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BMC Surgery

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https://www.readbyqxmd.com/read/29996841/comparison-of-mesh-fixation-techniques-in-elective-laparoscopic-repair-of-incisional-hernia-reliatack%C3%A2-v-protack%C3%A2-tackomesh-a-double-blind-randomised-controlled-trial
#1
Aali J Sheen, J James Pilkington, Minas Baltatzis, Ahmed Tyurkylmaz, Panagiotis Stathakis, Saurabh Jamdar, Ajith K Siriwardena
BACKGROUND: Minimally invasive incisional hernia repair has been established as a safe and efficient surgical option in most centres worldwide. Laparoscopic technique includes the placement of an intraperitoneal onlay mesh with fixation achieved using spiral tacks or sutures. An additional step is the closure of the fascial defect depending upon its size. Key outcomes in the evaluation of ventral abdominal hernia surgery include postoperative pain, the presence of infection, seroma formation and hernia recurrence...
July 11, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29980202/comparison-of-intraoperative-handling-and-wound-healing-between-neosorb%C3%A2-plus-and-coated-polyglactin-910-suture-neosorb%C3%A2-a-prospective-single-blind-randomized-controlled-trial
#2
Bum Sik Tae, Ju Hyun Park, Jung Kwon Kim, Ja Hyeon Ku, Cheol Kwak, Hyeon Hoe Kim, Chang Wook Jeong
BACKGROUND: Coated polyglactin 910 suture with chlorhexidine (NEOSORB® Plus) has recently been developed to imbue the parent suture with antibacterial activity against organisms that commonly cause surgical site infections (SSI). This prospective, single-blinded, randomized trial, was performed to compare the intraoperative handling and wound healing characteristics of NEOSORB® Plus with those of the traditional polyglactin 910 suture (NEOSORB®) in urologic surgery patients. METHODS: Patients (aged 19 to 80 years, n = 100) were randomized in a 1:1 ratio for treatment with either NEOSORB® Plus or NEOSORB®, and stratified into an open surgery or a minimally invasive surgery group...
July 6, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29921249/robotic-enucleation-for-pediatric-insulinoma-with-men1-syndrome-a-case-report-and-literature-review
#3
Mei Liang, Jialin Jiang, Hongmei Dai, Xiafei Hong, Xianlin Han, Lin Cong, Anli Tong, Fang Li, Yaping Luo, Weinan Liu, Liangrui Zhou, Wenyu Di, Wenming Wu, Yupei Zhao
BACKGROUND: A patient with a rare pediatric insulinoma and MEN1 syndrome was treated by robotic enucleation surgery. CASE PRESENTATION: We present a case of a 9-year-old girl presenting with repeated loss of consciousness, concomitant with a pale face, palpitations, and convulsions, which had persisted for 2 years and had been aggravated during the previous 2 months. She was previously misdiagnosed with epilepsy in another hospital. We further examined her while she was hospitalized...
June 19, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29914487/blunt-liver-trauma-a-descriptive-analysis-from-a-level-i-trauma-center
#4
Ibrahim Afifi, Sheraz Abayazeed, Ayman El-Menyar, Husham Abdelrahman, Ruben Peralta, Hassan Al-Thani
BACKGROUND: We aimed to review liver injury experience in a level 1 trauma center; namely clinical presentation, grading, management approach and clinical outcomes. METHODS: It is a retrospective analysis to include all blunt liver injury patients who were admitted at the Level 1 trauma center over a 3-year period. Data were compared and analyzed based on the liver injury grades and management approaches. RESULTS: Blunt liver injury accounted for 38% of the total blunt abdominal trauma cases with a mean age of 31 ± 13 years...
June 19, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29914465/long-standing-biliary-colic-masking-chylous-ascites-in-laparoscopic-roux-en-y-gastric-bypass-a-case-report
#5
Louai R Zaidan, Elhaitham K Ahmed, Bachar Halimeh, Yasser Radwan, Khalil Terro
BACKGROUND: Chylous ascites is considered to be an intra-abdominal collection of creamy colored fluid with triglyceride content of > 110 mg/dL. Chylous ascites is an uncommon but serious complication of numerous surgical interventions. However, it is a rare complication of LRYGB. An internal hernia limb defect is thought to be the underlying etiology, where the hernia will cause lymphatic vessel engorgement and lymphatic extravasation. CASE PRESENTATION: We report a case of a 29 years old male with a 9 year history of laparoscopic Roux en y gastric bypass (LRGYB), presenting with recurrent abdominal pain for 2 months radiating to the right shoulder...
