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BMC Surgery

Supul Banagala, Umesh Jayarajah, Isuru Almeida, Dharmabandhu Nandadeva Samarasekera
BACKGROUND: Surgical management of complex perianal fistula associated with pararectal cavities can be challenging. We hypothesised that healing of the pararectal cavities prior to healing of the fistula leads to a better outcome. We aimed to assess the efficacy of irrigation catheters in the healing of pararectal cavities associated with fistula-in-ano. METHODS: This study design was consistent with IDEAL stage 2a (development) and was conducted at the Professorial Surgical Unit, National Hospital of Sri Lanka, Colombo...
November 9, 2018: BMC Surgery
Tina Vajsbaher, Holger Schultheis, Nader K Francis
BACKGROUND: Spatial cognition is known to play an important role in minimally invasive surgery (MIS), as it was found to enable faster surgical skill acquisition, reduce surgical time and errors made and significantly improve surgical performance. No prior research attempted to summarize the available literature, to indicate the level of importance of the individual spatial abilities and how they impact surgical performance and skill acquisition in MIS. METHODS: Psychological and medical databases were systematically searched to identify studies directly exploring spatial cognition in MIS learning and performance outcomes...
November 7, 2018: BMC Surgery
Hannah Bergström, Lars-Göran Larsson, Erik Stenberg
BACKGROUND: The prevalence of perioperative surgical complications is a worldwide issue: In many cases, these events are preventable. Audio-video recording during laparoscopic surgery provides useful information for the purposes of education and event analyses, and may have an impact on the focus of the surgeons operating. The aim of the present study was to investigate how audio-video recording in the operating room during laparoscopic surgery affects the focus of the surgeon and his/her assistant...
November 6, 2018: BMC Surgery
D G Jones, J Nantais, J B Rezende-Neto, S Yazdani, P Vegas, S Rizoli
BACKGROUND: Over-aggressive intravenous fluid therapy with crystalloids has adverse effects in trauma patients. We assessed the role of large-volume (≥5l) administration of crystalloids within 24h of injury as an independent risk-factor for mortality, in-hospital complications, and prolonged mechanical ventilation. METHODS: A retrospective cohort analysis of adult trauma patients admitted to a level 1-trauma center between December 2011 and December 2012. Patient demographics, clinical and laboratory values, and total resuscitation fluid administered within the first 24h of injury were obtained...
November 6, 2018: BMC Surgery
Alaa El-Hussuna, Niels Qvist, Marie Strøm Zangenberg, Anne Langkilde, Volkert Siersma, Sara Hjort, Ismail Gögenur
BACKGROUND: TNF-α plays a role in angiogenesis and collagen synthesis, both essential in the wound healing process. There are concerns that pre-operative anti-TNF-α treatment may influence the surgical stress response and increase the risk of surgical complications. The aim of this study was to describe the surgical stress response in patients with inflammatory bowel disease (IBD) and to investigate whether the pre-operative administration of anti-tumor necrosis factor alpha (anti-TNF-α) agents modify the surgical stress response...
November 3, 2018: BMC Surgery
Christoph A Fink, Mirco Friedrich, Pia-Elena Frey, Lukas Rädeker, Alexander Leuck, Thomas Bruckner, Manuel Feisst, Solveig Tenckhoff, Christina Klose, Colette Dörr-Harim, Jens Neudecker, André L Mihaljevic
BACKGROUND: One of the most important aspects of designing a clinical trial is selecting appropriate outcomes. Patient-reported outcomes (PROs) can provide a personal assessment of the burden and impact of a malignant disease and its treatment. PROs comprise a wide range of outcomes including basic clinical symptom scores and complex metrics such as health-related quality of life (HRQoL). There is limited data on how postoperative complications following cancer surgery affect symptoms and HRQoL...
October 29, 2018: BMC Surgery
Philipp Anton Holzner, Frank Makowiec, Andrea Klock, Torben Glatz, Stefan Fichtner-Feigl, Sven Arke Lang, Hannes Philipp Neeff
BACKGROUND: The indication for hepatic resection (HR) in patients suffering from liver metastases (LM) other than colorectal and neuroendocrine tumors is one focus of current multidisciplinary, oncologic considerations. This study retrospectively analyzes outcome after HR for non-colorectal, non-neuroendocrine (NCNNE) LM in the absence of distant or extrahepatic metastases. METHODS: We included 100 consecutive patients undergoing HR for isolated NCNNE LM from a prospective database in our institution, including postoperative follow-up...
