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BMC Surgery

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https://www.readbyqxmd.com/read/29325527/single-center-experience-with-laparoscopic-adrenalectomy-on-a-large-clinical-series
#1
Giovanni Conzo, Claudio Gambardella, Giancarlo Candela, Alessandro Sanguinetti, Andrea Polistena, Guglielmo Clarizia, Renato Patrone, Francesco Di Capua, Chiara Offi, Mario Musella, Sergio Iorio, Giseppe Bellastella, Daniela Pasquali, Annamaria De Bellis, Antonio Sinisi, Nicola Avenia
BACKGROUND: Laparoscopic adrenalectomy is considered the gold standard technique for the treatment of benign small and medium size adrenal masses (<6 cm), due to low morbidity rate, short hospitalization and patient rapid recovery. The aim of our study is to analyse the feasibility and efficiency of this surgical approach in a broad spectrum of adrenal gland pathologies. METHODS: Pre-operative, intra-operative and post-operative data from 126 patients undergone laparoscopic adrenalectomy between January 2003 and December 2015 were retrospectively collected and reviewed...
January 11, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29325526/aortoesophageal-fistula-and-arch-pseudoaneurysm-after-removing-of-a-swallowed-chicken-bone-a-case-report-of-one-stage-hybrid-treatment
#2
Jia-Yu Shen, Hong-Wei Zhang, Kang-Jun Fan, Hu Liao, Er-Yong Zhang, Jia Hu
BACKGROUND: Aortoesophageal fistula (AEF) and arch pseudoaneurysm are rare complications induced by a foreign body, and considerable controversy remains regarding the appropriate management strategies. We herein report a successful one-stage hybrid treatment in a patient with AEF and arch pseudoaneurysm. CASE PRESENTATION: The patient, a 40-year-old man, presented to the emergency room because of intense retrosternal discomfort for 3 days and hematemesis for 3 h...
January 11, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29301533/recurrence-in-unicentric-castleman-s-disease-postoperatively-a-case-report-and-literature-review
#3
Na Ren, Lei Ding, Erna Jia, Jinru Xue
BACKGROUND: Our case describe a rare recurrence case of Unicentric Castleman's disease (UCD) with hyaline vascular type 14 years after surgery. CASE PRESENTATION: A 35-year-old Chinese female was admitted to hospital with one and half months history chest distress and chest pain. Patient reports a history of thoracic operation for mediastinal mass 14 years ago, and it was diagnosed UCD with hyaline vascular type after postoperative pathological examination. At this time, the imaging examination showed a mediastinal mass once again...
January 4, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29282059/enhanced-recovery-after-surgery-program-in-gynaecologic-oncological-surgery-in-a-minimally-invasive-techniques-expert-center
#4
Eric Lambaudie, Alexandre de Nonneville, Clément Brun, Charlotte Laplane, Lam N'Guyen Duong, Jean-Marie Boher, Camille Jauffret, Guillaume Blache, Sophie Knight, Eric Cini, Gilles Houvenaeghel, Jean-Louis Blache
BACKGROUND: Enhanced Recovery After Surgery Programs (ERP) includes multimodal approaches of perioperative patient's clinical pathways designed to achieve early recovery after surgery and a decreased length of hospital stay (LOS). METHODS: This observational study evaluated the implementation of ERP in gynaecologic oncological surgery in a minimally invasive techniques (MIT) expert center with more than 85% of procedures done with MIT. We compared a prospective cohort of 100 patients involved in ERP between December 2015 and June 2016 to a 100 patients control group, without ERP, previously managed in the same center between April 2015 and November 2015...
December 28, 2017: BMC Surgery
https://www.readbyqxmd.com/read/29258479/surgical-treatment-strategies-for-giant-inguinoscrotal-hernia-a-case-report-with-review-of-the-literature
#5
Julia Isabelle Staubitz, Peter Gassmann, Daniel Wilhelm Kauff, Hauke Lang
BACKGROUND: An inguinoscrotal hernia is defined as "giant" if descending below the midpoint of the inner thigh of a patient in upright position. In developed countries this is a rare entity. In the literature different surgical techniques have been reported so far to achieve a successful treatment. CASE PRESENTATION: We present the case of a 63 year-old man suffering from a giant inguinoscrotal hernia, whom we treated using a combined open transabdominal and inguinal approach following an unsuccessful laparoscopic attempt...
