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Canadian Journal of Surgery. Journal Canadien de Chirurgie

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https://www.readbyqxmd.com/read/30063002/retirement-plans-and-perspectives-among-general-surgeons-a-qualitative-assessment
#1
Lesley Gotlib Conn, Frances C Wright
BACKGROUND: General surgeons' retirement plans have wide-ranging personal, professional and system-level effects. We explored the drivers of and barriers to surgeon retirement to identify opportunities to support career-long retirement planning. METHODS: We conducted a qualitative study from May to October 2016 using semistructured telephone interviews (mean duration 29 min) with general surgeons in Ontario. We used a purposive sampling strategy to recruit surgeons at 3 career stages (no plans to retire within next 5 yr, had slowed down practice or planned to slow down within 5 yr, and no longer operating as primary surgeon)...
August 1, 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/30063001/role-of-the-status-of-the-mesorectal-fascia-in-the-selection-of-patients-with-rectal-cancer-for-preoperative-radiation-therapy-a-retrospective-cohort-study
#2
Marko Simunovic, Vanja Grubac, Kevin Zbuk, Raimond Wong, Angela Coates
BACKGROUND: Patients with rectal cancer in whom the mesorectal fascia is threatened by tumour are more likely than all patients with stage II/III disease to benefit from preoperative radiotherapy (RT). The objective of this study was to assess whether the status of the mesorectal fascia versus a stage II/III designation can best inform the use of preoperative RT in patients undergoing major rectal cancer resection. METHODS: We reviewed the charts of consecutive patients with primary rectal cancer treated by a single surgeon at McMaster University, Hamilton, Ontario, between March 2006 and December 2012...
August 1, 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/30063000/can-pain-catastrophizing-be-changed-in-surgical-patients-a-scoping-review
#3
Eric Gibson, Marlis T Sabo
BACKGROUND: Catastrophizing, a coping style characterized by an exaggerated negative affect when experiencing or anticipating pain, is an important factor that adversely affects surgical outcomes. Various interventions have been attempted with the goal of reducing catastrophizing and, by extension, improving treatment outcomes. We performed a systematic review to determine whether catastrophizing can be altered in surgical patients and to present evidence for interventions aimed at reducing catastrophizing in this population...
August 1, 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/30062999/development-of-a-simple-multidisciplinary-arthroplasty-wound-assessment-instrument-the-smart-wound-tool
#4
Sahil Singh Kooner, Brendan Sheehan, Joseph Keith Kendal, Herman Johal
BACKGROUND: There are currently no validated instruments in the orthopedic literature for assessing the healing of acute surgical wounds. The creation of a simple wound-assessment tool would provide a standardized method of reporting wound outcomes. The objective of this study was to systematically develop a wound-assessment tool that can be used to assess the early healing of arthroplasty incisions. METHODS: The databases Medline, Embase, Cochrane Central Register of Controlled Trials, Cochrane reviews and CINAHL were searched...
August 1, 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/30062998/physical-fitness-of-medical-residents-is-the-health-of-surgical-residents-at-risk
#5
David L Perrin, Dean M Cordingley, Jeff R Leiter, Peter B MacDonald
BACKGROUND: Postgraduate medical residency programs are laborious and time-intensive, and can be physically, intellectually and emotionally demanding. These working conditions may lead to the neglect of personal health and well-being. The objective of this study was to compare the anthropometric and fitness characteristics of surgical and nonsurgical medical residents. We hypothesized that there is a difference in physical health between these 2 groups. METHODS: Medical residents completed a demographic information questionnaire and were assessed by trained staff for height, weight, body fat percentage, muscular strength and endurance, and peak oxygen consumption (V̇ᴏ2peak )...
August 1, 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/30062997/e-consent-approaching-surgical-consent-with-mobile-technology
#6
Allison Bethune, Marisol Davila-Foyo, Mikaeel Valli, Leodante da Costa
BACKGROUND: Patient recall of information about procedures, including risks and benefits and potential outcomes, is often insufficient. We sought to determine whether a multimedia educational tool enhances the informed consent discussion for elective neurosurgical procedures by increasing patient knowledge of the procedure. METHODS: Adult patients from a single neurosurgical site eligible for 4 neurosurgical procedures (lumbar spine or cervical spine decompression for degenerative disease, craniotomy for brain tumour or trigeminal neuralgia treatment) were offered enrolment...
