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Canadian Journal of Surgery. Journal Canadien de Chirurgie

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https://www.readbyqxmd.com/read/28234221/analyzing-the-risk-factors-influencing-surgical-site-infections-the-site-of-environmental-factors
#1
Jose L Alfonso-Sanchez, Isabel M Martinez, Jose M Martín-Moreno, Ricardo S González, Francisco Botía
BACKGROUND: Addressing surgical site infection (SSI) is accomplished, in part, through studies that attempt to clarify the nature of many essential factors in the control of SSI. We sought to examine the link between multiple risk factors, including environmental factors, and SSI for prevention management. METHODS: We conducted a longitudinal prospective study to identify SSIs in all patients who underwent interventions in 2014 in 8 selected hospitals on the Mediterranean coast of Spain...
February 1, 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28234220/publication-outcomes-for-research-presented-at-a-canadian-surgical-conference
#2
Sean A Crawford, Graham Roche-Nagle
BACKGROUND: The failure of investigators to publish research in peer-reviewed journals following acceptance at a national or international meeting can lead to significant publication biases in the literature. Our objective was to evaluate the abstract to manuscript conversion rate for abstracts presented at the Canadian Society for Vascular Surgery (CSVS) annual meeting and to evaluate the conversion rate for CSVS-awarded research grants. METHODS: We searched for authors of abstracts accepted at the CSVS Annual Meeting (2007-2013) and recipients of CSVS research awards (2005-2013) on Scopus and PubMed databases to identify related publications...
February 1, 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28234219/are-outcomes-reported-in-surgical-randomised-trials-patient-important-a-systematic-review-and-meta-analysis
#3
Sam Adie, Ian A Harris, Justine M Naylor, Rajat Mittal
BACKGROUND: The dangers of using surrogate outcomes are well documented. They may have little or no association with their patient-important correlates, leading to the approval and use of interventions that lack efficacy. We sought to assess whether primary outcomes in surgical randomized controlled trials (RCTs) are more likely to be patient-important outcomes than surrogate or laboratory-based outcomes. METHODS: We reviewed RCTs assessing an operative intervention published in 2008 and 2009 and indexed in MEDLINE, EMBASE or the Cochrane Central Register of Controlled Trials...
February 1, 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28234218/the-burden-of-second-hip-fractures-provincial-surgical-hospitalizations-over-15-years
#4
Pierre Guy, Boris Sobolev, Katie Jane Sheehan, Lisa Kuramoto, Kelly Ann Lefaivre
BACKGROUND: Second hip fractures account for up to 15% of all hip fractures. We sought to determine if the proportion of hip fracture surgeries for second hip fracture changed over time in terms of patient and fracture characteristics. METHODS: We reviewed the records of patients older than 60 years hospitalized for hip fracture surgery between 1990 and 2005 in British Columbia. We studied the proportion of surgeries for second hip fracture among all hip fracture surgeries...
February 1, 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28234217/intraoperative-culture-positive-allograft-bone-and%C3%A2-subsequent-postoperative-infections-a-retrospective-review
#5
Laura Sims, Paul Kulyk, Allan Woo
BACKGROUND: Obtaining intraoperative cultures of allograft bone just before use in orthopedic procedures is standard practice in many centres; however, the association between positive cultures and subsequent surgical infections is unknown. Our study had 3 goals: to determine the prevalence of positive intraoperative allograft culture and subsequent infection; to determine if, in cases of subsequent infection, organisms isolated at reoperation were the same as those cultured from the allograft at the time of the index procedure; and to assess the costs associated with performing intraoperative allograft cultures...
February 1, 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28234216/utilizing-the-physician-assistant-role-case-study-in-an-upper-extremity-orthopedic-surgical-program
#6
Shelanne L Hepp, Esther Suter, Dwayne Nagy, Tanya Knorren, Joseph W Bergman
BACKGROUND: Shortages with resources and inefficiencies with orthopedic services in Canada create opportunities for alternative staffing models and ways to use existing resources. Physician assistants (PAs) are a common provider used in specialty orthopedic services in the United States; however, Canada has limited experience with PAs. As part of a larger demonstration project, Alberta Health Services (AHS) implemented 1 PA position in an upper-extremity surgical program in Alberta, Canada, to demonstrate the role in 4 areas: preoperative, operative, postoperative and follow-up care...
