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World Journal of Surgery

Stephen Tabiri, Ali Jalali, Richard E Nelson, Michael C Damah, Francis A Abantanga, Raymond R Price, Micah G Katz
BACKGROUND: Improving access to surgical services and understanding the barriers to receiving timely care are necessary to save lives. The aim of this study was to assess barriers to timely presentation to an appropriate medical facility using the Three-Delay model, for patients presenting to Tamale Teaching Hospital, in northern Ghana. METHODS: In 2013, patients with delays in seeking surgical care were prospectively identified. Pairwise correlation coefficients between delay in presentation and factors associated with delay were conducted and served as a foundation for a multivariate log-linear regression model...
September 21, 2018: World Journal of Surgery
Dong Sik Bae, Do Hoon Koo
INTRODUCTION: The aim of this study, from a surgical, oncological, and functional perspective, was to identify whether bilateral axillo-breast approach robotic total thyroidectomy (RTT) for differentiated thyroid cancer (DTC) has different surgical outcomes compared to open total thyroidectomy (OTT). METHODS: Initially, 796 patients who underwent total thyroidectomy were primarily reviewed and 178 who were ineligible for analysis were excluded. Propensity score matching analysis adjusted for clinicopathological characteristics (sex, age, body mass index, extent of central node dissection, tumor size, extrathyroidal extension, and thyroiditis) was conducted, with 246 patients in the OTT group matched with 123 patients in the RTT group...
September 21, 2018: World Journal of Surgery
Sheng-Der Hsu, Cheng-Jueng Chen, I-Duo Wang, Kuen-Tze Lin, Chia-Chi Wang, Wu-Chien Chien, Chi-Hsiang Chung, Wei-Kuo Chang
BACKGROUND: Pelvic fracture with hypovolemic shock is a known crucial injury in trauma patients. Pelvic fracture with vessel injury often leads to hemodynamic complications; in a trauma scenario, evidence of other systems being affected is often absent. Bleeding cessation and resuscitation are important for these types of trauma patients. For this purpose, pelvic angiographic embolization is frequently used. Multiple studies have reported that angiographic embolization may cause erectile dysfunction (ED) in hemodynamically stable patients with pelvic fracture...
September 21, 2018: World Journal of Surgery
Matthew Burstow, Ian Civil, Li Hsee
BACKGROUND: Population studies have confirmed an increase in the proportion of elderly patients (≥65 years of age), and this could be expected to be reflected in trauma admissions and outcomes. This study aims to investigate the demographic trends for elderly patients admitted following trauma to Auckland City Hospital (ACH) and their outcomes. MATERIALS AND METHODS: The ACH Trauma Database was searched from 1995 to 2014, and data including date of admission, injury cause, age, sex, mortality, Injury Severity Score (ISS), Intensive Care Unit (ICU) stay and length of stay (LOS) were extracted...
September 20, 2018: World Journal of Surgery
Manjul Joshipura, Richard A Gosselin
BACKGROUND: The burden of musculoskeletal conditions is growing worldwide. In low- and middle-income countries (LMIC), the burden cannot be fully estimated, due to paucity of credible data. Further, no attempt has been made so far to estimate surgical burden of musculoskeletal conditions. This is a difficult task and accurate estimation of what would constitute surgical burden out of the total musculoskeletal burden in LMIC is not possible, due to number of constraints. METHODS: This review looks at current understanding of the musculoskeletal conditions, that can be measured in LMIC and the limitations based on previous studies and past global burden of diseases estimates...
September 20, 2018: World Journal of Surgery
Runa Acharya, Mashaal Dhir, Rupal Bandi, Linwah Yip, Sue Challinor
BACKGROUND: Management of patients with bilateral adrenal masses and ACTH-independent Cushing's syndrome (AICS) is challenging, as bilateral adrenalectomy can lead to steroid dependence and lifelong risk of adrenal crisis. Adrenal venous sampling (AVS) has been previously reported to facilitate lateralization for guiding adrenalectomy. The aim of the current study was to investigate the utility of AVS using protocol from study by Young et al. in the management of patients with bilateral adrenal masses and AICS...
