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World Journal of Surgery

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https://www.readbyqxmd.com/read/30014293/a-comparison-of-two-preoperative-frailty-models-in-predicting-postoperative-outcomes-in-geriatric-general-surgical-patients
#1
Alexandros Andreou, Konstantinos Lasithiotakis, Maria Venianaki, Sofia Xenaki, Grigorios Chlouverakis, Ioannis Petrakis, Georgios Chalkiadakis
BACKGROUND: Frailty in a surgical geriatric population may identify patients at increased risk of complications. However, the optimal method to diagnose it remains to be identified. This study aims to compare two common frailty models and assess their association with postoperative adverse outcomes in elderly patients undergoing general surgical procedures. METHODS: Prospective study including 298 patients age 65 years or older undergoing elective general surgical operations in a tertiary hospital...
July 16, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/30014292/the-prognostic-value-of-preoperative-neutrophil-to-lymphocyte-ratio-in-resected-patients-with-pancreatic-adenocarcinoma
#2
Le-Ping Fang, Xiao-Yan Xu, Yu Ji, Pu-Wen Huang
PURPOSE: This research aims to analyze neutrophil-to-lymphocyte ratio (NLR) for resectable pancreatic ductal adenocarcinoma (PDAC) patients and reveal its predictive value. METHODS: We enrolled 389 pancreatic adenocarcinoma patients who had undergone curative surgery between January 1, 2008 and August 15, 2015 in Jiangsu Provincial People's Hospital, and they were followed up until December 20, 2016. Among them, 219 patients had definite recurrence record in our hospital...
July 16, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/30014291/postoperative-small-bowel-obstruction-following-laparoscopic-or-open-fundoplication-in-children-a-retrospective-analysis-using-a-nationwide-database
#3
Michimasa Fujiogi, Nobuaki Michihata, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga, Jun Fujishiro
BACKGROUND: Postoperative small bowel obstruction (SBO) is one of the most serious adverse events resulting in deteriorated quality of life in children. Numerous studies have shown that laparoscopic surgery significantly reduces the occurrence of SBO compared with open surgery in adults. However, evidence of the advantages of laparoscopic surgery over open surgery in terms of reducing SBO is lacking in children. Fundoplication is a common abdominal procedure in children. This study was performed to compare the occurrence of SBO after laparoscopic fundoplication (LF) versus open fundoplication (OF)...
July 16, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/30006833/management-of-appendicitis-globally-based-on-income-of-countries-magic-study
#4
Carlos Augusto Gomes, Fikri M Abu-Zidan, Massimo Sartelli, Federico Coccolini, Luca Ansaloni, Gian Luca Baiocchi, Yoram Kluger, Salomone Di Saverio, Fausto Catena
BACKGROUND: Our aim is to compare the management approaches and clinical outcomes of acute appendicitis according to annual Gross National Income per Capita (GNI/Capita) of countries. METHODS: Consecutive patients who were diagnosed to have acute appendicitis from 116 centers of 44 countries were prospectively studied over a 6-month period (April-September 2016). Studied variables included demography, Alvarado score, comorbidities, radiological and surgical management, histopathology, and clinical outcome...
July 13, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29978247/associations-of-hospital-length-of-stay-with-surgical-site-infections
#5
Edin Mujagic, Walter R Marti, Michael Coslovsky, Savas D Soysal, Robert Mechera, Marco von Strauss, Jasmin Zeindler, Franziska Saxer, Alexandra Mueller, Christoph A Fux, Christoph Kindler, Lorenz Gurke, Walter P Weber
BACKGROUND: Surgical site infections (SSI) are a major cause of morbidity and mortality in surgical patients. Postoperative and total hospital length of stay (LOS) are known to be prolonged by the occurrence of SSI. Preoperative LOS may increase the risk of SSI. This study aims at identifying the associations of pre- and postoperative LOS in hospital and intensive care with the occurrence of SSI. METHODS: This observational cohort study includes general, orthopedic trauma and vascular surgery patients at two tertiary referral centers in Switzerland between February 2013 and August 2015...
July 5, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29978246/noise-in-the-operating-room-distracts-members-of-the-surgical-team-an-observational-study
#6
Sandra Keller, Franziska Tschan, Norbert K Semmer, Eliane Holzer, Daniel Candinas, Mark Brink, Guido Beldi
BACKGROUND: Noise pollution in operation rooms may distract the surgical team members. In particular during phases of high task complexity, noise can jeopardize concentration. Phases of high complexity are related to task specificities and may thus be different for different members of the surgical team. STUDY DESIGN: Noise exposure was measured during 110 open abdominal surgeries. Distinguishing three phases (opening, main phase, and closing), noise was related to self-report of distraction levels by main and secondary surgeons, scrub nurses and anesthetists...