October 29, 2018: BMC Surgery
Shoji Kawakatsu, Yosuke Inoue, Yoshihiro Mise, Takeaki Ishizawa, Hiromichi Ito, Yu Takahashi, Akio Saiura
BACKGROUND: Postoperative pancreatic fistula (PF) is the main cause of operative mortality in patients who undergo pancreatoduodenectomy. Various pancreatoenteric anastomosis techniques have been reported to minimize the postoperative PF rate. However, the optimal method remains unknown. This study was performed to clarify the impact of pancreatojejunostomy on clinically relevant PF (CR-PF) between Blumgart anastomosis and Kakita anastomosis in patients with a soft pancreas. METHODS: In total, 620 consecutive patients underwent pancreatoduodenectomy at our institute from January 2010 to December 2016, and 282 patients with a soft pancreas were analyzed (Blumgart anastomosis, n = 110; Kakita anastomosis, n = 176)...
October 24, 2018: BMC Surgery
Michael Osseis, Francesco Esposito, Chetana Lim, Alexandre Doussot, Eylon Lahat, Liliana Fuentes, Toufic Moussallem, Chady Salloum, Daniel Azoulay
BACKGROUND: Postoperative complications (POCs) after the resection of locally advanced colorectal cancer (CRC) may influence adjuvant treatment timing, outcomes, and survival. This study aimed to evaluate the impact of POCs on long-term outcomes in patients surgically treated for T4 CRC. METHODS: All consecutive patients who underwent the resection of T4 CRC at a single centre from 2004 to 2013 were retrospectively analysed from a prospectively maintained database...
October 17, 2018: BMC Surgery
Bibek Aryal, Teruo Komokata, Hiroto Yasumura, Daisaku Kamiimabeppu, Maki Inoue, Kota Yoshikawa, Mamoru Kaieda, Yutaka Imoto
BACKGROUND: THUNDERBEAT® (TB) (Olympus Medical Systems Corp., Tokyo, Japan) is a dynamic energy system device that simultaneously delivers ultrasonically generated frictional heat energy and electrically generated bipolar energy. TB is being routinely used in various operative procedures, however, less is known about its utility in liver resection. We, herein, report our early experience of using TB in open liver resection particularly in patients with normal or near-normal liver parenchyma...
October 16, 2018: BMC Surgery
Adeodatus Yuda Handaya, Nova Yuli Prasetyo Budi, Guntur Marganing Adi Nugroho, Aditya Rifqi Fauzi
BACKGROUND: Adenocarcinoma derived from umbilicus is very rare. Most adenocarcinomas in umbilicus are secondary events. Carcinoma derived from sweat glands is sporadic, highly radioresistant and has a clinical appearance that is difficult to predict. CASE PRESENTATION: A 37-year-old woman presented with recurrent umbilicus adenocarcinoma after a history of umbilicus tumor surgery 14 months earlier and Capecitabine chemotherapy six times. Malignant cells were found in Fine Needle Aspiration Biopsy (FNAB) examination...
October 12, 2018: BMC Surgery
Maximilian Brunner, Jessica Stockheim, Christian Krautz, Dimitrios Raptis, Stephan Kersting, Georg F Weber, Robert Grützmann
BACKGROUND: Hepaticojejunostomy is commonly used in hepato-bilio-pancreatic surgery and a crucial step in many surgical procedures, including pancreaticoduodenectomy. The most frequently used techniques are the interrupted suture and the continuous suture technique. Currently, there is no data available in regard to the utilization of these techniques. METHODS: In total, 102 hospitals in Germany were invited between September and November 2017 to participate in this survey...
October 11, 2018: BMC Surgery
Luiz Gonzaga de Moura Júnior, Paulo Roberto Leitão de Vasconcelos, Francisco Vagnaldo Fechine, Mayra Sabiá de Moura, Régis Luiz Sabiá de Moura, Hermano Alexandre Lima Rocha, Manoel Odorico de Moraes Filho
BACKGROUND: Video surgery requires acquisition of psychomotor skills that are different from those required for open surgery. The aim of this study was to assess the EndoSuture Trainer Box Simulator (ESTBS), a new bariatric laparoscopic skills simulator, as a tool for surgical education, comparing it with a standard laparoscopic trainer (SLT). METHODS: A randomized prospective crossover study was designed to compare ESTBS versus SLT as a tool for training bariatric laparoscopic skills...