June 19, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29907107/complete-abdominal-wound-and-anastomotic-leak-with-diffuse-peritonitis-closure-achieved-by-an-abdominal-vacuum-sealing-drainage-in-a-critical-ill-patient-a-case-report
#6
Yusuke Fujii, Yoshitsugu Tajima, Shunsuke Kaji, Takashi Kishi, Yoshiko Miyazaki, Takahito Taniura, Noriyuki Hirahara
BACKGROUND: Negative pressure wound therapy (NPWT) is a widely accepted technique to treat local infectious wounds of the skin, subcutaneous tissue, fascia, or muscle. Recently, several reports describing the efficacy of NPWT for various types of fistulas and anastomotic leaks have been published. We herein describe a patient with an open abdominal wound due to colonic anastomotic leakage and diffuse peritonitis, in whom abdominal vacuum sealing (AVS) as a modified NPWT was useful for the management of this complex wound...
June 15, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29895293/robotic-treatment-of-oligometastatic-kidney-tumor-with-synchronous-pancreatic-metastasis-case-report-and-review-of-the-literature
#7
Andrea Boni, Giovanni Cochetti, Stefano Ascani, Michele Del Zingaro, Francesca Quadrini, Alessio Paladini, Diego Cocca, Ettore Mearini
BACKGROUND: The management of metastatic Renal Cell Carcinoma (RCC) has changed dramatically in the last 20 years, and the role of surgery in the immunotherapy's era is under debate. Metastatic lesions interesting pancreas are infrequent, but those harbouring from RCC have an high incidence. If metachronous resections are not rare, synchronous resection of primary RCC and its pancreatic metastasis is uncommonly reported, and accounts for a bad prognosis. CASE PRESENTATION: We report the case of a 68 years old woman, who presented hematuria at hospital incoming, with radiological appearance of a 13 cm left renal mass, with a 2...
June 13, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29890965/intradural-extramedullary-tumor-in-the-stenotic-cervical-spine-resected-through-open-door-laminoplasty-with-hydroxyapatite-spacers-report-of-two-cases
#8
Naohisa Miyakoshi, Daisuke Kudo, Michio Hongo, Yuji Kasukawa, Yoshinori Ishikawa, Yoichi Shimada
BACKGROUND: Safe excision of spinal cord tumors depends on sufficient visualization of the tumor and surrounding structures. In patients with spinal cord tumor adjacent to a stenotic spinal canal, extensive bony decompression proximal and distal to the tumor should be considered for safer excision of the tumor. Extensive wide laminectomy is one choice for such cases, but postoperative problems such as kyphotic deformity remain a concern. CASE PRESENTATION: A 76-year-old man and a 60-year-old woman presented with symptomatic intradural extramedullary spinal cord tumors in the cervical spine...
June 11, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29890959/single-site-robotic-cholecystectomy-comparison-of-clinical-outcome-and-the-learning-curves-in-relation-to-surgeon-experience-in-a-community-teaching-hospital
#9
Mohamad Dughayli, Sergey Shimunov, Sherry Johnson, Fadi Baidoun
BACKGROUND: The aim of this study was to analyze the experience of two surgeons who have different laparoscopic skills and case volume, with single-site robotic cholecystectomy (SSRC) and evaluate their learning curves. METHODS: All SSRCs performed between March 2013 and April 2015 were retrospectively reviewed. The patients were divided among two surgeons based on the surgeon's level of laparoscopic skills and case volume. Surgeon 1 had experience in advanced laparoscopy while surgeon 2 had basic laparoscopic skills...
June 11, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29879959/sporadic-abdominal-wall-desmoid-type-fibromatosis-treatment-paradigm-after-thirty-two-years
#10
S D Couto Netto, F Teixeira, C A M Menegozzo, H M Leão-Filho, A Albertini, F O Ferreira, E H Akaishi, E M Utiyama
BACKGROUND: Desmoid-type fibromatosis is a benign mesenchymal neoplastic process. It exhibits an uncertain growth pattern and high recurrence rate. Previously radical surgical resection was the mainstay of treatment, but recently more surgeons are opting for conservative management with observation ("wait and see" policy). The authors intend to evaluate different therapeutic modalities and oncological outcomes for abdominal wall desmoid tumors. METHODS: We performed a retrospective study of patients who underwent surgical, hormonal or chemotherapy treatment for abdominal wall desmoid tumors between 1982 to 2014 at two institutions affiliated with the University of São Paulo, Brazil...
