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Canadian Journal of Surgery. Journal Canadien de Chirurgie

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https://www.readbyqxmd.com/read/29583119/management-of-intra-abdominal-vascular-injury-in-trauma-laparotomy-a-south-african-experience
#1
Ross Weale, Victor Kong, Vassil Manchev, Wanda Bekker, George Oosthuizen, Petra Brysiewicz, Grant Laing, John Bruce, Damian Clarke
BACKGROUND: Intra-abdominal vascular injury (IAVI) is uncommon but continues to be associated with high mortality rates despite technological advances in the past decades. In light of these ongoing developments, we reviewed our contemporary experience with IAVI in an attempt to clarify and refine our management strategies and the outcome of these patients. METHODS: We retrospectively reviewed the charts of all patients admitted between January 2011 and December 2014 at a major trauma centre in South Africa who were found to have an IAVI during laparotomy for trauma...
April 1, 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29583118/the-current-state-of-resident-trauma-training-are-we-losing-a-generation
#2
Paul T Engels, Nori L Bradley, Chad G Ball
General surgeons provide life-saving trauma care to a large portion of Canadians. Although trauma care has evolved significantly over the last few decades and now requires fewer operations, when a life-saving operation is required the expectation of competence to perform this operation has not been reduced. A recent study from the United States found decreased resident case-log volumes of trauma operations. Such findings raise the alarm of declining exposure of residents to trauma operations and beg the question of whether graduating residents are competent to care for trauma patients...
April 1, 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29582752/reduction-of-pancreatic-anastomotic-leakage-after-pancreaticoduodenectomy
#3
Paul Niloff
No abstract text is available yet for this article.
April 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29582751/patient-perceived-barriers-to-radiation-therapy-for-breast-cancer
#4
Keegan Guidolin, Michael Lock, Muriel Brackstone
Studies have shown that a number of women do not receive adjuvant radiation therapy following breast-conserving surgery; the reasons have not been well investigated. We reviewed the charts of 267 patients in our institution who did not receive radiation therapy following surgery in order to determine patient-stated reasons for nonreceipt. We found that 43% of patients did not receive radiation because they received a completion mastectomy. Excluding these patients, reasons for nonreceipt of radiation therapy were sorted into 9 categories...
April 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29582750/kidney-paired-donation-and-the-unique-challenges-of-kidney-shipment-in-canada
#5
Thomas McGregor, Alp Sener, Steven Paraskevas, Brian Reikie
Kidney paired donation (KPD) programs are an effort to bridge the disparity between kidney supply and demand. These programs combine several incompatible donor-recipient pairs in a national paired exchange database, thereby increasing the number of compatible matches. But KPD programs face unique challenges, particularly the large distances that often separate donors and recipients. Here we discuss key factors to consider when transitioning from a donor travelling model to a kidney shipment model in the Canadian context...
April 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29582749/is-radiofrequency-ablation-of-varicose-veins-a-valuable-option-a-systematic-review-of-the-literature-with-a-cost-analysis
#6
Thomas G Poder, Jean-François Fisette, Suzanne K Bédard, Marc-Antoine Despatis
BACKGROUND: Since the 1990s, new techniques for the treatment of varicose veins have emerged, including radiofrequency ablation (RFA) and laser treatment. We performed a study to compare the safety, efficacy and outcomes of RFA compared to those of open surgery and laser ablation for the treatment of varicose veins. We also carried out a cost analysis of RFA compared to open surgery to assess whether RFA could help free up operating room time by being performed in an outpatient context...
April 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29582748/airway-management-changes-associated-with-rising-radiologic-incidence-of-external-laryngotracheal-injury
#7
Derrick R Randall, Luke Rudmik, Chad G Ball, J Douglas Bosch
BACKGROUND: Traumatic laryngeal injuries are uncommon life-threatening injuries that require prompt, rational management of a potentially precarious airway. It is unclear whether the current incidence of laryngotracheal injury is due to enhanced injury detection or increased occurrence. The objective of this study was to evaluate the relations between diagnostic imaging with both initial airway management and surgical treatment in patients with external laryngotracheal injuries (ELTIs) in Alberta...
April 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29582747/training-surgical-residents-to-use-a-framework-to-promote-shared-decision-making-for-patients-with-poor-prognosis-experiencing-surgical-emergencies
#8
Tyler Chesney, Karen Devon
BACKGROUND: Patients with poor underlying prognosis experiencing surgical emergencies face challenging treatment decisions. The Best Case/Worst Case (BC/WC) framework has improved shared decision-making by surgeons, but it is unclear whether residents can be similarly trained. We evaluated senior general surgical residents' acceptance of the BC/WC tool and their attitudes, confidence and actions before and after training. METHODS: Two-hour training included a didactic session, live demonstration, small-group practice and debriefing...
April 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29582746/intraoperative-cell-salvage-with-autologous-transfusion-in-elective-right-or-repeat-hepatectomy-a-propensity-score-matched-case-control-analysis
#9
Thomas Zacharias, Erich Ahlschwede, Nicole Dufour, Florence Romain, Odile Theissen-Laval
BACKGROUND: Liver resection may be associated with substantial blood loss, and cell saver use has been recommended for patients at high risk. We performed a study to compare the allogenic erythrocyte transfusion rate after liver resection between patients who had intraoperative cell salvage with a cell saver device versus patients who did not. Our hypothesis was that cell salvage with autologous transfusion would reduce the allogenic blood transfusion rate. METHODS: Cell salvage was used selectively in patients at high risk for intraoperative blood loss based on preoperatively known predictors: right and repeat hepatectomy...