February 1, 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28234215/simultaneous-resection-of-primary-colorectal-cancer-and-synchronous-liver-metastases-a-population-based-study
#7
Sulaiman Nanji, William J Mackillop, Xuejiao Wei, Christopher M Booth
BACKGROUND: Simultaneous resection of primary colorectal cancer (CRC) and synchronous liver metastases (LM) is gaining interest. We describe management and outcomes of patients undergoing simultaneous resection in the general population. METHODS: All patients with CRC who underwent surgical resection of LM between 2002 and 2009 were identified using the population-based Ontario Cancer Registry and linked electronic treatment records. Synchronous disease was defined as having resection of CRCLM within 12 weeks of surgery for the primary tumour...
February 1, 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28234214/the-adequacy-of-hepatopancreatobiliary-training-how-does-operative-exposure-and-perceived-readiness-in-fellowship-translate-into-subsequent-practice
#8
Jean-Michel Aubin, Alexsander K Bressan, Janet P Edwards, Sean C Grondin, Elijah Dixon, Rebecca M Minter, D Rohan Jeyarajah, Paul Hansen, Amanda B Cooper, Chad G Ball
Over the last 3 decades, expansion in the scope and complexity of hepatopancreatobiliary (HPB) surgery has resulted in significant improvements in postoperative outcomes. As a result, the importance of dedicated fellowship training for HPB surgery is now well established, and the definition of formal program requirements has been actively pursued by a collaboration of the 3 distinct accrediting bodies within North America. While major advances have been made in defining minimum case volume requirements, qualitative assessment of the operative experience remains challenging...
February 1, 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28234594/informed-consent-for-surgery-risk-discussion-and-documentation
#9
Melissa Hanson, Dennis Pitt
Informed consent for surgery has become a critical component of surgical practice. There are specific legal requirements for what has to be disclosed to patients and for the accompanying documentation. The hospital consent for surgery form with the patient's signature is a small part of the process. A quality assurance review of the documentation of informed consent by our surgical group indicated major deficiencies and prompted this article (and its Appendix containing further information). Our intent was to inform surgeons about modern standards and to discuss particular challenges...
February 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28234593/a-new-fixation-free-3d-multilamellar-preperitoneal-implant-for-open-inguinal-hernia-repair
#10
Antonio Brescia, Federico Tomassini, Giammauro Berardi, Massimo Pezzatini, Umile Michele Cosenza, Davide Castiglia, Anna Dall'Oglio, Adelona Salaj, Marcello Gasparrini
Between September 2014 and December 2015, 32 patients with inguinal hernia were treated using a new 3D mesh in our department. This mesh is characterized by a multilamellar flower-shaped central core with a flat, large-pore polypropylene ovoid disk that has to be implanted preperitoneally. Compared with the traditional Lichtenstein procedure, we observed a shorter mean duration of surgery and a significantly lower mean visual analogue scale (VAS) postoperative pain score recorded immediately after the procedure in the 3D mesh group...
February 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28234592/why-wait-until-residency-competency-based-education-in-longitudinal-integrated-clerkships
#11
John Quinn Gentles
This essay was selected as the winner of the 2015 Canadian Undergraduate Surgical Education Committee student essay competition. It was written in response to the prompt: "How is your school preparing you for residency - be it surgical or medical?".
February 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28234591/cost-savings-of-outpatient-versus-standard-inpatient-total-knee-arthroplasty
#12
Adrian Huang, Jae-Jin Ryu, Geoffrey Dervin
BACKGROUND: With diminishing reimbursement rates and strained public payer budgets, a high-volume inpatient procedure, such as total knee arthroplasty (TKA), is a common target for improving cost efficiencies. METHODS: This prospective case-control study compared the cost-minimization of same day discharge (SDD) versus inpatient TKA. We examined if and where cost savings can be realized and the magnitude of savings that can be achieved without compromising quality of care...
February 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28234590/the-cost-of-screening-radiographs-after-stable-fracture-fixation
#13
Ted Tufescu
BACKGROUND: Currently up to 58% of Canadian surgeons would forego screening radiographs after stable fracture fixation. It is therefore expected that reducing screening radiographs will be well accepted, provided that patient safety is not compromised, resulting in a cost reduction. The study objective was to measure the savings of a simplified radiographic protocol for well-fixed fractures and establish feasibility for a noninferiority trial that proves patient safety. METHODS: Patients were randomized after fixation...
