METHODS: We searched PubMed, Cochrane CENTRAL, Scopus, Embase, and Web of Science for all clinical trials and observational studies that compared self-gripping mesh versus sutured mesh fixation in Lichtenstein hernia repair. Combined outcomes were pooled as odds ratios or mean differences in a fixed-effect model, using Comprehensive Meta-Analysis software for Windows...
February 26, 2017: Surgery
https://www.readbyqxmd.com/read/28242089/inhalation-of-methane-preserves-the-epithelial-barrier-during-ischemia-and-reperfusion-in-the-rat-small-intestine
#17
András T Mészáros, Tamás Büki, Borbála Fazekas, Eszter Tuboly, Kitti Horváth, Marietta Z Poles, Szilárd Szűcs, Gabriella Varga, József Kaszaki, Mihály Boros
BACKGROUND: Methane is part of the gaseous environment of the intestinal lumen. The purpose of this study was to elucidate the bioactivity of exogenous methane on the intestinal barrier function in an antigen-independent model of acute inflammation. METHODS: Anesthetized rats underwent sham operation or 45-min occlusion of the superior mesenteric artery. A normoxic methane (2.2%)-air mixture was inhaled for 15 min at the end of ischemia and at the beginning of a 60-min or 180-min reperfusion...
February 24, 2017: Surgery
https://www.readbyqxmd.com/read/28242088/effectiveness-of-open-versus-endovascular-abdominal-aortic-aneurysm-repair-in-population-settings-a-systematic-review-of-statewide-databases
#18
Christopher R Williams, Benjamin S Brooke
BACKGROUND: Patient outcomes after open abdominal aortic aneurysm and endovascular aortic aneurysm repair have been widely reported from several large, randomized, controlled trials. It is not clear whether these trial outcomes are representative of abdominal aortic aneurysm repair procedures performed in real-world hospital settings across the United States. This study was designed to evaluate population-based outcomes after endovascular aortic aneurysm repair versus open abdominal aortic aneurysm repair using statewide inpatient databases and examine how they have helped improve our understanding of abdominal aortic aneurysm repair...
February 24, 2017: Surgery
https://www.readbyqxmd.com/read/28242087/surgeons-perceptions-on-industry-relations-a-survey-of-822-surgeons
#19
Maria S Altieri, Jie Yang, Lily Wang, Donglei Yin, Mark Talamini, Aurora D Pryor
BACKGROUND: The relationships between industry and medical professionals are controversial. The purpose of our study was to evaluate surgeons' current opinions regarding the industry-surgery partnership, in addition to self-reported industry ties. METHODS: After institutional review board approval, a survey was sent via RedCap to 3,782 surgeons across the United States. Univariate and multivariable regression analyses were performed to evaluate the responses. RESULTS: The response rate was 23%...
February 24, 2017: Surgery
https://www.readbyqxmd.com/read/28237647/utilization-of-the-national-inpatient-sample-for-abdominal-aortic-aneurysm-research
#20
Anahita Dua, Fadwa Ali, Elizabeth Traudt, Sapan S Desai
Large administrative databases, including the Medicare database by the Centers for Medicare and Medicaid Services, the National Surgical Quality Improvement Project database sponsored by the American College of Surgeons, and the National Inpatient Sample, have been used by major public health agencies for years. More recently, medical researchers have turned to database research to power studies on diseases that are noted to be relatively scarce. This study aimed to review and discuss the utilization of the National Inpatient Sample for abdominal aortic aneurysm research, inclusive of its advantages, disadvantages, and best practices...
February 22, 2017: Surgery
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