December 19, 2017: BMC Surgery
https://www.readbyqxmd.com/read/29246140/an-association-of-spleen-volume-and-aortic-diameter-in-patients-and-in-mice-with-abdominal-aortic-aneurysm
#6
Fang-Da Li, Rui Kang, Hao Nie, Xi-Ming Wang, Yue-Hong Zheng
BACKGROUND: To investigate the potential mechanism of splenic enlargement in Ang II/APOE model and the associations between the spleen volume and the indices of abdominal aortic aneurysm (AAA) in human. METHODS: To investigate the changes of spleen volume on AAA formation, apolipoprotein E knockout (Apo E-/-) mice were treated with Ang II (1000 ng/kg/min) up to 28 days to generate AAA. We used Magnetic Resonance Imaging (MRI), liquid measurement, H&E and immunohistochemistry to analyze the morphological or pathological changes of spleen...
December 15, 2017: BMC Surgery
https://www.readbyqxmd.com/read/29228941/four-years-follow-up-changes-of-physical-activity-and-sedentary-time-in-women-undergoing-roux-en-y-gastric-bypass-surgery-and-appurtenant-children
#7
Fanny Sellberg, Mikaela Willmer, Per Tynelius, Daniel Berglind
BACKGROUND: Objectively measured levels of physical activity (PA) in patients undergoing Roux-en-Y Gastric Bypass (RYGB) surgery remain essentially unchanged from before to one year after surgery. Effects from RYGB on objectively measured levels of PA among women undergoing RYGB and appurtenant children beyond one year post-surgery are unknown. The aim of the present study was to objectively assess longitudinal changes in PA and sedentary time (ST), among women undergoing RYGB and appurtenant children, from three months before to nine and 48 months after maternal surgery...
December 11, 2017: BMC Surgery
https://www.readbyqxmd.com/read/29221479/in-screw-polymethylmethacrylate-augmented-sacroiliac-screw-for-the-treatment-of-fragility-fractures-of-the-pelvis-a-prospective-observational-study-with-1-year-follow-up
#8
Andreas Höch, Philipp Pieroh, Ralf Henkelmann, Christoph Josten, Jörg Böhme
BACKGROUND: The incidence of pelvic ring fractures in the elderly significantly increased. Because of persistent pain and immobilization associated with this injury, surgical treatment is recommended. To minimise comorbidities and surgical risk, percutaneous techniques are becoming more relevant. In-screw cement augmentation of sacroiliac screw fixation is a promising procedure; however, clinical follow-up data remain scarce. This study investigated the safety and possible complications of the procedure along with a 1-year follow-up...
December 8, 2017: BMC Surgery
https://www.readbyqxmd.com/read/29216858/use-of-a-hydrophilic-coating-wire-reduces-significantly-the-rate-of-central-vein-punctures-and-the-incidence-of-pneumothorax-in-totally-implantable-access-port-tiap-surgery
#9
Georgios Polychronidis, Roland Hennes, Cosima Engerer, Phillip Knebel, Daniel Schultze, Thomas Bruckner, Beat P Müller-Stich, Lars Fischer
No abstract text is available yet for this article.
December 7, 2017: BMC Surgery
https://www.readbyqxmd.com/read/29212485/outcome-comparison-between-percutaneous-cholecystostomy-and-cholecystectomy-a-10-year-population-based-analysis
#10
Ping Lu, Chien-Lung Chan, Nan-Ping Yang, Nien-Tzu Chang, Kai-Biao Lin, K Robert Lai
BACKGROUND: Controversy surrounding the role of percutaneous cholecystostomy (PC) is fed by the absence of large amounts of data concerning its outcomes, and many authors have maintained that there is no evidence to support a recommendation for PC rather than cholecystectomy (CCS) in elderly or critically ill patients with acute cholecystitis (AC). METHODS: We conducted this study by tracking trends in the utilization and outcomes of PC and CCS using longitudinal health research data in Taiwan...
December 7, 2017: BMC Surgery
https://www.readbyqxmd.com/read/29212492/using-patient-data-to-optimize-an-expert-based-guideline-on-convalescence-recommendations-after-gynecological-surgery-a-prospective-cohort-study
#11
Esther V A Bouwsma, Johannes R Anema, A Vonk Noordegraaf, Henrica C W de Vet, Judith A F Huirne
BACKGROUND: Convalescence advice is often based on tradition and anecdote from health care providers, rather than being based on experiences from patients themselves. The aim of this study was to analyse recovery in terms of resumption of various daily activities including work, following different laparoscopic and abdominal surgery in order to optimize an expert-based guideline on convalescence recommendations. METHODS: This is a prospective cohort study conducted in nine general and one university hospital in the Netherlands...