June 7, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29871678/robot-assisted-enucleation-of-large-dumbbell-shaped-esophageal-schwannoma-a-case-report
#11
Yajie Zhang, Yu Han, Jie Xiang, Hecheng Li
BACKGROUND: Esophageal schwannomas are extremely rare, with few cases reported in the literature. Traditionally, resection of esophageal schwannoma is typically performed using thoracotomy or video-assisted thoracic surgery. However, large, irregular tumors may increase the surgical difficulties of complete enucleation and lead to potential mucosal damage. Moreover, a subtotal esophagectomy cannot be avoided in some conditions. Here, we report the first case of robot-assisted enucleation of a large dumbbell-shaped esophageal schwannoma...
June 5, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29866087/bowel-symptoms-and-self-care-strategies-of-survivors-in-the-process-of-restoration-after-low-anterior-resection-of-rectal-cancer
#12
Lishi Yin, Ling Fan, Renfu Tan, Guangjing Yang, Fenglin Jiang, Chao Zhang, Jun Ma, Yang Yan, Yanhong Zou, Yaowen Zhang, Yamei Wang, Guifang Zhang
BACKGROUND: The purpose of this research is to identify the bowel symptoms and self-care strategies for rectal cancer survivors during the recovery process following low anterior resection surgery. METHODS: A total of 100 participants were investigated under the structured interview guide based on the dimensions of "symptom management theory". RESULTS: 92% of participants reported changes in bowel habits, the most common being the frequent bowel movements and narrower stools, which we named it finger-shaped consistency stools...
June 4, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29855291/changes-in-anorectal-physiology-following-injection-sclerotherapy-using-aluminum-potassium-sulfate-and-tannic-acid-versus-transanal-repair-in-patients-with-symptomatic-rectocele-a-retrospective-cohort-study
#13
Joo Hyung Kim, Yong Pyo Lee, Kwang Wook Suh
BACKGROUND: Following injection sclerotherapy using ALTA (aluminum potassium sulfate and tannic acid) (ALTAS) and transanal rectocele repair (TAR), changes in anorectal physiology were analyzed to compare the significance of the two treatments. METHODS: ALTAS was administered to 23 patients and 18 patients were treated using TAR. Efficacy measures included changes in defecography, anorectal manometry and constipation scoring system value. RESULTS: This was a retrospective cohort analysis conducted on prospectively collected data...
May 31, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29848342/spontaneous-omental-bleeding-a-case-report-and-literature-review
#14
Yun-Xiao Lyu, Yun-Xiao Cheng, Ting Li
BACKGROUND: Spontaneous rupture of omental vessels is an infrequent medical condition possibly causing severe intra-abdominal hemorrhage. Omental bleeding results from trauma associated injury and irritation, neoplasia, arterial aneurysm rupture, and anticoagulant treatment. Idiopathic omental bleeding rarely causes acute abdominal bleeding which has been reported to occur in previous studies. Here we reported a case with idiopathic omental hemorrhage due to vascular malformation. A systematic review of literature is provided...
May 30, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29848337/para-duodenal-hernia-a-report-of-five-cases-and-review-of-literature
#15
Kamleshsingh Shadhu, Dadhija Ramlagun, Xiaochun Ping
BACKGROUND: Para-duodenal hernia (PDH) represents rare clinical entities based on few literatures. CASE PRESENTATION: We report five cases of Para-duodenal hernia, all occurring in male patients ranging from 34 to 75 years of age. The patients had varied manifestations presenting with abdominal pain with or without vomiting and nausea and with or without signs of intestinal obstruction. CT images showed cluster of dilated bowel segments with displaced mesenteric vessels at hernial orifice...