October 9, 2018: BMC Surgery
Manuel O Jakob, Ulrich Guller, Alex Ochsner, Daniel Oertli, Markus Zuber, Carsten T Viehl
BACKGROUND: The lymph node ratio (LNR), i.e. the number of positive lymph nodes (LN) divided by the total number of analyzed LN, has been described as a strong outcome predictor in node-positive colon cancer patients. However, most published analyses are constrained by relatively low numbers of analyzed LN. Therefore, the objective of the present study was to evaluate the prognostic impact of LNR in colon cancer patients with high numbers of analyzed LN. METHODS: One hundred sixty-six colon cancer patients underwent open colon resection...
October 3, 2018: BMC Surgery
Antonino Mirabella, Tiziana Fiorentini, Roberta Tutino, Nicolò Falco, Tommaso Fontana, Paolino De Marco, Eliana Gulotta, Leonardo Gulotta, Leo Licari, Giuseppe Salamone, Irene Melfa, Gregorio Scerrino, Massimo Lupo, Armando Speciale, Gianfranco Cocorullo
BACKGROUND: Perforated peptic ulcers (PPU) remain one of the most frequent causes of death. Their incidence are largely unchanged accounting for 2-4% of peptic ulcers and remain the second most frequent abdominal cause of perforation and of indication for gastric emergency surgery. The minimally invasive approach has been proposed to treat PPU however some concerns on the offered advantages remain. METHODS: Data on 184 consecutive patients undergoing surgery for PPU were collected...
September 25, 2018: BMC Surgery
Rimantas Bausys, Augustinas Bausys, Kazimieras Maneikis, Viktorija Belogorceva, Eugenijus Stratilatovas, Kestutis Strupas
BACKGROUND: Endoscopic resection is widely accepted treatment option for early gastric cancer if tumors meet the standard or expanded indications. However, the safety of expanded criteria is still under investigation. Furthermore, discussion, if any additional treatment is necessary for patients who underwent endoscopic resection but exceeded expanded criteria, is rising. This study aimed to evaluate the safety of extended indications for endoscopic resection of early gastric cancer in a Western cohort...
September 25, 2018: BMC Surgery
Yuichi Goto, Satoki Kojima, Yoriko Nomura, Daisuke Muroya, Syoichiro Arai, Hisamune Sakai, Ryuichi Kawahara, Toru Hisaka, Yoshito Akagi, Hiroyuki Tanaka, Koji Okuda
BACKGROUND: We experienced a rare case of benign arterial stricture of the right posterior hepatic artery (RPHA) caused by atherosclerosis in a patient with hilar cholangiocarcinoma. CASE PRESENTATION: A 75-year-old man was referred to our hospital for the detailed investigation of serum hepatobiliary enzyme elevation. The patient had a history of hypertension, type 2 diabetes mellitus, and an operative history of coronary artery bypass grafting 10 years before...
September 24, 2018: BMC Surgery
Yuan Tian, Ting Liu, Chuan-Qi Zhao, Ze-Yuan Lei, Dong-Li Fan, Tong-Chun Mao
BACKGROUND: Perineum necrotizing fasciitis, also known as Fournier gangrene (FG), is a rare but highly mortal infectious necrotizing fasciitis with or without involvement of the underlying muscle. Evidence exists that negative pressure wound therapy (NPWT) combined with a split thickness skin graft (STSG) can help to heal wounds with FG. However, when the wound spreads to the anal area, it can easily be contaminated by faeces, causing a more extensive wounds; thus, faecal diversion is considered...
September 24, 2018: BMC Surgery
Umberto Bracale, Jacopo Andreuccetti, Maurizio Sodo, Giovanni Merola, Giusto Pignata
BACKGROUND: During laparoscopic trans-abdominal pre-peritoneal hernia repair (TAPP) the positioning of the mesh around the spermatic cord could provide an additional anchoring point and ensure better defect closure, thereby preventing mesh movement and recurrence. The primary aim of our retrospective study was to determine if, during a TAPP procedure, an advantageous difference for mesh placement exists between the slit and the non-slit techniques in terms of recurrence rate. Secondary aims were intra and post-operative complications and the time required to return to normal activity...
September 20, 2018: BMC Surgery
Yanlu Lyu, Lingguo Ma, Chaoyang Ke, Wei Zhang, Ming Liu
BACKGROUND: The reconstruction of a total amputated auricle is aesthetically demanding for otorhinolaryngology surgeons. Although various reattachment methods have been introduced since 1898, only a few have achieved satisfactory aesthetic outcomes. This study aimed to present a successful case of auricular reconstruction using a two-stage inversion technique. CASE PRESENTATION: The patient's left ear was extensively lacerated in a violent event 3 h before admission...
September 18, 2018: BMC Surgery
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