September 19, 2018: World Journal of Surgery
Faith Robertson, Zeta Mutabazi, Patrick Kyamanywa, Georges Ntakiyiruta, Sanctus Musafiri, Tim Walker, Emmanuel Kayibanda, Constance Mukabatsinda, John Scott, Ainhoa Costas-Chavarri
BACKGROUND: Laparoscopy has proven to be feasible and effective at reducing surgical morbidity and mortality in low resource settings. In Rwanda, the demand for and perceived challenges to laparoscopy use remain unclear. METHODS: A mixed-methods study was performed at the four Rwandan national referral teaching hospitals. Retrospective logbook reviews (July 2014-June 2015) assessed procedure volume and staff involvement. Web-based surveys and semi-structured interviews investigated barriers to laparoscopy expansion...
September 19, 2018: World Journal of Surgery
Zhengyan Li, Yezhou Liu, Bin Bai, Deliang Yu, Bo Lian, Qingchuan Zhao
BACKGROUND: To compare the surgical and long-term survival outcomes of laparoscopic and open total gastrectomy (OTG) for locally advanced gastric cancer (AGC). METHODS: We retrospectively evaluated 308 and 900 patients in pathological locally AGC who underwent laparoscopic total gastrectomy (LTG) or OTG between June 2008 and December 2014. We compared surgical and long-term outcomes between the two groups using propensity score matching method. RESULTS: The LTG group showed a longer operation time (261...
September 18, 2018: World Journal of Surgery
Tarifin Sikder, Nadia Sourial, Geva Maimon, Mehdi Tahiri, Debby Teasdale, Howard Bergman, Shannon A Fraser, Sebastian Demyttenaere, Simon Bergman
BACKGROUND: The objective of this study is to explore the association between frailty and surgical recovery over a 6-month period, in elderly patients undergoing elective abdominal surgery. METHODS: A total of 144 patients were categorized as frail, pre-frail, and non-frail based on five criteria: weight loss, exhaustion, weakness, slowness, and low activity. Recovery to preoperative functional status (activities of daily living (ADL) and instrumental activities of daily living (IADL)), cognition, quality of life, and mental health was assessed at 1, 3, and 6 months postoperatively...
September 18, 2018: World Journal of Surgery
Akira Miyauchi, Takumi Kudo, Minoru Kihara, Hitomi Oda, Yasuhiro Ito, Akihiro Miya
BACKGROUND: Based on our long-term observation of medullary thyroid carcinoma (MTC) patients, we hypothesized that some MTCs have spontaneous deceleration or regression of tumor growth over a long term and that a minority may acquire growth acceleration. We thus compared the calcitonin doubling time (Ct-DT) in the earlier and later half-periods of MTC patients' postoperative course. METHODS: We followed 26 MTC patients (14 hereditary and 12 sporadic MTCs) with postoperative hypercalcitoninemia with periodic measurements of serum calcitonin (Ct) for >10 years without major interventions...
September 18, 2018: World Journal of Surgery
Sueyoshi Moritani
BACKGROUND: Selection of surgical treatment for patients with papillary thyroid carcinoma (PTC) that includes great vessel invasion is challenging. We investigated the efficacy of tumor excision, with regard to safety of the surgical procedure and prognosis among patients with PTC invasion of the carotid or vertebral artery. METHODS: This study is a retrospective review of patients who underwent surgical excision for PTC at our institution, between 1981 and 2010, with 49 patients treated for carotid artery invasion and nine for vertebral artery invasion...
September 17, 2018: World Journal of Surgery
Tyler J Loftus, Megan L Morrow, Lawrence Lottenberg, Martin D Rosenthal, Chasen A Croft, R Stephen Smith, Frederick A Moore, Scott C Brakenridge, Robert Borrego, Philip A Efron, Alicia M Mohr
BACKGROUND: Early recognition of bowel and mesenteric injury following blunt abdominal trauma remains difficult. We hypothesized that patients with intra-abdominal adhesions from prior laparotomy would be subjected to visceral sheering deceleration forces and increased risk for bowel and mesenteric injury following blunt abdominal trauma. METHODS: We performed a multicenter retrospective cohort analysis of 267 consecutive adult trauma patients who underwent operative exploration following moderate-critical (abdominal injury score 2-5) blunt abdominal trauma, comparing patients with prior laparotomy (n = 31) to patients with no prior laparotomy (n = 236)...
September 17, 2018: World Journal of Surgery
James C Lee
No abstract text is available yet for this article.