August 1, 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/30067194/2018-canadian-surgery-forum-abstracts
#7
(no author information available yet)
No abstract text is available yet for this article.
August 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/30067193/2018-canadian-spine-society-abstracts
#8
(no author information available yet)
No abstract text is available yet for this article.
August 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/30067192/author-response-to-percutaneous-cholecystostomy-for-acute-cholecystitis-not-so-safe-after-all
#9
Francis Christian
No abstract text is available yet for this article.
August 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/30067191/percutaneous-cholecystostomy-for-acute-cholecystitis-not-so-safe-after-all
#10
Scott Cowie
No abstract text is available yet for this article.
August 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/30067190/reducing-catheter-associated-urinary-tract-infections-using-a-multimodal-approach-the-nsqip-experience-of-oakville-trafalgar-memorial-hospital
#11
Duncan Rozario
Catheter-associated urinary tract infections (CAUTI) cause significant morbidity and mortality in the surgical population as well as significant costs to health care. It can be surprisingly difficult to address this common complication without a multifaceted, multimodal team-based approach to the problem. We used our National Surgical Quality Improvement Program (NSQIP) data on the incidence of CAUTI in our "procedure targeted" and "essentials" general surgery and orthopedic surgery cases before and after the implementation of our reduction strategy and found a significant improvement...
August 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/30067189/optimization-of-communication-in-the-surgical-program-via-instant-messaging-web-based-surveys-newsletters-websites-smartphones-and-telemedicine-the-experience-of-oakville-trafalgar-memorial-hospital
#12
Duncan Rozario
As our surgical program has rapidly expanded, new modalities are required for safe, effective and efficient communication. In this discussion we review how we have used Web-based survey tools, the Signal instant messaging app, a new departmental newsletter, personal surgeon office websites, a department of surgery website and encrypted video calls via the Ontario Telemedicine Network to address our evolving communication needs.
August 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/30067188/validation-of-the-sainte-justine-head-trauma-pathway-for-children-younger-than-two-years-of-age
#13
Sarah Spénard, Sarah Gouin, Marianne Beaudin, Jocelyn Gravel
The Sainte-Justine Head Trauma Pathway helps physicians' decision-making in the evaluation of head trauma in young children. We evaluated the pathway to identify clinically important traumatic brain injury (ciTBI) among children younger than two years who presented to a pediatric emergency department for a head trauma. The primary outcome was ciTBI, defined as a TBI complicated by death, neurosurgery, intubation or hospitalization for more than one night. Among 2258 children, we reviewed the charts of all hospitalized children ( n = 100) and a random sample of nonhospitalized children ( n = 101) and found a ciTBI in 26 patients...
August 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/30067187/a-method-to-repair-the-recurrent-laryngeal-nerve-during-thyroidectomy
#14
Angela Gurrado, Alessandro Pasculli, Angela Pezzolla, Giovanna Di Meo, Maria L Fiorella, Rocco Cortese, Nicola Avenia, Mario Testini
Vocal cord palsy (VCP) is one of the most frequent complications following thyroidectomy. We evaluated the outcomes of intraoperative reconstruction of the recurrent laryngeal nerve (RLN). Of 917 patients who underwent thyroid surgery in a single high-volume general surgery ward between 2000 and 2015, 12 (1.3%) were diagnosed with RLN injury and were retrospectively categorized into 2 groups: group A ( n = 5), with intraoperative evidence of iatrogenic transection or cancer invasion of the RLN, and group B ( n = 7), with postoperative confirmation of VCP...
August 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/30067186/outcomes-after-completion-total-gastrectomy-for-gastric-remnant-cancer-experience-from-a-canadian-tertiary-centre
#15
Etienne St-Louis, Stephen Donald Gowing, Pedram Mossallanejad, Mara Laura Leimanis, Carmen Mueller, Lorenzo Edwin Ferri
BACKGROUND: There is controversy about the safety and outcomes of completion total gastrectomy (CTG) for gastric adenocarcinoma. We compared a cohort of patients who underwent CTG for gastric remnant cancer (GRC) after partial gastrectomy for benign disease with patients who underwent primary total gastrectomy (PTG) for sporadic gastric cancer. METHODS: We retrospectively reviewed a single-institution, prospectively maintained clinical database of patients who had undergone gastrectomy from 2005 to 2016 for demographic, surgical, clinical and tumour pathology data, as well as postoperative, pathologic and oncologic outcomes including complications, length of stay, disease-free survival and overall survival...