May 30, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29843704/clinical-significance-of-three-dimensional-skeleton-arterial-model-in-the-management-of-delayed-reconstruction-of-acetabular-fractures
#16
Xi Zhou, Qiang Zhang, Wenhao Song, Dongsheng Zhou, Yu He
BACKGROUND: Delayed reconstruction of acetabular fractures remains a challenging task for orthopedists because of malunion, fracture line absorption, and scar formation. Accurate osteotomy, interfragmentary release, and proper adaptation of plates are keys to successful surgery. Prevention of superior gluteal artery (SGA) injury induced by cleaning of the osteotylus and reduction of the sciatic notch is also important. Therefore, sufficient preoperative planning is essential. However, traditional planning methods do not readily provide direct visual and tactile feedback to surgeons...
May 29, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29843693/first-right-lobe-living-donor-hepatectomy-after-sleeve-gastrectomy
#17
Aiman Obed, Abdalla Bashir, Anwar Jarrad
BACKGROUND: Obesity presents one of the leading causes of many chronic liver disorders and injuries. Nowadays, non-alcoholic steatohepatitis (NASH) demonstrates a challenging issue for the global health system. NASH can progress to life-threatening conditions such as cirrhosis and hepatocellular or cholangio carcinoma. Currently, NASH cirrhosis is a major indication for liver transplant (LT). CASE PRESENTATION: We present the case of a 37 year-old male who has lost 74 kg after undergoing successful laparoscopic sleeve gastrectomy (SG) four years ago...
May 29, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29792183/estimated-intraoperative-blood-loss-correlates-with-postoperative-cardiopulmonary-complications-and-length-of-stay-in-patients-undergoing-video-assisted-thoracoscopic-lung-cancer-lobectomy-a-retrospective-cohort-study
#18
Shuangjiang Li, Kun Zhou, Yutian Lai, Cheng Shen, Yanming Wu, Guowei Che
BACKGROUND: The purpose of our study was to estimate the influence of estimated intraoperative blood loss (EIBL) on postoperative cardiopulmonary complications (PCCs) in patients undergoing video-assisted thoracoscopic surgery (VATS) lobectomy for non-small-cell lung cancer (NSCLC). METHODS: We conducted a single-center retrospective analysis on the clinical data of consecutive patients in our institution between April 2015 and February 2016. Demographic differences between PCC group and non-PCC group were initially assessed...
May 23, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29789005/ultrasonography-in-diagnosis-and-analysis-of-chronic-pain-following-anterior-open-inguinal-herniorrhaphy
#19
Z Y Qiu, Y Chen, J X Tang, L Chen
BACKGROUND: Chronic pain as a complication following inguinal herniorrhaphy has attracted increasing attention in recent years. There is evidence that the chronic pain seriously affects patients' quality of life. However, there are few imaging studies and diagnostic techniques of the chronic pain. The aim of this study is to explore the etiology and to analysis ultrasonographic imaging description of chronic pain following anterior open inguinal herniorrhaphy. METHODS: One hundred fifty two patients with the chronic pain following anterior open inguinal herniorrhaphy were performed by ultrasonography to identify the main causes of postoperative chronic pain...
May 22, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29776444/mediastinal-staging-of-non-small-cell-lung-cancer-by-endobronchial-and-endoscopic-ultrasonography-with-or-without-additional-surgical-mediastinoscopy-mediastrial-study-protocol-of-a-multicenter-randomised-controlled-trial
#20
Jelle E Bousema, Marcel G W Dijkgraaf, Nicole E Papen-Botterhuis, Hermien W Schreurs, Jos G Maessen, Erik H van der Heijden, Willem H Steup, Jerry Braun, Valentin J J M Noyez, Fieke Hoeijmakers, Naomi Beck, Martijn van Dorp, Niels J M Claessens, Birgitta I Hiddinga, Johannes M A Daniels, David J Heineman, Harmen R Zandbergen, Ad F T M Verhagen, Paul E van Schil, Jouke T Annema, Frank J C van den Broek
BACKGROUND: In case of suspicious lymph nodes on computed tomography (CT) or fluorodeoxyglucose positron emission tomography (FDG-PET), advanced tumour size or central tumour location in patients with suspected non-small cell lung cancer (NSCLC), Dutch and European guidelines recommend mediastinal staging by endosonography (endobronchial ultrasound (EBUS) and endoscopic ultrasound (EUS)) with sampling of mediastinal lymph nodes. If biopsy results from endosonography turn out negative, additional surgical staging of the mediastinum by mediastinoscopy is advised to prevent unnecessary lung resection due to false negative endosonography findings...
May 18, 2018: BMC Surgery
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