July 5, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29971463/what-patients-look-for-when-browsing-online-for-pancreatic-cancer-the-bait-behind-the-byte
#7
Alessandra Storino, Camila Guetter, Manuel Castillo-Angeles, Ammara A Watkins, Joseph D Mancias, Andrea Bullock, A James Moser, Tara S Kent
BACKGROUND: Suitability is a patient-centered metric defined as how appropriately health information is targeted to specific populations to increase knowledge. However, suitability is most commonly evaluated exclusively by healthcare professionals without collaboration from intended audiences. Suitability (as rated by intended audiences), accuracy and readability have not been evaluated on websites discussing pancreatic cancer. METHODS: Ten healthy volunteers evaluated fifty pancreatic cancer websites using the suitability assessment of materials (SAM instrument) for the materials' overall suitability...
July 3, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29971462/discrimination-bullying-and-harassment-in-surgery-a-systematic-review-and-meta-analysis
#8
REVIEW
Yeqian Huang, Terence C Chua, Robyn P M Saw, Christopher J Young
BACKGROUND: In 2015, the public media in Australia reported a series of life stories of victims who had been subjected to inappropriate behaviors in their surgical careers, bringing the profession into disrepute. Currently, limited data are available in the medical literature on discrimination, bullying and harassment (DBH) in surgery. This significant information gap prompted a systematic review to compile relevant information about DBH in surgical practice and training, in particular, its prevalence and impact...
July 3, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29968100/afferent-loop-decompression-technique-is-associated-with-a-reduction-in-pancreatic-fistula-following-pancreaticoduodenectomy
#9
Jie Yin, Zipeng Lu, Pengfei Wu, Junli Wu, Wentao Gao, Jishu Wei, Feng Guo, Jianmin Chen, Kuirong Jiang, Yi Miao
OBJECTIVES: Postoperative pancreatic fistula (POPF) is a major complication and main cause of mortality after pancreaticoduodenectomy (PD). Afferent loop decompression technique (ALDT) has theoretical feasibility to reduce the rate of POPF. The aim of this study is to determine whether ALDT is a protective factor for POPF. METHODS: A total of 492 consecutive patients who underwent PD between January 2012 and December 2014 were identified from a prospective database...
July 2, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29959494/recurrent-falls-among-elderly-patients-and-the-impact-of-anticoagulation-therapy
#10
Alexander S Chiu, Raymond A Jean, Matthew Fleming, Kevin Y Pei
BACKGROUND: Falls are the leading source of injury and trauma-related hospital admissions for elderly adults in the USA. Elderly patients with a history of a fall have the highest risk of falling again, and the decision on whether to continue anticoagulation after a fall is difficult. To inform this decision, we evaluated the rate of recurrent falls and the impact of anticoagulation on outcomes. METHODS: All patients of age  ≥ 65 years and hospitalized for a fall in the first 6 months of 2013 and 2014 were identified in the nationwide readmission database, a nationally representative all-payer database tracking patient readmissions...
June 29, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29959493/whole-body-computed-tomography-during-initial-management-and-mortality-among-adult-severe-blunt-trauma-patients-a-nationwide-cohort-study
#11
Yusuke Tsutsumi, Shingo Fukuma, Asuka Tsuchiya, Yosuke Yamamoto, Shunichi Fukuhara
BACKGROUND: Whole-body computed tomography (WBCT) is increasingly being incorporated into the initial management of blunt trauma patients. Several observational studies have suggested that, compared to selective CT, WBCT is associated with lower mortality. In contrast, a randomized controlled trial found no significant difference in survival between patients undergoing WBCT compared to selective CT. Our objective was to confirm the association between WBCT and in-hospital mortality among adult severe blunt trauma patients...
June 29, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29959492/antibiotic-prophylaxis-for-pyloromyotomy-in-children-an-opportunity-for-better-stewardship
#12
Kibileri Williams, Timothy Lautz, Richard J Hendrickson, Tolulope A Oyetunji
INTRODUCTION: Surgical site infection is very uncommon after pyloromyotomy in children, and it is considered a "clean" procedure under the traditional wound classification system. This study aims to investigate prophylactic antibiotic administration for pyloromyotomy among children's hospitals in the USA. METHODS: The Pediatric Health Information System (PHIS) database was retrospectively reviewed from 2014 to 2015 including all patients less than 1 year old who had a principal diagnosis of pyloric stenosis and underwent pyloromyotomy...