September 17, 2018: World Journal of Surgery
Minako Nagai, Masayuki Sho, Takahiro Akahori, Satoshi Nishiwada, Kenji Nakagawa, Kota Nakamura, Toshihiro Tanaka, Hideyuki Nishiofuku, Kimihiko Kichikawa, Naoya Ikeda
BACKGROUND: Late-onset gastrointestinal hemorrhage after pancreatoduodenectomy (PD) occasionally occurs repeatedly or leads to a serious condition. This retrospective study aimed to clarify its frequency and pathogenesis. METHODS: A total of 147 consecutive patients who underwent PD for pancreatic cancer between 2006 and 2014 were evaluated. Patients were divided into two groups according to the occurrence of late-onset gastrointestinal hemorrhage on postoperative day 100 or later...
September 17, 2018: World Journal of Surgery
Mingguo Tian, Yong Yang, Dong Jia
BACKGROUND: Distal splenorenal shunt and coronary caval shunt are commonly used for selective decompression of esophagogastric varices, but they may not solve severe hypersplenism and their application may be hampered by the presence of splenic venous thrombosis or a left gastric vein (LGV) situated deeply behind the pancreas. On the other hand, some patients have an LGV entering the splenic vein (SV). We tried to work out a new selective shunt for this group of patients. METHODS: Sixteen patients with severe hypersplenism and esophagogastric varices received coronary renal shunt using the SV following splenectomy...
September 17, 2018: World Journal of Surgery
Matthew G R Allaway, Guy D Eslick, Michael R Cox
BACKGROUND: One of the most common acute conditions managed by general surgeons is acute appendicitis. Laparoscopic appendicectomy (LA) is the surgical technique used by many surgeons. The aims of this study were to define our unit's negative appendicectomy rate and compare the outcomes associated with removal of a normal appendix with those for acute appendicitis in patients having LA. METHODS: A single-centre retrospective case note review of patients undergoing LA for suspected acute appendicitis was performed...
September 12, 2018: World Journal of Surgery
Abdelrahman A Nimeri, Jejomar Bautista, Ruby Philip
INTRODUCTION: Surgical complications increase hospital length of stay and costs and lead to poor patient experience. We aim to evaluate our complication rates over time and the financial impact of joining the adult multi-specialty American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) at Sheikh Khalifa Medical City (SKMC). METHODS: Sheikh Khalifa Medical City is a Joint Commission International-accredited ACS NSQIP member since 2009...
September 12, 2018: World Journal of Surgery
S G Parker, S Halligan, S Blackburn, A A O Plumb, L Archer, S Mallett, A C J Windsor
Large ventral hernias are a significant surgical challenge. "Loss of domain" (LOD) expresses the relationship between hernia and abdominal volume, and is used to predict operative difficulty and success. This systematic review assessed whether different definitions of LOD are used in the literature. The PubMed database was searched for articles reporting large hernia repairs that explicitly described LOD. Two reviewers screened citations and extracted data from selected articles, focusing on the definitions used for LOD, study demographics, study design, and reporting surgical specialty...
September 5, 2018: World Journal of Surgery
Caleb Van Essen, Bruce C Steffes, Keir Thelander, Beryl Akinyi, Hsin-Fang Li, Margaret J Tarpley
BACKGROUND: African surgical workforce needs are significant, with largest disparities existing in rural settings. Pan-African Academy of Christian Surgeons (PAACS), a primarily rural-based general surgery training program, has published successes in producing rural African surgeons; however, long-term follow-up data are unreported. The goal of our study was to define characteristics of PAACS alumni surgeons working in rural hospitals, documenting successes and illuminating strategies for trainee recruitment and retention...
September 3, 2018: World Journal of Surgery
Mai-Britt Tolstrup, Tine Thorup, Ismail Gögenur
BACKGROUND: Emergency laparotomy is a high-risk procedure with increased morbidity and mortality rates. The long-term outcomes are poorly investigated.The aim was to describe the frequency of chronic postsurgical pain (CPSP), pain-related functional impairment, to evaluate the gastrointestinal quality of life (QoL) and identify risk factors for CPSP after emergency laparotomy. METHOD: A questionnaire study was conducted from Copenhagen University Hospital Herlev...
September 3, 2018: World Journal of Surgery
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