February 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28234589/impact-of-trauma-centre-designation-level-on-outcomes-following-hemorrhagic-shock-a-multicentre-cohort-study
#14
Philippe Dufresne, Lynne Moore, Pier-Alexandre Tardif, Tarek Razek, Madiba Omar, Amélie Boutin, Julien Clément
BACKGROUND: Hemorrhagic shock is responsible for 45% of injury fatalities in North America, and 50% of these occur within 2 h of injury. There is currently a lack of evidence regarding the trajectories of patients in hemorrhagic shock and the potential benefit of level I/II care for these patients. We aimed to compare mortality across trauma centre designation levels for patients in hemorrhagic shock. Secondary objectives were to compare surgical delays, complications and hospital length of stay (LOS)...
February 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28234588/innovative-practice-model-to-optimize-resource-utilization-and-improve-access-to-care-for-high-risk-and-brca-patients
#15
Linden Head, Carolyn Nessim, Kirsty Usher Boyd
BACKGROUND: Bilateral prophylactic mastectomy (BPM) has demonstrated breast cancer risk reduction in high-risk/BRCA+ patients. However, priority of active cancers coupled with inefficient use of operating room (OR) resources presents challenges in offering BPM in a timely manner. To address these challenges, a rapid access prophylactic mastectomy and immediate reconstruction (RAPMIR) program was innovated. The purpose of this study was to evaluate RAPMIR with regards to access to care and efficiency...
February 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28234587/analysis-of-contributing-factors-influencing-thromboembolic-events-after-total-knee-arthroplasty
#16
Sylvie Plante, Etienne L Belzile, Dominique Fréchette, Jean Lefebvre
BACKGROUND: Venous thromboembolic events (VTE) are a known and well-described complication following total knee arthroplasty (TKA). We sought to validate the American College of Chest Physicians thromboprophylaxis recommendations after elective TKA, paying special attention to our dose adjustments for weight, and their impact on VTE in our population. METHODS: We retrospectively investigated risk factors in patients undergoing TKA, focusing mainly on symptomatic VTE occurrence rates from deep vein thrombosis (DVT) or pulmonary embolism (PE)...
February 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28234586/antegrade-versus-retrograde-nailing-techniques-and-trochanteric-versus-piriformis-intramedullary-nailing-entry-points-for-femoral-shaft-fractures-a-systematic-review-and-meta-analysis
#17
Nasir Hussain, Farrah Naz Hussain, Corey Sermer, Hera Kamdar, Emil H Schemitsch, Amir Sternheim, Paul Kuzyk
BACKGROUND: There are several different techniques commonly used to perform intramedullary (IM) nailing of the femur to fix femoral fractures. We sought to identify significant differences in outcomes of studies comparing 1) trochanteric and piriformis entry and 2) antegrade and retrograde entry in IM nailing of the femur. METHODS: We searched MEDLINE, Cochrane and Embase databases and the Orthopaedic Trauma Association and American Academy of Orthopaedic Surgeons websites for comparative studies published from inception to November 2015...
February 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28234585/treatment-of-enemy-wounded-evidence-from-the-no-7-canadian-stationary-hospital-dalhousie-university
#18
Desmond Leddin, Paul Charlebois
Dalhousie University, with the help of the other Maritime universities formed and sent a hospital to Europe during the First World War (WWI). They served from January 1916 to April 1919. There is no comprehensive account of the treatment of German wounded by Canadian Medical Services in WWI; however, there is direct photographic and written evidence from the No. 7 Canadian Stationary Hospital that the relationship was one of mutual trust, more characteristic of that between a health care provider and patient than between combatants...
February 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28234584/correction-a-retrospective-quality-control-study-of-goals-of-care-designation-in-geriatric-trauma-patients
#19
(no author information available yet)
No abstract text is available yet for this article.
February 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28234583/canada-s-first-indigenous-physician-the-story-of-dr-o-1841-1907
#20
Michelle A Hamilton
As a physician, temperance advocate, chairman of the Grand General Indian Council of Ontario, the Supreme Chief Ranger of the Independent Order of Foresters, and mistakenly known as a Mohawk Chief, Dr. Oronhyatekha was a well-known, larger-than-life figure in North America and internationally. Since then, his memory has faded in mainstream society. Recently, however, he has re-emerged as a person of historical significance, designated as such by Parks Canada. Now the subject of the first full-length biography, co-authors Michelle Hamilton and Keith Jamieson, have separated out the true stories of his life from apocryphal ones...
February 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
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