June 29, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29959491/impact-of-micrometastatic-axillary-nodes-on-survival-of-breast-cancer-patients-with-tumors-%C3%A2-2-cm
#13
Hyeon Woo Bae, Kwang Hyun Yoon, Joo Heung Kim, Sung Mook Lim, Jee Ye Kim, Hyung Seok Park, Seho Park, Seung Il Kim, Young Up Cho, Byeong-Woo Park
BACKGROUND: This study investigated the impact of pN1mi disease on the survival of T1 breast cancer patients and examined the clinical usefulness of the online PREDICT tool and updated staging system. METHODS: The node stages of 2344 patients were divided into pN0, pN1mi, and pN1a. Clinicopathological parameters and survival outcomes were retrospectively analyzed. Data for 111 micrometastatic diseases were applied to the PREDICT version 2.0 and re-classified using the 8th edition of the cancer staging manual...
June 29, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29959490/robotic-reoperative-anti-reflux-surgery-low-perioperative-morbidity-and-high-symptom-resolution
#14
Adham Elmously, Katherine D Gray, Timothy M Ullmann, Thomas J Fahey, Cheguevara Afaneh, Rasa Zarnegar
BACKGROUND: Laparoscopic reoperative anti-reflux surgery (ARS) has a significantly higher morbidity than laparoscopic primary ARS; however, it is not known whether the same pattern exists within the robotic approach. We aimed to evaluate the safety and efficacy of robotic reoperative ARS in comparison with primary robotic ARS. METHODS: A retrospective review of patients undergoing primary or reoperative robotic ARS at a tertiary referral center between 2012 and 2017 was performed...
June 29, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29959489/world-journal-of-surgery-becomes-the-official-publication-of-the-eras-society
#15
EDITORIAL
Julie Ann Sosa, Olle Ljungqvist
No abstract text is available yet for this article.
June 29, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29959488/operative-stabilization-of-chest-wall-trauma-single-center-report-of-initial-management-and-long-term-outcome
#16
Christian Michelitsch, Yves Pascal Acklin, Gabriela Hässig, Christoph Sommer, Markus Furrer
BACKGROUND: Conservative treatment of even severe thoracic trauma including flail chest was traditionally the standard of care. Recently, we reported possible benefits of surgical chest wall stabilization in accordance with other groups. The aim of this study was to critically review our indications and results of internal fixation of rib fractures in the long-term course. METHODS: We retrospectively analyzed the data of a consecutive series of patients with internal rib fracture fixation at our institution from 8/2009 until 12/2014, and we retrospectively studied the late outcome through clinical examination or personal interview...
June 29, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29955938/hypophosphatemia-as-a-predictor-of-organ-specific-complications-following-gastrointestinal-surgery-analysis-of-8034-patients
#17
Eran Sadot, Jian Zheng, Rami Srouji, Vivian E Strong, Mithat Gönen, Vinod P Balachandran, Michael I D'Angelica, Peter J Allen, Ronald P DeMatteo, T Peter Kingham, Yuman Fong, Martin R Wesier, William R Jarnagin
BACKGROUND: Organ-specific complications (OSC) remain serious potential sequela of gastrointestinal surgery. Hypophosphatemia correlates with poor outcomes and may be a harbinger of OSC after gastrointestinal surgery. Our goal was to describe and evaluate the relationship between postoperative phosphate levels and OSC. METHODS: Consecutive patients who underwent pancreatic, colorectal, or gastric resections were analyzed. OSC were defined as those resulting from the failure of at least one anastomosis performed during the primary resection, manifesting as an anastomotic leak, fistula, and/or intra-abdominal abscess...
June 28, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29946789/first-do-no-harm-predicting-surgical-morbidity-during-humanitarian-medical-missions
#18
Jonathan H Berger, Zhengran Jiang, Eamon B O'Reilly, Matthew S Christman
BACKGROUND: Despite good intentions, humanitarian surgical missions are unavoidably linked to some degree of complication. We hypothesized that the American College of Surgeons Surgical Risk Calculator (ACS-SRC) could estimate the risk of complications of procedures performed during the US Navy's Pacific Partnership 2015 (PP15) mission. METHODS: Patient information and surgical details recorded during PP15 were entered into the ACS-SRC. Risks of complications for each procedure were calculated...
June 26, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29946788/stenting-in-palliation-of-unresectable-esophageal-cancer
#19
Janusz R Włodarczyk, Jarosław Kużdżał
BACKGROUND: The aim of this study was to analyze the safety and effectiveness of stenting using partially covered self-expandable stents in palliation of dysphagia in patients with unresectable esophageal cancer. METHODS: Retrospective analysis of hospital records of all patients who underwent esophageal stenting in the period 2008-2015 was performed. The study included patients with unresectable esophageal and esophagogastric cancer. RESULTS: There were 442 patients included...
June 26, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29946787/authors-reply-are-american-surgical-residents-prepared-for-humanitarian-deployment-a-comparative-analysis-of-resident-and-humanitarian-case-logs
#20
LETTER
David Kuwayama
No abstract text is available yet for this article.
June 26, 2018: World Journal of Surgery
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