December 6, 2017: BMC Surgery
https://www.readbyqxmd.com/read/29207972/disparities-in-the-regional-hospital-and-individual-levels-of-antibiotic-use-in-gallstone-surgery-in-sweden
#12
Gona Jaafar, Bahman Darkahi, Lars Lindhagen, Gunnar Persson, Gabriel Sandblom
BACKGROUND: Antimicrobial resistance may be promoted by divergent routines and lack of conformity in antibiotic treatment, especially regarding the practice of antibiotic prophylaxis. The aim of the present study was to assess differences in gallstone surgery regarding antibiotic use in Sweden. METHODS: The study was based on data from the Swedish Register for Gallstone Surgery and ERCP (GallRiks) 2005-2015. Funnel plots were used to test impact of grouping factors, including, hospital and surgeon and to identify units that deviated from the rest of the population...
December 6, 2017: BMC Surgery
https://www.readbyqxmd.com/read/29208050/robotic-assisted-total-mesorectal-excision-with-the-single-docking-technique-for-patients-with-rectal-cancer
#13
Ching-Wen Huang, Hsiang-Lin Tsai, Yung-Sung Yeh, Wei-Chih Su, Ming-Yii Huang, Chun-Ming Huang, Yu-Tang Chang, Jaw-Yuan Wang
BACKGROUND: The robotic system has advantages of high-definition three-dimensional vision and articular instruments with high dexterity, allowing more precise dissection in the deep and narrow pelvic cavity. METHODS: We enrolled 95 patients with stage I-III rectal cancer (adenocarcinoma) who underwent totally robotic-assisted total mesorectal excision (TME) with single-docking technique at a single institution between September 2013 and December 2016. RESULTS: Of the 95 patients, 48 (50...
December 5, 2017: BMC Surgery
https://www.readbyqxmd.com/read/29207986/risk-of-total-subtotal-meniscectomy-for-respective-medial-and-lateral-meniscus-injury-correlation-with-tear-type-duration-of-complaint-age-gender-and-acl-rupture-in-6034-asian-patients
#14
Dong Jiang, Xiao Luo, Yingfang Ao, Xi Gong, Yong-Jian Wang, Hai-Jun Wang, Yu Miao, Nan Li, Ji-Ying Zhang, Jia-Kuo Yu
BACKGROUND: To evaluate the risk factor associated with total or subtotal meniscectomy for respective medial and lateral meniscus injury. METHODS: The data of all the meniscus injured patients undergoing arthroscopy in our institute between January 15th, 2000 and December 31st, 2008 was collected and 6034 patients with 7241 injured menisci met the inclusion criteria. The mean patient age was 33.6 ± 14.9 years and there were 4785 males and 2456 females with 3568 medial and 3673 lateral menisci...
December 5, 2017: BMC Surgery
https://www.readbyqxmd.com/read/29202875/postoperative-changes-of-the-microbiome-are-surgical-complications-related-to-the-gut-flora-a-systematic-review
#15
Ann-Kathrin Lederer, Przemyslaw Pisarski, Lampros Kousoulas, Stefan Fichtner-Feigl, Carolin Hess, Roman Huber
BACKGROUND: The purpose of this review was to identify the relationship between the gut microbiome and the development of postoperative complications like anastomotic leakage or a wound infection. Recent reviews focusing on underlying molecular biology suggested that postoperative complications might be influenced by the patients' gut flora. Therefore, a review focusing on the available clinical data is needed. METHODS: In January 2017 a systematic search was carried out in Medline and WebOfScience to identify all clinical studies, which investigated postoperative complications after gastrointestinal surgery in relation to the microbiome of the gut...