August 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/30067185/beyond-just-the-operating-room-characterizing-the-complete-caseload-of-a-tertiary-acute-care-surgery-service
#16
Theunis J van Zyl, Patrick B Murphy, Laura Allen, Neil G Parry, Ken Leslie, Kelly N Vogt
BACKGROUND: Most studies evaluating acute care surgery (ACS) models of care for patients with emergency general surgery (EGS) conditions have focused on patients who undergo surgery while admitted under the care of the ACS service. The purpose of this study was to prospectively examine the case mix of admissions and consultations to an ACS service at a tertiary centre to identify the frequency and distribution of both operatively and nonoperatively managed EGS conditions. METHODS: In this prospective cohort study, we evaluated consecutive patients assessed by the ACS team between July 1 and Aug...
August 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/30067184/thirty-day-hospital-readmission-and-emergency-department-visits-after-vascular-surgery-a-canadian-prospective-cohort-study
#17
Muzammil H Syed, Mohamad A Hussain, Zeyad Khoshhal, Konrad Salata, Beidaa Altuwaijri, Bertha Hughes, Norah Alsaif, Charles de Mestral, Subodh Verma, Mohammed Al-Omran
BACKGROUND: Rates of hospital readmission following surgery can serve as a marker for quality of care. The aim of this study was to establish the rates and causes of readmission and emergency department visits after vascular surgery and to understand how these patients are managed. METHODS: We conducted a prospective observational cohort study including all inpatients who underwent major vascular surgery between September 2015 and June 2016 at a tertiary vascular care centre in Toronto...
August 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/30067183/assessing-resectability-of-colorectal-liver-metastases-how-do-different-subspecialties-interpret-the-same-data
#18
Jean-Michel Aubin, Alexsander K Bressan, Sean C Grondin, Elijah Dixon, Anthony R MacLean, Sean Gregg, Patricia Tang, Gilaad G Kaplan, Guillaume Martel, Chad G Ball
BACKGROUND: Multimodal treatment of colorectal liver metastases (CRLMs) relies on precise upfront assessment of resectability. Variability in the definition of resectable disease and the importance of early consultation by a liver surgeon have been reported. In this pilot study we investigated the initial resectability assessment and patterns of referral of patients with CRLMs. METHODS: Surgeons and medical oncologists involved in the management of colorectal cancer at 2 academic institutions and affiliated community hospitals were surveyed...
August 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/30067182/practice-and-attitudes-regarding-double-gloving-among-staff-surgeons-and-surgical-trainees
#19
Mark E Lipson, Rob Deardon, Noah J Switzer, Chris de Gara, Chad G Ball, Sean C Grondin
BACKGROUND: Despite supporting evidence, many staff surgeons and surgical trainees do not routinely double glove. We performed a study to assess rates of and attitudes toward double gloving and the use of eye protection in the operating room. METHODS: We conducted an electronic survey among all staff surgeons and surgical trainees at 2 tertiary care centres in Alberta between September and November 2015.We analyzed the data using log-binomial regression for binary outcomes to account for multiple independent variables and interactions...
August 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/30067181/a-day-in-the-life-of-emergency-general-surgery-in-canada-a-multicentre-observational-study
#20
Kristin DeGirolamo, Karan D'Souza, Sameer Apte, Chad G Ball, Christopher Armstrong, Artan Reso, Sandy Widder, Sarah Mueller, Lawrence M Gillman, Ravinder Singh, Rahima Nenshi, Kosar Khwaja, Samuel Minor, Chris de Gara, S Morad Hameed
BACKGROUND: Emergency general surgery (EGS) services are gaining popularity in Canada as systems-based approaches to surgical emergencies. Despite the high volume, acuity and complexity of the patient populations served by EGS services, little has been reported about the services' structure, processes, case mix or outcomes. This study begins a national surveillance effort to define and advance surgical quality in an important and diverse surgical population. METHODS: A national cross-sectional study of EGS services was conducted during a 24-hour period in January 2017 at 14 hospitals across 7 Canadian provinces recruited through the Canadian Association of General Surgeons Acute Care Committee...
August 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
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