April 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29582745/regional-differences-in-aortic-valve-replacements-atlantic-canadian-experience
#10
Connor McGuire, Alexandra M Yip, Jeffrey B MacLeod, Vernon Paddock, Sohrab Lutchmedial, Najef Nadeem, Greg Hirsch, Corey Adams, Kevin Melvin, Sean Connors, Ansar Hassan, Jean-François Légaré
BACKGROUND: Transcatheter aortic valve implantation (TAVI) is evolving rapidly and is increasingly being adopted in the treatment of aortic valve disease. The goal of this study was to examine regional differences in surgical aortic valve replacement (SAVR) and TAVI across Atlantic Canada. METHODS: We identified all patients who underwent SAVR or TAVI between Jan. 1, 2010, and Dec. 31, 2014, in New Brunswick, Nova Scotia and Newfoundland and Labrador. Data obtained included patient demographic characteristics and surgical procedure details...
April 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29582744/surgical-intervention-in-pediatric-trauma-at-a-level-1-trauma-hospital-a-retrospective-cohort-study-and-report-of-cost-data
#11
Ram Venkatesh Anantha, Paul Zamiara, Neil H Merritt
BACKGROUND: Given that the management of severely injured children requires coordinated care provided by multiple pediatric surgical subspecialties, we sought to describe the frequency and associated costs of surgical intervention among pediatric trauma patients admitted to a level 1 trauma centre in southwestern Ontario. METHODS: All pediatric (age < 18 yr) trauma patients treated at the Children's Hospital - London Health Sciences Centre (CH-LHSC) between 2002 and 2013 were included in this study...
April 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29582743/associations-between-provider-and-hospital-volumes-and-postoperative-mortality-following-total-hip-arthroplasty-in-new-brunswick-results-from-a-provincial-level-cohort-study
#12
Dan L Crouse, Philip S J Leonard, Jonathan Boudreau, James T McDonald
BACKGROUND: Several international studies have reported negative associations between hospital and/or provider volume and risk of postoperative death following total hip arthroplasty (THA). The only Canadian studies to report on this have been based in Ontario and have found no such association. We describe associations between postoperative deaths following THA and provider caseload volume, also adjusted for hospital volume, in a population-based cohort in New Brunswick. METHODS: Our analyses are based on hospital discharge abstract data linked to vital statistics and to patient registry data...
April 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29582742/the-canadian-army-medical-corps-affair-of-1916-and-surgeon-general-guy-carleton-jones
#13
Jean-Robert Bernier, Vivian C McAlister
The rapid expansion of military medical service in the First World War, successfully completed under the direction of Surgeon General Guy Carleton Jones, remains an extraordinary achievement in Canada's history. In 1916, a conflict of personalities threatened confidence in the service. Eventually Prime Minister Sir Robert Borden's intervention restored the status quo, but the affair eclipsed Jones's outstanding career.
April 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29582741/idle-hands-what-we-know-about-surgeon-unemployment-in-canada
#14
Matt Strickland, Indraneel Datta
The topic of unemployment and underemployment of Canadian general surgeons is being discussed more frequently despite relatively little evidence on the magnitude or impact of the problem. Using existing and new sources of health human resource data, a more accurate understanding of the situation can be attained. Although outright surgeon unemployment is rare, there is a population of dissatisfied new graduates who feel cornered into underemployment or locums. The number of practising general surgeons has outpaced population growth in recent years...
April 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29582740/physician-extenders-on-surgical-services-the-need-for-a-systems-perspective
#15
Heather Smith, Craig Kuziemsky, Caitlin Champion
Adding physician extenders (PEs) to surgical teams has the potential to affect care delivery in multiple ways. To develop evidence-based recommendations on integrating PEs into surgical teams, we must recognize that patient care is a complex, adaptive system and requires a health systems perspective to understand how changes will affect outcomes. It is the best method of assessing the system adaptations and trade-offs of adding PEs prior to implementation. Such work would help to optimize research and management of limited health care resources...
April 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29582739/-degr%C3%A3-d-importance-des-articles-les-processus-d-%C3%A3-valuation-des-articles-publi%C3%A3-s-sont-subjectifs
#16
Vivian C McAlister
No abstract text is available yet for this article.
April 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29582738/article-importance-processes-to-evaluate-the-success-of-published-articles-are-subjective
#17
Vivian C McAlister
No abstract text is available yet for this article.
April 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29509138/2018-trauma-association-of-canada-annual-scientific-meeting-abstracts
#18
(no author information available yet)
No abstract text is available yet for this article.
April 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29368683/author-response-to-correction-of-place-of-practice-brampton-not-brantford
#19
Vivian McAlister
No abstract text is available yet for this article.
February 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29368682/correction-of-place-of-practice-brampton-not-brantford
#20
Donald Prior
No abstract text is available yet for this article.
February 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
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