December 4, 2017: BMC Surgery
https://www.readbyqxmd.com/read/29202748/two-occurrences-of-delayed-epidural-hematoma-in-different-areas-following-decompressive-craniectomy-for-acute-subdural-hematoma-in-a-single-patient-a-case-report
#16
Ruhong Wu, Jia Shi, Jiachao Cao, Yumin Mao, Bo Dong
BACKGROUND: Delayed epidural hematoma (DEH) following evacuation of traumatic acute subdural hematoma (ASDH) or acute epidural hematoma (EDH) is a rare but devastating complication, especially when it occurs sequentially in a single patient. CASE PRESENTATION: A 19-year-old man who developed contralateral DEH following craniotomy for evacuation of a traumatic right-side ASDH and then developed a left-side DEH of the posterior cranial fossa after craniotomy for evacuation of the contralateral DEH...
December 4, 2017: BMC Surgery
https://www.readbyqxmd.com/read/29202743/posterior-intervertebral-space-debridement-annular-bone-grafting-and-instrumentation-for-treatment-of-lumbosacral-tuberculosis
#17
Weiwei Li, Jun Liu, Liqun Gong, Yongchun Zhou, Dapeng Duan
BACKGROUND: The choice of surgical methods for lumbosacral tuberculosis is controversial due to the complex anterior anatomy and peculiar biomechanics of the lumbosacral junction. The objective of this study was to explore the clinical effect of posterior intervertebral space debridement with annular bone graft fusion and fixation for the treatment of lumbosacral tuberculosis. METHODS: We retrospectively analysed data from 23 patients with lumbosacral tuberculosis who had undergone posterior intervertebral space debridement with annular bone fusion and fixation between January 2008 and September 2014...
December 4, 2017: BMC Surgery
https://www.readbyqxmd.com/read/29197361/primary-malignant-melanoma-of-the-esophagus-treated-with-subtotal-esophagectomy-a-case-report
#18
Shota Kuwabara, Yuma Ebihara, Yoshitsugu Nakanishi, Toshimichi Asano, Takehiro Noji, Yo Kurashima, Soichi Murakami, Toru Nakamura, Takahiro Tsuchikawa, Keisuke Okamura, Toshiaki Shichinohe, Satoshi Hirano
BACKGROUND: Primary malignant melanoma of the esophagus (PMME) is a rare disease with a poor prognosis. There are few reports of early-stage cases in which tumor invasion reached the lamina propria or muscularis mucosae, as in the present case. A standard treatment for early-stage PMME has not yet been established. The present study aimed to summarize previous reports and to discuss the indications for surgical treatment of early-stage primary malignant melanoma of the esophagus. CASE PRESENTATION: A 70-year-old woman with PMME was referred to our hospital...
December 2, 2017: BMC Surgery
https://www.readbyqxmd.com/read/29191200/emergency-general-surgery-in-rwandan-district-hospitals-a-cross-sectional-study-of-spectrum-management-and-patient-outcomes
#19
Christophe Mpirimbanyi, Alexandre Nyirimodoka, Yihan Lin, Bethany L Hedt-Gauthier, Jackline Odhiambo, Theoneste Nkurunziza, Joaquim M Havens, Jack Omondi, Emile Rwamasirabo, Faustin Ntirenganya, Gabriel Toma, Joel Mubiligi, Scheilla Bayitondere, Robert Riviello
BACKGROUND: Management of emergency general surgical conditions remains a challenge in rural sub-Saharan Africa due to issues such as insufficient human capacity and infrastructure. This study describes the burden of emergency general surgical conditions and the ability to provide care for these conditions at three rural district hospitals in Rwanda. METHODS: This retrospective cross-sectional study included all patients presenting to Butaro, Kirehe and Rwinkwavu District Hospitals between January 1st 2015 and December 31st 2015 with emergency general surgical conditions, defined as non-traumatic, non-obstetric acute care surgical conditions...
December 1, 2017: BMC Surgery
https://www.readbyqxmd.com/read/29191198/relationship-between-screw-sagittal-angle-and-stress-on-endplate-of-adjacent-segments-after-anterior-cervical-corpectomy-and-fusion-with-internal-fixation-a-chinese-finite-element-study
#20
Yu Zhang, Yibo Tang, Hongxing Shen
BACKGROUND: In order to reduce the incidence of adjacent segment disease (ASD), the current study was designed to establish Chinese finite element models of normal 3rd~7th cervical vertebrae (C3-C7) and anterior cervical corpectomy and fusion (ACCF) with internal fixation , and analyze the influence of screw sagittal angle (SSA) on stress on endplate of adjacent cervical segments. METHODS: Mimics 8.1 and Abaqus/CAE 6.10 softwares were adopted to establish finite element models...
December 1, 2017: BMC Surgery
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